HomeMy WebLinkAboutPAR2004-0003 - PAR Application - 12/30/2004 Case number: PAR _ o j CIO 33
MASON COUNTY
PRE-SUBMISSION 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-Submission Conference Application Form and the site
plan. Applications will be accepted when all information is received and deemed complete.
Pre-Submission Conferences are held every Wednesday and last one hour. To schedule a meeting complete the
application on both sides and return 10 copies of the detailed site plan by 4:30 on the Wednesdav prior to the proposed
Wednesday meeting to the Mason County Department of Community Development, ATTN: Pre-Submission
Coordinator, P.O. Box 186, Shelton, WA 98584. Fax request forms to (360) 427-7798. If you have any questions call
(360) 427-9670 ext. 284.
Date of Application:
Site Plan
Applicant: Submit 10 copies
Name: h-nt /yL Include the following information
Mailing Address: ' I on site plans:
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Daytime Telephon � �0K ��i 514 W
O Indicate Scale and North Arrow
Represen ive O Property line dimensions,easements,
Name:
n and right-of-ways.
Mailing Address rl' O The location of all existing and
Daytime Telephone: Z proposed structures. Include square
footage of existing and proposed
Parcel Number: 12 digits structures.a,
"2— 'L _ Z _ � O Setback distance, in feet from all
property lines and structures.
Description of Project: O Existing and proposed road access to
Include: 1) Square footage of structure, 2) Use of building and rooms(i.e., and from the site.
office, warehouse, restaurant, storage, etc), 3) Occupancy classification per O Parking sites
UBC, Table 3-A, and construction type. 4) Provide two sets of plans, if O Location of on-site sewage tanks and
available. Use separate sheet if necessary drainfields.
L-0 09:_r PZ_4_�_ ❑ Location of drinking water supply.
Include location on the proposed site
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and surrounding parcels.
❑ Steep bluffs, wetlands, streams, and
bodies of water
O Location of fire hydrants and
emergency vehicle access roads,
including grade.
O Surface and storm water run-off routes.
Continued on reverse side
llas the project been discussed during a previous Pre-Submission Con rence? If yes, please indicate date
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Will the building have employees? If yes, how many?
What is the water availability of the proposed project? If there is an exist* well, what is the name of the
system?_.� l�i� J/ y�i D/� 5 � �� �
What is planned for the on-site sewage system? If you are ropos' g a new on-site system provide detail on the
required site plan.
ADDITIONAL COMMENTS:
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APPLICABLE BUILDING CODES
1997 Uniform Building Code and Uniform Fire Code—WAC 5140
1997 Uniform Mechanical Code—WAC 51-42 :��
2000 Uniform Plumbing Code—WAC 51-46/51-47
2001 Washington State Energy CodeNentilation and Indoor Air
Quality Code Mason County Ordinance
To be filled out by Coordinator
V
y
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, indistrial 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 rn /62 ,)�,5 IR, Daytime Phone # ( Ql�y ) Z,75 5 7��
Mailing Address i1
Site Address q� �,�tiY1
Directio to ite !?- o
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Septic----X or Sewer
Water Supply / (/z
Tax Parcel Number # 3 20 Z _ Z _
Legal Description k4 or— 5&--/ /t/w
Type of Development _G Q
< AC �
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Applicant's Signature
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