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Home My WebLink AboutBLD2025-00176 Foundation Repair - BLD Application - 2/13/2025 MASON COUNTY Permit No: ( UO p2,0915— Oo17(P COMMUNITY DEVELOPMENT R E C E I V E D Permit Assistance Center, Building,Planning FEB 13 2025 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO r Street NAME:Jennifer Herold NAME:Ram Jack West MAILING ADDRESS:3810 N.Dittmar Rd MAILING ADDRESS:PO Box 11701 CITY:Arlington STATE:VA ZIP:22207 CITY:Eugene STATE:OR ZIP:97440 F � PHONE#I:703-927-9189 P13ONE:541-852-1976 CELL: PHONE#2: EMAIL:Korey@ ramjackwest.com EMAIL:Jheroldl961 @hotmail.00m L&I REG#RAMJAW-852PW EXp, 05 /16 /25 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ f.��L , ^`�j' NAME KoreyYada EMAIL Korey@ramjackwest.com CL� MAILING ADDRESS 862 Bethel Drive CITY Eugene STATE OR ZIP 97402 PHONE -141-852-1976 CELL PARCEL INFORMATION: ENVIRONMENTAL PARCEL NUMBER(12 Digit Number) 121195600004 ZONING H LEGAL DESCRIPTION(Abbreviated) HARTSTENE POINTE#9 LOT.4 FIRE DISTRICT SITE ADDRESS 730 E.Promontory Rd CITY Shelton DIRECTIONS TO SITE ADDRESS Hwy 3 to Harstine Island Bridge-North on E.North Island Drive North on E.Pointes Dr W.-Left on E.Promontory Rd.-Left into Driveway IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE] NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 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 E] OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Residence IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldg)❑ YES(Partfr1 ojBldg)❑ NO❑ DESCRIBE WORK Voluntary foundation repairs to stabilize portion of existing foundation.No change to existing footprint or use. SOUARE FOOTAGE: (proposed) I ST FLOOR 0 sq.ft. 2ND FLOOR 0 sq.R 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.fL DECK 0 sq.fL COVERED DECK 0 sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft. GARAGE 0 sq.ft. Attached❑ Detached❑ CARPORT 0 sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED" MAKE NA MODEL NA YEAR NA LENGTH NA WIDTH NA BEDROOMS NA BATHS NA SERIAL NUMBER NA ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES❑ NO Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FT. 1800 EXISTING BEDROOMS 3 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 3 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 permitlapplication 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) I X 1 "'V 12/21/2024 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENTED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH FRONT vt:i, led SCALE-I'=fW 0. NOTES: _11)(7 % -RESTRICTIVE LAYER BELOW 74- �SEVE TIMESRU�MET ..... Illy NOINEULSWI HNIOD'OFDPAWIELD RIA 9/13/24 ELAPSE TIME METER AND EVENT COUNTER REQUIRED RISERS TO SURFACE REQUIRED OVER ALL TAW LIDS !111141,11S GROUND EL 0 PROPERTY CORNER(RBM-100.0) SOIL LOGS I I GRAVELLY SANDY LOAM 0 2W SEE 0 EXTREMELY GRAVELY COARSE SAND 28 71r 7- SIDE 0 2) GRAVELLY SANDY LOAM 0 2r GRAVELLY COARSE SAND 28-T#' BI LLY SANDY 0 32, FIRS STANDARD SETBACKS EXTREMELY C LLYCOARSESAND 32-72- "'P__ SIDE 0 3 Front:25' 4) GRAVELLY SANDY LOAM 0-26* G VELLYCOARSESAND M-W U_ ...... Sides:20' A) GRAVELLY SANDY LOAM 0-32* Rear: 20' CEMENTED TILL unless otherwise stated on the site plan TANK DETAIL-NO SCALE n2 all setbacks measured from the farthest M6 projection of the building subject to EH setbacks EH APPROVED Rhonda Thompson 03/10/2025 0 T, 107 EH Setbacks A.) Drainfield/Reserve requires I O'setback from fooling/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 3011,downgradient of Dainfield/Reserve area O D.;No Cut Bank(s)(greater than 5ft and over 45 degrees)within 5011,down gradient of Draintield/Reserve area SIDE SCALE-1 =30'-0- THIS IS NOT A SURVEY: SITE FEATURES.TOPOGRAPHY,ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM PROPOSED 3 BEDROOM RESIDENCE PR ViDEDSY7HEOWENERANDCOUNTVPLAINNGRECORDSANDAREN'ENDEDOWYFMTHE REVIEW AND COUSTRUGTION 0F THE PROPOSED SEPTIC SYSTEM DIE—JIM HUNTER ASSOCIA-ES PROPOSED DRIVE RECOMMEN STHATAU MEDPRMWMAL LONG SURVEYOR K AYS M USEO TCI SET CORNER. ESITABLRIIH LOT LINES.DETERMINE ELEVAl—ANDTOPOGRAPHY AND IOR PROVIOE A LEGAL SITE O PROPOSED STUSOLIT;CLEANOUT(IE.-104,0) O PROPOSED 4-GRAVITY TIGHTLINE TO TANKS(CLEANOUTS REQUIRED EVERY 100FT) A FEE MAY BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION RECORD DRAWING O PROPOSED SEPTIC TANK(IN.EL.-I D2.0 f OUT EL.-101.7) EH APPROVED HWY 10i TO LYNCH RD TO LEFT ON BREWER JIM HUNTER AND ASSOCIATES O PROPOSED PUMP CHAMBER(PUMP EL. PLN Approved FOLLOW BREWER PAST DFUVE-IN TO SITE ON RIGHT 0 pOX 16Z a,WA M5V ,M .970) DESIGNER-ADAM HUNTER D.Anderson0912512024 02/26/2025 EXISTING WELL MPTIC8YS`,E.MSn FOR. I Mason County Community Development AMBER KNOTTS O 26-r PVC TIGHnINE(SCH40) Gavin Scouten SITE ADOR- O PROPOSED OF.AND PJA All Changes Subject to Approval a XX BREWER LN I LYNCH 1� 1 LEGAL- PROPOSED BLA Disclaimer Mason County does not require surveys for 19083200040 sITEBbuilding.As a result,site plans may not reflect accurate data.It is the applicant's responsibility to comply with setback requirements.