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HomeMy WebLinkAboutBLD2025-00200 - BLD CD Environmental Health Review - 2/19/2025 MASON COUNTY Permit Ne:bd2 5---law COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:EMPIRE HOME CONSTRUCTION,LLC NAME:MASON COUNTY EXCAVATING,In MAB.IN'ADDRESS:PO.BOX 241, MARLING ADDRESS:30E WILLCHAR BLVD. CITY:NF2sD STATE:WA ZIP:"no CITY:SHELTON STATIl ZIP:98504 PHONE MI:LOREN 31tg-Ts1-1T4s PHONE:3eIFull CELL: 3e0-0 3144 PHONEW1:DAv1 Nr7lT11-BDB2 EMAIL:MPSOIN:WNTYE%GAVARN049rAXOO.COM FMAH;LDRENWVALL@GMAIL.COM L&I REGRM�NCEg15PM EXP._( PRIMARY CONTACT: OWNEREI CONIHACIOR❑ OTHER NAME WVID Duval EMAIL DAWDLDUv GMNL.COM MAILING ADDRESS POWX241 CITY STATE WA ZIP PHONE 36o-]h— CELL SAME PARCEL INFORMATION: F PARCEL NUMBER(12 Digit Numbec)3201a5305a23 ZANIIH6� e?51075 LEGALDESCRIPTION(Abbreviated) wmameeraewra.m.m Naawca.uowwnumu+e� FIRE DISTRICT FDE SITE ADDRESS 31 E Shetwvod Place C[[ySHELTON CF�VFD DIRECTIONSTO SUEADDRESSFdb WAd WSEM.*Hwy S,EAgateMaMECrestvba Drto ESherevpdR U THE PROJECT Wr H 300 FT OF SLOPES)GREATER T N 14%: YES[] NO E] SNOW LOl IS PROPER,',WE[IIQN 200 FT OF THE FOLLOWING: ladwwraPgyl� SALTWATER❑ LAKE❑ MVER/CAEEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW I) ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Neudeen,fivrtge CmmmuulolFUg.6,)RESIDENTIAL IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES yyyo1,B ru Q YES(eon/+/da l❑ NO❑ DESCRIBE WO MFH SQUARE FOOTAGE_ ,na d) ISTFLOOR1512 el 2NDFLOOR_sq.R 3RDFLOOR_so,ft. BASEMENT_sq.ft. DECK32 sil COVEREDDECK_eq.ft. STORAGE aq.k OTHER_sl GARAGE_sq.ft Attached[] Detached❑ CARPORT_el Attached❑ Deatched❑ MANUFACTURED HOME INFORMATION: w4 COPIES OF THE FLOOR PLAN REQUIRED' MAKEaLY— N MODEL SHOUT YEAR2025 LENGTU! WmTU2TFT BEDROOMS HAMS SERIM.NUMBER FNVIRONMENTAL HEALTH: SEWAGF)SEWER SOURCE: SEPTIC El SEWER❑ 1 NEW[]+ EXISTING❑ PLUMBING IN STRUCTURE? YES 8 NO❑ 1J3res,auach completed Warer Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO - EXISTINGSQ.FT.� EXISnNGBEDROOMS n PROPOSED BEDROOMS3 TOTAL BPAROOMS3 ONXER acknowletlgea the[abmiubn of Inercurete inlu�maeen mry recall In a abpvm'h cutler or parmil revdcYk^.Ptl:^aM^E9emesoW euM Is Oy sig^awre ba4m.IaxJare Nat am Me auner and NMer deGare IIIm am eMWeatn receive Ihu petmilantl to ao Ma awku pmpv�.I nave aWined pmmbabn Imn all Vre^eceeary panhea,including any eaeemmt hdderar parties W inouned rgar irg the pu'pct. Tne owner cur legal npn,,ddve,repreaente Nat the inlom+Mion provided is accurate and goal anpid ees of Maeon to ft a Wus aesonUM propeM a�am o amniimtcoan dam IsdawpeMad for This Ida mpeo dam yea nun avaa uw^n orauuwti=ea wnaweuen h^^t>,mmenredWithin ta3 PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION Olf ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X SlaneWred OWNER I in the NE Date NEPA,RTMENTALR.EVHE APPROVED DATE DENIED DATE TAGSINOTEUCONDMONS HAL PUBLIC HEALTH 01e13,L33 S / 5(pP6 EHAPPROVED © - ` to mi„ gMrMa tlwmPb^ avlzrPzs Z Q(LoPoSED 5K 5(.' _3D hC� loo:wp -��_ PAVLA JOf JOHNSON '� 5 I \ L' L�CrNSRk i NEa o ® \ 1 '1E)U` S DA,�CWfV� t O . SF1ER�ocD PLC Ito ' t S CA,t-Y� • jai p .e zo 9m 4p ISM' PbT e(1}44 O ,,di,Nistual Alarm CleaPout 50 �yauon Pr'e-'t48ah tank—ne} �1 B S 4tERLJ.zoo P L �..N vW ataIr BNR-5i0e0 o aAaT+kUs Tank STti4TSN UsR 95�� O •000Ga o ugPC6 lo,n Q =TESf }KjLr � © Valve Control Box fig ; 3 r {C �i11rY10 NL �„ 5� ( r kll EH APPROVED z Rhonda Thompson 03/12/2025 �Id2O25-�aZ-(� EH Setbacks A.) Draint'nlNReaene reNuias 10'setbu*fmmlwt,ftun&tioua B.)septic tank(s)rpuires 5 s t0 from all imt,WouNations _ p smell Qf NofourelaPerimHar Drainx wXMn 3011,0awnpM'enl of oramliemReaas nee OJ No Out stank(a)(Greater Plan 5M1 and roar 151fepreee)wimin ' SpX,tluwn BmEam pl OrainAaM/nmarm nee