HomeMy WebLinkAboutBLD2024-00288 - BLD CD Environmental Health Review - 3/6/2024 LP7cn9-0Cz8'
Permit No: ('t
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MASON COUNTY f�l—
.) COMMUNITY DEVELOPMENT
MAR 05 2024
iliii Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Kailin Duplechin NAME:Davies Construction,LLC
MAILING ADDRESS:15431 Clearcreek Road NW MAILING ADDRESS:P.O.Box 128
CITY:Poulsbo STATE:WA ZIP:98370 CITY:seabeck STATE:WA ZIP:98380
PHONE#1: PHONE: CELL: (317)366-4763 rn
PHONE#2: EMAIL:daviesconstructionwa@gmail.com Z
EMAIL: L&I REG#DAVIECL831P7 EXP.01 /02/26 C
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0 -
NAME Teresa Fom:ro-trout Girl Friday.tIG EMAIL Yourgirlfridaylic@gmail.com
MAILING ADDRESS 4001 35th Ave NW CITY GV Herb.` STATE WA ZIP98335 rn 0
PHONE CELL(253)318-7078 > z
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12309-33-04040 ZONING RR 2.5 Acre rn
LEGAL DESCRIPTION(Abbreviated) S1/2 W1/2 W1/2 SW SW S 44/196 FIRE DISTRICT
SITE ADDRESS 737 NE Bear Creek Dewattc Road CITY Belfair ?
DIRECTIONS TO SITE ADDRESS North on N.5th Steel toward Alder,°P t on Alder,1st exist at roundabout on to N 1st Street:let onto E.Pete Street;
left onto NE Old Belfair Highway;left onto NE Bear Creek Dewatto Road A�O /j
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:_psf '�/ g2'
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
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SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM 0 F�G <7a,
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR 0 OTHER 0 <*Q
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Erc.)Single-family Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parris)of Bldg)❑ NO 0
DESCRIBE WORK Construct 2,702 SF new single-family residence including attached garage,second floor,deck,and front porch.
SQUARE FOOTAGE:(proposed)
1ST FLOOR1,178 sq.ft. 2ND FLOOR772 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK88 sq.ft. COVERED DECK-(1 sq.ft. STORAGE sq.ft. OTHERO sq.ft.
GARAGE 614 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEJSEWER 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 PROPOSED BEDROOMS 9 TOTAL BEDROOMS
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 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)
X ` \ ~'�n � ) ) 3/4/24
\Signature of OW ( usek?e s q d by he OWNER) Date
-.DEPARTMENTAL REVIEW APPROVED. .DATE. . DENIED DATE 'TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL t
PUBLIC HEALTH '/ p � O avtd�`
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l On-Site Septic Design Name:Hemsca LLC Tax Parcel: 12309-33-D404D �, I ffl ;'
1 ` !'` Scale= r'= 5D' Address: "* NE Bear Creek Dewatto Rd,Whir,WA ,' ..' ' .
Th:1,,x.a u-I!Wart!ine✓4,34m hors ter tenrswe-dtgns Dmnitl Whir t taw 4742 �p�1 'fin 'f
On-Site Septic Design i Allied Septic Design and E3cevatkg i C7 FtMIkA'IAll6lb f
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Printed from Mason County DMS
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Drain Field Detail
On-Site Septic Design Name: HaNsco Tax Parcel: 12309-33-0404D
pi-- � I IE Scale = 1" = 25' Address: *** WE Bear Creek Dewatto Rd, Belfair, WA
-__, Ibis is not a survey:all property lines/boundaries hare bee.;:::monstrated by the Uwnerls)end/or their Agentls).
r ��� On-Site Septic Design!Allied Septic Design and Excavating
Printed From Mason County DMS
Printed Iron Mason County DMS