HomeMy WebLinkAboutBLD2024-00960 - BLD CD Environmental Health Review - 8/6/2024 YtlMntiai9n ID EF]EPC1dGWF- Et MASON COUNTY 1 P!r®It NO RR n�_0IbO
COMMUNITY DEVE OPT RECEIVED
Permit Assistance Center.Building,Planning 62024
BUILDING PERMIT APPLIC ON Re'-- 6 2024
PROPERTY OWNER UFORMATION: CONTRACTOR INFORMA'
NAME:Q I-Ws Q ICCP L-J� LL_C�. NAME: n O B15 cy„__t
MAILING ADDRESS.7 R I t f YYI>,S OMC. MAILING ADDRESS: I
CrrY: \ STATE:�A[�PIPgP90R CITY nr.)•._,.r;1 ST 7E..IA ZIP: ..J
PHONE qI 0.�119�1a504 I 5 Yn
PHONE 92: EMAIL: �—
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PRIMARY'' INTACT: OWNER❑ fDNTMCMAIL OTBER(1 JA�.;�5 u
NAME EMAII. - a� �
MAILINGADDRESS ILO M1 S CPI'Y, I ATEjy($-,LP
PHONE CELL
PARCEL INFORMATION: r1 G.
PARCEL NUMBER(12 Di®1 Nvomer�)Y7.,-.I�.,o R'- - 009L L zONRIG R-
LEGALDESCWTUON(A66tcinw�i lyyue,r,yµ y�l..l A 2:1 FIRE DISTRICT
SITE ADDRESS CITY
D LTIONS TO SUE ADDRESS - L O(1
ID O
ISTHEPROJECTW/TNRV3 "OFSLOM(S)GREATERTB 14%: Y[SO NO\2 SNOWIAAD:-=Psl
ISPROPERTY\VITNN MFTOFTIEFOLLOWING: (CA.deV S'uNWrf
SALTWATER[)' LAKE❑ RIVERICAREK❑ PONDS WETLANO6 SEASONAL RUNOFF❑ STREAM El
TYPE OF WORK: NEW'$, ADDITION❑ ALTERATION❑ REPARI] OTHER 1
USE OF STRUCTURE(ArWAmr.Gmn•.u�w.a+d a1D.Fn.1
MUSE: PRIMARY SEASONAL(] NUMBEROFBEDROOMS__ _NIIMBEROFSAnMWM —
HEATEDSIRULTUREY YESMleoe" TR ryw(� BMr!❑ NO❑
DESCRIBE WORKr lYES C JjIDme-
SOVAREFOOTAGE:N..po:w
1ST FL1000R' w.R. 1.NDFLOOR_I• , wAt. IRDFLOORNIA w.R BASEMENTNIA ml
DECKy;�yt=w R COVEREDDECKUIn _w R STORAGE NI+} w.R-
OTHER ulA sq,R
GARAGEy,�?y,_w.R Anadeed0 �+^ O CARPORTr I-K w.AArmeAMO /kmadNO
MANUFACTURED HONE INFORMATION: •a COPIES OF THE FLOOR PLAN REQUIRED'
MAKE�IQ&W 00� uoDELol4543 $ YEAR ZO2R{ LENGTH S�I
WIDTH 2y I BEDROOMS_ BATHS =NEWX
klENVIRONMENTAL HEALTH•
SEWAGVSER'ER SOURCE: SEPTICH SEWER❑ lSTINGs❑PLUMBINGDI STRUCTURE? YESZ NO❑ 1f) Adequacy FarmpEROMEURB,GUNDATIONDKAD:9 PROPOSED? YESQMNGSQ.FT.EJUSTINGUEDROOMSy� PROPOSEDBEDROOMS DROOMS 3
Dxt�eara.laasas eor a�eau,em,a Nemnle lntmaallo,ay renm;n a uE�.mom,o aoaa reawlion.rm wleaP•mm'1 m wm re ey
gpyBn ltl>a.ttlaba NM I en Ne wnasgt aummm�e NxHanmBWJ b IgMe Ilia Pvmil mtl bM Ilv xak un'pc�dml�
warca a'oem-Rwname�rwn�.:.Aa,Rsy I�adrow�a:wmreRommmis Paiem.
,epes.nsuw ae taanmam pmmeilbemraeam9mDa'FI°r°°sarwmeanr�snm.aem.a nem nwol
aM sm,mdo sl mmtem.am inryetion.T14s pemaltppi®I'vn cerm�®msawMYd.orwurvrsm cmwudm'sMwmmercm.Av11B0
mytocom(Wo']n.vn5 I.PC ..Ta{cM aI801')5.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF tg0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
p� couxrr coDE tAaeA31
lRu ` Russel(
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SglcElre MowRER(Massa Imvd Ev tlu OWNFRI ONe
DP ARTMENTAL REVIEW APPROVED DATE DENIED DwiE iAGSANOTFSICONDTi'IONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH E
PLN Approved PLN SETBACKS
08/08/2024 Front (W): 10'
Mason County Community Development Sides: 10'
Gavin Scouten
All Charges Subject to Approval Rear: 20'
Disclaimer *all setbacks measured from the farthest 1
Mason County does not require surveys for
bu,U,ng.As a result,see plans may not reflect projection of the building
accurate data,It is the applicants respansiblity 1d P
to comply with semack requ.n.m. 'subject to EH Setbacks
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EH APPROVED
Rhonda Thompson 08/23/2024
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I �8 9 EH Setbacks �✓
avo „ ,
m m m A.) Drainfield/Reserve requires 10'setback from footing/foundations
,S B.) Septic tank(s) requires Fastback from all footing/foundations
C.) No foundation/Perimeter Drains within 3011 downgradient of
Drainfield/Reserve area
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within
50R,down gradient of Drainfield/Reserve area