HomeMy WebLinkAboutBLD2023-00881 - BLD CD Environmental Health Review - 8/1/2023 ` 'a
' MASON COUNTYCOMMUNTTYSERv"`REec- ry efpoQo_ ____2?Yobg$(
PERMITASSISTANCECENTER:
BI/ILDING•BANNING•PUBLIGHE MrRREWH L
g15WI1dsr SVM,S MiN5B 27 2023
/ Plr...ShaIW.3"ZT-RIMuA 3 -F—(3BC:1D-T PM1nw JUL
. PW2T�M4 -. E) m(B�,�2a� ENVIRONMENTAL
BUILDING PERMIT APPgl&T1ON �Ider Str' LJ
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: HE LTH
NAME:Manor WaReam A.rey GmnlrR NAME:KNa Ksnr
MAILINGAODRESS:11AT2IsTNANE MAILINGADOuss:=EMomw rum
CITY-.Swan STATE:WA ZIP:wIQ CRY:Gmuour STAMINA y1P-musm PHONE#1:mBsw— PHONE:MDm2uB CELL:m 90- BZ —
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PHONE#2: EMAIL:" luemream.mm023
EMAIL:iaaa rmmu@w rsft LAI REG#IcsNDNSRA,aREKP.11 1 PRIMARYCONTACT: OWNER[] CBNTEACPORO DIRER
NAME"K—sn EMAIL kYle.ewway@MeMmmxp.arn VFQ
MAILING ADDRES552EMmAxarlaw CDy a'+'^"" SPATE WA EI2B
PHONE CELL�aua+ew
PARCEL INFORMATION:
PARCELNUMBER(12 Digil Number)92A35.m00091 ZONINGN�
LEGALDESCRIPTION(Abbrcviamd)TEE IMRSHDFE ADPES IR]1 FIRE DISTRILTNaax Maas^
SITE ADDRESS22BI NE Too uw RD CITYTa1aM
DIRECT10NSTO SITE ADDRESS^raw^'r'^'aa^'p°in1aA1Ye errwww.ea emawmwarw
Treva.1 mBec ana Nm rgM Door NE Tw Lkmetl.W b Ii aOBRmma rpN
TSTREPROJF.C"f WfPMIN3MIFT OFSLOPE(S)CREATER THAN 14%; YES[] NOO SNOWLOADZ=Paf
SALTWATER[]
B Fi OFTRRFOLLOWING: (CMd ?LAN 1
SALTWATER❑ LAREQ RTVER/CREEK[] PoND❑ WETLAND[] SEASONAL RUNOFF❑ STREAM[]
TYPE OF WORK: NEW 8 ADDITION❑ ALTERATION❑ REPAIR[] OTHER, []
USE OF STRUCTURE fx .Gmga�Rlay.)Rsus—
ISUSE: PRATARYQ SEASONAL[] NUMBER OF BEDROOMS2 NUMBEROFBATHROOMSS
HEATED STRUCTURE? YES(rvboA W[] YES(PW je8kW I] NOD
DESCRIBE WORKNwmuRealpn SFR
SOUARE FOOTAGE:
ISTELOOR2ABa sq.R 2NDFLOOR sq.R 3RDFLODR NI.R BAS6*fENT K.R.
DECK15 sq.R COVEREDDECKaaa R.R. STORAGE sq.R OTHER_sq.R
GARAGEM sq.R A=m 8 DCIa 0 CARPORT sq.R Anaulsd[] �do []
MANUFACTURED HOME INFORMATION: `4 COPIFS OF THE FLOOR PLAN REQUIRED-
MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SE]UW.NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISBWERSOURCE: SEPTICE SEWER[] / NM El EXISTING❑
PLI3MBWG IN STRUCTURE, YES Q NO[] ljr. m h�1l lfwe Admua yForm
PERIMETER/POUNDATTON DRAINS PROPOSED? YESB NO[] EXISTING SD,FT.R
EXISTING BEDROOMS R PROPOSED BEDROOMS 2 `� TOTAL BEDROOMS 2
O W NER ire Nt au[m'aelm al Irewaeb Xd^rma0m msY raaal in a smp aver Baer cr wantt maeUon.P+hna.Nein amen of SUT N Ey
6gmNm bNax. axareuall am me omMr ana I NNv aaame oral I am a^wee m mceiremB Pmmn eaa m m ma m.x as proWa9a.i na..
aee,ea aemrsNnn san an me necesay panty.weamy mr aasamma nomerar panes mimaw msamms m�a poiem_ Tne�.nar or laaa
rep®er,mu.e.mPasams ma me xrton^eso,wa.eaa b.ourele ene smms angwaoa d Mmpn Gaanry ana m rw awaa aaenneaa pmpanv
eaem.muelslrrt rwiwi ana irupecEan. mapennnlepplcation^emn¢nullawnRwrlr^r aiuvuea cpnawrnpn¢rm rmenera>M vnlnin,eo
am m n mnse�aum.m*�auaParvMtl era Paxatl a Ieo tl.rs.
PROOF OF CONTINUATION OF WORK ON THIS PERMR IS BY MEANS OF INSPECTION. INACTIVITY OF TENS
PE PLN; ?ION DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14Ag.42)
X7 5129123
„ BMIu.dOAMER au Dele
DEPART'MENPAL REVIEW PROVED I DATE I DENIED DATE TAGS OTESICONDOOIONS
BUUMMO DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH O L s
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