HomeMy WebLinkAboutBLD2023-01410 - BLD CD Environmental Health Review - 11/21/2023 MASON COUNTY PeFnn:tNo,�laaba"�-DIyit)
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Permit Assistance Center, Building,Planning NOV 21 2923 2.M
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BUILDING PERMIT APPLICATION 615 W. Alder Str310i
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: zaa
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NAME: -T&%n%FdC W P,1cle! J SO-V&n 4,l,- hpnVK NAME:Hluns Homes z
MAILING ADDRESS: 4SO k7, 1+Utrhe!' I4clArnr Do MAILING ADDRESS:113%62ND AVEE
CITY: E(.1hb.. STATE: (}t0. ZIP:0=41 CITY:NylUUP STATE:WA ZIP:88373
PHONE#I: O(A -g4t3-370S PHONE:3 fm- 2344 CELL:
PHONE#2: 775—304-3442 EMAIL:Pre eomeuclion@hUmi omes.com
EMAIL: 1"I C 5 deg— 7 L e {w'P Mp it. .ppm L&I REG#HIUNH'9s3BD EXP. 11/ 8 /
PRIMARY CONTACT: OWNER CONTRACTOR[] OTHER❑
NAME EMAIL I'h n'FMaJ• �p✓h
MAILINGADDRESS CITY F,Lev) STATE, WC,- ZI
PHONE A.not-g.g3-3'ItK CELL <11irr _a
PARCEL INFORMATION: OpI1
PARCEL NUMBER(12 Digit Number) &2,01$ '14 -ODOZO ZONING RP—
LEGAL DESCRIPTION(Abbreviated) 'YR 2 6'F �1fL. t4 C.V V N LII FIRE DISTRICT
SITE ADDRESS 1.130 W. Item eT Anj,4yy+_ Ara CITY Ectn ..
DIRECTIONS TO SITE ADDRESS 4hn.t j-nn msaT'I 1'L, RA tD U t:A t 961
La � on 1-knrve�r &cI.Lsrvvrs Rol d
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ID SNOW LOAD:'psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check a/lthal apply):
SALTWATER ❑ LAKE❑ RIVER/CREEK,W POND ❑ WETLAND 2' SEASONAL RUNOFF❑ STREAM ❑
TYPE OF WORK: NEW Ig ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Berldeoce,Garage,Cammercla ttift Eo) 6ut L171nas 1V'e, 3 Y'(N0.1N bilrgQs ,-
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS �2•S
HEATED STRUCTURE? YES(whok Blde) N YES(PmQsI gJBidg)❑ NO❑
DESCRIBE WORK 1JC W c.�.n'MJG't1.rr.
SQUARE FOOTAGE: (propwed)
1ST FLOOR(64Z sq.ft. 2ND FLOOR -104 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq. ft. COVERED DECK I Uk sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE-5 Z$ sq.ft. Attached N Detached❑ 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:
SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEWjj EXISTING [I
PLUMBING IN STRUCTURE? YES W NO❑ Ijyes, mtach completed Water Adequacy Form
PERIMETERIFOUNDATION DRAINS PROPOSED? YES, NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS__3_
OWNER acknowledges that submission of inaccurate information may.result in a stop work order or permit revocation.Arlaimledgement of such is by
signature below. I declare that I am the owner and I further declare that 1 am entr ed to reaeve this permit and to do the wall,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 permNapplication becomes null&void if work or authorized construction is not commenced within 180
days or Irconstruclion 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)
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natureq CIAER Lust be slgnetl by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �' A
PUBLIC HEALTH I tZtult (,Iv zpc�'I
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EH Setbacks _
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B.) Drainfienk(s) erve requires sack from kfrom footing/foundations
C.)No to ndatio)requires r Drains within
all 3M,downgradierngf A—
D.)Ro buResarve area eter Drains whNn 3Oh,tlowngradiem of EH APPROVED
D.)NoelNReserve area I_.
D).d Out grad lent(greater than`Ie and over 45 degrees)w�Nin RhgMa Thompson 12@2/2023 I
SOIL down gradient of Dramf elNReserve area
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