HomeMy WebLinkAboutBLD2023-00754 - BLD CD Environmental Health Review - 7/7/2023 Pinidt a l/ILI WJA W 1%-I
MASON COUNTY 19m JUL052023
COMMUNITY DEVELOPM T
PerrnlR/�IDmrxe 4m[rN BWidin ,Plaralry JUL 07202361 W. Alder Street
BUILDING PERMIT APPLI ATICWCEIV
PROPERTY OWNER INFORMATION: CONTRACFORINFO
NAME:DavM CluumpM1er Roll / NAME:Supreme Hares LLC z
MAI.ING ADDRESS:150 NEEVERGREEN DR MAILING ADDRE$$:1591550TTI AVEE z
CRY:T,M1UYa STATE:WA ZIP:5,555 CITY:TACOMA STATE:WA ZIP:I1BIaS _G
PHONEJIL2 Z1 l PHONE:253381-1aE0 CELL: _
PHONE II EMAIL:cpnemucnon®slq'°e'ahww'ma' n O
EMAIL:uapOgplwWll,y axn LBA KEG R SUPREHIBWO3 EXP. 11_QM/N
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PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHER
NAME IQVIM pEIN.00 FEA51&IRY,rona INO LLC EMAIL Inb(VoWeesibilllx.mm
MAILINGADDRESSP.O.BOX11Ta CITYSUMNER STATE WA ZB'P� = ITT
PHONE2os211l CELL 2Ra1"m z
PARCEL INFORMATION: D
PARCELNUNMER(12 Digit Numbn)222055000015 ZONOIGRRIO r
LEGAL DESCRWTION(Abbrevurea)TAHUYA RIVER VALLEY DIV PT LOT:15 FIRE DISTRICT Hall Ms.F.
SFTE ADDRESSIW NE EVERGREEN DR CITYTAHUYA
DIXECHONSTOSIIEADDRESS x.aaE.M mne EPlwR WwwwwEBwaINMaTmnw mm xE SNNlwwwa
www..wswrwwmwnaan.w«m x.w.wwm.w.rxaww.xenwmlww>a.. rxexwwwmw
MR PRWELTWTTHI350FTOFSLOPE(S)GREATERTHAN14%: YES[] NOD SNOWLOl
ISPROPERWINDIFININYTOFTHEFOLLOWING: R adlama,2llf
SALTWATER❑ LAKE❑ RI,V./ER/CREEK B POND❑ WETLAND❑ L SEASONA RUNOFF❑ EAM S STR
TYPE OF WORK: NEW,O ADDITION 0 ALTERATION❑ REPAIR 13 OTHER
USE OF STRUCTURE(Rrna.mr G..gs.Co.mmoo,All o)ResideMalSFR
IS USE: PRIMARY B SEASONAL Q NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES~,W❑ YES(Pmr/rj4,M,i B NO❑
DESCRIBE WORK BUM'xg a rew SFR m,M1 1,1)E sd R irlParviaNs.
SQUARE FOOTAGE:UNapm.q
ISTFLOOR_N.ft 2NDFLOORW N.ft 3RDFLOOR_sq.R. BASEMENT—alfL
DECKZM . all COVBREDDECK_aq.R STORAGE sq.ft OTHER_al
GARAGE aq.ft Aemoheda DemMd❑ CARPORT N.ft A.W[l Derrchl
MANUFAC MD HOME INFORMATION: 'd COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR�LENGTH--
WIDl BEDROOMS BATES SE NUhIBER
ENOIRONMENTAL HEALTH:
SEWAGESEWERSOURCE: SEPTICB SEWER I NEW[I OUSTINGB
PLUMBINGINSTRUCTURE? YESB NO[I UPm,aam'h ronrplemd Wan Adl Form
PERMETFRIFOUNDATIONDRAINSPROPOSED? YES[I NOB EUSGNGSQ.FT.
EXISTING BEDROOMS O PROPOS®BEDROOMS 2 TOTAL BEDROOMS
Mil eWIPNK,es,w wdNssbn a MCVumm inramtlion nor,al l in a Yoo muk carer wmm mm alon. of Ldl a
ai,wwa MlW.l aetlYe mmlom Ce worst.nelmanxaBtlma Mill em emimeeb eln mie peimaonamaolMvrtNM1eemoW.M.In.-
npYM.1M. onN.,r..enu mm mo inlmmnan pmW.GOaloodme one eramnem,ayeas 0 Maon counWa000ss�toin ono
w dewoeaanlai
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mq.bumlBlnIormuewaMmeyedon, i mwmNl✓aPolbEm Ea6mas nulla ma Shct Ix mautIon:ee mnu Is not mm manna Wool in
aryl onwood"lmx is suspaMea M a wnM d IN oul
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF W OAY RE WILL CAUSE THE APPLICATION TO BE EJU'l .MASON
/1tOUNTYWDE14.l
N. OVINE M ON,
DE ARTMENTAL VIEW APPROVED I DATE DENIED DATE TAGSMOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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