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PAR2017-00004 - PAR Application - 1/25/2017 (2)
RECEIVED FILE r JAN 2 5 2017 PAR Z 0 i -o©an q ��66 DATE / 2s /7 PRE-Aa 1 CONEL� E�QUEST FORM The purpose of the pre-submission conference is to identify and/or eliminate as many potential problems as possible in order for the project to be processed "ithout delay. Representatives for the Fire Marshal's Office, Building Department, Environmental Health, Planning, and Public Works Departments may attend the meeting to discuss rules and regulations applicable to the proposed project. Topics covered during the meeting will include the comprehensive plan, shoreline program, zoning, availability of sever and potable water, development concepts, building construction, fire protection and life safety concerns of the proposed project. The pre-submission conference will be most informative when you provide accurate and detailed information on the Pre-Application Conference Application Form and the site plan. Applications will be accepted when all information is received and deemed com Jete. P P P Pre-Application Conferences are held every Wednesday and last up to one hour. To schedule a meeting complete the applications and return with 10 copies of the detailed site plan, by 3:00 PM on the Wednesday two weeks prior to the proposed meeting. 1. Pre-Application/Dept. of Comnnunity Dev. 2. Environmental Health 426 W Cedar Street/PO Box 279 415 N 5rh /PO Box 1666 Shelton,WA 98584 Shelton,WA 98584 360.427.9670 ext. 352 360.427.9670 ext. 400 Check amount: $255.00 Check amount: 95-. D BOTH CHECKS MADE PAYABLE: MASON COUNT)'TREASURER Applicant: Site Plan Name: ti/1441A,K A; (=-4.6ezSG �- 1 Submit 10 copies Mailing Address: / 7/ ffp 44 L-x_,e:*4A 0W nrIJ rA Include the following information Daytime Telephone: -71 y -151 -2"$Fax: ❑ Indicate Scale and North Arrow Email address: eic/ eQS av` A/f � .d/W• COM ❑ Propem line dimensions.easements, and right-of-wa-,s. Representative: Name: D-,�mms ��R�(R�,�f "�.�Rag�.,� L„4►.1() S�ti ( El The location of all existing and proposed structures.Include square Mailing Address: PC:, gy`�( $3y footage of existing and proposed structures. Daytime Telephone: 'Z7j3 Fax: ❑ Setback distance.in feet from all Email address: C property lines and structures. Parcel Number: (12 digits) q2 y 2 - pCj 10 ❑ Existing and proposed road access to and from the site. Description of Project: Include: 1)Square footage of structure,2)Use of building and rooms(i.e., ❑ Parking sins office,warehouse, restaurant, storage, etc), 3)Occupancy classification per El Location of on-site sewage tanks and drainfields. IBC, Section 302.1, and construction type. 4)Provide two sets of plans,if ❑ Location of drinking water supple. available. Use separate sheet if necessary 9 Lo`r S it+�t Include location on the proposed site and surrounding parcels. ❑ Steep bluffs,wetlands,streams.and bodies of vN ater S ❑ Location of fire B-drsnts and r emergency vehicle access roads, including grade. ❑ Surface and storm Rater run-off routes. Has the project been discussed during a previous Pre-Application Conference: If yes,please indicate date. Will the building have employees? If yes, how many? 1410 What is the water availability of the proposed project? If there is an existing well,what is the name of the system? C`' 7;1 What is planned for the on-site sewage system? If you are proposing a new on-site system provide detail on the required site plan. G', ?, ADDITIONAL INFORMATION.• APPLICABLE BUILDING CODES 2012 International Building Code/2009International Residential Code 2012 International Fire Code-ANSI Al 17 2012 International Mechanical Code—WAC 51-42 2012 Uniform Plumbinc,Code—WAC 51-56/51-47 2012 International Energy Cons. Code/Washington State Energy Code—WAC 51-11 C& 51-11R Mason County Ordinance Title 14 Code changes are on a 3 near cvcle: effective in Juk of tha/particular .rem•. Date of Conference: ' 1 -� Time of Conference: 1 30 Location of Conference: _ Planner: A Q ext. S `] 1