HomeMy WebLinkAboutBLD2024-00751 - BLD CD Environmental Health Review - 6/20/2024 MASON COUNTY PermitNa: B�- OD-75l
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning RECEIVED
BUILDING PERMff APPLICATION M
PROPERTY OWNER INFORMATION: CONTRACTORMATION:
NAME;EMPIRE HOME CONSTRUCTION,-LC NAME;MASON CXCAVATIal W Aldil S
MAIRIG ADDRESS:P.O.BOX2a1, ral ADDRE---- RRLVD, ��CITY:KEl STATE:WA DP:90828 CITY:SHELMNSTATRWA �:SM8qPHONE 7I:LOREN3 751-17se PHONE;830N30310ELL,390 llMPHONE W2:MM 3110.T51�806] EMAIL:MASONCOCAVATI
NO®YAHO&CEMAI,:LORENOWALL®(1fMILCOM L�j l(EOpMASOMEXP._/_/_PRIMARY CONTACT: OWNER ) CONTRACTOR❑ R❑NAME[NdaD nHYA11 EMAIL Wv1OMIIILCOMMAILINGADDRESS POBOX2N1 CITY lakaoSTATE WA 2IP a_PHONE a9o-a hl CBLL Belleytl ZPARCEL INFORMATION: ��'^�OO rO 1111�1PARCELNUMBER(12Di®tNumber) 32021389NOB2ANINC RR m or FOALDESCRPTION(Abbrcviatcd) SHORECMUBEACHESTATESYI&JCOLOpl�Dlgyg(CL FM t—aSITE ADDRESS 80 E Wal lon Way $MahanDIRECTIONSTOSITEADDRESS Edon'WASN,EAgMRdaMECreaNNwOrb E Way
MS PROlECTWTFRIN300FTOFSWPE(S)GRRATERT' 14%: YES[] NOD SNOWLOAD:So_grt
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: lcMakdrdaypy):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW la ADDITION❑ ALTERATION❑ REPAID❑ OTHER
USE OF STRUCTURE(BeeMwsa Genge GsmmuMlBMg,EN)RESIDENTIAL
ISUSE: PRIMARY❑ SEASONAL❑ NUMBEROFBEDROOMSB NUMBIM OF BATHROOM 2
HEATED STRUCTURE? YES(wsdeeMd 0 YES MsMj'BNs1❑ NO[]
DESCRIBE WORK NEW MPH
SQUARE FOOTAGE:(inNaso d)
1STFLOORINn aq.R 2NDF10OR_sl 3RDFLOOR aq.R BASEMENT alit
DECK_R.R. COVERED DBCKy .5 sq.R STORAGE R.It. OTRER_M.R
GARAGE_K.R ANacAed[] DnacEN[] CARFORi aq.R Abashed[] DebcOed[]
MANUFACTURED HOME INFORMATION: -q COPIES OF THE FLOOR PLAN REQUIRED-
MARECi-tt ON MODELJOh,8Gopae YEAR 2024 LENGMUFT
WIDTH 27FT BEDROOMS SAM2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGFISBWER SOURCE: SEPTIC El SEWER❑ / NEW El EMSMIG❑
PLUMBRNG M STRUCTURE? YES o NO❑ gyv,aa....A comy(ned Faun Adequacy F..
PERMETER/FOUNDATIONDRAINS PROPOSED? YES[] .NOD EUSTINGSQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS S TOTAL BEDROOMS B
OWNER ask—
edged Mal eudnleebn of Interceded.IMwmeticn mey resuH ina ra,—le.M or n,,r,revored...Po radessa ldso.kW
slgralure SNcw.I restorers Met era themmarell I NO.,Eetlaa tled re that amenti to serve 0s peimll and to do Me vmr,as pmpaM.I M1are
oNained pemmseioa firm all Mo ne,mial aedio IMuding any easemam holder or parties a Inrereg regarding this pooled. TM1e Dune,or lead
repeeeMativa,reprseoda iM1at Ma FbrmaEon pmNdetl is euvnle antl grants employees of Meson Cwnty a¢xsslo Me eEoro tlascdEed yapMy
and mucture s)br re wayead rspecpon. TM pwmNepNftbon Mco m null&vdd Rvmrk or eutW lzW anmu an Is nd m menro whin 1m
Jaya or ycrosWdbn wprk u aupmded Mr a pNbd d 1B0 Says.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICA ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X COUNTY CODE 1N.08A2)
Signature pl Uate
DEPARTMENTAL APPROVED DATE DENIED DATE TAGSMOTBSlC(1NUMONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FILE MARSHAL
PUBLIC HEALTH I ry�
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OAudio-Visual Alarm
-lyeGe �,r. O2 Cleanout
�t K< O 500 Gallon Pre-Trash Tank -Ca �-
t 91n CA.n+•�^ d-Vz Ge� u,, s wed
I Zo �t°Rril N 6 O NuWater BNR-500 Pretreatment Tank
O 1,000 Gallon Pump Chamber
subsurface Drip System Headworks
"jR Y
"E WFY�1" PLN SETBACKS
KtNC�S�0tti
Front(N): 15'
Sides:5'
A EH APPROVED Rear:2o'
all setbacks measured from the farthest
Rhonda Thompson 07/15/2024 projection of the building
'subject to EH setbacks
EH Setbacks PLN Approved
A.) DrainfoldNReserv,requires for satbackfron,footing4oundations 07/05/2024
B.)Septic tank(e)requires 5'sineed,from all foo4ngdoundatlons
CJ No fourd.WivPedmNer Drains within 3(fn.,downgradient of Mason County Community Development
Drainfleld4ieserve area Gavin 3coDten
D)No Cut Bank(s)(greater then Se and over 45 di within
5otp down gradient of DrainfleldlReserve area All Changes Subject to Approval