HomeMy WebLinkAboutBLD2023-01275 - BLD CD Environmental Health Review - 10/31/2023 PermiPNDlI I�LV o V LU
MASON COUNTY
COMMUNITY DEVELOPMENT OCT 26 2023
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BUILDING PERMIT APPLICATION 615 W. A I�eet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: LS IT I
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NAMEI—i"i nb NAME°NWg�brR<,DK"`- OCT 3 12GF3
MAILING ADDRESS:uulm °N MAILINGADDRESS:-u N'
STATE:NA ZIT:_' CITY:' STATE: ZIP:—
PHONE4I:PM• .5.. PHONE:- CELL: RECEIVED
PHONE 42: PHON.:^m+'+n+E.^am
EMAIL:)�wdwwlame�ecomud.r'+I L&I REG RTMR `m EXP.1=&23
PRIMARY CONTACT: OWNER p CONTMCTOR❑ OMER❑
NAME'mm� EMAIL ^'
MAILINGADDRESS rn^rn^`v"m CITY"^" STATE ZIP--
PHONE�mm CELL vm O
PARCEL INFORMATION: y z
PARCEL NUMBER(12 Digit NVmbm)gg1mi(MMOli ZONWGRURALRS Y =m
LEGALDESC1l1PT10N(Abbro aged)LMO.WDIND'SSIRNYSMMEMDtW9,V1OFVL FD)EDISTRICT
SPTEADDRESS EWSONt DRWEST CTPYSHELTON
DIRECTIONS TO SIDE ADDRESS�T MMIDN UKE DRIVE WEST _I
MTREPROD?CTWITHw300FTOFSLOPE(S)GREATERTHANIA%: YESD NOp SNOWLOAD:' d 1�
IS PROPERTY WIOUN N I FT OF THE FOLI.OWING: law.BrbreAp J: /
SALTWATER[] LAKEp RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ �l
TYPE OF WORE: NEW p ADDRION D ALTERATION❑ REPAIR❑ OTHER D
USE OF STRUCTURE OnuEm .0 q.Cmm,,maBl4.Sm/ACCESSORY DWEUUW UNIT
IS USE: PRIMARY p SEASONAL❑ NUMBEROFBEDROOMSI NUMBEROFBATHROOMSI �
HINTED SHtUCNREI YES(RhpMBIGpt p YES ryd(.)ryetey❑ NO[] J
DESCRIBE WORK�SOFTAGGESSORY DWHLMG UNR � rL`[
SQUARE FOOTAGE:lrwmdi
ISTFLOOREE�q.ft. ZND FLOOR_q.R 3RD FLOORq.R BASEMENT_q.fl. �[
DEM 40 q.R OOVERED DECK q.R STORAGE q.R OTHER eq.IL YQy�
GARAGE_p.R AVB.hMD mbaMD CARPORT q.ft. A(mrlrMD Bmaeld❑
MANUFACTURED HOME INFORMATION: *M COPIES OF THE FLOOR PLAN REQUIRED' 6
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS RAMS SERIAL NUMBER
ENNTRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEWp BXISTNG❑ O
PLUMBNGw STRUCT=i YESp NOD tlfmotta�h.VfmdlPdm Adquncy Form
PERIMETER/FOUNIDATION DRAWS PROPOSED? YES NOp ERISTINGSQ.FT. N
EKISTING BEDROOM I PROPOSED BEDROOMS TOTALBEDROOMSL� _ O
OWHFA aIrwNdp tlwltJmbYmIXHxu.4 hrbmulkn mNr+ertlkndo>.Mro'Ema pamilramation.IdncMeEpamvilNeuiib Ey IJ
YpnWntNvx.lEHen:Mtl Wn tlreoxm bM lNMar Eadastlmllan xNlMEbae'rva MY pumnertlb GO Ye nak esp4ueB.l brm
Mulrc]peimbkn Imn M1M�wa.ary WrYs.Ftludrq eM...mn^n1IWL^rm{erUw olimved regmGlrN Nb pq'ed.lNe w.nxor Ipal
mpm:mxau..,r.mmmN4 YIM bb InMnW Pmdadamnn ma RmnN.mPNxa•avu.n cwnN:m...wm.aeowa ne.e maperty
a.wmnMUNr NNMad map 1b.Tbb pmmNeFpnutlm Nxmea ndlawM n.onmwmoxma mn.waon Mnd<ommm�me.mdn+w (n
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
R `^ILA COUNTY LODE iB.OgA3)
1'I�nVV'fl ✓—�— 4/20/2023
BlgruNre N OWNER(mum ve tlonea by lM OWNERI Dab
DEPARTMEN]'AL REVIEW APPROVED DATE DENIED DATE TACSINOTE&CONDTHONS
BUDDMG DEPARTMEM
PLANNING DEPARTMENT
FBiE MARSHAL
PUBLIC HEALTH 1 I 1
11/16/2023
RON WRIGHT&ASSOCIATES/ARCHRECTS,P.S.
SEATTLE,WASHINGTON 98121
(206(728AZU R 15 Zoning
Front Yard Setback.25'.
APPROVED
MASON COUNTYUNTY DC OCO PLANNING Side&Rear Yard Setbacks. Residential dwelling
Scan RVEDYAIC'D and accessory structures is 20'.
OR 10%width of lot if not more than 100'wide
oy V—EXISTING 100 FT OR approved AOV
v.,siP SETBACK LINE
S. FOR WELL ON ul eemecxs are meesorea them the n„men
~/ INeEy ADJACENT o,oh,,onwmebeed,
PROPERTY AD=2G-00152-Rorer 10'MIN
drt
N6A 6� s,
/ p � Rll falEaG•aremeauM M1om tn•IUMNeI
O t -- -ota.cno•m a..maeee.
_ Sitle ealbeck 10%-R Min
MASON LAKE WEST
NEWACCESSORY
\\ / DWELLING UNIT
\TRACK UNE / CABIN,662 SF
` --- \/
1Q \ DISTANCE TO
BITING IS 1 SHORELINE
VL
EXISTING
\ SETBACK LINE
i
E 3II
1 S BA PA NG N
NEW 4"SEWE11 � / � II \ 4 / _
CONNECTIONTO
EXISTINGSEPTIB\ANK / 9 \ Y/ MISTING TS FT
GARAGE Ft �� SETBACK UNE
FOR WELLON
EXISTINySEPTK W'A p \\ - / - - - "`ADJACENT
SYSTEJA RESERVETREIy Y / EXISTING 3-8D PROPERTY
i — '\\�1 Il SEPTIC FIELD /EXISTING
,EXISTING _ -\ WELL
SEISTING NK \
d`
w,
HWSEcomply -; -
SHMO v-0 conditions of
8HR2022 0 0r
0010
SHOO E MASON BAKE OR WEST a \ -
SMEITON,WASHINGTON9858A \ B.N�ESS'g3•E/.�
LEGAL DESCRIPTION:
LOT NINE(9),MADING'S SUNNY SHORE ADDITION OP
NO.3,VOLUME I OF PLATS,PAGES 89-90,
RECORDS OF M45ON COUNTY,WASHINGTON.
F.
EH APPROVEMASON LAKE
D /
Rnawmamw•o+mareazs /
'EN Setbacks
SITEPLAN NORTH Nm•ImLietRe ne, w, rose mcummt nnnnow Gnaie
f1.f Hephehoatel ehirK S' --ehmm ttoS, 0tgno MMlonn
SCALE:1'=30' II/5/22 c.t Nome.e.uo.w«Im.t«o,•m..nn�,ann.am.reaele,nm
otxHAelNReserve mex
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