HomeMy WebLinkAboutBLD2025-00214 - BLD CD Environmental Health Review - 4/30/2025 i - MASON COUNTY Permit Ntir IGI k') 00
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COMMUNITY DEVELOPMENT
"!H"Ct� Permit Assistance Center, Building,Planning 4kk7
BUILDING PERMIT APPLICATION FEB25?Q�5
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO `: RECEIVED
NAME:4(5/ ('ri SGhUS7 K ,!eV �{7qi,/NAME:HiLine Homes
MAILING ADDRESS:25q/ est/ may AILING ADDRESS: 11306 62nd Ave E
CITY:S,// STATE: 2,-74 ZIP: 9/9S / CITY:Puyallup STATE:WA ZIP:98373
PHONE#1: `5( `S%3 3/9.c5 PHONE:253.840-1849 CELL:
PHONE#2: EMAIL :Pre-construction@hilinehomes.com
EMAI L:l L&I REG #HILINH*769J3 EXP. 4 23 26
PRIMARY CONTACT: OWNER IV CONTRACTOR❑ , OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)02 Jr:). 7 -)-2-00D2 S ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 1
SITE ADDRESS. // 7 7j v—e,6- - Pig CITY /J�D/7� ��
DIRECTIONS TO SITE ADDRESS t/�) _5on (, tJ- 7� ,t ,Sf
Gr 5/2 604rc%.0/'• gr7 •1 e97. c-/ - -.ac ore /-77/,
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO I( 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 Ef ADDITION ❑ ALTERATION 0 REPAIR ❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)IS USE: PRIMARY Er SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2-
E"HEATED STRUCTURE? YES(Whole Bldg) YES (Part/s/of Bldg) ❑ NO 0
DESCRIBE WORK /4/1/
SQUARE FOOTAGE: (proposed)
1ST FLOOR / m sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT_ sq. ft.
DECK sq. ft. COVERED DECK Leo sq. ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE (Q ieD sq. ft. Attached[}Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER ❑ / NEW ❑ EXISTING
PLUMBING IN STRUCTURE? YES NO ❑ If yes, attach completed Water Adequacy Form
i PERIMETER/FOUNDATION DRAINS PROPOSED? YES E NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0_ PROPOSED BEDROOMS_ 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 permit/application 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)
X (-0
,i-i' (9/20/2_5—
Signatur OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ') u r7iC-- 1 1,-4r'7i1i1/S eAktei
EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
E.)Use approved mitigation from section C1-9 of the department of
ecology's"Criteria For Sewage Works Design,"when sewer
transport lines are within 10ft of water supply lines.
EH APPROVED 10`2 1/2" 91 _ 9,l
Rhonda Thompson 04/30/2025 / -4 `
, .... -------------7
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All setbacks are measured from the furthest / e 35' Q,
projection of the building. (2- 44,
10% WIDTH- 8' MIN 10' / 18' �<4, 35' //
i 18'
, 5' 00 /
00 /
/ /
10' X02 TANKS
50' /
/
1 8 7 I -7 I I // PROPOSED SFD /
,
, 115
35, ' r- l - l l
�' / 14 1
/ 28 7' 13' I /
/ 22'\ �iN,,
/
36'-6 1/2"
/
36'-9 ' /,
,/ \L - - - - 1/
L - - - - - - -
- - - - - - - = PROPERTY LINE RR5 Zoning
Front Yard Setback. 25'.
Disclaimer: Mason County does not require a Side& Rear Yard Setbacks. Residential dwelling
survey to obtain a building permit. As a result, site and accessory structures is 20'.
plans may not reflect accurate data. It is the OR 10%width of lot if not more than 100'wide
applicant's responsibility to comply with setback OR approved ADV
requirements. 04/29/2025
APPROVED Digitally
Y MASON COUNTY DCD PLANNING scot g�ned
by Scott
SCOTT RUEbY,AICP Rued
TOp y I 24.2212 in
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