HomeMy WebLinkAboutBLD2024-00466 - BLD CD Environmental Health Review - 4/12/2024 Permit NO:�
MASON COUNTY
COMMUNITY DEVELOPMENT APR 0 9 2024
Permit Assistance Center,BuiMnC PNnnIM
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI*% ,
NAME:c yanaerenmeum NAIffim N^nlaa
MAI,INGADDRESS:52Ia2MAmM MAE,DIG ADDRESS:11210 Y Wd
CTTY:W STATE:WA Z@:-- CITY:MsAP STATE:B'APHONE#1? 52l-131U PHONE:B�gwoa22 CUE PHONE#2:�IOla5e1 EMAIL T-INelaF®IirMq —L&I REG#MuMrN390 ill
PRIMARY CONTACT: OWNRRQ CONTRACTOR❑ onant0ENA L,w WNAILING ADDRESS 521325M Asa SE CITY—' STATE PHONE Nleslm CELL J
PARCEL INFORMATION: O LLI
PARCHLNUMBER(12Di9t N..b«)22gt66ggm91 ZONMolBnaeBeruaAlamr = T
LEGAL DESCRD'DON(Abbrrviated)Tmm«lgu 01 W41 HMDISTRICTa 4u.• .L
STTBADDRP smEPke«InooM pTyslww >
DIRECTIONS To SITE ADDRESS"3m EAwW ReW.TA EIFm«W aae TM E Pk aft -L
LL)
O TM PROM=WITHDI3N FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:
m LTWATET'0 LAI E] FT OF THE FOLLOWMD A=AWETLAND1
SALTWATER❑ LAKE O RIYEwcREEK[] POND❑ WETLAND❑ sEASONALRUNOFF❑ STREAM❑
TYPE OF WOM- NEW[] ADDITION[] ALTERATION❑ REPABt❑ oTRER n
USE OF STRUCTURE(Anmev<Cmmea cs.errd BW
ISUSE: PRIMARYO SEASONAL[] NUMBER OF BEDROOM52 NUMBEROFBA,,,,MS2
DEATED STRUCTURE? YES( D*)Ej YES(Purge)¢Fw❑ NO[]
DESCRIBE WORKNa"'a«mmctkn 19ee ar
SOUARE FOOTAGE:
1STPLOORIM9 aq.ft. 2NDFLAOR sq.R. 3"FLOOR sq.R BASENffN '_sq.R
DEM .R. COVEREDDECK_pt) .B STORAGE R-A, C"DIEt sq.R
GARAGEW sq.R. Aa [a Ddad�0 CARPORT sl.R Attached[] Detachd❑
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LEN3T1
WIDTH BEDROOMS BATHS SERTALNUMMR
ENVHTONMENTAL HEALTH:
SEWAGVSEw SOURCE: SEPTIC[]' SEwFR❑ / NEW p EKISTING[]
PLU MOM STRUCTURE? YES[3 NO❑ Y3 ,aaacA m Idd Na Ads4 Fo—
PF.RDIETER)FOUNDATION DRAINS PROPOSED? ME] NOQ MSTWGSQFT.
EKISTDIG BEDROOMS PROPOSED BEDROOMS 2 TOTALBEDROOMS2
GIYNIR KknvMed]as Mel atdnuabn M IrecarMe IlRofinelbn may reull In a dcp xwM«Gerd pefmtt rew'eWn.ptl:n«Nealpnent«sY�Is Oy
tlpmm�Eebx.l tlWan tlW I M Mevmer ana I MAer EerJere Mel l em entltleE b mmNe Ns partnil ana IO ao N¢xoR es«opasea.l NM
Wairal CennWkn Ada tlIIM n%l9Yry pBtlMs. IMud�'g enY easanent blGararpaNes W iMwap mgeralna We pmfecL lae W+9r«legal
nPlxanMNa,npanme wl me Inlmmamn Pmwea 5 arcuate ana eronu emgoyas or Mason ewnty e¢eu m Me emrn aemil.a IlraoeM
am awcmlgal b:revs am inwearon. TNs p«mvyPtiwmoe« es nwflvoianwn«.�uon:m dn:waon'e rwlw«n«�«tl.+Min leo
arye d mm�wvgron.an ieaeawna.tl rare ream q 1eg ears.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P APPLICATIONAF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
x ( jL/I COUNTY CODE 14,0BA2)
I C�
SIBn M01OVMERIMuvmsNaeabvtbe OYMERI Oak
DEPARTMENTAL REVBr,W APPROVED DATE DEN® DATE I TACST'OTRYODNI)DIONS
BUEDING DEPARTAENT
PLANNING DEPARTMENT
FDtHMARSHAL
PUBLIC HEALTH [Y
A-A^nty, $e NtO s
� - 3 Uft 17
C '. /i t y\Qy 1�V 2- n t sfao !�
�Icl 202� Gt5`� LPLP
'NOT AN APPROVED SEPTIC DESIGN'
PLN Approved
PLN SETBACKS use appmved septic design far septic system Installation
oanefzo24 EH SETBACKS
Front(NW):26 Mason County Community Development A)Drainfidd/R®erve requiresto ooW&tom fwrtag/fuundadons
Sides:6 Gavin Scouts. 6)Septic sank(s)requires 5'setback from all f000ng0oun lations
All Changes Subject to Approval QNo fwndaron/perimeter drains within no'down gradient of Grainfield
Rear.Sty
'all setbacks measured from the farthest D)No cuts,bankgl(greater Man 5'&orer 45 degrees)wGM1ln So'
doom-gradient of drainfield/reserve are
projection of the building EH APPROVED
'subject to EH setbacks -
D.mm�aon 0512VS2 i
.to
I k
to
k�a`' t w1 yy
blocks/pads�, 'Pier
�a
only,no porch or
_ deck footings
I t within 5'of tanks
� 'r 1't SN<d I'Ir ,�O •• or,0'of
1 9 drairrfield
4W 1 1
EAL•r YtGIC� ! g