HomeMy WebLinkAboutBLD2024-00177 - BLD CD Environmental Health Review - 2/15/2024 MASON COUNTY P..itN.: RI O1-1"1
COMMUNITY DEVELOPMENT RECEIVED
FEB 0 8 2024
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W.Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: w. NAME: ��jj CC..a al Ca TtiaieTo.LLL p,(jp,A /LL 1
MAM ADD S: ADDx}cS ITTII
CITY. $PATFy2�ZIR ( CITY .fl - S ATE> ffi: Z
PHONE#1' PHONE: CELI,:2 - - Q
PH0NE#2 ;2 _ 2 EMAIL
REG# _ .mil / O,
EMAIL'
PRIR YO NTAC OWNER IL CONTR&=R OTHER❑ Z
NAME t^1. .c IeG i �^CITY ATHJa Jt ZIP
MAIWNG ADDRESSS "�I CELL - Z
PHONH
PARCEL INFORMATION:
PARCELNUMBER(12D&N.n )AUf iv
C70O Y y ZONING V
LEGAL DESCRDRION(Abbevi )L_',jj 2 1LB_T LAL CIZ A FFRE DISTRICT O
STIMADDRFSS 511 "1 /11 i- I,lh , P CRY Af J
DUMMONS TO SITE ADDRESS JiLli, To LL:s 41
S y I O� ti
ISTHEPROJ WTFDDd"E OFSLOPE(S)GREATERTRANII%: YESD N0JK`S0OWIAAD:-q0-,d
ISPROPTERD TBN 2l FTOFTBRFOLIAWORD (Cectm A« 11
SALTWATER❑ LAKH❑ RIVER/CREEK❑ FORDO WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OP STRUCIVRE QLMoaa.Gmpe.Cwww«d BBAD'J�"5 � a
ISUSE: PRAIARYg_SEASONAL❑ NUMEEROFBEDROOMS_'2— NUMBEROFBATHROOMS 2—
HEATEDSTRUCTURET YES(P BW6 YES(Pm#+INB�J❑ NO❑
DESCRIBE WORK+ 14// /N
FO A •p yoM
ISTFLOOR sq.R 2NDFLOOR_aq.ft 31RDFLOOR_sq�R BASEMENT_sq.R
DEU—N.R COVEREDDECIC N & STORAGE aq.R OTIER_sq.R
GARAGE_K-R Ad [] 1)6c ❑ CARPORT I.@Aau 13 D Wll
MANUFACTURED HOME INFORMATION: •R COPIES OF THE FLOOR PLAN REQUIRED'
MAKES V_-/ fB.E/'1` 'R{ODEL 1 2?-L LT' YEAR o2 LENGTH 4.y
WIDTH_ B,,RCOMS___2- BATHS SERIALNUMBERL
ENVIRONMENTAL HEALTH• 11111IIIII
SEWAGEISEWERSOURCE: SEYDCa, SEWER❑ / NEW EXISTING❑
PLUMBNGNSTRUCTURE? YES$— NO❑ T(NN.xoA ,,ImW Wmar A#,q Fosm
PEBI.fE1ER/FOINDATION DRAINS PROPOSED? YES[] NO[.- mmNG SQ PT.
ERISTNGBEDROOMS PROPOSEDBEOROOMS TOTALBEDROOMS�
vnxsR ammownews nn were'ueiw mmamwam'mmrmeuw nw;revn in a mw.o««a««warn rewunon.Aeam.aeewmammvm Nq
siewmre ceio..i eee»um i»x wmer ara i mnxraeaare mn i ore arimke m r.rexa mro wam aaB m eonmwn as wwam.i new
aft w^mwjwn wtle remssen eamz:,moiuSne am.$emen:rxAec or wnie:a Weres rewrehre mla w9ea me oume,or IegN
rapesan:sow repeaen:ena me mrwmaiion poWeee I:am,m:a ma Aram.eniPiovaec a Maam coumva^'�-++m a'e eoow aemceo powM1y
mgapucmrq:Imr reJew ene n�acean. ilils wrmrtrePW�:ion hmrrea nullawie it vvk or auWezea mnswmim'n nm mmmnree Mein tm
Bays«rcwmwaon.«t�awPmeaa mr a weoN a rao aaw.
PPERMRFC LICAUON OF0IF DAMN OF MORE WI ON THIS LL?CAUSET IS BY MHE APPLICATgN T INSPECTION.
O BE EXPIRED (MASON
3
CODE 14AEA2)
1224;g
IS re o M —�
DEPARTMENTALREV)EW APPROVED DATE DEN6D DATE TAGSNOTES:CONDLTLONS
BUdDING DEPARTMENT '
PLANNIHGDEPAR'CMENT
FIRE MARSHAL
PUBLIC HEALTH
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ky � 9
\ / - ` s EH APPROVED
b � � 0 [ghenda Thompson 03/05/2024
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i�Jl S'fj _ DALEL_T
EH setbacks
A_) Drainfield requires a 10ft setback to foundation, Reserve
requires a 2ft setback to foundation with WA12024-00019
B.)Septic tank(s}requires 5'setback from all footing/foundations
with WAI N/A
C.) No foundation/Perimeter Drains within 3011.downgradient of
Drainfield/Reserve area
0.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within
Printed From Mason County DMS50ft,down gradient of Drainfield/Reserve area
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