HomeMy WebLinkAboutPAR2014-00027 - PAR Application - 4/18/2014 b
PAR ( i OCOZ
DATE PJ
PRE-APPLICATION CONFERENCE REQUEST FORM
The purpose of the pre-submission conference is to identify and/or eliminate as many potential problems as
possible in order for the project to be processed without delay. Representatives for the Fire Marshal's Office, Building
Department, Environmental Health, Planning, and Public Works Departments may attend the meeting to discuss rules
and regulations applicable to the proposed project. Topics covered during the meeting will include the comprehensive
plan, shoreline program, zoning, availability of sewer and potable water, development concepts, building construction,
fire protection and life safety concerns of the proposed project. The pre-submission conference will be most informative
when you provide accurate and detailed information on the Pre-Application Conference Application Form and the site
plan.Applications will be accepted when all information is received and deemed complete.
Pre-Application Conferences are held every Wednesday and last up to one hour. To schedule a meeting
complete the applications and return with 10 copies of the detailed site plan, by 3:00 PM on the Wednesday two weeks
prior to the proposed meetine.
?317 IVED
1. Pre-Application/Dept. of Community Dev. 2.Environmental Health
426 W Cedar Street/PO Box 279 415 N 5ffi /PO Box 1666 A
Shelton, WA 98584 Shelton, WA 98584
360.427.9670 ext.352 360.427.9670 ext. 400 ;:-L: '`V' i DAR ST
Check amount: $255.00 Check amount: $150.00
BOTH CHECKS MADE PAYABLE: MASON COUNTY TREASURER
Applicant: �('I Site Plan
Name: i 0466t�n 1 Submit 6 copies
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Mailing Address: (o i if-2�.1-L, cam.nr r �7�r�z �� ,dt Include the following information
Daytime Telephone: Z53.5.3(-a ax: Indicate Scale and North Arrow
Email address: cfL ,G�y�-� C(. Property line dimensions,easements,
and right-of-ways.
[Fame:
epresentative:
`�-�T �.i(�W d The location of all existing and
proposed structures.Include square
Mailing Address: footage of existing and proposed
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Daytime Telephone: r,- Fax: structures.
mail address: Setback distance,in feet from all
property lines and structures.
Parcel Number: (12 di,-its)J 2•„�,3�.• c' - ��CjL�� C5 Existing and proposed road access to
and from the site.
Description of Project:
Include: 1) Square footage of structure,2)Use of building and rooms(i.e., Parking sites
office,warehouse,restaurant,storage, etc), 3)Occupancy classification per e/Location of on-site sewage tanks and
drainfields.
IBC, Section 302.1, and construction type. 4)Provide two sets of plans, if
❑ Location of drinking water supply.
available.Use separate sheet if necessary Include location on the proposed site
and surrounding parcels.
�� SLc G • ❑ Steep bluffs,wetlands,streams,and
r - bodies of water
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ts
Location of fire hydrants and
L �G�1Y�l�sicY emergency vehicle access roads,
-1a �'jatN�La-��1 �it r'�itl•t�i �tr,ol� a � including grade.
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❑ Surface and storm water run-off routes.
,Has the project been discussed during a previous Pre-Application Conference: If yes,please indicate date.
Will the building have employees? If yes, how many?
What is the water availability of the proposed project?If there is an existing well, what is the name of the
system? OF 1A
What is planned for the on-site sewage system? If you are proposing a new on-site system provide detail on the
required site plan.
ADDITIONAL INFORMATION.•
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APPLICABLE BUILDING CODES
2012 International Building Code/2009 International Residential Code
2012 International Fire Code-ANSI Al17
2012 International Mechanical Code—WAC 51-42
2012 Uniform Plumbing Code—WAC 51-56/51-47
2012 International Energy Cons.Code/Washington State Energy Code—WAC 5 1-1 IC&51-11R
Mason County Ordinance Title 14
Code changes are on a 3 year cycle; effective in July of that partic arryear.
Date of Conference: Ll ^?�� ,I Time of Conference: 3 Z d
Location of Conference: 426 West Cedar Street,Shelton Planner: )�S C) ext. J^