HomeMy WebLinkAboutBLD2023-01393 - BLD CD Environmental Health Review - 11/16/2023 MASON COUNTY PennkNe: SLDAGAS-0 M3
COMMUNITY DEVELOPMENT z
Permit Assistance Center,Building,Planning -
BUILDING PERMIT APPLICATION = X
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATION: - D O
NAME:EMPIRE HOME CONSTRUCTION,LLC NAME:MABON CODMVEXGVADNG,INC !:� K
MAILING ADDRESS:P.O.BOX 241. MAILING ADDRESS:W E MILCHAR KVD,
CITY:I�Lso STATE:WA 2TP:MNNI CITY:SIELTON STATE:WA ZIP:WW = m
PHONE#1:LOREN3E0. IA745 PHONE:38B4 1" CELL: 3B 3144 z
PHONE#2:DAM 31x,751Ao62 FMAII.:M640xCOUlT'EJtCAVATING@rAHOD.COM D
EMAIL:LORENOWALL®GMMLCGM L$I REG#MA80NE915PM EXP._/ B/ r
PRIMARY CONTACT: OWNERQ CONTRACTORO OTHBRO
NAME DAMDO EMAIL IMVIOUW ADBDOGNAILCOM
MAILINGADDRESS PO BOX 241 CITY EEM SPATE WA ZIP9M28
PHONE M 751e CELL SAME
PARCEL INFORMATION: G
PARCELNUWRER(12Digt Nomber) U01653naoDe ZONING RR Yl
LEGALDESCRB'fION(Abbrevieted) SHORECREST TERRACE OIHADO BLK4LOT:a FIRE DISDUCLFDS rD to
SITE ADDRESS 91 EGmenxooa Lane,StMlbn,WA985B4 CITY SHELTON _-^ W
DItECT10NSTOSITEADDRESS EA9eb RaeMECrwc DIWEGnmrAmaLn u 7
Z
MS PROJECTWH 3N"OFSI M(S)GREA'fVERTITANI4%: YESEI NOEI SNOWIUAIF3�
IS PROPERTY W LAIU3 D RIVF ICREEK LOWINC: ] WETLAa D[:
SALTWATERQ LAKED RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF[] STREAM[]
TYPE OF WORK: NEW 0 ADDTTION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Red ..C,CwwaddBA4 En)RESIDENTIAL
i
i IS USE: PRIMARY SEASONALD NIlA3BEROP BEDROOMS3 NUMBER OF BATHROOM32
REATED STRUCTURE? YES Md B&W EI YES(PoM/yer6gl❑ NO❑
DESCRIBE WORKNEW MFH
j SOUARE FOOTAGE:NmPmW
ISTPLOORIM q.B. 2NDFLOOR_N.B. 3RDFLOOR aq.ft RASHMENT aq.ft
DECK 32 NI.0. COVERED DECK eq.R STORAGE aq.It OTHER
GARAGE vl.ft Ana E3 TIP Aa LJ CARPORT vIft AB w[3 Deroc [3
MANUFACTURED HOME INFORMATION: •4 COMES OF THE FLOOR PLAN REQUIRED-
MODEL UNDER PRESSURE YEAR2923 LENGTH48FT
WIDT'� BEDROOMS3 BATHS SERDILNOMBER
ENVIRONMENTAL HEALTH:
SEWAGESEWER SOURCE: SEPTIC El SEWER❑ / NEWB EXISTING[I
PLUMBING IN STRUCTURE? YES B NO IJPAs,attach compimed We Ade Form
PERDTETERNOUNDATION DRAINS PROPOSED? YES MMNGSQ.FT.�
EXISTINGBEDROOMS PROPOSED BEDROOMS 3 TOTALBEDROOMS 3
OWNEfl akmxhyes 15a1 suEmbs'mn IXinaxvrele inlmnalun meY RwnlnesmP•on aaa mPoeail resaallon.Arhirswb]gemenlMwM®y
si9^ebre eebw.I ae lace Nat am tlia w.naene bnMraafara tlim am mlilatlto rewiva Nis pertnhaiM Wao IM waM u mo rotesl
aemiaee peaaiasion Fam an Na man rere�,iemain9 mr a�aaan noaer a.pdTas a in�ares�,aDM 9 Nis mom Tne Plmer Prle9M
repesmlaM2,re�.acSems Ne[tln inbmi�onpuYMtl HaaeuretBNN 9anh a'IµYoyrea al Maaon Ccw[yamassbNeaWwtle9oieetl plclblly
eM Wwfure(s)Iu review aM lrepection.TM1e(mMapplimtion Cemmp nullhru0 ewvh Pr mNwee mmhuNmis nd wmmevrotl xYlinl�
tleye a dmreLw4on wA is auspeMSUlor a Po�a118o tlays
PROOF OF CONTINUATION OF WORK ON THIS PERMIT 1E BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
SgnaWre of OWNER�(M,e b ,Wl MB»ONMER) —s— Da1e
DEPARTMENTAL REVIEW APPROV® DATE DERIVED DATE TAGS/NOTESICONDITIONS
i BUILDING DEPARTMENT
1
� PLANNING DEPARTMENT
1
1 FIRE MARcue*.
I PUBUCEEALTH I-L B�i r ZMS
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't� W SCALE : `10,
& PLO' TI^N
p�lve 23,H o°
PhRKSN ''r 6 � � EMPIRE k DME-
L2'I x 48' E" tJ'<J�J➢
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38¢
ManU�wc-t'ured �o�+E
pier pads only
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axz 1x �t� 27�3� 9Sltrosts
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—21' 2 24 gs rrootS +4
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15, 41e5-23 g5' +ii 'r0
(4)3'X50' QrWACEYl drwn eld frt"x Us ill fro J �5.
J(2� 3 % to' �(3) 3x (cG�
YtsQY� Planning Setbacks
Front(North): 10'
Sides: 7'
EH Setbacks Rear: 20'
A.) Drainfield/Reseme requires 10'setback from tooting/foundations all setbacks measured from the farthest
e.)Septic tank(s)requires 5'setback from all footing/foundations projection of the building
C.)No foundation/Perimeter Drains within 30ft.downgradient of 'subject to EH setbacks
Drainfield/Reserve area
D.)No Cut Sank(s)(greater than 5ft and over 35 degrees)within pLN Approved
50ft,down gradient of Drainfield/Reserve area
11/17/2023
Mason County Community Development
EH APPROVED Gavin Scouten
Rhonda Thompson 12/18/2023 All Changes Subject to Approval
1
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