HomeMy WebLinkAboutBLD2023-00685 - BLD CD Environmental Health Review - 6/20/2023 s.,+ Permit No: fJ 1 2� ZJ'�Q06
0..vvitio, MASON COUNTY ?�p
COMMUNITY DEVELOPMENT I'
Permit Assistance Center,Building,Planning JUN 2 0 :,23
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 6+etQ\t? ♦ S NAME: rn
MAI G ADDRESS:CI sI S 4,..C•
it.,,-t' PL MAILING ADDRESS: Z
CITY:�DIL} Orzhev)CISTAT �ZIP: `'i I4, CITY: STAT • ZIP:
PHONE#1: 3 t ,p 11 ck cl p S'7 PHONE: LL:
PHONE#2: EMAIL:
EMAIL: L&I REG# EXP._/ / m
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 > Z
NAME \__XL Oa, EMAIL rlig
MAILING ADDRESS CITY STATE ZIP
PHONE CELL =
z
/ PARCEL INFORMATION: .".
✓ PARCEL NUMBER(12 Digit Number) I a 3 3 Z.- 5 Z - 0000 3 ZONING il tk
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS /e ( Volk,-r¢c..�- O , h1 C_ CITY B�«- ,f \ ADIRECTIONS TO SITE ADDRE
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:�Jpsf
ti am'O IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thatapply).
l ( SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW, ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) S t..
IS USE: PRIMARY.® SEASONAL❑ NUMBER OF BEDROOMS "..6 NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(parr/s)ofBldgl NO❑
DESCRIBE WORK n €vJ C-0.r• S k uv`k`
SOUARE FOOTAGE:(proposed)
1ST FLOOR I C sq.ft. 2ND FLOOR N N sq.ft. 3RD FLOOR N A sq.ft. BASEMENT N A sq.ft.
DECK sq.ft. COVERED DECK 411 sq.ft. STORAGE N R sq.ft. OTHER sq.It
GARAGE $q`6 sq.ft. Attached$, Detached❑ CARPORT ICI lac sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE "-"--MODE1,—__ _ YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER------___
--__
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW EXISTING D
PLUMBING IN STRUCTURE? YES{, NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ti' NOD EXISTING SQ.FT.
EXISTING BEDROOMS 15, PROPOSED BEDROOMS 3 TOTAL BEDROOMS T
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 pernit/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)
x 2-V 17
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 L
PUBLIC HEALTH RE1/03 Cvhdi�'-
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I ; •I � ____._.._.�..,�_-..... -_ R4 Zoning
Front yard:5.
115 feet.
�f 6 Side yard:5 feet for accessory structures and 5 feet for the
SS dwelling unit.Side yard setback reduction may be granted with
review and approval of a building administrative variance.,but in
no case shall the setback be less than the minimum required by
( ^ building or fire codes.
J\ / /, Street side yard:10 feet.
j j Rear yard:5 feet for accessory structures and 10 feet for the
f/ dwelling unit.
5\a, - ' Street rear yard:15 feet.
/
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s v ) \\ 07/03/2023
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APPROVED
� NI MASON COUNTY DCD PLANNING
sear RuEDv,AICP
T'ov o-C S\p Digitally
�' semi rw.er
tk O by Scott
• N. ` Ruedy
�� -- �^ 1 15'Min Setback from top of
1 ?t3` O slope.See GE02023-00040
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tom_X t The approval of this project is subject to the recommendations
o-P 1,r -, ,- j and specifications outlined in the attached geotechnical report.All
ter... :E applicable recommendations and specifications shall be applied
' ° I to the development on this site. Any deviation requires stamped
() ( written approval from the registered design professional -
'0 responsible for the report and may require special inspection by
i same. Structures and/or land modifications(grading,cuts,lilts,
- - - I etc.)'required in the geotechnical report,may require a separate
1 I permit.The geotechnical reporl shall remain attached to the
rFoved building plans.
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Il '' .' r,./j'/' `G f (AEH APPROVED
4{ • j Rhonda Thompson 07rO62023
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I EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all looting/foundations
t t C.)No foundation/Perimeter Drains within 30ft.downgradient of
_ _ -
Drainfield/Reserve area
1 _ — D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
-. 50 ft,down gradient of Drainfield/Reserve area
c -5Qr^ert 5