HomeMy WebLinkAboutPAR2016-00029 - PAR Plot / Site Plans - 6/21/2016 FILE
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PRE-APPLICATION CONFERENCE REQUEST FORM
The purpose of the pre-submission conference is to identify and/or eliminate as many potential problems as
possible in order for the project to be processed without delay. Representatives for the Fire Marshal's Office, Building
Department,Environmental Health,Planning,and Public Works Departments may attend the meeting to discuss rules and
regulations applicable to the proposed project. Topics covered during the meeting will include the comprehensive plan,
shoreline program, zoning, availability of sewer and potable water, development concepts, building construction, fire
protection and life safety concerns of the proposed project.The pre-submission conference will be most informative when it
you provide accurate and detailed information on the Pre-Application Conference Application Form and the site plan.
Applications will be accepted when all information is received and deemed complete.
Pre-Application Conferences are held every Wednesday and last up to one hour.To schedule a meeting
complete the applications and return with 10 copies of the detailed site plan,by 3:00 PM on the Wednesday two weeks
prior to the proposed meeting.
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1. Pre-Application/Community Services. 2.Environmental Health
615 W.Alder Street 415 N 51' /PO Box 1666
Shelton,WA 98584 Shelton, WA 98584
360.427.9670 ext.352 360.427.9670 ext.400
Check amount:$255.00 Check amount: $205.00il
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BOTH CHECKS MADE PAYABLE: MASON COUNTY TREASURER �\
Applicant: Site Plan _
Submit 10 copies
Name: �Ct✓t �I ncnii Y► Include thefollowing
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Mailing Address: f.DX 3t?S 3eI{cti WLi 9o5� ❑ Indicate Scale and North Arrow
Daytime Telephone: _D-00 - 150 Fax:360-275- 2-135 ❑ Property line dimensions,easements,
and right-of-ways.
Email address: _2Gt><I L!t1CalYICon51"d f pn ,�Ya �,spy ❑ The location of all existing and
proposed structures.Include square
Representative: footage of existing and proposed
structures.
Name: Y I �t�GH La yJ SyyVg_ j vi t_L G ❑ Setback distance,in feet from all
property lines and structures.
Mailing Address: 124, Vowa W& 9 8'l1#
❑ Existing and proposed road access to
Daytime Telephone:253.303-02_f0 Fax: 253•3Q3-07_13 and from the site.
Email address: tF + a,5m t+taZ ,d. Com ❑ Parking sites
❑ Location of on-site sewage tanks and
Parcel Number: (I2 digits) 123 Zq - t 3 - 9004 1 drainfields.
Description of Project: ❑ Location of drinking water supply.
include: 1) Square footage of structure,2)Use of building and rooms(i.e.' Include location on the proposed site
office,warehouse,restaurant,storage,etc),3)Occupancy classification per and surrounding parcels.
IBC, Section 302.1,and construction type.4)Provide two sets of plans,if ❑ Steep bluffs,wetlands,streams,and
available.Use separate sheet if necessary -}t1e avJ vi¢„r ulouu
bodies of water
ib sv6JiyiAep 2{ r\ ❑ Location of fire hydrants and
see rti kLk ea emergency vehicle access roads,
including grade.
❑ Surface and storm water run-off routes.
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Has the project been discussed during a previous Pre-Application Conference: If yes, please indicate date.
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Will the building have employees? If yes, how many? i%J A
What is the water availability of the proposed project?If there is an existing well, what is the name of the
system? A W A T E N 5 V S+e-w. t S A KEG Y (NJ Q l rE CE
What is planned for the on-site sewage system?If you are proposing a new on-site system provide detail on the
required site plan. 0,51 nl6 'Fu&L-IC S6VJf7- — A 1 -y c_c>,jNEcr6v>
ADDITIONAL INFORMATION.-
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APPLICABL �L[IEG CODES
2012 In ernational Building C ! 2009 ernational Residential Code
2012 International Fire Code-ANSI Al 17
2012 International Mechanical Code—WAC 51-42
} 2012 Uniform Plumbing Code—WAC 51-56/51-47
2012 International Energy Cons. Code/Washington State Energy Code—WAC 5 1-
I IC & 51-11R
Mason County Ordinance Title 14
Code changes are on a 3 year cycle; effective in July of that particular year.
Date of Conference: _ G,1 Time of Conference:
Location of Conference: 0 615 W.Alder Street Planner: ext.
, ] 415 N. 5th Street