HomeMy WebLinkAboutbld2024-00069 - BLD CD Environmental Health Review - 1/17/2024 MASON COUNTY Permit Nw bL3MaIA-IA 1
COMMUNITY DEVELOPMENTC E I V E D
Permit Assistance Center,Building,Planning JAN 17 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR NOFORMATTON:
NAME: 1'J1zn{�_ 'S"IIJ:S NAME: A[ I IR-f> �w
MAD.ING ADDRESS: ETA Avp l�wr l MAII,DIGADDRESS:
CITY:yaY�_STATE: ZIP; 91¢57f1 CITY: sTATE_Z . �AN 1 T 2024
PHONE#1: 7N �I R- 7?2� PHONE: CELL:
PxoxE m: EMAR : ECEIV
EMAIL: L&I REG# EXP. / ) ED
PRDHARY CONTACT: OWNER D CONTRACTOR tyTylTk OTHER
NAME EMMLHrnlarbbe PP.eb�n•,o 1�IaR'IL�P51 h.COM
MAIWNGAAyyDRE55
PHONE (O(s '/ WI 1 4aMj
251 4b�
PARCEL MORMATION• �` �J m
PARCEL NUMBER.(12 Digit Number) O S• 2 L-OCIO 9 I/ ZONI NO Z
LEGALDESCRIPTION(Ab *d) FRE DISTRICT
SITE ADDRESS 450 6 �[�J .Y -n
DIRECTIONS TO STTEADDRESE 0
IS THE PROJECT WITHIN 000 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOD SNOW LOAle at
ISPROPERTYWITBDMFTOFTMFOLLOWMG: fOrtaodrv,,,,). m
SALTWATER LAKE❑ RrWR/CREEK❑ POND❑ WETLAND❑ SEASONAL M RUNO"[3 STREA ❑ Z
TYPE OF WORK: NEW❑ ADDITION❑ AL/T�E�RATTON REPAIR❑ OTHER T7 Z
USE OF STRUCTIR (n�Oargga aaarav Aye Ea) 'iLh1
ISDSE: PRIMARY�( SEASONAL❑pt NUFIDEROFBMROOMS _NUMBEROFRATHROOMS �L
HFATID STRUCTURBY YES MdW.dlyl/'� YES(PmrJ+l gauA1 NO❑ —
DESCRBEWORK �
SMA
RR FOOTAGE,�,�,rmI REMG�11� AV406
ISTFWOR.--�1��q,R 2NDFLOOR I20 eq.R SRDFLGOR_p.R HASEA4iNTq.R
DECK_q.ft COVERED DECK_p.R. STORAGE p.ft OTHER aq.R.
GARAGE_M.tL Aua ❑ DetarAed CARPORT K.R Ala..W D Detached[]
MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERW.NUMBER
ENVIRONMENTAL HEALTH: yyy
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW D EXISTING(]'
PLUMBINGINSTRUCIURE? YES( NO❑ 1fy .ahaA.aF,1dd Water Adqupry/ Fo.m
PERNIETER/FOUNDATIONnDRAINS PROPOSED? YES❑ NO)q EKISTINGSQ.FT.
EXISTING BEDROOMS P PROPOSEDBEDROOME TOTALBEDROOMS
OMER ecknwMtlpp Nei aubnYeYcn 6lnemuale Irtlprmtbn mey reaull In a tlop xpk pNerarparmX rarveLl'n,gynpytetlpenum M¢urF k ty
aigreWrebekm'.IaNen tlW raNe O.M>aM IUMarEg$re1ha1 rn racer or pRCNW NnppmXeMbtlp Neujap prppa¢d.I beM
oblelnetl permietlon M1o'n M Ne nea¢ury pNp,intlutlirp any eoaemanl racer or peNm dlnlsaY repaNnp P4 pmbci The cxny w bpel
repreaenlative,represmb ItuI1M1e IMortnNm pNMM is xwrele anE Orenlg emgoyen M Me¢m Canty eaeu tp Ne ebwe tle¢aibetl pmpany
• MabucWMaJ 1pr mim,anElnapecLpn.TM1ls permNappiution Eecanes nuPevdn Xuvrk weuNo�¢ea¢npuctipn la nX mnne�ExiNln 180
Eeya a tl mis0uctipn µM la sugeMetl M e penal M 180 Oe)e.
PROO CO ATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
{ IT C I F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE i108.12)
X /720� 1
gnanae N OWNER Must beaipned redo,OWNER) pgy
AHTMENTAL REVDrTP APPROVED DATE DEN® DATE TAOSMTEStCONOITIONE
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FD MARSHAL
PUBWCHEAI.711 L 1
ETREABIME IBUNDPSI
b
I �FJIMWacW
I I urww %tea
(£)GARAGE" )
01/25/2024
it ) APPROVED
'dA'p MASON COUNTY DOD PLANNING
ems? SI?m RUEDYAI(rA
I I
Designated by Digitally
designer Cindy I
Waite WVM25 � _ _ bySol
1 ReM b Purdy
I I�GI I
I
N(J'.mi COUNIY
PMCEL NUMBER tOB 1I5XA'C5B
ZONING•RR10(RURAL RESIDENTIAL 10)
Rl 'iing
From YsM SWGatlt.Ze.
Is Side 6 Rert Yard Sttecke.Readmit WBlling
and acascory Midi U 20'.
T OR 10%vNmol ld it not more Nan IM rids
OR ayprweE AM
1 2e2e-0'
"I SIDE S.B.
I I
— � The ddes{INCtion or allaral M Fish and Wlldlite HMilet
Conser�aMn Aree'a or Me r buMra through rompvaL axcavalon,
I tl gradingi Mani deschad,ME or Ming of any maNrial:Fearing:
b rd Mammy:Intentional bums :vegetation removal Moroi
g freMw9ter,or Mande);ple iting M non-rodve vegetation that
.T would*ter Me .i f the Fri orMMer:or Na
H W placement sWctures ar massing iM
dead faotpnM shallu r,onagetonsguar mordshall
— — — -ream m ntplM.
DR � r p.p
ME
OR CABERILETINGETSOUND
SITE PLAN �� N
Area from Treasure Island Drive E 1ee.EoaE s nuo oxn'E
To existing residence is black — ................ ........ , -- -.1
topped or terraced. Only area [l, _ N
for a Table 9 repair is an above
ground system going b
Partially over existing drainfield. l ��
At this time, we would install -
a X02 to Oscar coils that - r �
I i
meets TLA with disinfection. I
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