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BLD2024-00384 - BLD CD Environmental Health Review - 3/25/2024
MASON COUNTY remit""'1721 D —003 COMMUNITY DEVELOPMENT RECCIVLD IAAR 2 12024 Permit Assistance Center,Building.Planning BUILDING PERMIT APPLICATION 615 W.Alder Street PROPERTY OWNER INFORMATION: CONTRACEORINFORMATION: NAME'—"N NAME:o"am - MAIWNGADDRESS" tl°'"" MALJNGADDRF$S:'o'N`a°®^NN rn CITY:— STATE:aa ZIP:— CITY.. STATE: 7AP.^'n Z. PHONEdI: PHONE-- CELL: C PHONE 02 EMAO.:�N'°•N'""^ EMAIL:""aN""" l 1 REGR '— — m PRIMARY CONTACF: OWNER[] CONTRACNHO O"mc] D Z NAME EMAIL"'"""° — MAILINGADDRFSS' N"' CITY— STATE=ZIPo � F. PHONE®wcr CELL rn PARCEL INFORMATON: z PARCELMIMBER(12DigRNmn ).. ZONING. LEGAL DESCRIPTION(AEMeviemd) mNaOwrmrea..xnmmmaa" HREDIS1UCT"'aN"'"'a"N '�� SITEADDRESS'"'"''"NN"N'"NN" DIRECTIONETOSITEADDRESB xrra«rrx+wwm.wes« C� < C ISTHE PROTECT WITIIIN300 FT OF SLOPE(S)GRBATERTHAN I/%: YESD NOS SNOW LOADcn W Q ISPROPERTYWITTDN200FTOFTHE FOLLOWING: lrA dhwgww SALTWAIERQ LAKE❑ RIVMCREEKO POND❑ WETLAND[] SEASONALRUNOFF❑ STRBAMO YYPR OE WORK: NEW❑ ADDITION❑ ALTERATION B REPAIR❑ OTHER n USEOFSTRUCTURE(AWa tdva•.CavNdd Nae:vr)aNNN" ISUSE PRIMAKYB SEASONAL❑ NUMIIEROFBEDROOMS NUMBEROPBATHROOW HEATEDSTAUCTUREI YESlMr. s*)B YES I/'ml+l lam❑ NOO x� , DESCRIBE WE FOORK`'"w""°"1n00"'""°"9°°'°v'N'°`°N°� mnerm.e"a..+�r.mv.wvnrrwN 1 SQUAROTAGE•lom 4 .J ISTFLOOR.ffi5 q.ft 2NDFIOOR45q q.ft SRDFIODR_aq.ft BASEMENT_WL DECK q.I. COVERED DECK_sq.ft STORAGE q.R OTHER sq.ft GARAGE_q.R. Aao [] DaMdMO CARPORT q.R. AmahedO Da [] a MANUFA('TT(RED HOMEINFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED" „• MAKE MODE, _ YBAR LENGTH WTDTH BEDROOMS BATHE. SFAIALNUMBER. W FNVIAONMENTAL IIF.ALTIt: x ^' SEWAGESEWER SOURCE: SEYIICEl SEWER NEW[] EXISTINGE] PLUMBING IN STRUCTURE? YES El NO❑ Y If JYAA W..,C ld W° Ad, Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ MB EXISTTNGSQ.FT. l�' A EKISTING BEDROOMS ' _ PROPOSEDBEDROOMSO TOTALBEDROOMS 2_ p�xpp { OWNER hmNeOq®OplLnlaKw dbea«dvYbm�Oa mrymwabagapwwM ONNaPsmX�ew�en.Ammd.eq.a"ndsmbey xPrewm edw.Lem."nrl"meoxwmeiew�rae.sneiN�nna�m«o�dbr�no.awew oiaeu.T�onaa� •i daasma vrNNN+«^soma n"nere..mr e.n+.mw�N.N wao-nvn � `V/I-'-DQ_y Pa"mal�'�a,�i�a�aN NNtle Muni�AnnOmulStl's Lade aM gams unP�m+UM1Mem Caab®NbUea4ve hsXleGP�N m0 YmduMe)Nmicw aq bTNyion.TFu WmaIa1PF�"�Eam�in wY 6 wi MxvF m r2ra4tl m.wuecn bM mnm3+�MWn 100 mia a Immwmm woA V awP"aeem a PNbE a:m a"rN k�uc CONTINUATION OF WORK DN THIS PERMIT IB BY MEANS OF INSPECTION. INACTIVGY OF THIS PPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COIMTY CODE t1.OB.12) n�1 M OW)ERfW.NeMaN:Md by tlM OWNFRI Date TAL REVIEW APPROVED DATE DENIED DATE TAGEINOTES000NDITTONS PARTMENT EPARTMENT AL LTH EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ti,down gradient of Drainfield/Reserve area EH APPROVED i Rhonda Thompson 05/22/2024 Reserve is on 22222-21-00335 with AFN186716 I� anej .m ML ------------ I I I Y� -Y� Plot Plan � ! \ � � \ _ � \ E_ � ! ~ ® ® : © --- » 1 [ « w . - -� , : \ ) § ^ ~ m , §. �$ � | � § �! � § R � | � \ • • '�i. MPW