HomeMy WebLinkAboutBLD2024-00338 - BLD CD Environmental Health Review - 9/13/2024 Pezmit No: L1 — L/�.� d3�
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVE D
Permit Ma Wnm Center,Building.Rennin{
BUILDING PERMIT APPLICATIONSFP _
PROPERTY OWNER INFORMATION: CODURACTOR INFO QON, Dom'
NA]4E:F—Sbuma NAME:TeryNwpptl CaiWwLcn 15 W. Alder St 9�
MAHANGADDRESSOMDNIami."RDIM MAIIJNGADDRFSS:IWENwNemab Dr 2 O
CITY:mwN STATE:WA ZIP:98BB4 CITY:✓Wnenn STATRWA
EMAp,;rnmlenmw®mrr.mm
ZIP:0gull
PHONE#1:36Dw PHONE: nM CELL
PHONE#2: EMAIL:amn6m� —
E NPiL@I REG#TANf D . _ .At O
PRIMARY CONTACT: OWNER❑ CONTRACTOR E) OTHER❑ •` Z
NAME pmv...o-y IMI11L emn®lamlr+.mtlmmwgm.mn .'i
MAIINGADDRESS100FNw Sny Dr CITYe STATE WA zlPenBM �
PHONE a^^rm^ate O LL
PARCEL INFORMATION:
PARCELNtIMBER(12 Digit Nmnber)B2pp9dioatggs ZONINGM
LEGAL DESCR�f10N(AbbmienW)'"'�!"""`^`""°'••"°'"'°""°r•� FIRE DISTRICT
SITE ADDRESS 61 E BAY&grse DR SHELTDN SBSN CITyBnamn
DEREC PIONS TO SITE ADDRESS
ISTREPRO]F.CTWO'HD Mn OFSLOPE(S)GREATERT 14%: YESD NOQ+ SNOWLOAD:M psf
MPROPERTYWIT®Y200FTOFTHEFOLLOWING: Itch a0unrgPM:
SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND❑ WEO.AND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW[a ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
U8HOFSTRUCTURE(Parmrce.cn Cpomrertbl BHgyu,)Ruleeme
ISUSE: PRIMARYQ SEASONAL[] NUMBER OF BEDROOMS) NUMBEROFBATHROOMSt
HEAT®STRUCTUR0 YESrR Bkg)0 NOO
DESCRIBEWORKNmmm n
SOUARE FOOTAGE: eq
ISTFLOOR012 p.ft, 2NDFIAOR aq.ft. 3RD FLOOR eq.ft. BASEMENT_sq.L
DECKIM sq.ft. COVERED DECK eq.R STORAGE eq.ft OTHER sq.R
GARAGE aq.ft. An led❑ DtkuW 0 CARPORT N.R A I] f mduud❑
MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED•
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGESEWERSOURCE: SEPTIC +) SEWER❑ / NEW Di EKLSTING0
PLUMBWGTHSTRUCt(IREP YESD NO[I Ifysa anwhco.Vud Wam Adequry Form
PERB.HH'ER/Fg1NDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.ET.
EXISTING BEDROOMS PROPOSED BEDROOMS I TOTAL BEDROOMSI
OYINER kmW6aea MY wEmbNm WFmvmk mlwm9bn meymuM1FeabprcM atlxapamplmaetbn.Mculectamentolsudnisty
a1p.94Ye CBIgV.I MCNre N91 an Ine wmer entl NMar tlaCleR Mel l9n engletl m rxde ego peMr antl to0o lne vmk a¢pmpo6atl.l nwa
cOlelneE permbflm M1vn all lne neuaeeiy patiea.IncluMnB eny easenem noltler or pantie N'nimeal reBarCinB tMa proleq. 1--legal
rpl9agYyNa,rep mm�ew Mel Mamlmna4m prop 01,0.vunlaentlemleemplweea of MBwn W.n acceSalo Men not
eem NpropeM
dale amcwrepllre renaxsM impegbn. Tnk erN of pM dqs oemmm nun a vda n wrk w ewwnzm canawgwn la nq mmmenmtl vmnln 160
epa re nmrranaruar.ax N auwenaetl 1ma pence d 1ea ena.
PROOF OF CONTINUATOR OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE VALL CAUSE THE APPLICATION TO BE EXPIRED.)MASON
COUNTY CODE 14.08.42)
X 22/07/24
Signidum d OWNER(Must Ee slonei M the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DFNH3) DATE TAGSINOTES/CONDIITONS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH Ip
r �
PLN SETBACKS
PLN Approved Front(SW): 25'
09/11/2024 Sides:'5'
ATMason County Community Development Rear: 10'
Gavin SwLten all setbacks measured from the farthest
1�7 All Changes Subject to Approval
projection of the building
Disclaimer 'subject to EH setbacks
Mason County does not require survbys for .
building.As a result,site plans may not reflect
accurate data.It is toe applicants respansibilily
to complywith$elbark requirements.
If
POSSIBLE / 1
WATERLINE bu i I
104 FROM SEPTIC 16 j
COMPONENTS
� � A . G �A
� � 1
s00 SEPTIC uO 16
TANK
♦ PVMP 0n 1
♦ TANK ; A�
01
♦♦
EH Setbacks j 100% RESERVE 10MSAND
A. Dramfiewrreaarverequiraelosemaafromfomin8�oundaliana .. LINED DRNFLD
B.1 Sepuc tank(s)raryires 5'sefback from all Iwting/lourttlafiona
.,ad
ndau'diPerimeter Drains wtho 3oh,do" l ant of - -
DrainliekVAeservearea '-
D.)No Cut Bamrs)(greater than 5fl and over 45 dearoesl WIMn -
5011,down gradient of Dralnfieldmeaerve area 1 _{_�__
W rALLAWNpeMbti�WFF/AINIIkTFFEM�LL .-- `=-V aoa —
BECHARWATMWOFINfTMUTION 1 V
Cl6TOAgR: RiDG9lC9lWA �'e1' .
Eli-APPROVED PARCEL": T�1101EE
ADDREM NEBAYSHORI l f -
Rtlonda-ThDmpson 10/07/2024 -