HomeMy WebLinkAboutBLD2024-01174 - BLD CD Environmental Health Review - 10/1/2024 MASON COUNTY Permit No: r 17 7ti— 1i
COMMUNITY DEVELOPMEUCEIV ED
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION SEP 3 0 2024
PROPERTY 07�" RRII,NFORMATI CONTRACTOR INFORMATION:
yI(/IF tlne NAME: 815 W.AIdeT
NAbffi: Q
D1 SS: MA6IIJOADDR�SS: CJ
C: STA ^• CITY: STATE:TIONi _ZIP: O J
PHONE az: PHONE:—CELL..
MAIL BIa.
EMAIL:
PRIMAAXOWNERQ coNTRACI'OR❑ OT
NAME EMAIL
MAILIN CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: G n (y-' •y./A,../)�/
PARCEL NUhmER(12 Digit Number) 51q D31. U.1...171 1 TANWG
LEGAL DESCRIP,.]riO�N/tAbbnnlaN FIRE D1DISaTfR,�I`CIT
SITE ADDRESS 1�+ 1I •
OEUCTIONS TO SITE ADDRESS —�� —
BTBEPROWTW 3Nn OFSL(3PE(S)GREATERTBANIOY: YES[] NO� SNOW LOAD:�L)o.al
ISPROPERTYWTTEUlN2gO7TOFTR$FOLLOWING: (cbee alfe aPW:
SALTWATER❑ LAKEO R1V cXEEXO POND❑ WETLAND❑ SEASONALRUNOFFD S'1'REAM13
TYPE WORK: NEWo ADDITIOND ALTERATION AIR13_ OTNFR
OF
USEOPSTRUCTURE(AxsdauUamra Caamu, n"e err)
ISUSE: PRUMARYjj SEASONAL❑ J NUMBER OF BEDROOMS NUMBEROFBATFU=M9
HEATED STRUCNRE? YES(mden�ID YESfIKeuy❑ NO❑
DESCRBE WORK
DARE 'o,aPwdl
1ST R eq.it 2ND FIA)OR_vq.& 3RDFL0GR_sq.& BASEMENT
DECK q.R. COVEREDDECK p.& STORAGE KII OTHER uI&
GARAGE a ,.ft Atmehed❑ DeachaL7= CARPORT ,ft. Attached❑ Detached[]
M,kNUFACTURED HOME INFORMATION: 'A COPIES OF R PLAN De
MARE DEL YEAR LENGTEI
Wm'TH BEDROOMS BATBS SBRLILNUMB L
FNVERONMENTAL HEALTH'
SEWAGF/SEWPRSOURC& SEVOCDI SEWER❑ t NEW❑ E%ISTIN2!
PLUMBING W STRUCTURE? YES eJ NO ify =v mwkfd W&;Adequery" \Fa
PERIbffiTER/POUNDATIOND SPROPOSED? YES❑ NO ] EXISTINGSD,FT.
EXISTING BEDROOMS PROPOSEDBEDROOMS TOTAL BEOROOMS _
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c inwp rnbvm horn eY Ne necessary peain,Inducing any sesames Max o•peNmof Ina.mgardnq tliepmled. Tba was«Nepal
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can«nmmwaom wan is aaweneaa rare penaa m rw aen.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 7&0DAYS OF COUNTY CODE WILL D OSE S.h2lE APPLIG rD BE.EXPIRED.(MASON
2hl ljl
BigneWre (OWNER(N the I tlb MOWNER)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAG OTES/CDNDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBWCIDlALTH
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,rM-BUILT FORM - PAGE TWO
ry PARCAL ID69TIPICATZON 11
Permit Number swG9 - ` Subdivision
installer'. Name Aseessor I Parcel No. 9/908 SO 00097
Designer's Name .fj.Ejdk.w_� FX4
M-BNLLlr DAaNIM
prCGy Lin. �Uo �
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A.) DnerfielNReserve requires 10'seMackhonfoolin foundalbns
B.)Sophie mnk(a)requires 5'semack hilt lomi,ftondets'"
ZO D.)No foenlauonaerimefer Daps within Ban,downgradlent of EH APPROVED
DrainfaWRessne area nnoma*Inmoson nnvma
D.)No Cut BeM(s)(greater Nan Short]over 15 deg reed within
aft down redient al DreiniiaWReserve area
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�-7 ra �li� =T C:�CR,IST
L Dinfield orientation '
�observation port location EDlMiaturbed native soil
and layout SIB between trenches
t�Cieaaout location�Trench/bed dimensions and GI'North arrow
critical distances within Manifold placement
layout F -- Scale of drawing shown
Fi '---' Orifice placement on scale bar
` D-Box/^T^/"L^ location
Lateral placement, with Additional Mound Information
Septic tank/pump chamber distances to edge of bed
location ICl/ gndslope width
(� t� Lxat ion o£-wells, roads '
1 ' ��" fiso� Ce.,. - - Overall fill dimensions
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