HomeMy WebLinkAboutBLD2025-00529 - BLD CD Environmental Health Review - 5/8/2025 MASON COUNTY Permit No: 1,jI/1,AI,i1 W ,
RE EIVED
COMMUNITY DEVELOPMENT t
Permit Assistance Center, Building,Planning MAY 01 2025
BUILDING PERMIT APPLICATION 615 W Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Ka Dunlap NAME:4th Dimension construction
MAILING ADDRESS:17°E.Paisley Way MAILING ADDRESS:715 78th Ave.SW Ste.85
CITY:Shelton STATE:WA ZIP:98584 CITY:orymisa STATE:WA ZIP:985°i
PHONE#1:380-789-4151 PHONE:36°81942075 CELL: 38°451-8712
PHONE#2: EMAIL:Ricnit4thdmens:orconstruawn.com
EMAIL:ko5dunlapahotmail.com L&I REG#804-32e-789 Exp. 10/12 26
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0
NAME Rich drier EMAIL Ricra4thdn,ensancansuuc0on.com /N^
MAILING ADDRESS 71578th Ave SWSte.65 CITY O1rno9 STATE WA ZIP985°1 /� �7C//V7,
PHONE 36"19-075 CELL J80-45'4,712 M.Qyo
PARCEL INFORMATION: n RF 2O�S
PARCEL NUMBER(12 Digit Number) 321225000332 ZONING /`X CFIt,FO
LEGAL DESCRIPTION(Abbreviated)t K. C.fYk1c4 la( V t0 3 f(or FIRE DISTRICT
SITE ADDRESS 17o E.Paisley Way CITY Shelton
DIRECTIONS TO SITE ADDRESS E.Mason Lk.rd.to left on E St.Andrews to Left E.Shetland to right E.Somersby Pi.to left E Paisley Way
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK Adding 636 sq ft New Heated space. To include 494 se'Bonus room.95 sq'Mud room.40 sq'deck
SQUARE FOOTAGE:(proposed)
1ST FLOOR r5'ic sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK40 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURE *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL YE LENGTH
DTII BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 3__
0 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.
PRO F F CONTINU N OF WORK ON T - ' -MIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
APPLICATI 0 DAYS OF ORE WIL CAUSE THE APPLI ATION T BE EXPIRED.(MASON
c COUN 1 'eDE 14.08.42)
s / CE—
Si ature OWNER Must be lone. .v the OWNER) j91 Date
DEPA MENTA EVIEW f/ APP• I VED DATE DENIED DAT TAGS/NOTES/CONDITIONS
BU DING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 'W' 11(7/W - (t '' "—74 d1/4 4
immignim
/J
.''1 ,p' It
__/,_____P. c V\A-Nli--,
138,33 (.O
Am'
Ke : ! � �'
______ .‘ Cleanout
O 1,200 Gallon Septic Tank
�4^ 2-Compartment with Effluent Filt-r
ecLSs - I
3 D-Box with speed-levelers
and cover to surface
,1c12 EH Setbacks
ons
1 6.) epic tank(s)
reqeuires
requires5setback
S'setback tramrngoo.rrdabons
6.)Septic tanN(st regwres 5'setbac4 tron+all fodinylouMaDons
C i No toueat onPerimeter Drams within 30h.downgrad ont of .
5.1 No Cot Bank area
D.I No Cut Bank(s)(greater than 5h and ova a$degrees)wlNn
.......„,..---_ ------ ___. I
506.down gradient of Drains drAeserve area `!
E.)Use approved mitigation from section CI9 of the department of
6co r:'CrImes
are Fe,wit,.
.t ett o Water D ppiy lidos.
sewer C ��
Irar, r•,lugs are vnlh�ICR of water supply IIneS. rJ
�`l EH APPROVED / e�r'oP , C��
n\�>k Rhcnda Thompson 07 17.2025 SSJJ��
-1\
c - CP V� 30, / �o x
°° \" x
t n0 /
30 ,'o _ `'k 3 r
X....A\ B 1
8'min toDF with I
iir,:iiir . 4. •
p WAI2025.00054 No
illif
O perimeterifoundation o1•
!�
,5 ' --, feA- f
drains within 10ft of (j e
J drainfield f• IP -•• �� A'
OP.. -..•q cti
��. t r, . <g :ram, ( B .% '; ._.....-- ��
PA'I A JOY JOHNSON a _SSA ';
ric .:asr KSiGNrft_' X. F = \� '— _.
t is k t \,
O f 0 Lo 30 Leo \ \
1�e.L Z31/4.t.A,..' 1,
S
`?0.4-0.31. 321 22.-5-0-00 3 3 2- \
l'4 0 E fla tslasrl We ,54.-k10.\ E- t G� $3 t r