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Home My WebLink AboutBLD2024-00978 - BLD CD Environmental Health Review - 8/12/2024 MASON COUNTY PeFNtNo: � 07� COMMUNITY DEVELOPMENT RECEIVED n Permit Assistance Center, Building,Planning AUG Q 9 2024 BUILDING PERMIT APPLICATION S %n ---45-W. Ald r S4 O ! PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D Z NAME-A""u NAME: ° meee`vp — r{ MAILINGADDRESS:loeoe l8'eNO ST GTE MAILING ADDRESS:Ia11 PA m �• �'TI CITY:BMInm STATE:'a ZIP:%Taa CITY:@n.lb STATE:- ZHa:985ae �. PHONE III PHONE:36)2W0909 CELL: PHONE#2: EMAIL y EMAIL: LBI REG#cmmdm8ln EXP. __ r PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME EMAIL MAIIANGADDRESS CITY STATE—ZIP PHONE CELL PARCEL INFORMATION: �yj•J�•'2/ PARCEL NUMBER(12 Dili'Nmnbtt)61918 -98W8 ZONING LEGAL DESCRIPTION(Abbrevia W)LOT 3 OF SPOM AF R1WIE15 PM OF NW SE FIRE DISTRICT SITE ADDRESS8174 W MATLOCN SRAov RD CITY'e"' DIRECTIONS TO SITE ADDRESS nn�� ISTIWMWECFWlT M3Mn OFSLOPVMGREATEUTILWI<Yr YFSQ N00 SNOWLOAD:�Paf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: "@n atM my O: i SALTM'ATER❑ L,,EQ SIVERXREEKQ POND❑ WETLAND❑ SEASONALRLNON'D STREAM❑ TYPE OF WORK: NEW Q ADDITION❑ ALTERATION Q REPAIR❑ OTIIF:R Q USEOFSTRUCTURE/A�cone•.Cmrex ISWeJmWdunlcl ISUSE: PRMARYD SEASONAL[] NLMBEROFBEDROOMS3 NUMPBEROFBATHROOMS2 HEATED STRUCTURE? YFS rNhA SM El YES IAn4.1 a 0 NO❑ DESCRIBE WOAKkmine+'manarwwedlmre SOUARE FOOTAGE:ome —o ISTFLOOR1812 a .R. 2NDPI.00R_,ft. 3RDFLOOR_aq.R. EASEMENT sN.1t i DECKO N.ft COVEREDDECK_s ft- STORAGE NI OTHER_NR. G.ARAGGea N.A. .4,,.,1 d❑ Ors,r Fed Q+ CARPORT �.fl. .Ivorhn/Q Dewrherl❑ MAXE9�1— CTURIED HOME INFORMATION: 'X COPIES OF THE FLOOR PLAN REQUIRED' MODEL dnn'+BM YEAR2 LENGTHBa BEDROOMS3 BAD352 SERIAL NUMBERIea ENVIRONMENTAL HEALTH: SLWAGEISEWER SOURCE: SEPTIC El SEWER❑ NEW EXISTING❑ PLUMBINGINSTRUCTURE? YESry NO #y..a.,AromPVertN Wo Ad,.0 ,F nn PERIMETERTOU.NDATION DRALNS PROPOSED? YES Cl KOQ� E%ISTWGSQ.FI.Z PXISTWG BEDROOMS _ PROPOSEDBEDROOMS____ ._✓ TOTALBEDROOMS ,_')__.. � OWNER cxmbd9n NelauGnuakn oliumeaW inbm,adm maYres,x ineslW xvx wtlerm pemN,wwsWn.NAUMeMamnnl dsutl,kOy sy,plup eNox.ldatlBre Mel l em tln wmx vq I ruNre.declare Nat I em enutkd m ncaiae Nb pem,ilv4 m W Ypxakea pyosed I nare aOYirotl rennbsmn( kNel dgBg lnfwnielb�n P�avked iSineCcueYle aM OmMa demWa1'exd of MemnwCwNYre�vB oNeaMra desulCed popeldY . nprt9anU0re.rapaaen : Ytl 6tluduRlsllwm'!M and lNpetlbn.Thi3 polrelleppliallon MCpmebM,IIBVddll reakw eNM1pdrdl mnaWUMrb IYt CM1nmerKe!'M1N111a0 ' mvT memnlmucuw worxb suspematl lore perkad�eo dove. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNITY OF THIS wt PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE IkMA2) ER(M M be cipne�I Data AL REVIEW APPROVED DATE DE\"�D DATE TAGSIKOTES/CONDITIONS ARTMENT PARTMENT L IiS / ) � i, � \ ! • - - � \� - _ Ito- [ ja f \ : ` ■ �© ■ A \ \ . \ ] \ _ § - 7 / $ i / § CD \ . N / ƒ . 0 , m | SGAL�: lD=50 A (�5T x0U= 0 2s w s oo 6" 0 l PLC_ Semi- OOMpact \wry MA-YTEIEW&INR z gravO .,S Sand 91—�— 90D03 iF'L-'G-32"s� , i2"-42". �� MbT1 n(,1��,pcDY � Wud. Sa.A'\d• (4) 3'x5t)' Pr\mNYI dfu, ,_WF .L. �r,t rl(ilAO P A r of)' yv 1 w rcSWvl' in. l�kw� / ��ptU01�T� O" r r R +...tra ILO�MIN �o /±t.m�se,.rwa. O rpbva.FiG\d Arrow Septic Designs ��cc l 171 E. Wettest Or / Union.WA 98592 / (360)898-2255 I toF�4 LD L EH APPROVED Rhonda Thompson 09/13/2024 i 08 Y [ 1 i 17' x Sln' t 1 1 f7 - zo.2e 38 —se Gw»wgs RN PLL SETBACKS . EH Stkb acks °rent(S): 251 .) Drainfi,W,Rssrervueirequie e ,, o m n.fians ildes:20' AB)Sept.lankta .5 alll:tn C)sro IountlationlPerimeter Dreins within 3M1.Eow retlieM of sear. 20' i Dmmfiaiv Isserve area D tlo Cut Banks)(greater than leMold over65 tleyreesl wiNin all setbacks ensured from the farthest son,sawn emaam of Drameeiwaesere area vojection of he building � t subject to E setbacks D Rev 0. PLN Approved Q Audio-Visual Alanm/16/2024 w © Cleanout Mason Cou y Community Development avin Seouten Y I © 1200 Gallon Septic Tank All Chan es Subject to Approval 2-Compartment n:th j Effluent Filter t Disclaimer O 1000 Gallon Pump Chamber Mason County does not require surveys for building.As a result,site plans may not reflect accurate data. n is the applicant's responsibility Q Valve Control Box i to comply i ith setback requirements.