HomeMy WebLinkAboutBLD2023-01180 - BLD CD Environmental Health Review - 10/2/2023 Permiraj L_
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MASON COUNTY r
COMMUNITY DEVELOPMENT OCT 02 113
PermitA istanceCenrccBuilding,Plannine Street
BUILDING PERMIT APPLICATION 615 W. Alder
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PROPERTY OWNER INFORMATIgtL CONTRACTOR INFORMATION: z
NAME: IYI245 ! 1 NAME:tk\NT8 C
MATLWG ADDRESS: II F '\ C MAILING ADDRESS: 1 706 G:n v
STATE: ZIP: 1 H CITY: 0 O110j STATE:WA ZIP: Qk1 ]3
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PHONE aI: -° D r10. 1b0`S PHONE. 5"t-770-ia CELL: z
PHONE#2: ' ' EMAR: I M -13 I r�Aanx1 y
EMAIL:OMAe k ICYn GT3A. l tn"� AEG#HI nH iMS36D FxP.I /8 +r.3
PRMIARYCONTACT: ONNER EI LONTRACTMAR�,Im ;TNEROCI �n , -I �' t7 ,rh
NAME IYI2 1 n S d CITY IL
51'1u1 ,n STATE13�_ZIP�VI
MAILING ADDRESS
PHONE _ R CELL
PARCEL INFORMATION'
PARCEL NIIMBER112 Digit Numbm) 7iJ-'''In- Sl -D=tiotN ,ZZoNWG F,al S
LEGAL DESCRIPTIOcNN�(.Abbreviated) L'L ?+ Y.3 rATra^4�DI�S�OUCCT m
SITE ADDRESS\\V,/v IS rd city Ion
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DIRECTIONSTOSITEADDRESS rlcl ptT� rI�CM��"�---�r�— ^ �r
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IS THE PAO.IECT WRHIN]00"OF SLOPEISI GREATER THAN 14SL: NTSD NOD SNOW IgAD:,iaf � W
SALTW RATCREEK❑ POND A ❑ OIS PROPERTYWI N 20 FT OF HE FOLLOWING AD Q.
SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAU D OTHER n
USE OF STRUCTURE txttrNka.em+a•ca,.,,w.roaxws.F_r YPS I(J LIL
IS USE: PRIMARY SEASONAL❑ NUMBER OF BED RW MS ' NUMBER OF BATHROOMS=
HEATED STR11C1'URE? YES r.�+ay❑ YES(ronl+/yaurs+o NOD
DESCRIBE WORK_ TI I I1Y )
SOU A_RE FOOTAGE:,�,a01
ISTFLOOR_,,ft. 2NDFLOOR%h sq.fl. 3RDFLOOR__sq.R BASEMIEWT_sq.d.
DECK_n ,ql D COVERED DECK aq.L STORAGE Mb fl. OTHER_rq.R.
GARACE_g3go M.R. drwhod❑ Derarhed❑ CARPORT aq.fl. Artahed❑ Ueradid❑
\IANUFACTIIIED AOME INFORMATION: `C COPIES OF THE FLOOR PLAN REQUIRED`
M� MODEL YEAR LENGTH
µ BEDROOMS BATHE
ENVIRONMENTAL HEALTH: ..AA
SENVAGFISEWERWURCE: SEPTIct SEWER❑ NEW EXISTING❑
PLUND3WGWSTRUCTURE? YESS NO❑ Ijwa. ,,,h mmMerrd Vl'pra.9degnap Fo+m
FM ETERTOUNDATIONDR4WSPROPOSED? YES❑ N� EXISTINGSQ.FT.
ENCSTWG BEDROOMS PROPOSEDBEDROOMS 7., TOTAL BEDROOMS
OVIMER Wrow18tl9%rM1ersWmisam oriroxuMlnbrmerkn mBY mulrmencP wttM wCerar prmlr reuomion.AckrnMaE3ameM Waucbis by
sipnewre below.)LBrAre IbM I em ttieowntt anE I NMx Eetlert tlW I an amNetl m receive tMa parmX�eand b M die rrorh e9 prcgeei Inaw
cblelnetl{BmmseNm hom ell Ne nO[%YrY Wr4%.in<IWM9 aMea%menl MEerapeNea Ninrareetr rtlln Ms pgect TlM mnerer regal 1
Iep¢emile4We,reI—it MN rM IKpmetion pwitleE is N'Nrele antl$enu employe%N M%m Canb ecce%blbe NO.e EascnbB]Properly
entl srrrxNre(¢IM revipv BM i�eNm. . permit+ 180 dWt 40mr'%wrl S volC tl wdk er eNbwizN crosbustion ie rxY xmmercW xiNln 100
Wys.0 crosVunbn xvrk Is sospm�betl br a pemtl d 180 tla/s.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 16 DAYS OF MORE W LDDE USE THE APPLICATION TO BE EXPIRED.(MASON
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REP ART:ID;NTAL REN NEW .APPROT'ED DATE DENIED DATE TAGVNOTESVCON, MOMS
BUILD ING DEPARTMEM
PLANNING DEPARTMENT
FIRE MARSHAL I S
PUBLIC HEALTH Z
• ' Planning Sel Lacks
PLN Approved From 15 1 g9
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APPROVEDPRhohom son 12/15I2023
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p r EH Setbacks
� A.) Drainfield/Reserve requires 10'setback from footinglfoun la
� tions B.)Septic tankls)requires 5'setback from all looting/foundations
p� C,)No foundation/Perimeter Drains within 30iL downgradlent of
Drainfield/Reserve area
D.)No Cut Bari(greater than 5ft and over 45 degrees)within
5011,down gee erit of Dralnfi.Id/Reserve area
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