HomeMy WebLinkAboutBLD2023-01336 - BLD CD Environmental Health Review - 11/13/2023 MASON COUNTY PeITa'tN.: 1- aQR a :S349
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Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION NOV - 6 2023 _
PROPERTY OWNER INFORMATION: CONTRACTOR IO?ORNAYION: r Street D Z
NAME:) WR.mc!Kae ESveeneY NAME:T.B.D.
MAILING ADDRESS:259POneeBnnnl Piece WM MAILING ADDRESS: = m
CITY:Samle STATE:WA ZD*.Ilslm CITY: STATE: ZIP: Z
PHONE#I: """""^' PHONE-
PHONE#2:2gl:aceu EMAIL. D
EMAIL:ekmsN'eeneY®9me — LdI REG# UP._/ /_ r
PRQ1A9YCQN1ACT: OWNER❑ CONTRACTORD OTHER
NAME.leamy R Suvaasy EMAIL 410thany.WOMACCan
MAIWNGADDRESS 2589 Cresbmua Pbce We9 f.T1Y Seems STATE IYF ZIP EmW
PHONE�38N ��ersez¢a�
NOV 13 20ij
PARCEL INFORMATION:
PARCELNl1MBER(12 Di®t Num6e) BP22<'`.�OWO02 yONING Rurel Reaklenw E(RR7i RECEIVED
tEOAL DeSCRDa'TION(AEMavie�).:��e�m:'..:'a"�e.a�..e,...e... PBIEDISTRICT NOM Masm }
SI'fEADDRE351889J NE Ng10 Share floe0 CITY BBEei
DIRECTIONS TO 511E ADDRESS tog n8ea mmM6MwmeMlaatawarttTNuyaon waewwnlvl Nome slnre Rqd
ISTBEPROIECTMTBBi WOFS PE(8)GBRATRRTBANl4 : YE80 NOD SNOW LOAD:
SS TW TEREJ LAKE[]
PT OPTBE FOLIAWING: AT,WETLAapph):
SALTWATERD LAKE❑ RIVPRICR66uCO FOETID WETLAND[] SEASONALRUNOFFO SLRBAMO
TYPE OF WORK NEW0 ADDTGON0 ALTERATION[I Wkitt0 oMEl TI
USE OF STRUCI'URe(xmd�ae P.eo,t>reull�DmJ G®19e I
mum: PRIMARYD SEASONALQ NOMBEROF BEDROf3M10 NUMBERce BATHROOMSI f
HEATEDSTRUCTURE? YESM EuoO YESPW1fPW NOD
Descxme woRx Geregein Ilpel YNpe wlm stamps mal exelalae tomncnme IMw1M nppt N
SQUARE FOOTAGE:(o.a,
ISTFLOORI� .& 2NDFLOORLM p.1L 3RDFLOORNA p.R BASEMENTN.A p.A.
DF,CK NA p,ft COVEREDDECK150 .'.R. STORAGE500 p.ft OTHER501l p.R
GARACE I.R50 p.&Av W EI Detached❑ CARPORT eq R A Md0 TL w[3
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOORPLAN REQUIRED`
MARE N.A MODEL YEAR IENOM
WIDTH BEDROOMS BATHS SERIALNUMBFR `�LI
ENVIRONMENTAL ffiALTH:
SEWAGESEIVER SOURCE: SEPTIC El SEWER / NEWD RXTSTING13 O
P[AIFffiWGIN STRUCTURE? ME] NOD lfy atl h.Wicaed W.Adegaary Pom
PERIMETP OIJNyDATIONDRARJSFROT ME[ NOD EXISTING SQ.PT.EPA.
HXLSTINGBEDROOMS N.A PROPOSED BEDROOMS NA TOTAL BEDROOMS NA O'S
OYINFAxbw.Weetle[su[mbsmdina[ inb dm n,re uXlna4pvn oNrorMmitre n ACMUMMaartgnldf 'bty
aymWlafelw. E Nana lamffcw.nerandI"Mrdnlam Mall amenlWdbreei Mkmmmlandta WtlNN mpa W.ln
abtainb mmRSWnfimialIMe ner�wry mrtlrs,'ncWdng any easement ha g lEror ra¢dinlem naNng N'c P,j llie—m,rorlagel
repcsvnativa,rep�x�tMlme irem,alm povidel a azurale antlgaMs engMsleas dMaecn Crumy e[msabtM B W+admiLM po(My
aMffiWII�'a)far,euwmel nyacMit ln's mimMappfrehm Imanie nueflwvJ RxohoraNMzb mnWicUan is nAwnma2E xUin 180
bls udmn�alim xakssm:fxi b]fora IaiW d 1B]Jyc
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
Q COUNTYCODE14.08A2)
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DBPAB'1'MI:N'1'AL REVIEW "PRONTO DATE DENIED DATE TAGSINOTER:CONIM ONS
HUBDINGDEPARTMENT
PLANNING DEPARTMENT
F@E MARSHAL
PUBLICHEALTH Z
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shop 14f
No
1 . Proposed garage
may _ 2. 1000 gallon traffic rated septic tank
3. 1000 gallone traffic rated pump
4. Conrete block retaining wall
5. Drainfield for parcel #32224-50-00082
6. Audio/visual alarm
7. Clean out
8. Transport line
9. Drainfield for 32224-50-00029
10.Drainfield for 32224-50-00084
11 .Catch basin
12. 12" tight line culvert
13.20'x45' reserve area parcel
3Y4� 32224-50-00084
14.20'x45' reserve area parcel
32224-50-000029
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