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HomeMy WebLinkAboutBLD2023-01429 - BLD CD Environmental Health Review - 11/28/2023 0���'III�1 MASON COUNTY Perwit No:7R'f COMMUNITY DEVELOPMENT ^ permitddadslance C ..eullcling planning ., 27 BUILDING PERMIT APPLICATION Cl 5 ^,/. Alder ".. , NOV p 8111 PROPERTY OWNER NINFORMATION: CONTRACTOR INFORMATION: gD0Z3 WANE: fS it NAME: � � RECEIVED MAR.IN DRESS: MAILING ADDRESS: CRY: STATE: ZIP: CITY: STATE' ZIP: z PHONE#1: PHONE: CELL: PHONE#2: EMAIL EMAIL: L L&I REG# EXP._/_/_ : _ ]J PRIMARY O A OWNERR CONIRACPORD OTNSRD MCI NAME EMAIL D z IW MANGADI.S CITY SPATE PHONE CELL = m PARCEL INFORMATION: M1 �f PARCE,NDMBER(12Di9it Numbc) ` 2O111G D LEGAL DESC N( FIFE DISTRICT r 811E ADDRESS CRY CY V:H.✓ D�10ADDRFS9v ISTtIEPROOF.CTWITHIN30p FTOF SLOPE(S)GREATER THAN IOX: NO pJ SNOWLOAD:---paf LS PROPRRTY WPTHPi S00 FT OF THE FOLLOWING: l :.uxwoypy/: SALTWATER❑ LAKE❑ RIVCR/CRF.EK D POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW* ADDTROND AT�E�SADON❑ REPAIR❑ OTHER USE OF STRUCTUREyAcodwv.Gooss caamrm.;.lelk W ISUSE: PRHNARYu SEASONAL❑ NUMBER OF BEDROOMS NUMBER OP BATHROOM57_ HEATEDSTRUCIURET YES~e O YES(Pimfq¢'NW�Y NO DESCRIBE WORK G^Wg c�TC.10 SOUARE FOOTAGE:1pvpredJ 1STFLOOReq.@ 2NDFLOOR p.@ 31UDFLOOR p.ft. BASEMENT p.& DECK ft MWREDDECK�p.@ STORAGE K.& OTHER_p.8 GARAGE p,ft Anh!4 DemehM❑ CARPORT p.& AdaahW D lM-a-W D MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED- MAKE MODEL YEAR LENGTH BEDROOMS BATIKS SERW. ENVIRONMENTAL HEALTH: sEWAOMEWERSOURCE: SEPTIci SEWER❑ / NEW EKISTINGD PLUMBING IN STRUCNRE: YES'B NO❑ 11 if s,,,anarA ca Pl Wow Adsa m Fomr PEFUMETERT010NDAHON DRAINS PROPOSED? YE;b, , NOD/ EXISTING SO FT.� EMSTING BEDROOMS PROPOSED BEDROOMS BEDROOMS OWIJEN adnmNttgas tlatsutlmieYsn alas.tllamNm mw resuX in a sty wuM afar or penn0 revomlgn.MhnoAnLememcf xxdrb q s69cmum Wtoa I Eacare that I m the oas,and I tmI O ana that I am enhtlad to raslva tah permit and to do Ma-as as qupxE.I Ma chaired p,,,%aon M1cm all ttre rawasary prtln Ircludng ew meemem kidder a..airrterest regWM9 tivs pmJe. The wv*wr or N9al repremnOVm,repreearK Mat 1M inlwmaWn provided Is acwrate mE Rana empbyaes of Memn Ccuniyacceu b MB anova CescelCetl pmpely artl sM1rwdre(e)for mMw eM inspatdpn. Rrh pamNepplkaM1cn[eo'an�mll fl vdd 11 waM1 orauVvaed wnatluNm h ncl crcnmaimd x111N 1M days orlwnsbwtiai xaM 55u5paiMad rote period of t00 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 GOUNWCWE 1A08.42) K SIOnaWn of OWNER(Muat be aluned W UIe MIA Data, DEPARTMENTAL REVIEW APPROVED I DATE DENIED I DATE I TAG&NOTENCOMMONS BUIDINODEPARTMENT PLANNING DEPARTMEM FIRE MABSHAL PUBLIC HEALTH 14 f &(- i pl01 PLAI.(— f? 1 - � n�.r CAWAS EstRApRwRlar ewVNf o. *11101-e?.'503oo sro PAIILA JUY JOHNSDN� MCLANE CAVE o2 ucur. nticwen rd 0 = C�sk Fula Ol CmWI P>ml mW AudwNieua)Alum r I © Im Drrb Sepcc/AaraEm T._: '+YOO�Sv IiGll'j' 2-Oomp�,e,J%tur rnrr / ski A�kuvJC }o Mom. �+ 1.0Draho.ccwisra/Post,Ta +t1 0-1A"gL tb ® HswtlrorEa �0r MO{{'1ed SlL• Sr�2 TM EH APPROVED �-� © ODGA X(#wouatl DrymEe1Q r(i.;..a'��� eaeree*m.woe 1 yt�..l'l is $IL t'0 \ i GO MQ ar VC otv 'S \ EH Setbacks �1 ` i, `. __ sA.I DrainliOWRe ver"ule l0'eenwckfmmiwMglounEmbm " A AL �J V Dili, t Bft,ePlic Wass)arouse"instalsor,tram all loorrigRountatiom Lst,},5 NC Moor ilGc �C.I No honJetbNPerimemr Drains within Wit,WwnOral of W( �� E IIeINR.serve area .A`r�{•D pe�aBe1�DF 17 D.Arvo cm eanh(sl loreater lM1an snaM over a5 tlagrees)Mtnin r s '".� SgISJwngraEianl of DraiMielNPeeerve area 1 � Ga"!2i. TANK F . oi4M !f� It \ L \ d wanaH,� \ N � N Qs `\ N N � \ 00