HomeMy WebLinkAboutBLD2025-00611 - BLD CD Environmental Health Review - 5/20/2025 Permit No: 1 aG2% "W(X I
, _.„., r� MASON COUNTY C E I V r
i COMMUNITY DEVELOPMENT
',..4 0. Permit Assistance Center,Building,Planning JAN 025
BUILDING PERMIT APPLICATION 61 ci
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:South Shore Enterprises LLC(Richard Buechel) NAME:HiLine Homes MAY 1 9 2 25
MAILING ADDRESS:PO Box 249 MAILING ADDRESS:11306 62nd Ave E
CITY:Union STATE:WA ZIP:98592 CITY:Puyallup STATE:WA6 1 5IIWFA(der Street
PHONE#1:360.898-2481 ex 204 PHONE:253-770-2244 CELL:
PHONE#2: EMAIL:Pre-consturction@hilinehomes.com
EMAIL:rickb@hoodcanal.net L&I REG#HILNH*769J3
_- EXP.042326 I
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 0
NAME^wo^ a EMAIL aaronb@hoodcanal.net
MAILING ADDRESS PO Box 249 CITY u^m^ STATE wa ZIP98592
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PARCEL INFORMATION: n
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PARCEL NUMBER(12 Digit Number)'a271'S4“860 ZONINGR3
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LEGAL DESCRIPTION(Abbreviated)Hood Canal Land&Imp CO,Block 78 lots 1-3 28-30 FIRE DISTRICT6 CIN
SITE ADDRESS 101 Sharpe St CITY Union LI'
DIRECTIONS TO SITE ADDRESS From Shelton take Brockdale to McReavy then Right on Dalby Rd.left on SR 106,left on Oree Nobles Rd,
left on Sharpe St to 101 Sharpe St.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATIONI 0 REPAIR]] OTHER
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc.) n eV�J f f p • Ff I I i Y} - Q rY E
IS USE: PRIMARY B SEASONAL 0 NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parr[sJ of Bldg)0 NO❑
DESCRIBE WORKNew residental construction
SOUARE FOOTAGE:(proposed)
I 1ST FLOOR1491 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR _sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK200 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGES sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached 0 Detached 0
MAIYLTFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER 0 / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YESZr NO❑ Ifyes,attach completed Water Adequacy Form ,
PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NOD EXISTING SQ.FT.
EXISTING BEDROOMS U PROPOSED BEDROOMS 3 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)
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Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL 1 `�r
PUBLIC HEALTH IQ(z ijc C4A (+�- eZ ` .,"
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
r E.)Use approved mitigation from section C1-9 of the department of
12O ecology's"Criteria For Sewage Works Design,"when sewer
transport lines are within 10ft of water supply lines.
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20- x LI5' P ;0v1" 1 EH APPROVED
Z Rhonda Thompson 06/18/2025
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