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BLD2024-00404 - BLD CD Environmental Health Review - 4/1/2024
a MASON SON COUNTY Permit No: "ll ,eCi_SLOVD COMMUNITY DEVELOPMENT MAR 18 2024 Permit Assistance Center,Building,Planning m BUILDING PERMIT APPLICATION 615 W. Alder Street < PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: = M ran 0 NAME;EMPIRE HOME CONSTRUCTION,LLO NAME:MASON COUNTY EXCAVATING,INC D Z MAILI G ADDRESS:P.O.BOX 241. MAILING ADDRESS:w E WILLCHM BLVD, CITY:KELBO STATE:WA ZIP.NUB CITY:SHELTON STATE:WA ZIP:90514 PHONE#1:LMEN 3W-751-1745 PHONE:aeu<eoalu CELL:acu<eoatu Z PHONE#2:DAW E0 D36UT5182 EMAR,:M Wm ASONCYEXCAVATING®YAHOO.COM EMAIL,LORENDWAILOGMAIL.COM L&I REG#MASONE915PM Exp._/ /_ PRIMARY CONTACT: OWNERO+ CONTEACTOR❑ oTHEE❑ r. NAME DAMDWJNL EMAIL OAWCLOWALLWBjGMAILCpA MAILING ADDRESS PO BM241 CITY KEM STATE WA EIPaa325 PHONE 360-75120m CELL SAa+E PARCEL INFORMATION: PARCEL NUMBER(12 Digit Nuvalaar) 2201750000aa ZONINO RR ,p LEGAL DESCRBT'fON(Abbmviated) TIMBERLAXEKLOT:30S4 117 FIRE DISTRICT FOE SITE ADDRESS 601 E LAKESHORE DR E,SHELTON 98W CITYSHELTON T DItECTIONSTOSITEADDRESS TDmogNonm EUmtw Pkw ,TunbI "EIakaMwe DTe EeM(Pre rtylam LAI r IS THE PROJECT WI'f'HIN 300 F'T OF SLOPES)GREATER THAN l4%: YESQ NOB SNOW LOAD:3�Wf ISPROPERTYWITBU1200FTOFTFI:FOLLOWDNG: Ra.danaae.pyy): SALTWATER[] LAKE 8 RWER/CREEK❑ POND❑ WED.AND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW[]+ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Fauwe,Cmae,Cora ma l aide,aa)RESIDENTIAL IS USE: PRIMARY IR SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATFRtOON1S 2_ HEAT®aT'RUCTURE? YES(waouaMgJ�' YES fPw#I MNdtl❑ NO❑ DESCRIBE WORKNEW MFH SOUARE FOOTAGE:0,4 1ST FLOOR 11N aq.R 2NDFI.00R MI.R 3RDFIDOR_sq.R. BASEMENT_K.R. DECK_aq.R. COVERED DECK sq.A. STORAGE aq.R OTHER eq.R. GARAGE_W.A. Aaa hed❑ DnacW❑ CARPORT sq.R Anached D Detached MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUTIM- MAFRCLAYTON MODELBEAUnaAMOM1NW ypp,=4 LENGTH4 WmTH 27FT BEDROOMS3 BATH52 SERIAL NUMBER ENVERQNMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ I NEW El EXISTING[I PLUMBING IN STRUCTURE? YES Q+ NO❑ If,.,,sapach sadd lard Weser Adeq••^^,,Farm PRIUMETEWFOIINDATION DRAINS PROPOSED? YES❑ NFE EXISTING SQ.FT.� EXISTING BEDRDOMS PROPOSED BEDROOMS 3 V TOTAL BEDROOMS OWNER warmsed as dat auEmkaun gInacanN IMwmetim me,onset Ina gap w%oNnmpdms ten don,Askmoaled9emem Nv.M Is by a1pntlure ENoa,l tlatlen that I am Use wmer and I NMw daman,and I am animal m receive the dams and In do Me a as pmpaIDC.I Mve oWined pa,mlvbn hwn!iM raessery Patin.NdWln9 ens eeawnml adticor parties M interest rety Goss Mia p as stands TM wmw and,fe rep,nw,mN+e,,ap,na,lla MgIM1e^h^^emn Pa=w re iimon end mma wngoyeff of Masan C nc mna choM aewe d Men wWin i dM wclmel.)lw nvl is wyWW W a pmmMeppll dao. n nail S wld rc waM1 w aallonssd wnswetion b nd ccmmenme alMin t30 days w rcp3^ewcnon won is auaPa�med ter.p.doa q+e3 Jaya. 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 IA110A2) X 3 IS 2y Signature of UWVK IMData alarand betbe OWNERI Data DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGB/NOTEB/CONDIIIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FItE MARSHAL PUBLIC HEALTH S r nz-� — 3wa�l -0�+04 �p t SCG 410 wetland mitigation o to ao Rio 40 ja area �arcel�s L2A'1- 50-0006 Edge of wetland &Ot E L�K �aQF pR.E, 2� " � loam. p © 41, S 1 v pia d Lea w+ ho cow W a ° 3 : 25 S� ( Lf > 5 p ® _ o@ 3ro 0 . 2 c . . . a Q2aPo5f D y ,{e e �R) s' W A04, OI (5) 31x4o PtttRy b.F �encusz 4l BErW�EN 1nI PLN SETBACKS lol'min I Front (SE): 25' 1 Sides: 7' a o �. --'� y l Rear: 20' 41 g —�412 mlh 'all setbacks measured from the farthest > eve I G v - projection of the building i- N j d / QN a rn a l 'subject to EH setbacks COegm Audio-Visual Alarn U Cleanout . ./ So0 C3 ura oI{fit. 4.. i 3vs SypE 5 O NUWater BNR-500 ATU Tank 1,000 Gallon Pump Chamber (t,1�ltY � KES��� DR O Valve Control Box -3E5)-kEJG WR"�ER�t^1E \NRFH wITr11N EH Setbacks of see-ric G atAPo NENT A.) Drainfleld/Reaawe requires 10'setback from foctingpoundations I(J faNy B.)Septic twk(s)requires 5'setback from all footing/foundations C.)No foundationrPerimeter Drains within 30ft,downgradienf of Daurfiele/ReseNe area NOT AN APPROVED SEPTIC DESIGN Dr)No Cut Bank(s)(greater than 511 and over 45 degrees)within Must use SWG 2024-00046 for septic installation Soft,down gradient of Drainfield/Resemewas m 3 c 0 m N m 0 ;u om O V7 s m X 49 40 . 9 M b wnm: y C N WHIM �l leNyi g I�i!I- i1 _ �MMe N p Z lj I I � I m $ D Z = z r T� .. �o ovrox N �C G