HomeMy WebLinkAboutPAR2004-00039 - PAR Application - 9/29/2004 now
09/•zl/2004 08: 35 FAX 980 427 7798 1 MASON CO PERMIT CTR + 31 % N 00,"6
Cose manber.PAR
ICI N COUNTY RECEIVED
XSO COU I
PRE-APPLICATICA4 VONFERENCE REQUEST FORM 2 8 2004
on cxwfa=m i to identify and/or eliminate as many potential problems as
The purpose of the e-subm�ss� s fy
PAP In
possible in order for the project to be procems:a6 v iiThout delay. Representatives for the Fare Marshal's Office, Building
Department, Environmental Health, Planninyg, mad Public Woalm Departments may attend the meeting to discuss rules
and regulations applicable to the proposed p wj-est.sTopics covered during the meeting will include Ithe comprehensive
plan, shoreline program, zoning, availability, 47 seer and potable water, development concepts, building construction,
fire protection and life safety concerns of the:pi—_qww4 project.The pre submission conference will be most infozmative
when you provide accurate and detailed info m k m on the Pre-Application Conference Application Form and the site
plan. Applications will be accepted when all iidi7crmnntion is received and deemed complete.
Pre-Application Conferences are h6i d eac7i Wednesday and last one hour. To schedule a meeting complete the
application on both sides and return 10 cmgm c of the detailed site plan, along with $205.00 fee, by 4:30 on the
Wednesday prior to the proposed Wednesday mwxmg to the Mason County Department of Comnnmity Development,
ATTN: Pre-Submission Coordinator, P.O.31M 110 Shelton, WA 98584. Fax request forms to (360) 427-7798. If you
have any questions call(360)427-9670 ext.ZHi_
Date of Request: Site Plan
Submit!0 copies
Name:
Applicant: / / Include the folloi ing information
� r �T'b vz f-� �-.5 "� LPL G
, b on site places:
Mailing Address: (? D �3-LTX 8
Daytime Telephone: S 6 0 2 5 a-2 .3 7` O Indicate Scale and North Arrow
Representative:
0 Property line dimensions,easements,
Name: S-r- se'y -0 0 a c5 C'l and right-of-ways:
Mailing Address: ti'^ � O The location of ally existing and
proposed stnicttnes_Include square
Daytime Telephone: 3(6 it P?J footage of existing and proposed
structures_
Parcel Number: 12 digits o Setback distance,in feet fi-om all
Z �� _ • - 0- y- 00) property lines andlstructures.
Description of Project: u Existing and ptopo scd Toad access to
Include: 1) Square footage of structure, 2)U=of".uilding and rooms(i.e., and from the site,
I
office,warehouse,restaurant,storage, etc), 3)1 tha-apaney classification per D Paz>ang sites
IBC, Section 302.1,and construction type. -4)Envrde two sets of plans, if o Location of on-site sewage teaks and
drainfields. I
available.Use separate sheet if necessary
/ / Cl Location of drinldng water supply.
C-1 oL i" de- (/ � Include location►on the proposed site
ottir,,,/ •r- a„i and surrounding parcels.
O O Steep bluffs,wetlands,streams,and
bodies of water
O Location of fire hydrants and
emergency vehicle access roads,
including grade.
I
0 Surface and storm water run-off routes.
09/•11/2004 08:05 F.A11 060 427 7798 MASON CO PERMIT CTR Z 004
Has the project been discussed during a previous Pre-Application Conference: If yes,please indicate date.
o
Will the building have employees? If yes,how many? /l� 71
What is the water availability of the proposed project? If there is an existing well, what is the name of the
system?
What is planned for the on-site sewage system? If you are proposing a new on-site system piIovide detail on the
required site plan.
I
APPLICABLE BUILDING CODES
2003 International Building Code/2003 International Residential Code
Uniform Fire Code-ANSI Al 17
2003 International Mechanical Code—WAC 51-42
2003 Uniform Plumbing Code—WAC 51-56/51-47
2003 Washington State Energy Code—WAC 51-11
2003 ventilation and Indoor Air Quality Code—WAC 51-13
Mason County Ordinance
• ��To be filled out by Coordinator
IYLANNINC\CI ARELIARENEENPRESUBMLSSIONSRM
09r21/2004 08: 96 FAX 360 427 7798 MASON CO PERMIT CTR 2005
NON RESIDENTIAL DEVELOPMENT
INITIAL REVIEW QUESTIONNAIRE
In accordance with Washington State's Growth Management Act, the Mason County
Comprehensive Plan regulates the placement, expansion or modification of commercial, industrial
and public facilities to certain areas of the county, In the interest of saving you time and money the
Department requires this initial review checklist to be completed and reviewed by this department
prior to the submission of any building permits.
Applicant Name �i`�`7`Ov� 1 ' Daytime Phone # (66 6
Q � C
Mailing Address.._El
Site Address
Dir ons to Site -f4 12
Gt,
d4
Septic or Sewer
r
Water Supply E'Tax Parcel Number # �Z 33 Z - / - C!)Cp D oD
Legal Description C5� "�" L-
Type of Development -►- E'SI y i� �' I.
Applicant's Signature
OFFICIAL USE
IUGA Approved BY
FxLvting Commercial Date
i