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BLD2024-00689 - BLD CD Environmental Health Review - 6/6/2024
Oacu5i8n Envelope l0'.A3]o596S3B]1JC6FAB6C81F3CCF&8E 9 1 1�//yy !iq Perini[No:15 "y' 1 MASON COUNTY rcp 4000MMUNITY DEVELOPMENT RECEfwry`1 Z PermltAuis me CeMW..Building,Planning 1UN 042o21 < BUILDING PERMIT APPLICATION M m O PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D Z NAME:MIdml6rnasare wr�ey NAME:Aaw nmxa-nux.nwwx rl 9 MAILING ADDRESS:600t rv.6N>n MAILING ADDRESS: _ M CITY:T.mna $TATE:W!ZIP:gBW6 CITY: STATE: ZIP:__ 'L PHONE#l:2'32za 6466 PHONE:42606]m6e CELL: �{ PHONE#2: EMAI.:MrenarHeaa:ltmr.cpm D IAI REG#AONRM� R2 EXP. PRIMARY CONTACT: OWNER(] CONTMRORRB OTHER[ ✓ NAME CITY STATE_ZIP y �� AIL MAILING ADDRESS CELL O PHONE O p,LRCEL INFORMATION: �L PARCEL NUMBER(12 Digit Number)221232 %060 EONNG O°1N'I Rie16 O Y LEGAL DESCRWTION(Abbr .dui)"'"""^"' FIRE DISTRI(71'2 SITE ADDRESS;=[2eanal Way CITYOrW^aa^ DIRECTIONS TO SITE ADDRESS Fmm o..rereek stxe,mnnue.est m Nwy O.uAl E NFrd vre Re xq mksa ryA x'mmr Roan dumaY NE".MbaadNW mNixe ercuna Ne Bp'Xm aM pvcsl wR Ea myarade. IS THE PROJECT WITHIN 300 FT OF SLOPE(5)GREATER THAN 14%: YES[ NO SNOW LOAD: -Fff M,MOPERTy WITHIN266FTOFTREFOLLOWTRG: (Ch dlmmdW : SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND[] SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR[3 OTHER ❑ USE OF STRUCTURE(Atudem+.carry..[w.ewl PIQQ.EK)ReNaxNel ISUW: PRIMARYE] SEASONAL❑ NUMBER OFBEDROOMS2 NGMBEROFBATHROOMS2 HEATEDSTRUCTURE? YESlB4deau,,0 YEStranlel Merry[ N013 DFSCR®E WORKewa F 2 bva,2 rom nomew6r err w en auaaed parwe SQUARE FOOTAGE:ip^ae,.m I BT PLOORtOTO sq.R 2ND FLOOR__sq.R 3RDFLOOR__aq.0. RASEMENT_W R DEC%__,R. COVEREDDECK1f1'L—sq.R. STORAGE eq.R OTHER__NTR GARAGE'^°p.O. Apached0 DemchM❑ CARPORT N.R A(mehad[I DnT-hM11 MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED' Mp%E MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTICO SEWER❑ / NEW© EXisTNc❑ PLTDABNGNSTRUCIVRE? YESO NO❑ Ifyes,machmWIeed Waler Adegmry Fora PERIMETERNOUNDATION Dili PROPOSED? YES El NO[ E%ISTINGSQ.FT. EXISTNG BEDROOMS 0 PROPOSED BEDROOMS 2 TOTALBEDROOMS 2 OWNER arMnmk mfur suGdatim m Inaa "Mlmna mayr uInasNy w+rk craxmpnnX revoutim.Ackn�Medpereemdxtdrb by ¢gnaNre Eelow.l tlatlw NM I am Ne wser ena I NaM1x aeGen Nx I err mtltletl b Rceiw Nls parmX ena ro ao Ne wvk ee papmel I Mv! otluinea perm¢abnhcm all Ne necavry parties,mclutllnp any easement ndaer m yanks Mlniermr ra9aaxneas rop�ax TM wnxm IgFI repesenlative,repeaenb NAtM1e lnMnetim poNtletl i6 accurate antl grerM1¢wndoyaeadMason Cwn iM1e'Law a6s'alMa Wpib erA¢wil conshuctlm wak Isaauepmtletl rorasWiM d 189 tlays�mea null8 vola d wh ar autlnnzetl conxruction'n ndwmmmua ssM'n 1B0 aPROOFIT CONTINUATION N OF WORN ON THIS WILL IS BY MEANS OF INSPECTION. EXPIRED.(OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE COUNTYICO CAUSE DE t.aeA]E APPLICATION TO BE EXPIRED.(MASON 6/4/2024 X+ 'e41&laM a MS OWNER ONe `e DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSNOTESICONDITIONS BUILDING DEPARTMENT PLAN QDEPARTMENT FIRE MARSRAL PUBLIC HEALTH Please review conditions of apDroval. 1 1 06/11/2024 APPROVED I I MASON COUNTY DCD PLANNING GATE I RIIEIIYAICP—— — ——— I ADONAI WAY — --- — WAY 1 MAINTAIN 10'+ DRIVE FROM WATERLINES +1 I TO SEPTIC LINES& COMPONENTS ry I I 1 I 1 I PROPOSED HOME LOCATION I I I DRAINFIELD I SEPTICTANK PRIMARY & RESERVE `� ICVAIN TO F 5'C I jtle TO OUNDATION) I I KEEP TRENCHES I w I LEVEL WITH +I I I CONTOVRS I Q RECOMMEND M I s 1 INSTALLER& I CONTRACTOR I DISCUSS ELEVATIONS EH Setbacks I PRIOR TO SETTING I AB) oramlmlvnaaeNa,eNNrs,osamack vom mnpnpno�kag�a I GRADES I )S,,S,Mrk(s)revues s Sy k ngm all moprgnoUMalona C.)NOIWnOaIioNPerimebr IXaina Mhh Mft,downgradler .1 SM,dlNn gradrve me a teat x{lain� 0)No CN Sank(s)(greyer man Stt ard ovx 45 dep 5011,tlown pratllenl of CmiNlek6leserve aee Vicinity Map 1015 Zoning Front Yard Setback. 25'. Side & Rear Yard Setbacks. Residential dwelling EH APPROVED • 'rl` u^ 1'N and accessory structures is 20'. Rhonda Thompson 07/09/2024 m. `. OR 10%width of lot if not more than 100'wide AN"BUILT/INSTALL SIGNOFF FEE WILL OR approved ADV BE C ABGEO AT TIME OF INSTALLATION CUSTOMER: MCI IAU.IIANDY rFn IIW_, n'ir l u.T.rz PIONEER DIGGING, INC. �'° a "` BLIvtF PARCEL r.mz3-zrsaow `.", „`r"�" IN T ,tMCM SEPTIC DESIGNS AIX7RFS& XMEADONAIWAY •�=Tun koarsr°" [)FSIGNER: AL FX L PAYSSE • �'+�` 3083 F.MASL,N BF�iSJV Rn. GRAIrEVFN',WA98N6 c0mCE 3d 42 803 I-Ax 35U4Y/-Bs3 SIIEET: SI IE PLAN SCALE: I'-IW' "°'