HomeMy WebLinkAboutBLD2023-01030 - BLD CD Environmental Health Review - 10/2/2023 MASON COUNTY COMMUNITY SERVICE ' lgiFI¢�b` o 10'JD
PERMITASSISTANCE CENTER: �l_ x—
f •BUIIDING API ANNINp•pUBLILHEPI.RI•FIRE MARSHgL
815 W.NEx9trw1.SM1Wm.WA9B9M
R ba(W 42r�eamma2n. 2: wB, n. PAP wN AUG 29 2023 m
BMW.(360/]15ye61.Pllmr 6ma:(9W)O24269
BUILDING PERMIT APPLCOA31A Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: _ 7
NAME:NmDl,mea NAME-. m * . rn0
MARLING ADDRESS:1.NBHONpABH lM1 IRATSM MAILING ADDRESS: 12NnsmNs.NremnAxuawu D Z
CITY:— STATE:— TIP:— CITY:r.ome STATE:WA ZZIP::ae¢N2 j
. PHONE Rl:r�m%M1+ PHONE:mIWNNme CELL, = m
PHONE#1 EMAIL: Z
EMAIL:Iuamm10ry — LAI REGN
PRIMARY CONTACT: OWNER[] WNTMLTOR[] OTESSRB
NAME I^n^r EMAIL abnarapanvtimsmi r
MAILING ADDRESS W NNM+wavrAw CITY v..m SPATE-WA EIP aR12
PHONE Nwm.ma CELL
PARCEL INFORMATION:
PARCELNUMBER(O Digit Numbm7 N2110 Z(7NM01man Nm.awm o O
LEGALD£SCRIPTIO//xx IAbbrtNa4d malnT 2x Ex B1naln FIRE DISTECT1a tv W
SITEADDRES$ t"/t YI �I CI'PYsx¢aaN¢n Namn
DIRECTIONS TO SITE ADDRESS waax ue Hana tot pnxmal¢NwwfacNtirv.umlmad velum nnL r¢9w1xw....mn xem o W
BEN.mpo.MumM1WONMmdmnFmtonq Fauwtlmaa Trawl EamlmZMINYYe9�VYan Xa MM4M N1MEWaMLL � H W
U K
/S THE PRWECT WITHIN 300 FTOF SIAPE(S)GREATER TRAN Idw: YES[] NOB SNOW LOAD•2.?s pN �
IS PROPERTY WI'PHIN 2M FT OF TBE FOLLOWING: ¢maR.0 mu,yPy):
SALTWATER❑ LAKE❑ R1VER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF B sTEEAM[]
TYPE OF WORK: NEW 0 ADDMON❑ ALTERATION❑ REPAIR[] OTHER R
USE OF STRUCTURE(/ra'd¢.s.rave.Larxa—adBB$.P+4
-ISUSE: PRIMARY[] SEASONAL❑ NUMBEROFBEDRODMEe NUMBER OF BATMMMSN
HEATEDSTRUCT R YESIWxde2BV❑ YES1P 1,J42W@ NO[]
' DPSCRBE WORK evla lwnaa'tlelemW lwm.wMAmxquaWid aam2e '
SQUARE FOOTAGE:fp¢Awdl
ISTFLOORM2 p.ft INDFLOOR_2q.R $RD FLOOR_sq.R BASEMENT_2q.R
DECKa2 p.R COVERED DECK_p.R STORAGE dq.11. DTHER_K..1
OARAOEm W.R. AuaaAM0 DessAad[] CARPORT q,d AtWhad[] Dawlssi❑
MANUFACTURED HOME INFORMATION: e0 COPIES OF THE FLOORPLAN REQUIRED-
MAKE- MODEL YEAR LENGTH
WIDTH BEDROOMS BATRS SBRW.NIIMBM
ENVIRONMENTAL HEALTH:
SEWAGRISEWSR SOURCE: SEFTICB SEWER[] 1 NEWB EXISTING[]
PLUMBING IN STRUCTURE! YES 0 NO❑ #tpm,aaaa{m Ieced WM Adegaa ry Faem l
PERIMETER)FOUNDATIONDRAWSPROPOSEDT YESB NO[] E)aS7D7GSQjT.
EXISTING BEDROOMS PROPOSE,BEDROOMS N TOTAL BEDROOMS• -
'OWNERrI s,!,aa aW 2uwn of Mamnb lnlwmetlm may nwlt M.mp vmM w aPmsMm Ucat Mkrro gahw M dauNbW
viPnaWn sales,I de]en NN l am H o rsna I her dstl Mm lam m9tod m routs lNs pmmx 8nd a m eb wM as pmpossd.l haw
oblelne]partnmcianhom ell Ne necessary pamec.Niluaing any easvnem M1older or pamea of lntereabaoaallnq tMs olWe6 IDe amerm legal
relM•mauve.mpmuma.Md—last.e.on goNded la ecau2le and gnrac employee•of M090n LWnty e¢ess to fae eaove aeszaEetl pmpVly
arA strurlure(¢)br mvkw ana InipHion, iM1's�eI�M/epdiceXon becomes null&vdL it wnA oraNlwrixatl wnstrvcllon Is nol wmmencea wiWn 180
tlay¢aXcanMrvctlm xaMkavapenOeE(ore plloCd lW Oeyc. '
PROOF OF CObqNUATION OF WORK ON THIS MR
MIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P ATION OF 180 YS OF MOR LL CAUSE THE APP CATIO TO BE E)TIRED.(MASON
C CWE 14.08.Q)
nNure DMs
'DEPARTMENTAL REVIEW APPROVED DATE i DENIED :BATE TAG&NOT CONDRIONS
BUEDINGDEPARTMEN7
PLANNMG DEPARTMENT
FIRE MARSHAL
PUBIACHEALTH b I
r PLN Approved Front 25Planning Setbacks
10/06/2023 Sides:20'
Mason County Community Development Rear:20'
Gavin Scouten all setbacks measured from the farthest
All Changes Subject to Approval projection of the building
PREI.IMINARYSITE PLAN Subject to EH Setbacks
Pox
PAVEL PROPERTIES
SECTION 2,TOWNSHIP 21 NORTH•xenn.oe.anadrTwxxxnm nw
MASON COUNTYSKOKOMISM,'All" TONE MERIDIAN
a
N
da
Utilttl
Transformer
100 0
New Well Ipcation
49'-5 4"
I
111 1'
f7kwflyfWaWa".
endpedcinD . Proposed 4:
192'-5 3/4"—� _11aU„ '.. bdrm home
- Water line to home
I1
eMMa Thpmr¢pn 1
EH APPROVED
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1 W1M02I
i
---Ay-- -
E Setbacks
A�-- I 'A.) Drainiland.)mawre uites ID'setback from lodOngdoundatidns
1 -......... ---' B.)Septic tankla)reaulr 5'setback from all foomgdoundations
I 10'No Build C.)No IngbddtioNPadme r Drains wimin soft,downgrament of
--'— — DrainfieldMeserve area
-- ---L-- _ D.)No Cut eanpal(grea r man sn and ever 45 degrees)wimm
v r....uo..w....ux ----- —SMhdwneradimtai Dr infielNgeserve area
IMP FEMA
Q. vn.ww.PR- O MOa—... VERTICAL DATUM
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C) xNanrt.ua.ee FIRE DISCTRICT:
ursnrt. '^.sa�vwx.rawncru POWER:
(D as.. .... GEOTECH REPORT:
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