HomeMy WebLinkAboutBLD2023-00793 - BLD CD Environmental Health Review - 7/20/2023 1,- MASON MASON COUNTY
nPermitNo ,� �1 -�3
COMMUNITY DEVELOPMENT JUL 1
2 2023
r.,A ` Permit Assistance Center, Building,Planning 615 W.
• Alder Street
BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: CAN
NAME:VIA DC MA-Alen- NAME: :._\
MAILING ADDRESS:620R NE $74-.Y AV C. MAILING ADDRESS: JUL Z O 2023
CITY:VQncouVef STATE:WA ZIPQ96(ee2. CITY: STATE: ZIP:
PHONE#1: 5'o3.-70 3 -G56s' PHONE: CELL: CEIVED
. PHONE#2: EMAIL:
EMAIL: 'anco tvtc J1,ii-it @ 436.1.c1 1 t , t-o 01 L&I REG# EXP. / /_
PRIMARY CONTACT: OWNER Fi, 'CONTRACTOR 0 OTHER❑ 2
NAME 5-A/Me AS A)30VE EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL M .
PARCEL INFORMATION: m
PARCEL NUMBER(12 Digit Number) 32j2•-0 13-O 0 10 O ZONING r.
LEGAL DESCRIPTION(Abbreviated) Se.e. 4t -ei.c)i.e et-Pest_. FIRE DISTRICT q
SITE ADDRESS 70 5 E ('a,r p 1 I)f i v-C CITY j ).c.)}r,rt
DIRECTIONS TO SITE ADDRESS 'D rlvt eN v 4- CAI 14, Q earn Q,(e' M,1-CS-Jo Curpn,., }-<' p c. Z
tutu 1.e T-1 O•1 Carpe.-, e DFrv-i . prnr.e Way le i+5r54 ,',n-c a. riss J,i-- .;:iit
li
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 1p, SNOW LOAD:.psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all Mai apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW g ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence.Garage.Commercial Bldg./sic.) I.46 I lit,1 0.---
IS USE: PRIMARY UP SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS /
HEATED STRUCTURE? YES(Whole 8ldg)WI' YES(Pa,rlu]ofBldg)❑ NO 0
DESCRIBE WORK /ie tJ Wt)t)Sep1ie) Marto- eke_}Vrrdt hory
SOUARE FOOTAGE:(proposed)
1ST FLOOR Vic, sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION:f *4 COPIES OF THE FLOOR PLAN REQUIRED*�y
i MAKE Clov 't°h MODELOcZM L)S M1 YEAR_ 2�23 __ LENGTH Li 0
WIDTH I -) BEDROOMS 2_ BATHS 1 SERIAL NUMBER .TBt2
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW$ EXISTING❑
PLUMBING IN STRUCTURE? YES ST NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO(�v 11 EXISTING SQ.FT.
EXISTING BEDROOMS D 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 structure(s)for review and inspection. This permit/application becomes null&void it work or authorized construction is not commenced within 180
days or if construction 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 ,t,,/e.�I. -�-1 --E-- 71(7./23
Signature of OWNER(Must be slaved by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL .
PUBLIC HEALTH 4IQ Mt 1 i3 4G 5 a f lai-
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