HomeMy WebLinkAboutBLD2024-01360 - BLD CD Environmental Health Review - 11/15/2024 MASON COUNTY Permit"°° pay{-0 O
COMMUNITY DEVELOPMENT RECEIVED
Permit AssistanceUMer,Bulldlng,Planning NOV 14 2024 I'T1
BUILDING PERMIT APPLICATION
616 W. Alder Sleet <_
PROPERTY OWNER INFORMATION: CONTRRAACTOR INFORMATION: _ .ZJ
NAME: ahf' F:+0.- �` Ci NAMH: -(XyI$ �1 ��I�n(P'.$ tTl 0
MAD.INGADDRESS? r MAII.AGADDR&SS:'Pt s"1� D Z
C1TY:�IIdYeWS STATE: k Z@:"PA-71 CITY:01 STATE: WA A 23P: r
PHONE NI: PHONE: y r__�SCHU:�Gg, Tr `I m
PHONBd2: EMAII.: VIN;tu.c D;rl•tnorK nrsit) w:l -CO _
WAR.: L&I REGS Li .Jl/�1� Z
PRRNARY C?pNTACT: owxgxD cONTRAcToR�l oTHB4❑
xAMe �nav=TllnPt EIu1 Vll4tluer'lllr+uwrlCa`�h.,il.mnl r
MAD.INGADDRH55 GE ra It-AO cm bi"it.ni— STATEWA ZIPRif FbFf
PHONE CMA. ':it.n-lTg -13{-e d5
PARCEL INFORMATION:
PARCET,Nt1MBER(I2 Digit NuvdNO 0000s zorywG R,(ZS F s �j
L &I,DESC TION(Abbmvieted) 'L-gl7a, 1T 181 5 FEtE DLN'1'RICf 1�_ G p
SREADINESS CID hS a}11 r. h crrY lloodSlDrort mO r
DDTFYTIONS'f0 S1T8AODRHSB ��""
MR PROJECTWRY@lMn OFSLOPE(s)GREATFRTBANid%: YES(] NO pZ SNOWIAAD:�ptl
ISPROPTERJ] I'1 KHI00 PTOFTIOINILLOWINC: I WETIAWD[: RU
SALTWATER❑ LAKE❑ W VeR2REBK� POryp D WEMND� SEASONAL RUNOFF 0 STR&1M E3
TYPEOFWORK: NEWX ADDRIOND ALTERADOND KEPALLD OTHERII
use of srnucruge r..�+....c�.�m.m+rNa,et.J�irde^ee.
ISMS: PRINARYX SEASONAL❑ NUTABEROFBATI@OOMB_,,,L_
HEATED STRUCTURES YES/rAalegdd� YE9 t➢aa(a/yelal❑ NO D
DESCRISE WORK ins}III NGAT R1CC� 41 Dlmt.
SQUARE FOOTAGE:M,.so
ISTFLOCR-1,j',W-IH.ft 2NDPLOOR_aI TRDFIgOR_N.B ]iASHMBtiT_eq.N.
COVERED DECK N,& STORAGE N,& OTHER
GARAGE_N,ft AIma1N❑ Dessawo CARPORT_N.N. AMs,,W0 Ds,.had❑
MANIIFACTI M HOME DNFORMATTOIV: V COPIES OF THE FLOOR PLAN REQUIRED"
MARE gee4f JOKA MODEL a b y b i C, YBAR-20c7 LENGTH 4k,
WIDT}Q� �BEDROOMS oQ BATHS -9 SEXUAL NUMBER
ENVIRONMENTAL HEALTH,
SEWAGMEWRSOURCE: SEPTIC SER'8RD / NEWD EXI9TING�
PLUMBWOIN STRUCTURES YES)q NO D UYaa,alm h mmPleld Ma ",,aay Farm
PERDIBIER/POUNDATION DRADVS PROPOSID9 YESD N* EXISTING SQ.FT.
EXISTINOBEDROOMS PROPOSEDBEDROOMS-Q7—� TOTALBEDROOMS L
OWNIN eaoaMedtm MNeuCmieNan m Ina ume IMmMmsM may-MN M e MopvelR oNmaparnilXmedbn,lckr ,,,ammtdsta,b fry
YRmat We ..I EeGam,Nai l am IM Mer eM I further Emma Mel l am en11W b receive XNs omit vM b w Me NWk as mmaW .I M1ew
4pinetl pemnlS am hpm all Na necesury panlea inGutllnB mYe9aemen[hoHarmrpartiMNlnlen&Xeperdlnp N'n ggecl. Tlq w,nmorlegel
re asammea, ItamadaIM:demkmation pm�Metlb Y%VMe entl pen4 xry:oyeea of Mavan County e¢mto Ifts vWrn dvAEM papap
and wumn{s)rmmaa.ma imapemam.rna ImrtnW.ppl'xs4an eewm,a.,,,,n a mm nwn a eannraed�.w tiom 1.na ammmwaammm�1b
dma mttwmMelvX wpM..a.panaae tr a p.epp m 1eo mw.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08AO
X
Skim of OWNEB(MOv1 Ev clamed W flm DYMER) Data
DEPARTMENTAL REVOW APPROVED DAM DENIED DATE TAGBMOTESICONDIRONS
BUILDI'GI)EI MENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEAI,TH
��!
■
. � \ � \ � / k
. ,
\! \ �-
ƒ ƒ
-
�
■ �
\ z
. . ... . b m /
k �
EH Setbacks & ;LD;4 -oiaW
A.( DramfieltllReserve requires w sell from footingllout=ons EH APPROVED _
B.)Septic tank(s)reauires 5'sell from all footingdoundations Rhonda Thompson 12/16/2024
C.)No foundation/Perimeter Drains within set.downgradient of
Dminfield,Reserve area
D.)No Cut Bank(s)(greater than 5h and over 45 degrees(within
50h,down gradient of DrainlieldlReserve area
_ so
l c
H
j'1' $„ �2go S¢.FL. Z�Ba
48' I�bp
�a,awor
Seru:a.a, - 7LZ
w•'r'la Wetu, i �5 m„� 10' min
v
t 1 Lg Pir �„ ( 9><c muk
*too
G I ?,AL
�40 1R
101 'hwrr
4. W p?er btu P � N
ad" 10 30
oli'10 EsNtJtak�c