HomeMy WebLinkAboutBLD2024-00306 - BLD CD Environmental Health Review - 2/19/2025 5 I Per oit No:�D
MASON COUNTY
COMMUNITY DEVELOPMENT MAR 0 7 2024
P re mmlt AdJetan Cmter,Bulldin ,Plemd,
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFURMATION•
NAME: NARg: �r
ADDRESS: GAD S
CITY: STATE' ZIP CITY. A P:
PHO #N 1 PHONE: 'LL;
PHONE#2: FMAI
EMAIL: I.&I REG# __
EXP. / /_
PRiA YCON TACT: OWNER❑ CONTRALTOR� OTHER❑
NAME EMAI Lti
MAR.IN CITY STATDC44& ZIP
PHONE - CELL
PARCEL INFORMATION:
PARCELNUMBER(12DIEn Number) ZONING
LEGAL DESCRIVUON(Abbrewhd) 91� FIRE DISTRICT
SITEADORESS[Z$L/--�,(f T
DISECTIONS T DRESS
LSTRCPROJF•CTWFFHAI300FTOFSLOPE(S)GR nRT 14%: Y£5E] NOU SNOW IgAD:_Paf
LCPROPF. W�m"OFTHEFOLLOWmG: �alf,bmygy: IriCC� <OjC
SALTWATER❑ LAEEIX SIVERR/CREEK❑ POHD❑ WETLAND[] SEASOHALRUNOUE] STEP
AM❑ O J
TYPE OF WORK: NEW PI ADDITION❑ ALTERATION❑ REPAIR❑ OTHER Il
USE OF STRUCTURE(w.uxa.Gag,,Cm.emad Bux g.J�
ISUSE: PRIMARY[] SEASONAL P• NUMBEROFBEDROOMS_ NUMBEROF RATHR[N_1Me P
HEATED STRUCTURE? YES#rsafeMYES rywy qa#�x NO❑
DESCRIBE WORK I
SQUARE FOOTAGE:
1STFLOO'`R nq.ft 2NDFLOORJJQ2sq.R. 3RI)FLDOR_aI.ft BASENCENT_nq.ft
DECK 24f al.R. COVERED DECK_N.R. STORAGE N.ft OTHER_%R
GARAGE_,.R. Adsss u ❑ DamcAed❑ CARPORT eq.R Apache I Der &I D
NUFACTURED aA COPIES OF THE FLOOR PLAN Da
MAKE MODEL iH
BEDROOMS BATHS SERIAL NUMBER
EM ONMENTAL HEALTH-.
SEWAGE/SEWER SOURCE: SEPTIC�, SEWER❑ / HEW1L EXISTING[I
PLUMBINGINSTRUCTURE? YES kY NO //]fX,,anaek eatpland Worer A&gmry Form
PERpB:1'ER/FOUNDATION DRAINSIPROPOSEDP YES.71 �'1 NOS EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSEDBEDRCOOMMS a f--TOTALBEDRO0MS__,Lmonasse a�
OIYNERe ade I vMeAdla Nenan ayI am me, INmamrtIle iMmmYknmry ream Ina ss ed d redewtlerm Pxnitrewutiyr4dr,as nImeMN wall i¢
cmta neE Oeimi¢+m fmm alIMaimaesaary WAnezl indudngaW NS iam dffW n sdintemmil aping aspv ee Pd.,.11we
q wry nand g hdE��aNande` m,aam ,t Meaass ine w'mse,d Ps al
aegeeemaa*')Mn xm:mm mele"adn an PmWea isaaed" ana -1 da¢Bard.is oue ceaa PmpeM
m¢mniaelal lar m�eammam,amnn. . alivaIN days manse ndla.ddnvmd wanmomea mnmmccon i¢ mrvnewxE aiMnIm
drys wncoasVuaMi vmh i88u8penEeC fwa pMM IX I80 Gays.
PROOF OF CONTINUATI RK ON THIS PERMIT 15 BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMR APFLICATF&I OF.7RODAi 'OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE I4.0eA2)
spnawnolowNER(Me.t be.mmad by Bm owNERI ON,
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTEWCONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
7-LAKE RO,\[h
j NEIGHBORING
WELL
I R10O ! I
I I I/ I
II II p75 , /A i 1 d 1 PROPOSED
1 � DKAINFIELD
♦♦ ♦`. i i ' INSTALL TRANSPORT
♦♦ 1-¢- LINE 50'+ FROM WELL(5)
/ L EHAPPROVED
//q / / Prove Thampmn 03/Oui0F6
,4/ULr�� � Aam
/ / / EH Setbacks
�. / A.) DrainfieWReserve requires 10'setback from footnamoundatlons
S.)Septic tanks)(equires 5'setback from all footing4oundaticns
C.)No foundaboWPedmeter Drains within 30ft,oowngradient of
DrainfielcUReserve area
J, D.)No Cut Banks)(greater than 5ft and over 45 degrees)within
// `�/ / / ♦� // 50q,down gradiem of DainfielNRoserve area
00
NOT AN APPROVED SEPTIC DESIGN
POSSIBLE `♦ / / \� Must use SWG 2023-00169 for a ti Lion
FVfVRE WE�.L APPRO
/ ♦ J^ / \I� PROPOSED NUWATER MAY I I M3
j R5(l� ° I & PVMPTANK
! new C'tln � NASONCWNTYENNRd1YENTALMEAIT�-
`\ ,� EXI511NG1 -- -
DJA
/x CABIN ,
{tlI'l APPROXIMATE
♦♦ `♦ EDGE OF LAKE
� c
-? 1� 262'4- 0630 AN A8W LTI INSTALL SIGNOFF FEE WILL
)Vi BE CNAMiEO AT 1NIE OF INSTALLATION
CUSTOMER: STEVE HOYT' TEST LWuI rLST C1,Z
PIONEER, I)IGGINQ INC PNLCFI.r.3Z43si000904 " (u' 41t53 ,
SEPTIC. DESIGNS �DDR SR 641 NE TEe tx R.D
Ai T H PAYSSE N ..w�ises"�i`•wcve<m,.-.�:.;