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HomeMy WebLinkAboutBLD2025-00824 - BLD CD Environmental Health Review - 7/14/2025 p9' -r''1:or, MASON COUNTY COMMUNITY SERVICES Permit No:I)id o)6-���� PERMIT ASSISTANCE CENTER: (/ ry ••BUILDING••PLANNING•PUBLIC HEALTH•FIRE MARSHAL I 1 r •c 615 W.Alder Street,Shelton,WA 98584 (�" '7 i \,Gy L Phone She0on:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 1"6;L t�IC 2�L--4 co'4 5y, ' y BeHair.(360)275-4467•Phone Elora:(360)482-5269�' RECEIVED BUILDING PERMIT APPLICATION 1 PROPERTY OWNER INFORMATION: `V CONTRACTOR EN-FORMATION: JUL 10 2025 > 0-e NAME: \ I v 5 w '\ —L�t- ME: MAILING ADDRESS: Z&":,f3 mop � MAILING ADDRESS: �5 W Icier Street CITY: -WL., STATE: v AP 4 1i11_ CITY: STATE: zip PHONE# . PHONE: CELL: . PHONE#2: r r EMAIL: EMAIL: 1(JL CA'L) Y)L'Ill L&I REG# EXP. / /_ PRLMARYJCONTACT: 44-NEI CONTRACTOR❑ OTHER❑ S NAME /� EMAIL C MAILING ADDRESS (7 ,6YLC ! CITY STATE ZIP m f� PHONE CELL m N PARCEL INFORMATION: 2 ,,nn III ti PARCEL NUMBER(12 Digit Number) 3 j 0 I --SU — 010 7V ZONING 0 CD LEGAL DESCRIP ON Abbreviaf . -- / j FIRE DISTRICT t, SITE ADDRESS I iO C tA: X.'rCu�G{' D D . CITY 1ie,L %rt. • DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO❑ SNOW LOAD: psf • IS PROPERTY WITHIN 200 FT OF TEE FOLLOWING: (Check all Matepply): SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WET AND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW/ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage,Commercial Bldg.E:c) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRU �E DES(-4101e sidg)❑ - YES(Perils)of Bldg)❑ NO❑ DESCRIBE WORKC 11 `L-tiit n i ill •t�)LLt c- �*G.o ( / kY- J S OUARE FOOTAGE:(proposed) '', p 1 v7 t.,l 0ic- 1ST FLOOR sq.ft. 2ND FLOOR sq.ft 3RD FLOOR s . BAS i'T sq.ft DECK sc.ft. COVERED DECK sq.ft. STORAGE sq.ft 0 F W sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft.Attached❑ Detached❑ MANUFACTURED HOME ItNFORMATION: • *4 COPIES OF 1HJt FLOOR PLAN REQUIRED* YEAR LENGTH TH'.r----- BEDROOMS BATIiS SERIAL NUMBER J _ 8 ENVIRONMENTAL HEALTH:ALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / I�EVJ❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water AdequacyForm PERIMETER/FOUNDATIONDRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. V EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 1 OWNER ackncwledgas that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by -"' .7 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 permiss:an from all the necessary parties,including any easement holder or parties of interest regarding this project The owner w Iegal representative,represents the the it ormation p ovded s accurate and grans employees of Nason Coun y arPss to Lhe above described property \...4..... and structures)for review and Inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if constr:ch'on work is suspended for a period of 180 days. ----NPROOF 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) —3 x _ OWNER) (• in Z025._ Signabtre of OWNER(Must be signed by the OWNER) Date ::-DEPARTMENTAL REVIEWL?-.,irAPPROv-ED DATE'=-.- _DEr TV1)t�. DATE'f.'TAGS/PIOTES/CONDITIONS' BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL I � y� PUBLIC HEALTH I Of t//ZS I ���1/tj a .1 • . ,:: :, , i': t Z3` JL IZ.a5WALA- ■ A-x,4. paree 3/02-k-5tc-0 teio 8` I 3a o 5 f00 M W--• 3 ¢rz r Icio4- tO43 ii,1,,t at'------Wv � ITh (\cad, 4%." ill AI i , 5 , ..' 1 \ cz_zd.cal: IV . a © o s ° ------- 07/21/2025 -.. APPROVED MASON COUNTY DCD PLANNING ,/---- SCOTT guEDY,A(C 1 . �'' Digitally si ned Sico Run.:y by Scott ` �� Ruedy *NOT AN APPROVED SEPTIC DESIGN'` �' l se approved septic design for septic system installetiml } e' id 26Z6 L`-q - , 1b S\o ! 31x50' -?Yi Pt) al Da' rem ir r ev‘OrNeS Ecy,. r P V t 6V\ \cpt, VJ Pe.-n.. 1 Audio-VisualAla.= EH APPROVED • D.Anxlerson 08/01/2025 G Cleanout EH SETBACKS -3 500 Galion . re-Trash -a-, c A)Drainfield/Reserve requires 10'setback from footing/foundations (�`/) - - B)Septic tank(s)requires 5'setback from all footing/foundations C)No foundation/perimeter drains within 30'down-gradient of drainfielci/ O NuWater BNR-500 ATv ia.7.a. reserve area D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drainfield/reserve area O1,000 GY on?ump CHP,-r:;e. E)Sewer transport line may only be within 10'of a water supply line if u)/aw►ti•-5i F1'1 Oa approved by the local health officer and the line is constructed IAW section C1-9 of the DoE"Criteria For Sewage Works Design". 0 Valve Control Bog 111