HomeMy WebLinkAboutBLD2024-00148 - BLD CD Environmental Health Review - 2/6/2024 Permit No: � �V
MASON COUNTY v , rn
COMMUNITY DEVELOPMENT FEB 0 5 2024 <T
PennilAssblaMGCeiAe.,swum PlannlnL N
BUILDING PERMIT APPLICATION 615 W. Alder Street M O
ji
Y OWNER INFORMATION: CONTRACTOR INFORMATION:
t I .a eTF - sA/ NAhffi:�/bA F�- _RE S./L a, <t MAR,QiGADDRESS: Z
L QAa S TE:y�y� Bo on CRY: STATE: ZIP:_ "{
:_ay-3!-h - .(S PE�� CELL:: 1 S: L .j ' 7 sY�4Y O AC • L=v
❑ a OTHER❑3G' Pi LILDRESSyX6y.C.a.:Sra A 11.. h.,o., STA ZIP '1'1PHONE 25? A '- - y7 0 �PARCa�TION: �/11 �I��� o IlWPARCEL NUMBER(12 Di®[N:mbv) n�� 1%�]L � ZONING F-atiJ tiLEGALDESCRIPTION(Abbre Ndf)_fi y MDISTRICT O
SDEADDRESS CRY
DIRECTIONS TO SITE ADDRESS bQ
MS pROJECTWFTID1i300FTOFSIAPE(8)GRRATERTRANId%: YFSQ NOR SNOWLOAD:�Pad
FRPROPERTYWITHN1200PTOFTHEFO1.LOWING: Xaadka w' Pqy):
SALTWATERO aAEPQ RIVER/CREEKO PONDO WETLAND❑ SEASONALRUNOFFD STREAMB-
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑
USEOFSTRUCNRE(Aaruexx,Gmge.Caawen 014 nn
ISUSE: PRDAARYA SEASONAL❑ NumBEROFBEDaR/OOMS._ NUMBEROFBATHRO)MS 2
NEAFED STRUCIllRE? YESM0Bhw[l YES(eonlalNN+f1q NOO
DESCRIBE
SOU.LRE FOOTAGE_da,a—e
IST FLOOR IA�2� N,L ft BASEMENT-A�A-q.ft
DECI_NS.R COVEREDDECK(6NQ _m.ft STORAGEA/h+ aq." OTIERIQ�/ N.ft.
GARAGE N.ft. Armchedif Dno MD CARPORT_ p.ft AMd&d0 Da1^Gha(3
RIANUF�OMF INFORMATION: ai COPIES OF THE TZA
PLAN REQUIRED*
MAKE�MODEL YEAR NGTH
WBTTH BEDROOMS BATHS SERW.NUMB
ENVIRONMENTAL HEALTH•
SEWAGP/SEWERSOURCE: SEPRACa$0 SEWER❑ ! NEWIL NGO
PLUMBING IN STRUCTURE? YES)N NO❑ qya.GRad anyl&M quary FGsmPEREAITM,TOUNDATION DRAINS PROPOSED? YES . NOO TINGSQ.FT.
E)USTINGBEDROOMS PROPOSED BEDROOMS 3 ri TOTALBEDROOMS-3_
OWNER aGuaMeCPN NMauMlbalm dlres�nle Nlmmelbn mry reaull in a MOP'acAarEx orpefmX emWCtrt AWOMBE5enM N euY:b Ey
odoon're 05w. tleGem Hal am Xro uxn«aM NMx,,any a Mell am eMIXMr rI—d Nk.a;--n EO C2nnM1 ea da,nor 1Mw
cblaln 1pe�m'u,, hamell McMsaearypMlea.InGu aenY ea and graot n,mb-0 u1m:eM dcon..co,Wn Tnean xlenI
re«e an:afive.re«eax�le Mel Xie iMametim PmWtlN u esuM and 9renu empbYe%s o1 Mxm Counry auzm N Me afore EewiGM P�oPxb
aM eKCNB(f)M revbtw aM inpx4M. lnis pB�mNappliWbn Ee[«n rs null d w14 XxoM or Bullwnietl cOnsW dron 6 nd<xrvnerceE uMln IN
e.ra«XwnanutllPn.an'b euaPenaea I.
a wnPn d 1N am
PROOF OF CONTINUATION OF WORK ON THIS PERMR IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF ORE COOS W USE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY
SgneN [ In. E1a ER
DEPARTMENTAL REVIEW APPROVED DATE DEN® DATE TAGSMOTESlCONDIDDNS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRS MARSHAL
PUBLIC HEALTH
PLANNING: Muflu.e^d
ALL SETBACKS ARE MEASURED FROM 'yam^MTe1inu1oei"' 3e,.i�n Rexrot
THE FURTHEST PROJECTION OF THE PLANNING SETBACKS Bosch Group
BUILDING Front 25'
Rear and Side: 20' gLDaD94-00 146
038,55 'Subject to EH Setbacks Sc ALP- I El IS'
~'� --S
yus _ �U��' tso'
uyV —
LIl{p. NOT AN APPROVED SEPTIC DESIGN
MuM use SWC 2023-00528 for sepncinstallation
N
120 1 EH APPROVED
� � RM1anas mompson osro�rzoza
4 9tt 13
yStola
E
`I30
`13°
� Poopased
WICLLR
EH Setbacks
A) Dralnfield/Resmue requires i 0'salM1aar from footirytlounaatiaus �'IN
B.)sop,,tank(s)requires 5'seii from all to emsfi^unaations
0.)No foundalionNerimeter Drains WIN,30X,dewngradient of
DmiMleW/Re ever rve ema -
♦ / D.)No Out Banlgs)(greater Me,5datrt over 45aegreea)within `130
1 Ills- 50h,Wvm lJquissit of OraNfield/R.'s area
00
,
WIMP— LINES
H35----- - - - - - -
Sa 1oRV P Po^r.eR L/NE�
_ � � RIW° ( 70PiCgl- EIe✓Rf�o%r
-� gD L.ivES
0
r E7�
yso I io 1 PPROVED
MASON COUNTY DCD PLANNING
336 .73' SITE PLAN REQUIRED TO BE ON SITE
The Drive a Control Company CHANGES SUBJECT TO APPROVAL
www.IwscMenrofn-us.cnm
By: ""1 Date: 03/21/2024