HomeMy WebLinkAboutBLD2024-00149 - BLD CD Environmental Health Review - 2/6/2024 MASON COUNTY COMMUNITY SERVICES Permit No: Q L-- 014q
PERMITASS/STANCE CENTER:
1 •EWIDMG•FUNNING.PU CHLAtIw.FIREWRSW RECEIVED
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PS—M (MW27-to70..=-F.a:,3m)427-Tr95P,ae m FEB 0 5 2024
GYhV:(3W)27S .FMre EMw:(300) 82 258
BUILDING PERMIT APPLICATION <
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: m O
NAME:M Fire Harer NAME:M Fire Hams D Z
MAILING ADDRESS:871 E ExM Dr MAILING ADDRESS:STI E BUM Or CITY:union STATE:WA 21P;NM CITY:IIo. STATE:WA 2IP:MINQ � ^�
PHONE#I:3B0.888-0D55 eat 3 PHONE:WM98U055eA3 Z
CELL: m
PHONE#2: P,MAR. a#.FINFHaEc,II wmrssaa Z
EMTAIL:enwltlagpeltlertrpolaropaNes.wm I.BcI RRG#AEFINFH8090B EI.T. 11/22/!q D
PRIHARY CONTACT: OWNER❑ CoNTRACTOREl OTHER[] r
NAME wnda wntza^..y EMAIL anaiwRUaYaolaw.0...am
MAILING ADDRESS 871 E Sw%Dr Cmww STATE WA vp NI92
PHONE 3 "M-(055 CELL 215�5651e0
PARCEL INFORMATION:
PARCEL NUMBER I12 Digit Nuvdm) 3210e-52-0 100 20NING RRS T
LEGALDESCRDrTION(Abbmieu:d) xweaor.a .ow FIXE DISTRICTfi fT1
SITE ADDRESS 151 E Dogvao LO ,mawrw-w.s..rm.®wa.
CffY Union p
DIRECTONS TO SITE ADDRESS RShImbMarlraniH,d9ht pn Jack Pire lafl oNO Oa2Ycatl Lore Q3
N
ISTTIEP1t03ECTWlT 300FTOFSLOPE(9)GREATERTHANI4%: YES4 NO!- O
IS PROPERTY WTTHIN 2U FIOF THE FOLIAWDOG: Irse<mamy9bY
SALTWATER D LAKE❑ MWILCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
6 TYPE OF WORK: NEW B ADDITION❑ ALMSAnON❑ REPAIX❑ OTHER ❑
USE OF STRUCNRE(Rmuenu,Ganye.Ga,xem;deNg gr)RwitlemlN
ISUSE: PRDMARYQ SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS
(R HEALED STRUCNRET YES B4,�r YES�IfBhW r NOD
DESCRBE WORK Geraae wXh attachecl bonus roam I�
SQUARE FOOTAGE:(ym}+aa moony)
1ST FLOOR 287 p.ft. 2ND FLOOR_eq.R 3RD FLOOR_p.ft. BASEMENT_aq.R
DECK_sq.O. COWMDDECK_p.R STORAGE N.ft. OTHER_eq.R
GARAGE 5T7 p.R. AaacAed t DaacMA CARPORT p.R AaooA 0 Der.W D
MANUFACTURED HOME INFORMATION: a0 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
W TH BEDROOMS BATHS SBRIALNUhffiER
ENVIRONMENTAL HEALTH-
SEWAGE/SEWER SOUILCE: SEPTCN SEWER / NEW® EKI.STING❑
PLUMBINGINSMUCTURBt YES® NOD lJyer.MearA eom;leted Wa Adegaary Pores
PERDMETERIFOUNDATONDRAWSPROPOSED9 YES N019 EMM14G SQ.FT.
EKISTING BEDROOMS PROPOSEDBEDROOMS 0 TOTALBEDROOMS 0
OWNER akmMeeputlMeudnbYcn Niwcunia Nbnnadar to nOrr eat Mp reo oNerw peradaAda M,M wor,8s A]emeMMtoore py
vp,uWra malt. tlMen Pa eon Na pner Yk INXM1ereetlare Mel l eon•Tierra rp rewHa N'o puma aotl to E m p woM ea pmpaseeo IIeM
wolatarrantor,amncanYNe,reaasaw,,ne paka,Ire l he
anyeearanerrt nd,rats holder or at ntarest Mwncor,enatya pMla p,ofecL Mmma,wlapel
reprefenlaXva,nplwMb Mat Me,InlgmaEm praNeaU N e¢unle an492Ms employees of Mason Cwnly eae¢e tOMe aEMe tla¢viEef proluM1y
one abucWn(sj brreNea aotl Irepectlm. TXi¢pe,mX/ayllutim paccmea null6 vop X vak wwW,imtl cnaW Ym'u M wmmemE Mein 1B0
tlM aHwnaWcbn wk Is suapaMM Iwe perlN N 180 tleys.
PROOF OF CON INUATION OF WORK ON THIS PERMR BSETXE FICTION. INACTIVITY OF THIS
PERMIT APPLICATI F 180 DAYS OF MORE WE
APPLICATION TO BE IXPIREO.(NASON
/. CM LODE 10.08.#2)
X /V�
Signature YOWNER I retl e
DEPARTMENTAL REVIEW APPROVED I DATE I DENIED I DATE TAGRTIOTES/ComrnONS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
EH Setbacks
A) DranfieWReaarve requiree 10 left*from lootlWountlalions Applicant must install
B.)Septic lankls)requires 5'setback M1om all lootilgifouncelions EH APPROVED footing drains around the
C.I NolounCatgnlPennwler Drains within 3pll,Aownglatlienl of RMMd lTampson 0t29202� / \ rest of the home perimeter.
D.)No Cut
Bark(s)
area / �\
D.)Na Cut Bank(s)(greeter than 5fl and over 45 tlegrees)x+lbin I\\ J
5ofl,down gradient of DrainfieldrReeerve area
No perimeter/foundation
drains within 30 ft of
upgradient drainfield and 1
reserve 1
1 �
1y5a
182'-8 1/8"
I I
E D �Bn/
5 - 12"
I I I
z �tESERV
� Sby-1
O �t
o 0
HEAT PUMP
N w DRIVEWAY
o ti I
t" 120 GAL LPG /
DUCTLESS HEAT PUMP
48'-7 3/4'
i
N 42°46'51" W Y
157'9.96"
OLOT 95 HOODSPORT-151 E. DOGWOOD LN.
Scale rG A.P.N 32104-52-00106
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