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HomeMy WebLinkAboutBLD2024-00452 - BLD CD Environmental Health Review - 4/12/2024 MASON COUNTY Permit NO: �Da COMMUNITY DEVELOPMENT pn Permit Assistance Center, Building,Planning rn BUILDING PERMIT APPLICATION 615 `.1J. ,Aluser Sire: PROPERTY I NER INFORMATION: CONTRACTOR INFORMA'P10N: _ X NY%ME oNPIRF BIOME CONSTRUCTION.LLC _ NAME:MASON COUNTY EXCAVATING,INC m v M AILING ADDR, SS_P.D.BOX 241, MAILING ADDRESS-30 E wILLOHAR BLv DID. z CTIY[KELSD STATE WA SUP.98626 CITY:SHELTON STATE WA Z 9tl584 VV I— z PHONE HI:LDREN 36U551-1745 PHONE 36o4ssi CELE36Bd963 -_ '1 PHONE x2:DAv1D 360.151-8062 _ EMAIL..MASONcouNTYEXcavnnNc@vAHoaco �C G = (T� EMAIL:LORENOCVALLQGMAJECOM L&I RE(i N MASONE915PM EX}+,$ 26 Z J PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ 0 f VANE De AD DU,ALLRESS EMAIL DAVIDLUuvALLBa@(TATE esseWA r MN LING ADDRESS PD So%s41 CRY I<ELSo STATE WA ZIP 90d26 PI!ONE 1ao-11'012 CELL BANE PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 220175100083 ZONMGRR _ LEGAL DESCRIPTION(Abbtcvlalnd) TIMBERLAKE 49 TR 83 FIRE DISTRICT FEE SITE ADDRES5391 E PIckcnng Dnve.Shelton,WA 98564 CITY SHELTON DIRECTIONS TO SITE ADDRESS Follow WA-3 N and E Agate Rd to E chicken,Of IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOD SNOWLOAD:Bh p4 IS PROPERTY WITHIN 200 ET OF THE FOLLOWING: lOro,,u Svf,I SALTWATER❑ LAKE[] RIVER/CRI PONDD WETLAND SEASONALRIINOFF STREAM TYPE OF FORK: NEW 0' ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCIUPS(NO.....Gas,commv.6alerdy.,ere)RESIDENTIAL IS USE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS HEATEDSIRUCILREg YES(in"Ole syQ YES laon/./,camgl NO DESCRIBE WORK NEW MFH SQUARE FOOTAGE: y.oen.,aj FT FLOOR'296 sq.If, INC FLOOR sq.ft. IRD FLOOR sq.IF BASEMENT_ __,sq.IF DECK 32__sga COVERED DECK sq.R. STUTUSSCUF sq.ft. OTHER sq,ft, GARAGE,.ft Scathed 0 Dati 0 CARPORT sq.ft. Atradled l DeracBrd❑ MANUFACTU RED HOME INFORMATION: "4 COPTES OF THE FLOOR PLAN REQUIRED• MAKECLAVTON MODEL UNDER PRESSURE YEARS 20Zy LENGTH 48FT WIDTH 2IFT BEDROOMS BATHS2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE'. SEPTIC SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUC7URF4 YES0' NO I(yu,dudish campietrd Water Adequacy Iran de PERIMETERTOCNDATION DRAINS PROPOSED? YES❑ ,N00 EXISTING SQ.FLU EXISTING BEDROOMS PROPOSED BEDROOMS 3 V TOTAL BEDROOMS 3 OWNER acknowledges that smunianyon olunded-dr,mormatin, y marine a stop wards,older or parraft advocationAderayearagreadent M Suchisby signaturebelow_I declare that I am the assamor and i fireheir dedishe Thal I am entitled to hydrove myspernme and to do thek as p po e1 I have crashed p - firm allthe necessary series_including any idearromhis parties Itrel regarding this pIOL The Igl representative, that Li 10 t iseadens accurateand grants employees of Me...Count. to the 5 deaccessedP Parry tl oral far review and rappetyr, Ths,verearsappidspoon eecomea null&VOC(wtIX orarmoracer mnaWr4tn:a nt[mmmencetl within 18D days crlm t t wed is suspetltl for a period of IN 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 14A8.42) Ix �- 7-c7Y Slgnatureo'0 E (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL +I PUBLIC HEALTE m v wo m N om A A O m Ye i A 1 / e 3 GJ u bm \ / Om i O � u3 ��❑ (NII 0 o N3 7m s u v ^ 77 s T :. m O -E D Z 0 = m D W6J OPTION N S� a • • • P aN ael filknOtIl-its, ftServE rn ��,�'vl �n- © Audln_Vlsui AJors, 10' min o �,P�.nar EH Setbacks 5' fll n V A.I D a fieldiHeser e requires 10'selb ch from footing fou dal B.I Septic tankls)requiras 5 setback from all fooling/lou dat os a 'Z F7(viilZ f C_)No foundalion/Perimeter Dra=ns All 30ft dcwngradieritof Dranfeld/Reservc area D_J No Cut Banka)(greater than 5ft and over 45 degrees)within 50ft,down ,ad rent of Dralnfield/Reserve area Hill NA 995J,r'.• h3C+0f89 »ti; NOT AN APPROVED SEPTIC DESIGN Must use SWG 2024-00082 far septic installation -/o PLN SETBACKS Fr Sides:ont (Wasp'. 25' 8' Rear.20' \ 'all setbacks measured from the farthest \ Q: projeotlon of the bending PLN Approved subject to Eli setbacks n o4e/2oza ,l County Gcirmur,ty Duvulopme Dar.^==nQt All changes suhla[UQ ApprovalEH APPROVED ' �J Rhonda Thompson 05M/2024