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HomeMy WebLinkAboutCOM2023-00036 - COM CD Environmental Health Review - 4/7/2023 5v6` 'rt4 MASON COUNTY COMMUNITY SERVICES Permit No: Coal iC) ) '00022 U ) . /., \PERMIT ASSISTANCE CENTER: • ' BUILDING••PLANNING•PUBLIC HEALTH•FIRE MARSHAL ' I d ill -0 615 W.Alder Street,Shelton,WA 98584 q K 0 4 tUL3 G . y•rtea '^ 1 Phone Shelton:(360)427-9670 ext 352-Far(36D)427-7798 Phone 'h - 'oy Bel(air.(360)275-4467•Phone Elms:(360)482-5269 . .ri roil BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACT INFORMATION: NAME:_)k.,I4-•fr,;4• C, I I( j r f,_ NAME: MAILING ADDRESS:((I �J :�l'4L/1 r✓•i,-: I et MAILING ADDRES . - .7:P i CTTY:5b,s4Tntr STATE:OA `ZiP:2),:'..)4:Li CITY: TATE: ZIP: la IC' PHONE#1: \F.nl- (,i./t-S6 a(r Nji, PHONE: PHONE#2: 'a r'4-- c<4:,( --4;i/.>W t e_Lk EMAIL: C� EMAIL I I�.)' f,[; J i !41 a'; . I / r, I 'I REG# EXP. PRIMARY CONTACT: OWNER] CONTRACTOR❑ OTHER❑ Q NAME I (',.I t'';.:11',1` EMAIL • m I. MAILING ADDRESS CITY STATE ZIP PHONE CELL i 4")• 4,t9 f.- c y 7 r'} PARCEL INFORMATION: t� /� n ---4 g PARCFT NUMB R(12 Digit Number) '?/7 1(:j !' 11'I ('t�0 i 0 ZONING = m Z LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT ,,.1 SITE ADDRESS !c e- 402_4.arLl. L4,nc/ CITY f.�7ivL• D DIRECTIONS TO SITE ADDRESS • m IS THE PROTECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO jit SNOW LOAD: psf . . IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cfwek a that apply): J SALTWALER❑ LAKE❑ RIVERICRE FIC❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ ( . . TYPE OF WORK: NEWA ADDITION❑ ALTERATION❑ / REPAIR_ ❑ OTHER F] USE OF STRUCTURE(Rerldencc,Garags Commercid Bldg.De) Pr c'u(iS S.n h A t,t:; I 1 i,� ( 14,,,,7 ,/'A` S. ' IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS �v( HEATED STRUCTURE? YES(WhoheB7dglL YES(Part[:)ofBldg)❑ NO ] DESCRIBE WORK C-1`)I C IL/i.L 1 (C%('_:` i L►)C , P.,1 1; u Cl 111 c._t.. c(_ . L • SQUARE FOOTAGE:(proposed) Q- 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 6 it sq.ft. GARAGE sq.ft.Attached❑ D ORT sq.ft.Attached❑ Detached❑ • MANUFAC HOME INFORMATION: - *4 COPIES THE FLOOR PLAN REQUIRED* MODEL YEAR `CLENGTH r__/) TH:-------- BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: - shwAGEJSEWER SOURCE: SEPTICA SdWdR❑ / NEw:n EXISTING❑ PLUMBING LN STRUCTURE? YES, NO❑ If yes,attach completed Wader Adequacy Form pEREN ETER/FOUNDATION DRAINS PROPOSED? YES❑ NOR EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 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 l further declare that 1 am entitled to receive this permit and to do the work as proposed,I have . . obtained permission from all the necessary parties,inducting any eascrrient holder or parties of interest regarding this project The owner or legal representative,represent that the information provided is accurate and grants employees of Mason Co:n!y ar^PR to the above desmibed property and structore(s)for review and inspection.This pemltiappfication becomes null&void L'wxk or authorized constvston is not commenced within 180 days or if construction work is suspended fora period of 160 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) j Signature of OWNER(Must be signed by the OWNER) Date :Dg4RTh4RNTALREVIEW:,-: ::APPROVED`;--DATA DENIED_.. DATE,:r:•.TAGSINOTESICONDTTIONS=7_ BUILDING DEPARTMENT • PLANTING DEPART1vL TT • FIRE MARSHAL � PUBLIC HEALTH Pir ' { I) (XN�tJC1 1 r 1. S G Y l� Agricultural Resource Lands 04/07/2023 9 Digitally APPROVED Ana edysigned MASON COUNTY DCD PLANNING by Scott SCOTf i;UE7)ypICP Ruedy SVF Processing Facility Access via farm road Site Map New construction on Agricultural Easement 11111 . . • -.2:40.4 Farm Road sza Weller_ —- - New Building Scale 60':1/4" 40'x20' EH APPROVED North Up N 47 deg, 19.241 minutes Rhonda Thompson 04/24/2023 W 123 deg 14.248 minutes Scale 60':1" Elev 65' Slope North Up Bonanami Parcel 42 ' 4300010 Courtnier Parcel 421074400010 Septic Field i Slope 60' South of seasonal drainage ..-. \ Slope 4s0 ast of Parcel Line :T i Sept e *p? '.*t:#t.h fin s/ �-- • _7‘. ` _1 • //... - • ..... f / / // EH Setbacks / A. DrainfieldlReserve 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 50' Min from property line} Drainfield/Reserve area D.)No Cut Bank(s)(greater than 51t and over 45 degrees)within 50ft.down gradient of Draintield/Reserve area All setbacks are measured from the furthest projection of the building. Pio+ Pign • Skokohlrsti V Ilry Farn.S nifcri#P112107- -00010 ?ar(P14#112 t o7-'1 y-00 016 500 N Wtrt Q.SS L.�— ? rui #y2107- y3- OOO1O SGGIt: I IS.; (vU 0 30 Go ya no d r-TeS4 Hak • © o 8c+k hol-es (oO+ f,°P vh � Sand� S it i oa , 44:11* ho H20. (9) 31x 50' pri'marti drain fist d -}ftnt s 1210 -1 -' ) - Ono 1 D CO 9 ' O.C. with restrvf ih b ( f� ►1 APPROVED DEC 19 2022 MASON COUNTY ENVIRONMENTAL HEALTH RET Parcel y1.140010 n �JZ Q Audio-Visual Alarm Cleanout 0 1000 Gallon Septic Tank 2-Compartment with Effluent Filter )(37: M h O 1000 Gallon Pump Chamb. ZO X32• 3 Valve Control Box .ca C i l�-} $1O34 . • O.'(r Yc PAULA JOY of �JOHiNSON�a . � •• 4 ExPlau DringeErrom Mason County DM Printed from Mason County DMS