HomeMy WebLinkAboutBLD2025-00728 - BLD CD Environmental Health Review MASON COUNTY Permit No: LtRQds-0401X6
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning JUN 1
BUILDING PERMIT APPLICATION 61 .Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ✓G2
NAME: Dogwood Pines LLC NAME: Septic Specialists, Inc. n� _
MAILING ADDRESS: 1827 Lakehurst Dr SE MAILING ADDRESS: P O Box 11265 /`i
CITY: Olympia STATE: WA ZIP:98501 CITY: Olympia STATE: WA ZIP:•: ,:- ...
PHONE#1: 360-584-6419 PHONE: 360 357 4272 CELL:
PHONE#2: EMAIL: sperschon@comcast.net
EMAIL: lisahall5866@gmail.com L&I REG# SEPTII'995LK EXP.Q4/04/20
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER® t'ri O
NAME Jason Taellious o,b.o.Artisans Group EMAIL jasonOartisansgroup.com > Z
MAILING ADDRESS 6504 Capitol Blvd SE CITY Tumwater_ STATE WA ZIP.s8502
PHONE 206.639.7098 CELL —I
f Z
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22029-75-00010 ZONING RR5
LEGAL DESCRIPTION(Abbreviated)TR A OF SURVEY 1/59 S 40/163 S 52/239 FIRE DISTRICT Mason#4 t—
SITE ADDRESS 201 SE Lazy Dog Ln CITY Shelton
DIRECTIONS TO srrE ADDRESS From Community Development:N on N 6th toward W Alder St>Rt onto W Alder St>Continue onto N 1st St
Continue onto Olympic Hwy S11e11ontaF Arcadia Ave> afl onto S l cr y�0 n> eft at end of any Dog onto shared private driveway Houseat end
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® LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER IN retaining wall
USE OF STRUCTURE(Residence.Garage.Commercial Rldg.Etc) Slope Stability
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whale Bldg)0 YES(Part1s1 of Bldg)❑ NO tig
DESCRIBE WORK Address a destabilized slope with a terraced system of short retaining walls(<4').
SQUARE FOOTAGE:tprcmasedl
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 805 sq.ft.
GARAGE sq.ft. Attached 0 Detached 0 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 IN
PLUMBING IN STRUCTURE? YES❑ NO® If yes,attach completed Water Adequacy Farm
PERIMETER/FOUNDATION DRAINS PROPOSED? YES IN NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a sto 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 o receive this permit and to do the work as proposed.I have
obtained permission Iron 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 it 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)
06/11/2025
X , �yyII
igAatrltdof10y[l WideibesignedbytheOWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DF..PARTMEN"I'
FIRE MARSHAL
PUBLIC HEALTH ! ' 1(u -64, C415,4k
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- - 360.990.e95$1299 N IIm3M.l 91rd.Chehalis.WA 99532