HomeMy WebLinkAboutBLD2024-00137 - BLD CD Environmental Health Review - 2/6/2024 Permit No: RLA l.J4- JX13
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT FEB 0 1 2024 Z
PettnRAUlitenceunte'Evixim,planpiry
0
BUILDING PERMIT APPLICATION 615 W. Alder Street G
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: _ ew
NAME:�'Avl W41 aLA /$� ar I.�a a�laP NAME: .� Z.,
MAILINGADDRESS: LLu-a- til A,A.. S MAILING ADDRESS:
CITY: IS.a.:C W STATE:y„ ikt:G RT[0. CRY: STATE: ZIP:
PHONEE s1: 2 nL.i i -1U Tw PHONE: CELL: M
PHONER2: EMAR.:
EMAIL: A, Mill Lo'^ L&IREG# EXP._/
PRIM YCONTACT: OWNER® CONTMCTOR❑ OTHER❑
• NAME EIMIL O
MAILINGAI) RESS CITY-STATE-ZIP
PHONE CCU
PARCEL INFORMATION: �1
• PARCEL NUMBER(12 Digit Na ) 3;. I12-ti UOLVAG ZONING I�R•5
LEGAL DESCRIPTION(AEbeevietted) FIRE DISTRICT
• STTEADDRESSSI a 50a±\ P./ShIL \ CITY,5 k,. I,%
DIRECTIONS TO SITEADDRESS ��
ISTNEPROZECTWITHINRIOFTOFSWPE(S)GREATERTHAN14%: YES[] NO)d SNOW LOAD:.26-,f
ESPROPERTYWOHW ZOO FT OF REEK[AWIND AAWEIIAND[:
SALTWATER❑ LAKE[] RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF[] STREAM[]
TYPE OF WORK: NIX ADDITION❑ ALTERATION❑ REPAIR❑ OTHER O
USE OF STRUCTURE(Reemmee.Gmitt•,C-1 eug,En,)
IS USE: PRIMARY$ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(w &W d YErS�LWe agy❑ NO O
DESCRIBE WORK 3E SFG_.
SOUARE FOOTAGE:timpme(1
t STFLOOR I q.ft 2NDFLOOR q.ft 3RUFLOOR q.A. EASEMENT K.R.
DECKq.ft COVEREDDECK_q.R. STORAGE q.ft OTHER q.R
GARAGE_q.R. Ancehed❑ Dawhed❑ CARPORT q.ft Attached❑ DnochW❑
MANUFACTURED ON: •C COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL L
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: 1
SEWAGEtSEWERSOURCE: SEFTl SEWER❑ / NMyf EXISTING
PLUMBINOWSTRUCTURE? YESJ NO[I lfe;,attach compfered Wmes Adegmry£orm
PERIMIETER/FOUNDATION DRAINS PROPOSED? YESx NOO EXISTING SQ.FT.
EXISTING BEDROOMS PROPoSEDBEDROOMS__,gj_ TOTALBEDROOMS
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.IMASDN
I V COUNTY CODE 16.08.42I
X
I...reoIONNER NMuat be alanea EV IRA OWNERI Dale
DEPARTMENTAL REVIEW APPROVED DATE I DENIED DATE TAGNNOTESeCONDUIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MAMIiAL
PUBLIC HEALTH
JJ� y EH Setbacks
A AJ DrainfielNReserve requires to'seMack from lootlnggountlafions
B)Septic tanks)requires 5'setback from all footing1fountlations
C.)No fountlatio erimeter Drains within",downgratlient of
EH APPROVED DrainfielNReserve area
D.)No Cut Bank(s)(greater Man SX and over 45 tlegrees)wilbin
Rhonda Thompson 0M7M24 5M,tlown gradient of DrainfielNReserve area
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C NDY DE ,.NER�
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l6u),!;wa4-00131
I. Proposed residence
2. 1200 gallon concrete pump tank
3. BNR500 in concrete tank
4. 1000 gallon trash tank
5. Transport line 't
-�-I� _�5,,, �.p,,n 6. Audio/Visual alarm and controls
7. Valve box
8. Primary
envelope
r
9. Waterline
11) f