HomeMy WebLinkAboutBLD2024-00015 - BLD CD Environmental Health Review - 1/3/2024 MASON COUNTY eeTmitND:_ "
COMMUNITY DEVELOPM&, X
Permit Assistance Center, Building,Planning EI " ED
BUILDING PERMIT APPLICATION JAN -3 2024
PROPERTY OWNER INFORMATION: CONTRACTOR INEQ MA C R t.TT��Alder Stre Z
NAME: Emr, . (oval k; C tt Varlcl NAME:.,105ip� k• rrheT'U G1,
MAILING ADDRESS: >! MARLING ADDRESS: T �� m
CITY: La,
STA'Ffi: CITY: tc STATE:
PHONE#1: C - PHONE:'
PHONE#2: - - EMAIL: Mf P'3 Z
EMAIL: f• AY I 0• L&I REG# EKP. / /
PRU1ARY CONTACT: OWNRMpi CoxTRACroR❑ dg18R r1
NAME • iA 7�_ EMAIL CO/' t'1Vf!.Y'+1G0>kWGO�'*t = O
MAILING ESS CITY LaGE STATE ZIP
PHONE "� `D� - am aLl- II 10 Z
PARCEL INFORMATION: r� a� n ^ y� �I ?.
FARCELNUMBER(13Digi[Numlw)S. 02LISOA,AUII ZONWG Ke51(/m I+aI = M
LEGAL DESCRIPTION( 2w1wnd) PDtE DISTRICT z
STIEADDRESS N Siie Ion
.1 CTIONS T¢SITE ADDRFSB t(!PU GNf _ DO 14, Z -
tLn� ` Gs O i l T OT C DUaI P(-J by
ISTHEPROME N"OFSLOPE(S)'6e TBRTR 14%: YESD NOX SNOWLOAD-
EiPROPERTY WITHBS 200 FT OF THE FOLLOWING: (o,Jm,enwryJ:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNO"D STREAM❑
TYPE OF WORK: NEW-g ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCNRE(Academe.Ceaala caeee,etarPfdy sc)
IS USE: P%MJRY4r SEASONAL❑ NUMBEROFBEDROOMS_�L_NUMBEROPBATHROOMSS
HEATED STRUCTUREI YES(Rwe&dy`Y YES rPon(e)yBld()❑ NO
DESCRIBE WORK
SOUARE FOOTAGE:a.9erW
1STFLOOR1ajP—p.B. SNDFIDOR p.& 3RDFLOOR p.R BASEMENT_p.R
DECK_p.& COVEREDDECK_p.R STORAGE eR,R OTHER_p.tL
GARAGE_p.R Abe AN❑ DncAed❑ CARPORT p.R. Ar,. a ❑ Deb w
MANUFACTURED HOME 7NFORMA YON1: (�� �a0 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE IeMpo rM�ODELIAIVUPI-PrK� SLVfQ_YEARaD='Z�LMIGG,T(H��R
wiDm BEDROOMS J. BATHS�SERW.NDFIDER 55119Y.�R483A Na
Q3DXDNMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW[I EK sma-g
PLUMBINGIJSTRUCTUREP YES), NOJX�L fJyee,arc,lnadW am Acie,,Farm
PERIMFTERiP'OUNDATION1 RAINS PROPOSED'! YES❑ NOR EXIETINGSQ.n.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTALBEDROOMS--�)—
OWNER cFnwWaea mat submission N'mv¢umne infom.enan may mmr in a sanp w « rar panama-mn,A<M,vMMnemenl ar wN Yby
signeWn Wm.i Uaclane mat I am tM ownx aN I kdmr deaere that I am enema to waire mre pe,m t and to eotle x as prt{oaN.I Mw
aba:ea peimaaion tram an me�e:ary panes,mewing any aaamam roiw,«pa2as aima,.at r.pard,q mis war+. rn.wearer keel
repeaenletlw,npnxtls NetlM iM«matlan pmvMad is eccureia eM grenls amployaea NN9am Cwnry%ceu to MeeMw dexnbed pmpe,ry
em emcwmlatt«rarea,ana ia.vernon. mis veanmavviirenw bewmea nan a.oa n amn or awian:ea annmaupn b nacammwaea wmmm tao
days m nw�ewmpn eon a auspaMed fp,a ro�md a tap daya.
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.(MASON
c COUNTY CODE 10.00A1I
X (�r�'tm.e Y� tii I /131aca3
Signabra Of OWNER IDab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDIT'IONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FREE MARSHAL
PUBLIC HEALTH 7f(
' PLN Approved _ U 707
01/10/2024
Mason County Community Development
Gavin Scouten
All Changes Subject to Approval ,
PLN SETBACKS
Front (East): 25'
Sides: 7'
Rear: 20'
`all setbacks measured from the farthest V
projection of the building
'subject to EH setbacks
t.
Y �I
d
EH APPROVED
Rhonda Thompson 0112412024
EH Setbacks i r
A.) Drainfield/Reserve requires 10 setback from tocting)foundations 00
B)Saud tank(s)requiros 5'setback hone all footing/Iwndatians j C.)No IoundatioNPerimeter Drains within 30h,downgradlent of
Draintield/Reserve area I i
D.)No Cut Bank(s)(greater than 54 and over 45 degrees)within
5011.down gradient of DrainlielNR¢serve area \ V� O
C7? O p
` \ � 10,08I�
�Rps• �
— � �CSCYtVG 1�RQ��p
`wifk"� 25��
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Printed Frorn Masan 'ounce .
Printed from Masun County DMS