HomeMy WebLinkAboutbld2024-01402 - BLD CD Environmental Health Review - 3/24/2025 ,r Per"t No:�,�aoa�l
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
P ttr ssia ncaCane,,Builco .Fannin NOV 26 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATI W, Ald tfeet
NAME:%'Ar+ &a WHITING NAME:cHRls cnRERTs ecRcoNsrRucnoN)
MAILING ADDRESS:II NE SUNDS1RgA RG MAILINGADDRBSS:=5LR1LER ROSIN
CIIY:BEIFNR STATE:WA ZIP:98R8 CIY:OLYMM STATE:WA Zlp:M512
PHONENI:DW)7x 357 PHONE:(55o)85es2M CELL:
PHONE R2:1425R "N7 FMAI.:CHRISGlMRTBQMSN.COM
EMAE.:MARYMRINGQA .CCM L$.I REGfl EXP. / Q
PREVARY CONTACT: OWNER O+ CONTRACTORS OMER� n
NAME Ywruwxno EMAIL WRVC MN COM
MA o
ILING ADDRESS TI NESUNO8TRIX4 RD CITY 8-- STATE WA ZIPNBM
PRON CELL
o T
PARCEL INFORMATION:
PARCELNUMRER(12DIEil Num ) 0-ka-����1ZONING
LEGALDEE ON(AbtmnM,e ) 'n eFIREDIS TRICI I Il�l �y Q
STTEADDR�RD —�PIE D yYl .( CITYBELFNR Q w
DIRECITONS TO SITE ADDRESS
LR THE PROJECT WITHIN 300 FT OF SLOPS(3)CREATER iNAN 14Y.: YES[] NO(] SNOW LOAD:_jGaf .z
ISPROPERTYWITIRN200FTOFTHEFOLLOYMC: Ktiwx INlrAm.A.ryJ: w
SALTWAT61t❑ LAKE❑ R[VER/CREIX❑ PONDO WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW O+ ADDITION❑ ALTERATION❑ REPAIR❑ O'THER
USE OF STRUCTURE(Fmrb,d C,,CAwn Do&Er,,)GREENHOUSE 6 ERED
ISUSE: PREKARY❑ SEASONAL❑ NUMBEROFBEDROOMS NUMBEROFBATHROOMS
xEATED STRucrunE? YEs mrd,m p TTs~,jgrNhJ❑ NO[]
DESCRIBE WORK
S US U FEDTAGE-
o
1 ST PLOORe fl2�N'D�FLOOR p.R. 3RD FLOOR_p.fl. BASEMENTp.R
DECK p:R COVERED DECK_p.R STORAGE p.ft. OTHER_ _ ,ft.
GARAGE_p.R AnachedO DemehM❑ CARPORT p.R. ANaehM0 Dnaehed0
MANUFACTURED HOME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED'
MpKE� YEAR LENGTH
WIDTH ROOMS BATHS SERIALNUMBER
ENY@ONMENTAL HEALTH: hix stv 2 Voo ;
SEWAGFISEWER SOURCE: SEPTIC El SEWER❑ / NEW El EXISTING❑
PLUMBING IN STRUCTURE? YES O+ NO❑ Ifyet attach aomylaWWataddp Form
PERIMETERNOUNDATION DRAINS PROPOSED? YESO NO4( EXISTINGSQ.FP.
EXISTING BEDROOMS PROPOSEDBEDROOMS TOTALBEDROOMS
OWNERatlmw.leapae m,l sudnission INinecwnUlnlormmlm may nwlt lne woM wearawmre mwratian.AJ.nmMMgnwad NMYbJ
aga.wn mlo,,. eaear,mar I,m ma o..,r,r aye ronnara,cl,.mar am a�MYaror.aMrn mY wmrBa.amao ma wnaRrowatl.lnaal
cOWnaewrtnk¢ian hcmallrrranereseery Wala+.dacl naadu,eaand gmndamwp dmiMmaNln�N mYpoacr. TM W IpN
rapaaanmW anla,a,am met me V,romraaon pro,la,a Y xcwma and enan,mgoy,a,a M,am County ar n�m me aba..e�b.a PUP,rb
.m.oucwrata)rorm.laxane mauaanoa. m'u wmaaaPMraS,n eaomea mu 5 wY n,.m a.INI,aY,a ormlnrn.a Y n1 wa.umcea wnnm 1ao
a,ya mnonawa5m wrx Y auawmea rota wnoa ateo aers
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
- • u(��* _—' COUNTY CODE 14.08.42) I l- ib . ,2 I
SWRBID GINNER(MLniM mM,d by tlra OWNER) Oem
DEPARTMENTAL REVIEW APPROVED DATE I DENIED DATE TACSRNOTFS/CONDIITONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH u S
' EH Setbec�
EXISTING
0tJ GARAGE
PROPOSED TANKK
Q 1500 SEPTIC TAN
r10 ORNEwAv 1800 PUMP TANK
/PARKING, I
PROPOSED 4 BEDROOM 5 role 1
PROPOSED
PRIMARY 6i RESERVE
GREENHOVSE
,o mmm WtTff 511VF, r
aramreiN I (NO BEDROOMS OR
,°sane 55
/. _ - ADDITIONAL FLOWS)
GATE COVRTS \
PUMP OUT 6t
ABANDON
EXISTING 055
r------ 1 EXISTING WELL TO BE DECOMMISSIONED
LOTS WERE RECENTLY COMBINED &
EXISTING �N ASPHAVLT \
WELL 15 NO LONGER NEEDED
/`- GARAGE/ I I \ `AINC �\" R100'
/ EXISTING I IL �I 1 EXISTING 5VMMARY:
WELL I J� I WELL ABANDON C2 DUSTING
055. INSTALL NEW 57ND.
Rloo, I j I ii
v EXISTING PRESSVRE5YSfEM, INCL
/ —I WELL SOLID5 HANDLING TANK
PUMP OUT& FOR D(ISTING
ABANDON HOME/GARAGE.
EXISTING OSS. I --- -'
INSTALL NEW %
50LID5 HAND.
PUMP TAN WAT1015-octu
>`\\\I I I EXISTING HOME r.
AN AEYOLTIINSTALL BIGNOFF
BE OIUROEDAT TIYE OF INETALLATNIN
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CUSTOM ER: MARYWHnrm 1*o 1>f:lc�u axlx:l.W AIRIMWw
PIONEER DIGaNQ NC- PARCEL.7J2 .,)0. �12r Hi21.,K „W(at (MLIRN„)
SEPTIC DESIGNS ADDRGSS 71YAIDHTROM RD ° � `F"11
WA%N ..R..••••�•ew..wwnm.n.vm
DESIGNER: AUr7CLPAY✓�
311N3 E mcE 3 FM2&1 RD. FAX
3R IEW, im no,as eewsrn vs�er ,°
Y-}lCk-3MMltrllllU FA%-3611i7/2753 SHEET. UM PLAN SCALE P�50' ao��r�na�uw�",mxrvmimemro