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HomeMy WebLinkAboutBLD2024-01001 - BLD CD Environmental Health Review - 8/15/2024 MASON COUNTY PeIDilt Na: IWI COMMUNITY DEVELOPMENT RECEIVED m Permit Assistance Center, Building,Planning AUG 14 2024 BUILDING PERMIT APPLICATION StBl el PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 171 Z NAME:EMPIRE HOME CONSTRUCTION,LLC NAME:M IINT ASONCOYEXCAVATING,INC p MAEHNG ADDRESS:P.O.BOX 241, MAH.ING ADDRESS:30 E WILLCHAR BLVD, CITY;XDso STATe:WA ZIP:BBBaB CITY:sH¢roN STATE:WA ZIB: = Z. PHONE OI:LOREN3BO)51-1>0.5 PHONE:9rAdBD3144 CELL: 0a0d8081M PHONE#1 DAVID 350.T51-0082 EMAIL:MsSONCOUMYEXCAVATING®YARCO.COM EMAIL:LORENDWNLINOMAIL.COM L&I REG#MAXNE915PM Exp._/_/_ PRIMARY CONTACT: OWNER© CONTRACIOR❑ OTHER❑ r NAME MMDq AI EMAIL DAWOfDWAUA01l MAILCOM MAILINGADDRES5P08OXs41 CITY BRIAR STATE WA ZIP Gal PHONE sm751-eNd CELL SAeE PARCEL INFORMATION• 9l/C PARCELNUMBER(13Digit Number) 41W0 -NMW ZONING RR J LEGAL DESCRIPTION(Abixoiarcd) EIRNW NW NW EX S SO EX FINE DISTMCTFD5 nQ SITE ADDRESS IN W ARTESIAN DR,SHELTQN SS584 CITY SHELTON d7 DIRECTIONS TO SITE ADDRESS Tell W Cloquanurn M to Areal Rd w Q t IS THE PROJECT WITHIN 300 FT OF SIAPE(S)GREATER THAN 14%: YFSO NO B SNOW LOAD:�Wf ISPROPERTYWRE] NAOFTOFTEIRM OWINGs ICAmFau ssmepparl: SALTWATER[] LAKE[] RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOl STRHAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(ResMm¢c Gm us,C,oaa,,dal B ,)RESIDENTIAL ISUER PRIMARY❑ SEASONAL❑ NUMIBEROFBEDROOM33 NUNIBEROPBATHAsCOMS2 HEATED STRUCTUREI YES(w ,BkW EI YES lBurl9afB ❑ NO[] DESCRIBE WORKNEW MFH SOUARE FOOTAGE:o-,e eO IST FLD )R 1513 sq.R 3ND FLOOR_sq.R 3RD FLOOR_sq.R BASEMENT_sq.It. DECK p.ft COVGREDDECK_eq. L STORAGE sq.R OTHER-al GARAGE sq.R Auach d❑ Detached❑ CARPORT K.It Attached❑ DesacAed[I M_AMTFA(TURFH HOME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED' MAKPCUYTON MODEL SHOUT YEARMN LENGTHSaFT WMTH37FT BEDROOMS BATHSZ SERIAL NUMBER FNYlliONJI AL I EALTH' SEWAOF/SEWER WORM: SEPTIC El SEWER❑ . / NEWB MSTING❑ PLUMBING IN STRUCTURE? YES E] NO❑ 1f vs,,anaell completed Wanr Aded usu Fd.m PER)METERPOUNDATION DRAINS PROPOSED? YES[] NOE] MISTINGS(I.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 OWNER a¢hmebQaa Mel damsel Wideseaddep Inlennalbn mar,nmM In a ticp xcM1 order or pmmR rewcelM.Ativ»YEBeneM aft 1:WW sgnalwe Wee,l dMve Maas I am tlw owrer and l turner tleean Nat l am embed W remivs the panim and b do Me xaA es,pvvN.l hands dNInee penniubnhwn aII Ma neoeuary pamas Mel an'easement nolese r"Ma W IMenH n9mom,Mb pmjeol. TM wseelell repceaMtlie(srepnwnUMa:Me Inlomnso,sdm,V isdoaaM1easgalell&Vold ff MMesau nzW accem IOMe enuremmencepapxly andsbuoWle(a)rorm aMinapeMo TNspelmldlOOdao.Mcwne¢null&voie tlxakaeutlwdzM mnatrvclkn isa wmmemetl eMln lBJ tlays rcMwnsWcllm xak k euepeMed for a pem]N 100 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 Signatu:s OTOWNER(Nuat�etlbv Me OWNERI DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGBMOTES/CONDTTIONS GUIDING DEPARTMENT PLANNING DEPARTMENT FILE MARSHAL PUBLIC HEALTH Q Pit ttl"GSIAN •I.9ra55i Ne suv tvt.tava.�"' Y 3za.ea' 3 O gp'niwWan�o e ` _ — z 9° A Pocket wetland. Limit C.etandtype g r clearing in this area. rvad qL t N t I� ,lust s and pe - 1 par� m , smie t� \ Stats .f i � i ' rio lASE I� i hallEMAPROVED pon 50' •Pa" 09/1712024 hlih s WU 4 EH Setbacks o F +a , 60 r kj SD.* u� reQUlreesrwWck nom xu ma �' ez m x� c l w mwdaiow .i mm Dmns wnmn aon,m.rgademet om�mreimas.wa aee rcr wnm ofwcreanxl%1u aman sn am ova as msreeal son,advm prmar dr Rmnrwu,li s —area I (q) 3k50' Pa KOX l O�NplE1.D T(Z�c+'+'" ® a,,,�M, rvx nris � 3zi .�9 Le LEwt ,, PLN SETBACKS ° ,• �s Front(E):25' #J -O-2.p'S`-loa;-D -33' Sides:20• �..o 3•r 5�.1'�y-r2'�°-3Z' Rear:20' .all setbacks measured from the farthest•'�3,�,0'24•SL+ 11L.2-"e at'el' projection of the building Mom.{� �j I{ (a aM. 'subject to EH setbacks PLN Approved O9/06/2024 Mason County Community Development Gavin Scouten All Changes Subject to Approval Disclaimer Mason County does not require surveys for building.As a result,site Plans may not reflect accurate data.It is the applicant's responsibility to comply with setback requirements. w El oV i a O O 'w 9 CPO ® - 3 u. oa a, srn ` � e3e Mtn b X � N W e W n 0 O r ' E a3 rn x � " m Pal O J ° D Z ' on Z y --I ao - 43 - N YIA N Cy G r„