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Home My WebLink AboutBLD2021-00331 MFG Home - BLD Application - 3/8/2021 MASON COUNTY COMMUNITY SERVICES PertnitNo: 6naO-aL-(-X)331 PERMIT ASSISTANCE CENTER: �l •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL B J .: .: 615 W.Alder Street.Shelton,WA 98584 REC � Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone Beltak:(360)275-4467•Phone Elms:(360)482-5269 MAR o � 2021 410 BUILDING' BUILDING PERMIT APPLICATI"5 W. Ala6i _? ----- ___ .._ _ __.._.. ................. .......__. -..........----........... ----—.._.._._..-- PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: P NAME:C,L-OUK 8 V CON)S V ^1 LW MAIL G ADDRESS:Z 2- Otr.l MAILING ADDRESS: S CITY: QfP1EX1TD Q STATE:LkO A_ZIP:CISS It CITY:I ACeq STATE:W_Zip: -- PHONE#I:31 Q 0 2'-7:� 1'Clq S PHONE:3(aD.SS9.S i OCELL: PHONE#2: EMAIL:G e F[L=t2 f c3C l oUyco(Q&Y C r3 G(-'Za.C,D r,.1 EMAIL: L&I REG#CJ-W I0j3L I'4L:� EXP. PRIMARY CONTACT: OWNER❑ CONTRACTORV OTHER❑ NAME e�; EMAIL F, MAILING ADDRESS O SCoq CITY LPAC.E,q STATE U0A ZIP— &S PHONE A& CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) -�210 ZONING Q Z S LEGAL DESCRIPTION(Abbreviated�Q �lo-9 Oq S 1(t N[F'.( 111C�3 LD?'n°FIRE DISTRICT SITEADDRESS-1(3D C. 3J9&.4 r0 14 .t1-C tQ CITY AIJ,.V fJ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:J�msf IS PROPERTY W YTHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW'* ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Re5ldence.Garage,Commercial Bldg,Etc.)—Rea Coli IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(MoleStdg)< YES(Part(s)ofBldg)❑ NO❑ DESCRIBE WORK ZfASD, -_L►.t tJlEa (, J.ACW E}rwy c� SQUARE FOOTAGE: (propo54 1ST FLOOR��sq,ft. 2ND FLOOR sq.fL 3RD FLOOR sq.fil. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE FLr,^ier( xyiz)DMODEL E 4 7—b(004SYEAR ZOZI _LENGTH LOU I r it WIDTHS_—tP BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC' SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 2) TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result In a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided Is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work Is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Signature of OWNER(M,,,t b9, n by cbe OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH SOIL LOG#1: - NOTE: PRESCRIPTIVE FLOW CONTROL MEASURES +4, ARE TO BE DESIGNED BY LICENSED INDIVIDUALS SOIL TYPE:4 ^^ IAW WITH APPLICABLE STATE AND COUNTY CODES. 40 T-36":LIGHT BROWN LOAMY SAND RE V E L-D - LOAM W/LOTS OF PEBBLES 36"64"+:GRAY FINE TO MEDIUM SAND NOV 1 9 2021 Car ac w r oar a<�Ie .:Pt. design.AKIY cosh Incurred due m ch Ith 0 m - \ Ws Oe ggn salesresponeibm y of thent roope t owner. t s Ifle ec ly property Ry owner. SOIL LOG#2: of M 615 W. Alder Street H SOIL TYPE:4 T-24":LIGHT BROWN LOAMY SAND APPROVED LOAM W/LOTS 0F PEBBLES ,• s""' " 24"-60"+:GRAY FINE TO MEDIUM SAND - y r%N c0u"", I( ^CD PLAWNG �'. .kbi FtEQUiRED TO BE ON SITE SOIL LOG#3: SUBSET 1^ AP RC��'1 l. � � SOIL TYPE:4 0"-24":LIGHT BROWN LOAMY SAND c�:� � s% A,loo " LOAM WI LOTS OF PEBBLES 26 RESERVE SL3 \°rn ��\ \\o 24-48+.GRAY FINE TO MEDIUM SAND SLI Z / \ RAN I o EL \ GG�grG 2� I A.Slope in.Prtmary •\ � ..D. ♦ QoJ r LAddhionatCaverftequired inches \\ \ ,>� NO,, 00 ) LA N N I N G . o + D.Tre.ncb. idth. I `\ \•.