HomeMy WebLinkAboutBLD2023-01379 - BLD CD Environmental Health Review - 11/15/2023 / MASON COUNTY COMMUNITY mv4RIE��a,�flR-0- •o 1 Z)79
PERMITASSISTANCECENTER:
r •SUM1DING•PUNMIAG.PUSLICHEoU3 .FhEWRSPoL
a15W.aher Slre.,ShMpn.WA665M NOV 14 2023
Phone SMXn'e W)42)'9a)06A 352.Fvo:(3W14I1-7M8%are h
Beaae:f36p)2154,er7.Mprre Esher(36GNe23% 55
BUILDING PERMIT APKICATI�ONIdef Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME.Dak Ran NAME: CAIVIRONINA NTAL
MAILINO ADDRESS:1571 NE Ta"a Badcarri MAU.ING ADDRESS: �,2���
CITY:Taws, STATE:WA ZIP:NOR CITY: STATE: �ry!9EALT
PHONE II]:253 7537692 PHONE: CELL.
PHONE 42: EMAIL.
EMAIL ^s^^emes4®w'uaah.w'h L&A REG# EXP._/_/_
PRIMARY CONTACT: OWNICRV CONTRACPORV OTHER
NAME EMAIL
MAILING ADDRESS CITY STATE_w
PHONE CELL Z
PARCEL INFORMATION: �a �L
PARCFLN0M ER(12Di9it Numb.) 223365660241 ZONMGReeMarheN s�j l
LEGAL DESCRIPTION IAbbavial Naeen t.la rn"t FUU3DISTRILTNeNI'—
SUE ADDRESS 1571 NE Tahuya BWbhr W. CAT,Tara, � 0
DM,TIONS TO SITE ADDRESS Tom mR off Bella Talsup Nxy anm NE Tanuya Slassa . O W
IS�PRO.IECTWITHOi300PTOFSLOPE(S)GREATERTFIAN14%: YESD NOvm0WLOAD:25_,af
ISPROFERTYWTTHIN2NFTOFTH&FOLLO`l fCb.cto/INoegPly):
SALTWATER❑ LAKE RIVEWCREEK❑ POND WETLAND SEASONAL RUNOFF STREAM
TYPE OF WORK: NEW pp ADDITION D ALTERATION❑ REPAIR❑ OTfmR D
USE OF STRUCTURE(/2- urdmn G,,,,caamemol euy src)Garegal Sbop retal 1*Q upaWra
IS USE: PRUHARYf'p SEASONAL❑ NUMBER OF BEDROOMS I NUMBEROFBATHROOMSI
BEATED STRUCTURE? YES IlMosa BI6g1❑ YES rycnlal,yMo lse NO❑
DESCRIBE WORK BuIM 30 a40 garege I shop Wile 24 x 301 bed upaWn
SQUARE FOOTAGE:C—poom)
ISTPLOOR sq.ft LNDFIAORT24_Y-1 eq.R 3RDFLOOR sq.ft BMEMENT_cq.I
�°DEIX 5 ' aq.ft COVERED '
DECK�aq.E. STORAGE aq.R OTHER sq.ft
GARAGE"' K.ft AnachaV Detached❑ CARPORT eq.ft ARadd0 Detached❑
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVRONMENTAL HEALTH: ,�/ J
SEWAGP/ME kX SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING5
mumaOlGMSTRUCI'IIRE? YES&( NOD #yah anach oneelde'IFxPXdagaav Foem
PERIMETER/FOUNDATION DRAINS PROPOSED? YES V NOD MSTING SQ.FT.
EXISTINGBEDROOMS PROPOSED BEDROOMS I TOTALBEDROOMSI
OWNER ednpwbagaa anal aeUnhkNpa pl lrocwrNe IrilmnNon mry mutt X e elw xaM oNerarwrmX rewaalbn.AtlrnMaugemem Maucb le Ey
Nea rwd -Islas
NNlam Mewmd.nalNMereecle aNa11nt older or s2wNe Ma wrml[eram ap Me WOM Tvensserlhave
pNeproy grove r w an Al Nap lz arry aerpmode utling anyeecemenl Wam byr &Ms of mnt .regarding Mls.ct.b Tha son. legal
rep enlaave�rapaaemandsh,lhWonp vpmxaea lsai'<umlaenagmn kem yokel MMeapnhourlry e¢0a6m Ne endcorherense IXageM
ana cwrmmlelmr miex ane'mawapn. Tnia pmnivapgiraom eeevnea nub a vom Xwpnr or eumpheee mnabucgpn k nd ppmmenwa within leq
tlayc.XancVuctim vmk Ic aucpentletl M a puiM N 180 aaya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT 13 BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMITpP,PLICATION OFF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
(]a/7`/�/a�l/�u� (,L2 COUNTY CODE I4.N,42)
X
Signature of OWNER(Must be slaved bytbe OMERI Dery
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESICONDTFFONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FEtE MARSHAL
PUBLIC HEALTH
oo pLoaoa3-p�3�j
« enm
1 I \ I
/le?v
r \
I /
II
I � /
I /
— - - 1o_In 4
' EH APPROVED
gn.,m.rnompspa tvteama
I
I � I
288.7' I 288.7'
I I
I I
EH Setbacks
BISaW[NnLl+l i+v+.5'mWa} �'w.ryW nlvu'�
I Planning Setbacks
® Front(East):25
Rear:25'
'all setbacks measured from the larthest
% tt- prrolecfion of three iltling
T�J� u*d to EH blacks
® v t2rotrzozs
L,.m om.ry c«n~.m p.men,.m
100'
NE TAHUYA BLACKSMITH RD
T GARAGEireAm s
a��� HAR
a -Gr3
f z 1571 NE TAHUYA BLACKSMITH RD lip"
a p TAHUYA. WA 98588