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HomeMy WebLinkAboutBLD2024-00030 - BLD CD Environmental Health Review - 1/12/2024 0`MASON COUNTY COMMUNITY SERVICES Petmit No:bL,9 0?tl 'WQ� PERMIT ASSISTANCE CENTER: .BUILEaNG-F1.INNING-PDBIIG MFALRI•FIRF MReB 615 W.Neet Sbael Slelbn.WA9a5B1 Phom SMNw:(36W2]-Ba70eu t 353-Fe r(3e0)02]-M8Ptare Belli W027 7-F EMw:(36)e Ufl9 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Lenoat Northlvest Inc. NAME:Leno ,Northwest Ine. MAILING ADDRESS: 13455 A N ry S DWI 143 MAILING ADDRESS: 33455 6th Ave S.Unit I-B �A CITY: Federal Way STATE:WA ZIP:99003 CITY: Fedmel Way STATR WA ZUa- 98003 PHONE 41: (253)294-1322 PHONE,f253)294-1322 CELL: (253)294-1322 Q PHONE#2: EMAIL:Sam.M,6=&L,.com EMAI,: Sam.MasMR(lolzmar.com LBd REG#LENNANL783JO EXP. 3 /18124 O PRIMARY CONTACT: OWNER❑ CONTIULTOR❑ OTHER® NAME Sam Martin.Auentaneonar EMAIL SamMarOn@Lennaccpm �,!'� MMLINGADDUM 33455601A,S.Uait1-B OW Fill Way STATE WA ZIP 980413_ PHONE f2S3)2941322 CELL (2533294-1322 PARCEL INFORMATION: v PARCELNUMBER(12Di6h Numb6r) 12328-51-00065 ZONING (� LEGALDESCRIPTION(A6beveated) OWmoic Rldae FIRE DISTRICT \� SITEADDRESS 39ONEONmoic Ridae CITY DIRECTIONS TO SITEADDRESS MS PRO]ECT�3q OFSLOP (S)GRSATERTHANI4%: ME) NO® SNOWIOAD:2SA9-paf SAUTtVERTYW LAKEO0FTOFTHEFOLLO POND I[sa0lETIAPD _ SALTWATER❑ LORE❑ RIVER/CREEIC❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW E ADDITION❑ ALTERATION❑ REPAIR❑ OTHER l USE OF STRUM)RE(x®env,Gm em.oeiwnay.FicJ New SFR using aporovrd stork play Y2018A011 P1av 2631 MF GR ISM: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 5 NUMBEROFBATBROOMS-3_ IIPATEDSTRUCTM? YE511s0Ne8W❑ YFS?anlaT9'BW® NO[] ODESCREEWORE New SMZICFamBy RaidenmhnvdeadpeBeuMeeNd SOUARE FOOTAGE:NmwaW ISTF'LOOR 1137 N.ft 2NDFLOORQIWq all 3RDFLOOR se,A EMEMEN'T sq.R DECK_aq.R COVEREDDE _b& K& STORAGE N & OTHER�y.ft GARAGE 5% , ft, Aaaked❑ Drial 0 CARPORT sq.ft Aaaalmd❑ Diassal MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MODEL YEAR LENGTH WITH BEDROOMS BATHS SERW.N[JMBER ENVIRONMENTAL HEALTH: SEWAGESEWER SOURCE: SEPTIC SEWER51 / NEW® EXISTING❑ PLUMBMGINSTRUCTIIRm YES® NO 1IfWs a#aF mmpleted WatwAdegaay Form PERIMETEZVOUNDATION DRAINS PROPOSED? YES® EXISTINGSQ.FT. 3813s R EXISTDIGBEDADOMS PROPOSEDBEDROOMS TOTALBEDROOMS nWNER a'klxm4epea Xut aiNnRsbn dinewnle Mormalim my luuM1 inasbP'^ya oreaaPamX�aeralun.OdavAlN2emeMN vnl�ub/ onle—receWa.'.ICetlare NA neesanereM IU ,dgany etlur ntttlerc1oreceive Nismamatgb thiaese eahe ass,e,o eo nee permisson hom all the necessary paNes,'mGueinB any easenenl M1olenm paNes M In1ereA repm0'mp Mia plgaGt TM WmCrn kyl repesenlArt,reyeserts Nal the inloimMion proydee Is aVuaa YXl PVIIS Mnployees d Mazon Cwnly Bass b Ne aWce CesmMtl gOrofly ana suwurelzlsor reNew.M ingeection.mis pemrnlapol®von lxmmes wnawiaxwn or aaeunzae mnstuction¢rnw rvmnerrsa wenm t60 aan aemnMmmm wm is wwawea n a bake m f m crass. PROOF OF CONTINUATION OF WORN ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIWTY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUMIY CODE 14A6A2) X '5d c7P1aatt r. 716I2023 Signallne a OWNER(Mug be ci0ned W Me C11M Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE iAGSINOTESICOND1iIONS BUILDING DE'ARTMINC PLANKING DF3ARlTBNt FIRE MARSHAL PUBLIC HEALTH f t / § r | | ) ( � ! f �y 2 : m ! | � � ! R oA. o 6 r 9 g © m- h§ § ig % \§` /�§ / } \ ^ ka E, ! � ` ƒ Ali - \