HomeMy WebLinkAboutBLD2023-01315 - BLD CD Environmental Health Review - 10/31/2023 Fell No: 5LbaWS-01315
MASON COUNTY
COMMUNITY DEVELOPMENT m
strong i ssl:faroe Conte.Building.Punning Z
BUILDING PERMIT APPLICATION C
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: _on o 0
NAME:NlaelanAt 1,14AOn -G tAxwy NAME:tiougaN^nta D Z
MARWOADDRESS:x12�ye yam_ MAMINGADDRESS:ts:tcaawaNt r—
CITY,Rolgal STATE:W R%IZIP 5]b CITY:Y STATE." ZIP:
PHONENI: PHONE:0 Maas1 CELL: = m
PHONE N2: EMAIL naaen®.exnam...a,m z
EMAIL: L&I REG NAOAIRM RZ EXP.nI /00 /M .�
PRIMARY CONTACT: OWNERS CONTRACTOR❑ OTHER[ r
NAM�D.IMJC. EMAIL
'MAILINGADDRESS CITY STATBZIP
PHONE CELL
PARCEL INFORMATION: (('�
PARCELNUM8ER(12Diert Numbw13Z0301aWiW TANwa�he,I,aLM_L�il4� _
LEGALDBSCRD'1'ION(AbMerivtcd)TwmMpT ftR%a3WSeabnWTn tessa it McIBEla,W, LEN
RITE ADDRPS3 NO Coal in,Seem,WA CITY glebe L�LfL
DIRECTIONS TO SITE ADDRESS OCT 3 12023
IS THE PROJECT WITBIN 300 FT OF SLOPES)GREATER THAN 14%; YPSD NO� SNOW LOAD: RECEIVED
l ISPROPERTYWITHB 2W"OFT FOLLOWING: /araonaaw ooyM:
SALTWATERD CARED RIVERJCR 0 POND❑ WETLAND0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWa ADDITION ALTERATION0 REPAIR0 OTHER ❑
USE OF STRUCTURE(fmdnu.Comae cannem arAwO,zn.)RilWa
ISUSE: FFBIAl SEASONAL❑ NUMBER OF BEDROOMS9 NUMBEROFBATHR00MS2.5
HEATED STRUCTUREa YPS)w.tw'a aMy YES(PonhJ gADy❑ NOI3
DESCRD3E WORK 0gNA12T8 gnaaN.�wn three 0adwon MaM•nWlees
SOUARE FOOTAGE:NmParaO
ISTFLOUl sl 2NDFLO0B0 al 3RDFLOOR sl BASEMENT al
DECK sl COYEREDDECK l5b al SFOBAGE q.R OTHER al
UAgAsO a al AnacBdE) Doi cFed❑ CARPORT N.& AmraedO DaodM❑
H&EXACTURED HOME INFORMATION: 4 COPES OF THE FLOOR I
0 UHUB*
MAKE MODEL YEAR LENGTH
WIDTH BE__OOMc— AeT'AC_ ,_AI.M_IMRRR
ENVOLONMENTAL HEALTH:
SEWAGESEWER SOURCE: SEPDCQ SEWER❑ / NEW❑ EXISTING O+
PLUMBINOwSTRUCTUREI ME] NO 1f do unad ewp/Ud WererAdegmry Farm
PP.RD.fETER/FOUNDATION DRAINS PRO{OSEDa YES8 NOD msnNGSQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOM,3
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dAWM pnmlenpn hwn all to nothal pal mauaing any eeaemant holder a pates of IraereA monsoon this gmleal Th.amok d if,
lmaaaeneew,represents out ma lmomuhon w-don k acaaa one gents nnvloyaa:W Mason count,=ass to to,stove dexdeea anannualopm
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTINTY.OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EKPIRED.(MASON
COUNTY CODE 18.08,CO
x yy�,hw„nt. W 1AA1Pvn•' (7,a,.w., 1° 30 I aw
SgneNro ofOWNFR INunbgleMtl bvtla OWNFRI Deb
DEPARTMENTAL REVEW APPROVED DATE DENIED DATE TAG&NOTES/CONDTOOI03
BUILDING DEPARTMENT
PLANNING DBPARTMENT
FIRE MARSHAL
PUBLIC HRALTH }
PLOT PL,9.j!
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11/21/2023
APPROVED
MM()NWUMVDCDP NING
' - SCYRf fllEGl'�
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U {
7_77-
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EH�Setbacks
A.) Dminn.di ee re..,uhea 1p saeeokfrom fwangammel Uone
B.)Septic tarlr(s)requires 5'semack from all footirgtloundalions
C.)No foundalioNPerimeter Drams within 30,downgradient of
DranfielNResBrve area
D.)No Cut Bank(s)(greater than Sit and over 45 degrees)within
50B,down gradient of DraintiekleResen,area
Neighborhood Residential- NR
Front-10 ft. d
Side yard- 5 k. -r
EH APPROVED Flanking street- 7 ft.
Rhonda Thompson Daz3rzgz4 Rear yard= 15 ft.