\e\� m.r .x,�.�� u.r 00 ti T t 1 I_J' B.3daximurn depth 'RROFOD EX.1 - _ [ `..T J+� Tregch . \ \ -- \ D1513-11 Is..inches :pftIVEWAY'. Component hrf'iitrative �.\\ °'t'V• [ _ 1\.\ +12' { {-{ Surface Native. t. �.{r�>i}�>�>iJt> C.Vertical V11.V1NG \ t Sail �ep >{>{} 44). - >tz,}t>{>i>t>;?SJ MAR 0 6 20 >Knit;ciiretayerailtt�Aescseasol,alw�cs;af,ir 26� � \ oGG�s`` 615 V"V. AIn r Jtl _. 0' 5,10, 30' 50, 75' 100, \ -12' ��a21-��Cso3�t f SCALE (FEET) \\ _KIEQ TH/S /� NOT A `;URVEY ALL PROPERTY L/NES/BOUNOAR/ES HAVE I cznv— 3� 1 c' \ BEENDEMONSTRATEDE3 THEOWNE -x ANO/OR THE/RAGENT(S)- vtw JW oZ('a -C.oc)�`� INSTALLER MUST VERIFY THAT WATER LINE LOCATION AT TIME OF INSTALL MEETS ALL CODES/S ET6AC KS ^IT IS THE RESPONSIBILITY OF OWNER/REPRESENTING AGENT TO PRO\/IOE TO ACME IN WRITING ANY ANC) ALL INFORMATION PERTINENT TO THE DE�/ELOPMENT OF SEPTIC FEASIBILITY ANC)/OR 'INSTALLER MAY FIND TREE REMOVAL NECESSARY DESIGN INCLUDING ALL GRAY/BL..ACK WATER STUB OUTS, UTILITY LOCATIONS, PROPERTY DIMENSIONS LEGEND DIMENSIONS, EASEMENTS, BUFFER I S P.NO SETBACKS REQURED BY GO R�/ENING OR REGUl.-ATING ENTITIES ACME DESIGN DRY WEATHER INSTALLATION ANO SITE PREP REG2UIRE O. PROTECT PRIMARY ^NO, RESERVE DRAIN FIELD AREAS FROM ANY VEHICLE TRAFFIC. =SOIL LOG ^ INC) FOUNDATION SPOILS OR BURNING ON DRAtNF1ELO AREAS. --_. = NO BUILD ZONE - DUE TO UNFORESEEN WATER TABLES, A CURTAIN DRAIN N[AY BE REQUIRED. �- OEPENOING UPON FINAL ELE�/ATIONS, A PUMP MAV BE REQUIREC). =CLEF.RINGLIMITS DATE- 11 JANUARY 2021 = LOW AREAS n ,{ - DIFRI-= ALL DOWNSPOUT/SURFACE WATER AWAY FROM GRAINFIELD AREAS. P.O. BOX 2954 IF C)F LATERALS OR MODULES ARE DEPICTED, THEY ARE APPROXIMATE AND MAY VARY, `\V/ = TREES - 12" DIA PROVIDED THEY REMAIN IN THE DELINEATED I AREA. -,/t\C NAME- SHARP SILVERDALE, WA. "ALL WELLS WITHIN 10O FEET OF PROP- BOUNDARIES HAVE BEEN SHOWN (200' FOR CLASS-B WAI�./FE 98383 ^ EXCEPT FOR THE DISPERSAL COMPONENT, ALL SEPTIC COMPONENTS MUST BE WATERTIGHT TO SURFACE. O = CLEAN OUT TAX ID- 12230-75-90262 ^ WATER LINE MUST BE A MINIMUM OF 1 O' FROM ANY SEPTIC COMPONENT. fVIAiNTAIN A MINIMUM 50' SETBACK DOWNSLOPE OF I-PITS. MINIMUM OF 1 O' SETBACK UPSLOPE OF I-P��-S. z = 1250-GAL SEPTIC TANK SEED ANO MULCH FINAL Dt2AiNF1ELD CO1,/EF2 IMMEDIATELY UPON COMPLETION. O STREET- E SHERWOOD HILLS N TEL. 360.698-8488 OE PEN DI NG ON THE TYPE OF ATU USED, A TRASH TRAP MAY BE REGlUIF2EO. O LATERALS MAY BE NO CLOSER THAN 5' ON CENTER. 3 = D-BOX SCALE: 11I'40' SITE PLAN INFO@ ACMESEPTIC.COM ^ IF WATER ANO SEWER LINES CROSS, THEY MUST BE CONSTRUCTED IAW STATE E. COUNTY COOS. SOIL LOG#1: ARE NOTE: PRESCRIPTIVE FLOW CONTROL MEASURES ICENSED INDIVIDUALS I IAW WITH APPLICABLE STATO BE DESIGNED BY LTE AND COUNTY CODES. SOIL TYPE:4 0"-36":LIGHT BROWN LOAMY SAND r LOAM W1 LOTS OF PEBBLES 1 " 36"-V'+:GRAY FINE TO MEDIUM SAND PROPERTY OVYNFJt NOTE Y Carefully reNew ALL espacb o/1lJe saptle design.AZl•(coati Irxurrad Qua m cnargsa b WsaaselGGn aMls°ras"I°n IDIMy of the HaaIV\Departmarrt Ina so po Property owner. SOIL LOG#2: �`°`" SOIL TYPE:4 "��``.