HomeMy WebLinkAboutBLD2024-01235 - BLD CD Environmental Health Review - 10/17/2024 MASON COUNTY PermitNa:_jJLA_2DA` - 6JA 77
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning OCT 17 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER IPmORMATTON: coNTRACTox INFORMATION. 15 W. r Street
NAME:�Basma UrIeS NAME: AAm amaa Dwuau
MAILINGADDRESS:4I0SESEAtrEBBN(U+ MAILING ADDRESS:]meWShman 1a11M
CHY:N STATE;w 2m.004 CITY: 61alNs STATE:M 2IT: SW
PHONENI: PHONE-30M exa CELL: Ill
PHONE#2: EMAIL: mp �'
EMAIL: L&I REG# ENP. / /
PRIIARY CONTACT: OWNEx[I CONTRACTORS 07MI]
NAME S E LUL Ill Q
MARINGADDRBSS2=a,%wm Viy RD CIT4. STATE WA �i
PHONE°ewm� CELL G
PARCEL INFORMATION: T� m
PARCELNUMBER(121)igitlim )� ZONMGBaaIE = z
LEGAL DESCRUTION(Abbrevietcd)`O1B4°®6'aa.a.awaenxnwuYarmvrvlaxn =DISTRICf4
SIBADDRES541e SESEADEBMOSaB CDysml > D
DIREC110N5IYl STIE ADDRESS A�wala Ram sEA�R IaaK W r
IBTHEPROIECTWITRINWM OFSLOM(S)GRGTERTBAN14%: ME] NOD SNOW LOAD
SALTWATER[]
WD'HOq TEe FTOFTOF:FOLLOWOND lGf WETLAayp/y)�
SALTWATER❑ f.AKE❑ RIVF.IVCREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM[]
TYPE OF WORK: NEW O ADDITION❑ ALTERATION❑ REPAEt❑ orm n
USEOPSTRUCTUKE(xuunccamea Cw,oa BwDsJ Gwge
ISM: PRO.TARY❑ SEASONAL❑ NUMBEROFBEDROOMS NUMBER OF BATHROOMS—HEATEDSTRUCTURE? YF3PNS [] ; f , NOD
DBSCR®B woRKBwaexb oNaw Mngmelre mYgmbla �e�k 8sfw�
SQUARE FOOTAGE:IYawwM
1STFLOOR KI 3NDFLOOR_aq.& 3RDFLOOR sq.B. BASEMENT_aq.d
VER DECK_N.R COEDDECK sq.LL STORAGEM aq.A OTHER_N &
GARAGE_K.A Aaarhed❑ Del 13 CARPORT K.R ARocAA[I lkandvA[3
MANUFACTURED HOW INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WwTH BEDROOMS BATIE SE IALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGP/SEW SOURCE SEPTICE) SEWER❑ / NEWEI E](L4TIN013
MUMBINO W STRUCIMI! ME] NO❑ {(Isx aMvrh m y1Wad WaWAdaque yP
PISRLMETER/FOUNDATTO PROPOSED? YESD NOB EXISTINGSQ.PT.
EXISTOIO BEDROOMS PROPOSEDBEDRO S—Of TOTALBEDRGUMg
OWNERa ic,a.I ss tau kqm dlnavuale lNamaAwimry rea0lne aa4 M6 ft mwm t maN.I eum la b/
sgralure Ceiba.IEvlwe VatlmlM wmx emlM1umard fare tlull mn eNNaOb reaw Mb pannkvW bCotlre xoM1 as pmpmaE.lbase
cG4'na1 VandShn M1um aA Na necamry pvtix,intluNy anY eamnem MEer w I>sAr IXNde�n[regaNin9 mie prgen iM owrer wlegal
npeceNa S)WWesaand Matibnullw�wavWad la azwrep eM gnnta enpNryeesd Nmm county asess mMe above ea°v1Ee]popaty
W Mrma(e)MmlewanE NSpaNm. 11iN parmNappllceEon Eemnes nN B voH Iwk wauMexisE mnawcmn k nd mnmenra]v.Mn tm
drys w e rnnwvfbn vwk h auapeMM la a palotl d t m Eaas
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTPA"OF THIS
APPPA/LICATIO F 11E DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
N ALM ¢O� k GODS 1LOBA3) Ib 11-7 I Z-4
n reafOWN (NusibaMned bveae OWNPR)
'DEPARTMENTAL REVIEW I APPROVED t DATE I DENIED I DATE TAGS/NO'T'F.SH:ONDTOONS-
BUILDING DEPARTMENT
PLANNINGDEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
NOT REVIEWED FOR OCCUPANCY *NOT AN APPROVED SEPTIC DESIGN•
NOT APPROVED AS AN Use approved septic design for septic system installation
ACCESSORY DWELLING UNIT (ADU)
I
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81610(6�laf%lwecci�L:�i
PLN SETBACKS
Front 25'
Sides:: 20 20'
Rear: 165'from shoreline
'all setbacks measured from the farthest
projection of the building r' � �%Rfi��rzn�=eaase�Nxmu.
'subject to EH setbacks
PLN Approved
10/18/2024inp�na u o x
Mason County Community Development
Gavin Scouten
Al Changes Subject to Approval II p
Disclaimer
Mason County does not require surveys for
building.As a result,site plans may not reflect
a=rate data. It is the applicant's responsibility _
to comply with setback requirements. — —
E�
EH SETBACKS
A)Drainfield /Rasa requires 10 seibackfiom foong/bndaaons
6)5epdc tanks)requires 5'setback fremall txxong/1 ndations
0 No toundrtio nneter drains Idn 3D cl,gradient of drainliaid4 \
n)No cm(s),banks)(greater than 5'&aver45 degrees)within vl
down-gradient of drainReld/ra¢ eare
1
EH APPROVED
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