HomeMy WebLinkAboutBLD2025-00194 - BLD CD Environmental Health Review - 2/19/2025 MASON COUNTY Permit Nwzl' m'l/014
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning FEB 18 M25
BUILDING PERMIT APPLICATION 515 W. Alder Sk"t
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Coamwaniona Le NAME:ma'Nel rn
MAILING ADDRESS:1244137e1 Ave.e. MARINGADDRES&RO-1242 z
CHY:PuyNIuP STATE:— ZIP;9MM CITY:TeMu STATRWA ZIp:903W
PHONE#1:2x3m0a0M PHObff CELL:33setra®x
PHONE N2: EMAI.:npwma¢ate@mMmlmn
EMAI.:a3NIPaY.yOP^•Amh L&I REG Acc cGCENOLA511(E EXP.j// /3/ m Q
PRIMARY CONTACT: OWNER❑ CONTRACTOR[] OTHER C- z
NAME(ss,— EMAIL 9
MAILINBADDRESSPOma1u2 Clry nr STATE WA ELP98889 = m
PHONE aae^+Q CELLS Z
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nurnbu)32 232 5 814 8 2 6 ZONMGCmmW
LEGAL DESCRIPTION(Ablonviatcd) FDIEDISTRICT A SITE ADDRESS—'MBL C wUslan (-
DIRECTIONSTOSITEADDRESSFromBMembNNIaY101NbraeM.Nn -IIWRMM &.uPMMIm [.
RmBN aueHbp�rlym Pe A2M11.From BellelrbFelMy lmbLFbn.Lm Msl9Lft bpr;arlym tlw R. �`'�1��IO��
ISTHEPRWECTWlI M300FTOFSLOPE(S)GREATERTHANI4%: YESD NOJ SNOWLOAD:_Pd O
ISPROPERTYWiTHIN200FTOFTHEFOLLOWDVG: (cS.ReRam may'.
SALTWATERD LAKED RIVER/CREEK❑ PONDD WETLAND❑ SEASO),ALRUNOFIn SIR AM
TYPE OF WORK: NEW[] ADDITION❑ ALTERATION D REPAIR❑ OTHER D
USE OF STRUCTURE(Assail r cm..redhq.,tv,, lial bmNyrNeamlel
ISUSE: PRIMARY[] SEASONALD NUMBER0F8EDROOM0 NUMBEROFBATHRGOMS3
HEATED STRUCTURE? YFS Mmweergl[] YES IAm(J,Y9Ihl❑ NO❑
DESCRIBE WORX�m rrgN MrMNraMdmm
SOUA E.FOOTA :,M,P,.w)
ISTFLOORISI9 s ,R. 2NDFL00RM p.R. 3RDFLOOR_p.R BASEMENT Ri
DECK_p.R COVEREDDECK1 a,R. STORAGE aq.R OTHER s0.ft
GARAGESte K.I Annoed[] Deradm0 CARPORT_u1.R ArlachM D Delached0
MANUFACTURED HOME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATRS SER kLMMBER
ENVIRONMENTAL HEALTH:
SEWAGP/SEWER SOURCE: SEFTICQ SEWER❑ / NEW[] EXISTING❑
PLUMBING M STRUCTURE? YES ff NO❑ Lry u..aAach cou new Warer Adeywry Form
PERTMETERIFOUNDATION DRAMS PROPOSED? YES[] NO[] BUSTINOn FT.
EXISTING BEDROOMS B PROPOSEDBEDROOMS3 TOTALBEDROOi
ONNER etlmaWetlgx Nal cudnNabn olinammam Inlwmetim nuy rewM In eaKq xak oMmmmmvl mw4v10MmMoe9emmlalwT M ty
eipiassol000w.I tlerJere Nal lam tlw ot ryrfl- Inc
P entl lfurNu eeGYreaaeeWminl hoHar�om eHa 111k permlleM loMNaxnk ea prcryseE.l aew
Nnso Feimissnalrounia,1sn—sae LEln {aN¢of lnleresl aRanong this pola4 Mmmuar kg&
r¢esenlallw,rapecenla..Me Inldmatian pmvpee b—.aM gremeempkyeas of Masco�.'—IO Ne an—ol—bal p,I
M 9lmGum(ellor reNex are loulan 4on. Thi3 p9mluepP'iubn NCOmes null A sale OIwM orauboh3N Wn61NCWn k MwnmtlY9tl WNF 18D
am nr n ronsmnnm�wlx Nwam•tlae core Pmmtl n Im tlas%
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
�� COUNTY CODE 14.00.42)
L U/
X 1-24-2025
BpruMrve bT ER(YYH he Mmled by Me OWNERI Deb
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESTCONDITIONS
BUIIDMG DEPARTMENT
PLINNMG DEPARTMENT
FINE MARSHAL
PUBLIC HEALTH
EH Setbacks
(108.34'—RECORD) H aPPRovE
^d°^,^,",„•° ••^wv... K88'30't2E 108.21'-MFl5UREDi7 HUB r�"•"'
^ `-FOUND 5/8' REB4R� ON-LINE & STAKE
0 0 CAP —
1 `--& "HOU" 15653' CAP "�188
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N—LNE & K r M1 1 2.9'
— CD:i PALL PVC �• U
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TALL \4" PJW 1.5' FVC try
kTERAI_ END
PVC 1S`PVC.
LLATERAL€ND — W 6'
L TALL� PY
yTEML NO _ 15' PVC ROCK
CAP
`206_` 4• PVC
IATkT+A1 END — — FOUND 5 B' TDivt
* liOUAAN 653' CW
1 4• PVC 01.5' PVC .`\ ON—UI 2.5' NORi
T' FOUND 5/8' REBARR '210— W/CAP . �N
'HOLMAN 15653' CAP 12 CULVFRT� F
E
�' — N88'22'47 D
' 1�08.34'—MFASROE
CATCH ---212---- (1 34'—RECORD]
12' CULVERT (CPP)'�. SET HUB & LOT BOARD
VERTICAL DATUM LEGEND
NAYD88 BASED ON WSRN • FOUND REBAR AS NOTED
(WASHINGTON STATE REFERENCE NETWORK) C FOUND RERAR/CAP AS NOTED
EXHIBIT MAP SET HUB/STAKE AS NOTED
o sEPnD LID
MASON COUNTY PARCEL POWER POLE
((Tp��t �`'��L NO. 322325014006 WATER METER
�Ri[1.M tVY $ WATER VALVE
SURVEY EY Scale: 1"=20' Drawing Number. NN TWHONE RFER
(RELLC Date: SEP•2024 TLS-1062008 --ss ) DPAI FIELD ELD LATERAL