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HomeMy WebLinkAboutBLD2024-01231 - BLD CD Environmental Health Review - 10/22/2024 Permit Nn:�.niNnL,4_0�671 40 MASON COUNTY RECEIVED COMMUNITY DEVELOPMENT OCT 1 6 2024 Z Petmll AsMmnw Canhe.BYIMIMN.nni, z BUILDING PERMIT APPLICATION = Z) PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION• NAME: T•' r Vi NAME: D Z HARING AD MAILENO ADDRESS'. --{ CfTY: STATE:WA. ZIP: CITY: STATE:,__ZW: _. Z PHONENI: PHONE: CELL" PHONEM2: U- EMAIL; EMAIL' IBJ REOd �'—/—� D PRI C ACT: OWNER TR• CONACTOR❑ OTHER❑ r NAME EMAIL PHONE ADDRESS CELL - STATE �rA PARCEL INFORMATION: j PARCEL NUMBER(12 Digit Num )a2Q11I -'1S -DOOIO WNMO LEGAL DESCRIPTION(Abb ) FIRE DISTRICT LOI]L+ 2g10 jjt SITE ADDRESS - CITY�/A��x-�,y�� OIRECIIONS!!ryT}OASREA BESS t 1". . •. S I _ .�y►? teV ant iFT'E�7064 IS THE PROJECT WTTUIN 3M FT 0FSLOPE(S)GREATERTHANN%: ME] NOIL SNOW WAD: f MPROPERTYWITIIIN200FTOFTHEFBLWWING: (CYRNlgvaygy/ SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRVNOFF❑ STREAM TYPE OF WORK: NEW D' ADDITION O ALTFRATIOIN❑ REPAIR❑ OTHER U USEOFSTRUCTURE(AetlOea<e.f C�AMpR.)QFCe/ly ISUSE'. PRIMARYNLSEASONAL❑ NUMBER OP BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE, YES I ,W a YES TenI•I JeNM g_ NO 13 DESCRIBE WORK 1401C� ✓ G D SOUARE FOOTAGE:DmPa.q IST FLOOR j�sq.R 2NDFLOOR_N.R. IRDFLOOR_N.R BASEMENT_p.R DECK_ecnn sssq.R COVEREDDECK5,&,.R. STORAGE ,,, OTHER_—eV.R GARAM_Cjr&tq.R AuaJ R Dvm ,I❑ CARPORT 1q,R ARacBed❑ DexveOed❑ MANUFACTURED HOME INFORMATION: eb COPIES OF THE FLOOR PLAN REQUIRED« MAKE MOD YEAR LENGTH WI BEDROOMS RATES FINAL NUMBER ENVIRONMENTAL HEALTH: SEWAGFISEWERSOURCE: SEPTIC)< SEWER❑ I NEPg EXISTING PLUMBING N STRUCTURE? YE§rd NO❑ T,rye;mmnh coNFlered W."AdegP Fam PWMETER/POUNDATION DRAINS PROPOSED] YES NOS RXISTING SO FT EXISTINOBEDROOMS� PROPOSEDBEDEOOM5� TOTAL BEDROOMS_ OHIER a NevMIYaY.rr gFemrebYWmalkn mN refl01n a Yi9 xaxatlsmPwml:rewealbn.MAMMetlPemamol Wi le Oy YPIIaEue bebw.l4dwe Nell YnMOYPW CAI NMe.tletl&e Nel l m eNJletlb feCNw Wa psnil wd b tlolM+uh ea prnMM Ilre pptlnatl pwmYYM 1mn YI M MxmrypeNtl.Ntlu6q en/eaaemenl MltlP M peNee o/NeMlliPe:eNB Nb PvYN' TM wnMvlepal :epmwnmre,�eNafxxv N+M mnnnrewn Pmtltletl N ammu.m Bnn:.empN'eo.m M.eM Gwmy easeam M eYn'A samosa PW.nx m:e vuWue(eNw�awwenae�eNbn. TNe Peimil/KPVulun eamme.xnlawle xwon u,.,moenee mneeWtnc:ld mmmenuexllmn teo yryayxgnYWGtlon wdk blYepmM 1A..pMbtldlW eqs. PROOFT IS By MEANS OF INSPECTION, INACTIM OF THI PERMT APPLICIATION OF 1180 DAYS OF MONUATION OF WORK ON IRE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON S �1---- COUNTY CODE 14.00.42) SSI:wYre ofOWNER(M bs Bb NERI DBM DEPARTMENTALREVIIPW APPROVED DATE DENIED DATE TACS/NOTES/CONDITIONS - BUILDINO DEPARTMENT PLANNING DEPARTMENT FlU MARSHAL MBLICHBALM I BLD2024-01231 33�r (LeP- W N\ SDI -tanks DF. TV.,fA hu gt.}a3t� o M OAudio4isual Alarm © Cleanout a 0 © 1200 Gallon Septic Tank n + 2-Compartment with E.gluent Filter ' PAULA JOY JOaa60N mp Chamber 1000 Gallon Pu wv.{4n w.-l-r - S, 66 OValve Control Box EH Setbacks `— A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all focting/roundatlons C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Out Banks)(greater than 5ft and over 45 degrees)within LS $70 71- (p 0 50fl,down gradient of Dranfield/Reserve area EH APPROVED VED -- Rhantla Thompson 12/02I2024 000to I wi . 5 2024 Zia MASON COUNiY ENRET HMENIAL NEALT Za-J�q