•�• \' 0" IL LIGHT BROWN LOAMY SAND ? APPROVED LOAM W/LOTS OF PEBBLES i1`'�.I f Zg5 - 3r!t COL!MTY ^r D PLANNING 24"-60"+:GRAY FINE TO MEDIUM SAND PLAW REQUIRED TO E ON SITE SU_WET TO AP ROYAL SOIL LOG#3: By SOIL TYPEA 0"-24":LIGHT BROWN LOAMY SAND 100% �. LOAM W/LOTS OF PEBBLES -26' RESERVE SL3 �� N 24"A8"+:GRAY FINE TO MEDIUM SAND 25 moll S� 60 -A • , PLAN \\ 1 -Fi \\ l EL io=i5 s \ A.Slope in Primary •\ \\`. DLO ZONE 4�, R �'�� I fNG :E:Additiorsal Cover Requved - `0 - Inches ` \•• NO PROPOSE EXITINGI 3-BR HOUSE PLANNING :L _,LL ,SEI BACKS ARE WASURE MT.mncb.Width. '� —"°'•r "°"` FROM 7'HE FURTHEST B.Tmn-ch a �< .RROPos� -- PROJECTION OF THE BUILD N sj. Trench depth. --_ ' uispersat, :.18 ' :DLRIV1EWAr -* ComponentSurtwe +121 4>4 4>4> ?:4?4>4>i>t>'t>C>4> \/ iNG�NCE„ Native i > > > > > > > t:Vertical Vile R►�. i t4 4 < 4 c 4 t 8_--' ..soil. >:<?<>tlt?t>t>C?4> k0feer cion - 36':1nthes G66 C�l 0 6 20 t < < o < < < \SS�J�� 260 0 [4ireR .peyt,;ctirq LlYWORlli leii Seasorsa Naos;ibie! GG�g�G 615 W. AI r Sti e_t 0'5,10, 30, 50' 75' 100, /T 2 -12' L�a cat- SCALE (FEET) _ � M��• �V'C`\_'�) TH/S /S NOT A -`: Rl Y_ ALL PROPERTY L/NES/BOUNOAR/ES HAVE cr ` <� CC)C ' BEEN OEMONSTRATEO BY THE CDVVNER(S) ANO/OR THE/R AG,ffA/ . ��a71 SwLLo�C�C7�^W '� INSTALLER MUST VERIFY THAT WATER LINE LOCATION AT TIME OF INSTALL MEETS ALL CODES/SETBACKS Z� 1 -IT IS THE RESPONSIBILITY OF OWNER/REPRESENTING AGENT TO PROVIDE TO ACME IN WRITING ANY AND ALL INFORMATION PERTINENT TO THE DEVELOPMENT OF SEPTIC FEASIBILITY AND/OR `INSTALLER MAY FIND TREE REMOVAL NECESSARY DESIGN INCLUDING ALL GRAY/BLACK WATER STUB OUTS, UTILITY LOCATIONS, PROPERTY DIMENSIONS LEGEND DIMENSIONS, EASEMENTS, BUFFERS AND SETBACKS REQUIRED BY GOVERNING OR REGULp,TING ENTITIES ACME DESIGN - DRY WEATHER INSTALLATION AND SITE PREP REQUIRED.PROTECT PRIMARY AND RESERVE DRRAINFIELD ARE^-S FROM ANY VEHICLE TRAFFIC. �• =SOIL LOG NO FOUNDATION SPOILS OR BURNING ON GRAINFIELD AREAS. .... = NO BUILD ZONE - DUE TO UNFORESEEN WATER TABLES, A CURTAIN OF2AIN MAY BE REQUIRED. 7- EPENDING UPON FINAL ELEVATIONS, A PUMP MAY BE REQUIRED. -CLEARING LIMITS O /' � LOW AREAS DATE- 11 JANUARY 2021 - DIF2ECTALL DOWNSPOUT/SURFACE WATER AWAY FROM GRAINFIELD AREAS. P.O. BOX 2954 IF OF LATERALS OR MODULES ARE DEPICTED. THEY ARE =TREES - 12"OIA APPROXIMATE ANG MAY VARY, PRO\/IOEG THEY REMAIN IN THE DELINEATED DF AREA. NAME- SHARP SILVERDALE, WA. -ALL WELLS WITHIN 100 FEET OF PROP. BOUND, . I- HAVE BEEN SHOWN (200' FOR CLASS-B WAIVER>. 98383 EXCEPT FOR THE DISPERSAL COMPONENT, ALL SEPTIC COMPONENTS MUST BE WATERTIGHT TO suRFACE_ O = CLEAN OUT TAX ID- 12230-75-90262 WATER LINE MUST BE A MINIMUM OF 1 O' FROM ANY SEPTIC COMPONENT. MAINTAIN A MINIMUM 5O' SETBACK GOWNSLOPE OF 1-PITS. MINIMUM OF 10, SETBACK UPSLOPE OF I-PITS. 2 = 1250-GAL SEPTIC TANK SEED ANO MULCH FINAL DRAINFIELG COVER IMMEDIATELY UPON COMPLETION. O STREET- E SHERWOOD HILLS N TEL. 360,698-8488 DEPENDING ON THE TYPE OF ATU USED, A TRASH TRAP MAY BE REQUIRED- O "' LATERALS MAY BE NO CLOSER THAN 5' ON CENTER. a D-BOX SCALE: 1'f 40' SITE PLAN INFO@ACMESEP IC,COM - IF WATER AND SEWER LINES GROSS, THEY MUST BE CONSTRUCTED IAW STATE 8. COUNTY CODE.