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Home My WebLink AboutBLD2024-01380 - BLD CD Environmental Health Review - 4/30/2025 Permit No: ( c)-) (i 1 O 4414 MASON COUNTY COMMUNITY DEVELOPMENT RECEIVE tv �' Permit Assistance Center,Building,Planning D BUILDING PERMIT APPLICATION _ --- �AV i�� • t I-PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:pt.'k VTAVN LrANN4`ttnc( NAME: DtWtf\;111- -e $615 W. Alderstreet MAILING ADDRESS:1 iO E I3r'OCk_ctalt&c MAILING ADDRESS: I`L3O E. yod tr.k, fl I CITY:s(nt.l fp STATE:LA/A ZIP:O'j 4 CITY: Jfs•c({O&- STATE:VIA ZIP:c1'9,5%4 PHONE#l:(2 0 c10-1353 PHONE:_ t CELL(300)400 135) PHONE#2: EMAIL: d hi itif ar>IntS CJh it•C0bi, EMAIL:atx*iii horn-t.S pitiil•cvn L&I REG# E J HE_ Ci .17D EXP. i /13/z5 PRIMARY CONTACT: OWNER 0 CONTRACTOR IEr' OTHERii - NAME t'J ��'' t EMAIL d-e ht\ CY(Y\2S�Ir�e4 v \Cw I ' MAILINc.{1DD8 SS 4{�3- CAa10EL� CITY Stud � STATE WA 'LIP S34 .73 2 PHONE�LOO GG--11 33 C` PARCEL INFORMATION: ^ L PARCELNUMBER(12 Digit Number)32��1-51—O ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DIS'1RICT C7 SITE ADDRESS 1 E `_\O J Vc C 4 - CITY JY114v� DI ECI IONS O TO SITE ADDRESS :7ci -d10,tt. tc1 o t cy.v-e.. V y��lc/ th R ,Cht tQ t`Se w1 I ab !2 c)1nV o,-‘ pl -V%L VI Sa-k. . IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:__psf PtI —P"r3�•ar‘ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): R eq SALTWATER 0 LAKE❑ RIVERCREEK❑ POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM❑ TYPE OF WORK: NEW[Ye ADDITION❑ ALTERATIONQ� ❑ REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc.) $t�(D r)C►%' IS USE: PRIMARY Iy SEASONAL 0 NUMBER OF BEDROOMS I NUMBER OF BATIIROOMS 2 _ HEATED STRUCTURE? YES(whole Bldgi e YES ow/Hof—Bldg)0 NO 0 DESCRIBE WORK SQUARE FOOTAGE:(pr<pu.anl) 1ST FLOOR l,H-!q sq.ft. 2ND FLOOR 2 5 y sq.ft. 3RD FLOOR .� sq.ft. BASEMENT sq.ft. DECK_?��'iU_sq.ft. COVEREDD 2 K_ AL sq.ft. STORAGE sq.ft. OTHER — sq.ft. GARAGE 532Z sq.ft. Attached Detached 0 CARPORT — sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODE). YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEASEWER SOURCE: SEPTIC* SEWER 0 i NEW 0 • EXISTING PLUMBING IN STRUCTURE? YES NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.Ff. EXISTING BEDROOMS__ PROPOSED BEDROOMS ' TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by ! signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative.represents that the information provided is accurate and grants employees of Mason County access to the above described property and strurcture(s)for review and inspection. This permittapplicafion becomes null&void if work or authorized construction is not commenced within 180 days or if consWchon work is suspended fora period of 180 days. 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 14.08.42) X Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL ��rnrn �� PUBLIC TIF.AL"IT1 1-30f cuktl I 5 atdi m 6:..r IG .' Ve.btx.On 4utAi r \i:e.,, vev3ilz I I Fk-t rxes ,I Ic .70 . M1'. C. 1erc.levr Court Urn-t;n,wA Nltf�(,.I 17e 9 iP 32234-5 i- ovvol (36-6) Lleib."1353 EH Setbacks . • A.) DrainfieldiReserve requires 10'setback from footing/foundations `..y..-- B.)Septic tank(s)requires 5'setback from all footing/foundations \ C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50f1,down gradient of DrainfieldJReserve area E.)Use approved mitigation from section C1-9 of the department of - '� ecology's'Criteria For Sewage Works Design.'when sewer transport lines are within 10ft of water supply lines. t- r-4 :�._Z i''• • \"• ��+�,. c All setbacks are measured from the furthest \ �� EXPiAt 7:�l j projection of the building. .y✓ • LADV2024-00163- FRONT 10' MIN tel EH APPROVED - / _•` ,\ \v . •.Ai ) Rhontla Thompson 04i30;2°25 I • Y) t , 1 r ram ' _ ,,f t .. it) ADV2424'00163-SIDES' IN 2U �'� a° All setbacks are measured from the forth,.• . �� projection of the building. •- ,L�.l \to voecki,e.C.,j. 5,e, .....„:",<-7- , No perimeter/foundation •+ `h r'x, drains within 30ft of � E , ilk g \21 ` -f 1 r upgradient ch , •s- drainfield/reserve ;it ipfil0'min , , r 1 ,� 04/04/2025 ."- 1.1. L. ._<.4':,� APPROVED ,._ !_ ! r � � MASON �D� r�LANNING —0 Digitally z, -• \ . .„, Scott Ruedysigned The approval of this project is subject to the recommendations '" by Scott and specifications outlined in the attached geotechnical report.All Ruedy applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped Disclaimer: Mason County does not require a written approval from the registered design professional responsible for the report and may require special inspection by survey to obtain a building permit. As a result, site same. Structures and/or land modifications(grading,cuts,fills, plans may not reflect accurate data. It is the etc.)required in the geotechnical report,may require a separate applicant's responsibility to comply with setback permit.The geotechnical report shall remain attached to the pp p Y p Y approved building plans. requirements.