HomeMy WebLinkAboutBLD2025-00069 - BLD CD Environmental Health Review - 1/30/2025 MASON COUNTY Permit No: (hJ OWR-5 DOOM
COMMUNITY DEVELOPM E I V E C
Permit Assistance Center,BuildinK,Plannine JAN 21, 2025
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFO A 1 All t
NAME: s"Al IUI M� '( ,rFA dG = ✓9y Vv�
MAR.IN0 ADDRESS: I MAILING ADDRESS:
CITY: CSTATE: CITY: STATE: Z D AP
PHONE#1' : 9 1 I PHONl-. 41 =f CELLO �1f`
PHONE#2: EMAIL tr a r L Q
EMAIL:FAAAAA` at Dee 0I LO,lArn. LAI REG r 816j .J_I}LI�
PRIMARYCONTCCT: OWNER❑ CONTRA[TOip OTHER❑
NAME
MAILING ADDRESS CITY TM /A STATEWA—vP O
PHONE_-'" *00 22e16 CELL Is' I1
PARCEL INFORMATION: 'V T„L
PARCELNUMBER(12 Digit Numbs) ZONING
LEGAL DESCRIPTION(Abbmavtat S401filL T-27M 9M FIRE DISTRICT T
SITEADDRPss 3 DV QTYDiI/
D DNS TO SITE ADDRESS Y Hl A9)G L� OII /6LiI< 4J
U�ftl H�. oa {ArL✓.aaA 76-
__/
IS THE PROJECTWITHINsTOFTHSLOPE(S)GR gadeaTHAN p9.: YES[] NO� eNOW LOAD:�psl
IBPROFATER0 ITHIN200 FTOFTIIEFOLLO PND (cha ETLAergy):
SALTWATER❑ LAKE[] RNER/CREEIC❑ PoND❑ WBI'LAND❑ SEASONAL RUNOFF❑ STRFAMQ
TYPE OF WORK: NEW.Q ADDITION❑ ALTERATION 0 REPAIR❑ OTHER
USE OF STRUCTURE(Aetal Daher.,Dolanneia er.Ida.)
ISUSE: PRIMARY[] SEASONAL[] NUMBER OF BEDROOMS-2fA2NONMEROFBATHROOMSZ—
HEATEDSTRULTURE? MhhtaaeW[3 YESryen/)aleuy❑ NO In
DESCRIBE WORK ml /J$M Ayl l{F"
SQUARE F��OudO..'T'AGE;&-,a,mi
ISTFLOORIry=al 2HDFL0C)l 3RDFLOOR ¢0.R BASEMENT N.ft
DECK I(i�sO.R COVERED DECK_K.R STORAGE ,& OTHER K.R.
GARAGE_aq.R Adel[] Othwhed❑ CARPORT se,B. Auac8ed0 Nutha d❑
MANUFACTURED HOME INFORMATION: r0 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE AF MO 6 YEAR 2G2S LENGTH 548
WIDTH BEDROOMS jrz S Z SERW,NUMBFR
ENVIRONMENTAL HEALTH: — ../
SEWAGESEWER SOURCE: SEPTIC L�' SEWERS I NEW EXISTRI
PLUMBING W STRUCTURE? YES❑ NO I1f a e,anacF nanpfetrd Wau'Adeq..Forin
PERIMETR/FOUNDATION DRAINS PROPOSED? YES 0(] EXISTING SO FT
EXISTDIG BEDROOMS PROPOSEDBEDROOle TOTAL BEDROOMS
OWNER N.ePMa0Pse0'elat 1.1 the W 1 avabinbnnace that
I—meebpewkwMrw lrraatn elim.Atlm at ePflk 88 M,,deMal euae Ey
eIBNbIR EBbw.l h hodI all t l ne Itle,er an01 NMm q wy a Net un Mdetr010 ndt,o W¢pal noaft enond to that
t podetx pNpa¢M.I MW
oWinetl pxmualm trnn all the nexasary parlba,incWEing any eesnd go goods
ent w perl Aof son Count,
tltis the aL The ownrt w Mpal
npn¢enle4w,npreaents MT the IMoimalion prouNeE la murals enE gem¢anpbyxa o1 Mason Cwmyaauzs b the stow Ee¢viW pmpely
Yq atutlurNs)twreNew ant inspaclion, ilrl5 parmNapGicagon Cacpnm null6 wiO Rwwk a eNIMZ00 CansVucMm Is nNarvnercea MNin 1Bg
data
p N¢eelruNm woA is¢uaxntletl lore parlM N 100 Eeys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
L COUNTY CODE 14.08.42)
X^ia-= 4 'i-=t l'Z� '1J
apneMnl ER(MIMl be alpnetl be the OWNER) Dab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TACSMOTE O"MONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARERAL
PUBLIC HEALTH xcr-
EH Setbacks
A.) Drainfield/Reserrve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all foctingdoundations
4• gyp` C.)No foundatioMPedmeter Drains within 30ft,dowigradient Of
_ - --- - D.)No Cut Banks)(greater than Sk and over 45 degrees)within
50f1,cow gradient Of DraiMieltllReserve area-
.
\o EH APPROVED
AS Rhonda Thompson 04/01/20 55
10' thin
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P.O.BCOC 162 OLY,WA 98907
753-1228 YN qLL once
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