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BLD2024-00133 - BLD CD Environmental Health Review - 2/1/2024
Ddmven Emtlepe lD:nmlezeE-wrT-oexa3aconcTaEoeoaac � O V�( 3Z) MASON COUNTY Permit No: a COMMUNITY DEVELOPMEN�ECEI .DOE $ Permit Assistance Center,Bullding,Planning �pN 31 2024 BUILDING PERMIT APPLICATION Street PROPERTY OWNER INFORMATION: CONTRACTOR TNFORMATIO mJ NAME:COSMU-0 PACIFIC LLC NAME_SOUTH SHORE CONSTRUCTION INC (� MAILING ADDRESS:Um NIT TACO D SSW MAILING ADDRESS:PO Box MMA C CITY: UJ(EWOOD STATE:WA ZIP:eeaeg CITY:RELFAIR STATE:WA Ze:NS?f, PHONE#1:1'253-2vsg13 PHONE:31XW S CELL: a8 —IN2 PHONE#2: EMAIL:mlataherepR.min (f1 0 EMAIL:no-+®=eaI•Ilweem.mn' L&I REG pSOVIIIKI)M I. FIT PRIMARY CONTACT: OWNER❑ CONTRACTORD OTHER❑ NAME EMIL rn MAILINGADDRESS CITY STATE UP z PHONE CELL PARCEL INFORMATION: r PARCEL NUMBER(12 Digit Number) 1YAR'1SBOOJ2 ZONING LEGALDESCRIPTION(AbbtevialeE) IP ssmaavnnatnarrtteaaveeamnaNa»uIn FIREDLSTRICI'e AN SITEADDRESSWA CITY IsO.MuR l� DIRECTIONS TO SITE ADDRESS renmwAtlxMMVE H eM eta Me Mean.eleme Item mxnN ter 9L wwaa E Fare St,mmsr WAB N.comnw MYant mbearthas ftE N B amlanue ones,ones,WlnlW E.Man M wb E Hai en�lol m to all most KIN�a M 01 E H G. %THE PRO3ECTWTTIHN380 FTOFSLOPE(S)CREATERTHAN 14%: YES[3 N00 SNOWLOAD:a ISPROPERTYWITHIN388]FYOFTHEFOLLOWING: (Clwldleati Q SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑ USE OF STRUCTURE Tourism,Smith,common's,Mi s )REBRExTIAI IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS a NUMBER OF BATHROOMS 8 HEA'fFD STRUCNREI YESINAnleayl© YES lPo,.(+1 AFlgl❑ NO[] D64CRIBE WORK W9TNL NEW MH FOR RESIOENNLUBE SQUARE FOOTAGE:p.mmq ISIFLOORI512 si TNDFLOOR eq.R 3RDFLCDR_1.R BASEMENT p.& DECK K.& COVEREDDECK eq.ft. STORAGE ad.ft. OMER sl GARAGE_M.ft. AOacha [] Detached❑ CARPORT sq.R Attached[] Camached0 MANUFACTURED HOME INFORMATION: aA COPIES OF THE FLOOR PLAN REQUIRED' MAKE FPW xAPEOR NpNEs MODEL"Mi1 NDRFANIIIaviielR YEARNN LENGTH ,,,M21 BEDROOMS BATHS2 SERIALNUMBERNIA ENVIRONMENTAL HEALTH: MWAGF/SEWER SOURCE: SEPTICD SEWER / NEW O+ EXISTING❑ PLUMBINGINSTRUCTURE? YES0 NO 1f Mdr,attach MWhUal Faro Alienist F.. PERIh1ETER,FOUNDATION DRAINS PROPOSED? YES❑ NOE) EXISTING SQ.FT. EMSTING BEDROOMS E PROPOSED BEDROOMS a TOTAL BEDROOMS OMNER vhnwNMgee MEI aubnlasson d masoun s Flwmalbn mry reaWl in a atop wane aEer an permit mol AduWNpmmen,A Mich N ty MgMure Eelow.I detlert IMI I am Me owner and I hummer denied the I am mfirved M none this mnnp and to do Me xaM1 as pmpoaMl I haw oWained pmmissank-le me oenesaary i a ea IntlW mp any eazmeM hoNer or parties o/InNns1 npeNinB Me p'ofetl. The merin ne Regal represomadve,reprewMS Pat da idomelam domed is asarate and amen employcea d Meson County wes Io me at—di—adeA pupeny Yke saMdeam,mw-dinspecdon. Tlie permNe pplimetbn Eecanes nu118 wid geo-omannsimal WnaWnhomis ndmmmaced wathin IN dy+a it commolm vork te he"Mad.a peMd of 180 tlays. 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 r COUNTY CODE 16.08.h3) x I ( G 1/16/2024 gnebn of OWNER(MMLW shaded by lNe OWNER) Deb DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSTIOTESICONDITIONS SUUDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH I S 165' 'w. EH Setbacks \s6� A.) Drainfield/Reserve requires 10'setback from footing/foundations oq, B.)Septic tank(s)requires 5 setback from all footing/foundations Lp C.)No foundation/Perimeter Drains within 30ft,downgradient of e�! Drainfield/Reserve area D.)No Cut Bank(s)(greater than Sft and over 45 degrees)within 501t,down gradient of Drain eld/Reserve area "Front yard" and "front yard se ack" mean the space extending - the full width of the lot betweer a structure or building and the \\ front lot line or road easement oundary, whichever is closer. The setback is measured from the urthest projection of the building to the closest point of the front loi line or road easement boundary, \ whichever is closer. FRS Zon rig \ Front YarI Setback. 25'. Side 8 R ar Yard Setbacks. Residential dwelling and acre sory structures is 20'. S OR 10% vah of lot it not more than 100'wide \ OR apprc ved ADV o PLAT PLAN of \ COSTELLO PACIFIC PARCEL 12228-75-90032 \ SCALE 1" =4o' \ EH APPROVED Rhona Thori =W2024 5' min � Z> -U D o 4z6 lrnding . 10' se ADV2024-00030- 10' MIN Proposed MH 2T All setbacks are measured from the furthest proledlan of the building. Proposed DF Area 4*e L. n 11 g 10- Driveway ' 30' 02/16/2024 ' •. APPROVED l _ _ MASON COUNTY DCD PLANNING --- ----------------------- scdlr RVE01'AIdD 25' EASEMENT Dewy s..w:e Ysnea sy scea i flueEy 25' E HIGHLANDER DR. ------------- ,