HomeMy WebLinkAboutBLD2023-01526 - BLD CD Environmental Health Review - 12/20/2023 Permit NF: bI(L oab-o152W
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT PermRMslawnte C<nt¢SaSalient,PlennanF DEC ZU LYW0�
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Wady— NAME:xwne xBdm 1iC
MAILING ADDRESS:10vsh"tea MAILING ADDRESS:Iisw61w mend.
CITY:swwa STATE:— ZIP:awea CITY:"inal STATE:NA ZIP:son
PHONEfH:lssslr— PHONE:FDI»ossu CELL; w _
PHONE 42: EMAIL:yeal nssysdnunMm
EMAIL_1. '-it— LS:I REG#cC xuxlreaseo EXP. 11/_/_ J
zQ
PRIMARY CONTACT: OWNERO CONTMCMAIL OTHER❑ Q W
NAME adrc DDRESS+Gmw EMAIL amN°mmm M =
MAILING ADDRESS 1MstwnmeswnemarN. CRY R.Pmm STATE ZIPsssn LL
PHONE as CELL eml Nlalw `
PARCEL INFORMATION: q�I•' Z
PARCELNUMBER H2 Digit Npmber) sswospaye 90011 ZONINGxR
LEGALDESCRIPTION(Abbreyiekd) U^'wsnefmauwmwmxwxwawestnw FIRE DISTRICT Be
SITEADDRESSIll-ceadBldm Ra. CITY sI.nn O W
DIRECTIONS TO SITE ADDRESS sduewelnleweduNdBq WxnaamnabYw+CbpWum me peeepYnnwIPN ! W
�U y
LSTHEPROJECPWIT'HBJ3 OFSLOPE(S)GREATERTHANM%: YES[] NOO SNOWIAAM psf
MPROPERTYWITTIINZDDFTOFTHEFOLLOWING: Fantaarmlayp'A: O
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW a ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE Oteasemn,rye.CamrrBCllikk Fie.)Rry.Famuy Rmaerc.
ISUSE: PRIMUl SEASONAL❑ NUM3EROFBEDRDOMS2 NUMBEROFBATHROOMS2
HEATED STRUCTURE? YES e1ala BW B YES lranfallssDY❑ NO❑
DESCRIBE WORK anndl^i•sti le F•mry xrlamo
SOUARE FOOTAGE:pmPaaap
ISTFLOORs2se sq.ft 21SIDPLOORtu sq.ft 3RDFLOOR-B N.B. BASEMENT eu RI.fl
DECKM sq.& COVEREDDECKSM N.ft STORAGEeIA sq.ft OTHERssA sq.ft
C°ARAGEW sq.& Aaached Di Detached[I CARPORT- Rl.ft Aesehed❑ Derached❑
MANUFACTURED HOME INFORMATION: -
MODELx YEAR"A LENOTNNA
TH xA BEDROOMS[°^ BATHS xA ERew
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTICO SEWER❑ / NEWO EXISTING❑
PLI.MBINGINSTRUCTURE, MR1 NO[I Ijyra,Beach maWlesed WwerAdegNory Form
PERNTET OUNDATION DRAINS PROPOSED? YES❑ NO EXISTING SQ.FT.
EXISTINGBEDROOMS eu PROPOSED BEDROOMS 2 TOTAL BEDROOMS s
pVNER rkivMeOpw tlatauEmb4m NYuar°h YNammbn nleyrtfuY In s 9op xwk wbrngmYl nvwlidn.MmmNeEOemenlolatli h Ey
a ipdWmohnw.laetl°n tlut °mpNWneres, NnnxganyeNellamolsororpretlde IManewhannEothect aeampo orluw
[Meagerhaaagereatae mph wlhe iix papa;Iot ,sa measementtse mp sa W' Crnpamelnie Peab IDewme'mlapel
eM sbdalaMA to reviews and�mepec4an.Thh pennWepPllntionhaaaasnnull —111 ar adanzed mnslnntineh not mmmsercer w0annIM
rase or Mwnebutllm.Y eusil ear a penad M 1.rays.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION QQQF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED(MASON
COUNTY LODE 14.OBA2)
slPnwmem ER Date
DEPARTA4C MLREV APPROVED DATE DENIED DATE TAGSSNOTESrCONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 31
n '/
ie � ba 60
y. -11 EH APPROVED
® Rnonaamompson 01rl112024
W 50coal,0 �® e CRAG lF So N
Pptc£L# 57.0 —32- 40011
rer .f:,
lel 1 lO vN C101W Ptr-VH he
n D.F. 01 - S1t£LTaa BJA 4104
ad in o.bng
.p .
N Z'
O A O S M 0—.
N
a G ago
sN N �O x\ ll
C ITT
Ca ro n -i #Z: } YDP 5
3 D g7l kf l i
O
cc-
v y SpJ Pr�H'+af-W
\TK
n Z .. E$N
< n N�
w� 3
Oe N 0 }s}a 2 r N V
o Q >
Audio-Visual Alarm
— 3
m
Cleenovt
kz— ® 1200 Gallon Septic Tame
® 3 S b 2-Compartment with
(¢ H y\bt" Effluent fluter
W InO-F O4 1000 Gallon Pump Chamber
.lE N)a�JtY I`•re —1-e b[ Sle.t.+tA i w i itA H OS Valve Control Ho:
cl
z�laoa� Le ^ _ ._ tr
I Tl pI00 Jo N
SYC' PNULA JOV MNBUN��
r a-
EH Setbacks
A7 orainfieleAcia vauddires 10 setback',am loolinlmand.u.'s
B)6 PI A um requires 5 setback f III f gll U lions
[['„'1 C)N ho nd 1 /Pe' 1 0 lti 30tl,O g E 1 of
r8kY( � �� i area
o f iwR
Pd E3 A�i�l' � o.7N Cut e gradient
of(greater0, sn and over asdegrees) gbm
SOII,down graGienl of Ura nfelWReserve area