HomeMy WebLinkAboutBLD2023-01445 - BLD CD Environmental Health Review - 11/30/2023 MASON COUNTY Perak NG: BLD2- �'��445
COMMUNITY DEVELOPMENTRECEIVED m
Permit Assistance Center,Building,Planning NOV 302023 <
BUILDING PERMIT APPLICATION sin ShIBBtz: <
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: m 0
NAME:WPREHOECONSRtUGTIOKMC NAME:MASONCOUNIY EXCAVATING.INC D Z
MARINO ADDRESS:P.O.BOX 241, MAE.ING ADDRESS:W E WRLCHAR M.W. ....I 3
CITY:NEISO STATE:WA 9P:98828 CRY:SHELTON STATE:WA 21P;985M = m
PHONE ql:LOREN aeo-Tsl-nu PHONE:3fi0-19031a CELL: 3M�99.31N Z
PHONE#2:MVX)36 751410e2 EMAIL;MABONcaMRrFxuVATINGCYA JG
EMAIL: L&I RBG#MASONE915PM $jQ,_/_/ D
PRIMARY CONTACT: O"ARO CONTRACIORLI OTHER❑ �/ r
NAME MMGWNALL EMAIL MM04DwALLBf®GNNLCOM AO
MAIUNGADDRESS P0803(M, CPTY NF+m SPATE WA y1P 39II8 G V�'�
PHONE 3 7ll-aat CELL all O
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nlmbvj 3291BS laa yqN Ow Q O
LEGALDESCRD ON(Mbmvuled) BNONECRESTTERRACEITHAODSLM3WT:W FBtEDISTRICPFIX
SITHADDRE IVEGreenwuOELere,Sta9M,WA93584 CITY SNaTON
DIRECHONS TO SPPEADDEFS$ E Apb Rd erd ECIe#dea Drb E ONNMpatl U
TST�:PROJECT WfTHRT 39B FI'OF CLOP&SI GRRATRR THAN lIH.: YE60 NOB SNOWTDAD•3.�sf
B PWATETYWITIDAT2IM FTOFT�FOLLOWINID WETIAyyy/:
SAI.IWATERO LAKE❑ RIVER/CREEKO PONDO WETIANDQ SEASONAL RUNOFP(] STREAMO
TYPE OF WORK: NEW p ADDITION O ALTERATION O REPADt O OTHER O
USE OF STRUCURE(xenam Gw .caaawa,,W ea)RESIDENTIAL
ISUSE: PRIMARY❑ SEASONAL❑ NUMBEROPBBDR0OM53 NUMBEROFBATHROOM52
HEATED STRUCNRE? YES(PAa4&Pti 0 YES(P 1W1ujJ❑ NO❑
DESCRIBE WORK NEW MFH
SOUARE FOOTAGE: la nerd
1517 FLOOR 1298 aq.8. 2NDFTDOR aq.R 3RDFLOOR aq.R BASEMENNP_sq.A
DRCK 32 K.R. COVEREDDECK_al.R STORAGE rq.R OTHER eq.R
GARAGE sq.R AOPrMAO Derac8eb0 CARPORT p.R Au-rhm[] D—ha❑
MANUFACTURED HOME INFORMATION: '1 COPIES OF THE FLOOR PLAN REQUIRED'
MAKECIAMN MODELUNMPRESSURE YPN12923 LENGTHMFT
WIDTH 22FT I3FDRO0M83 BATH32 SERIALNUAH3ER
ENVIRONMENTAL HF.AI.TTI:
SEWAGFJSEWER SOURCE: SIYITCQ SEWERO / NE4V0 EXIS TING D
PLUMBINGINSTRUC[URET YESB NOO Ilya;att ocumP(Wai Water AEega F.
PERLMETEREUUNDATION DR SPROPOSEDT YES[] N(JE] E%LSTLNGS(i.PP.
EXISTINGBEDROOMS PROPOSED BEDROOMS3 lv TOTAL BEDROOMS2
OWNER a4mwbtlpas Mal a...WireaurWemfumelim mry re ina aW wak WOT ar Pa B/l®fon.FtlawM$amail W Y bby
s19wwre below.I rmlare Mft I an Me ownsenb I bMxr tletlae Mal l am-WW to receFre Nb Pm eM b W Ilia aak m porraaL I baw
obwai pennision from all Me MCP550ry patiM,inmMilgary®9anYR Bober or PmEm W mbrmsl rowitirg friar pq%t TM OMbar 194
repesenWlve,represans Na Me Fbrm3Jonp—v i,emrme aM pe,o,arylolees N m— oar,aurab Ve abav EewnEee Pr�aM
BM sM+clures)br miew anE inspec0on_Th¢permiYep(liralicn temmes lull d witl Jwka aNunetl mroLu�n u ml canmartN aNN 19p
Gaya er rcmnm�ceon wn rs mePenxa mr a pence W Leo aeys
PROOF OF CONTINUATION OF WORK ON TMS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT
APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X Uiei4j ale ZpAwax MTV CODE 1A.OeA2I .` .3 S
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Slgnsbne W OWNER(MYUY w simral by tM OWNER) Deb
DEPARTMENTAL REVIEW APPROVED DATE DEN16) DATE TAGSINOTES/CONDTTTONS
BUILDING DEPARTMENT
PLANNINGDEPARTMENT
FIREMARSHAL
PUBLIC HEALTH 1 S
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�1 Cleanout EH APPROVED EH Setbacks
RhoMa TM1ompson t&2]/2023
A.) DrainfielNReserve requires 10'setback from toolingtloundations
O2 1,200 Gallon Septic Tank or Septic tanks)requires 5'selback from all footing/foundations
2-Compartment with Effluent Filter C.)No foundation/Perimeter Drains within 30ft,downgradiem of
p Darnfield/Reseree area
D.)No Gut Banks)(greater than 5fl and over 45 degrees)within
D-Box with speed-levelers 5M,down gradient of Drainfield/Resento area
and cover to surface