HomeMy WebLinkAboutBLD2023-01187 - BLD CD Environmental Health Review - 10/5/2023 MASON COUNTY COMMUNITY SERVICES P.—u NN: 7 0
PERMIT ASSISTANCE CENTER: RE
.BUILgNG•PLWNING•PUBLIC NEALTN•FRE MARSHN.
615 W.Naer BtrM,SMHon,WA�SM
Ph.SMlm'( dMV-96]0.352•F.060p2]-M8PWna OCT 03 2023 z BUILDING PERMIT APPLICATION 615 getm
PROPERTY OWNER INFORMATION: CONTRTTAA�CTORRNFORMATION: Q
NAME: C4 rr NAME:AJI.Ie• VDILYISOJL z
=IN AD S f MAII.DgGADEFMS:231i d— Lu
CTY: STATE: ZIP: CITY: STATE:�IAZB: C
PHONE#i: — PHONE CELL:}— G
PHONE EMAII.:P! e•: IEfS W Ah jyu s �� z Q
EMAH.' I.&A REG#] A3&ACl201CPi E);P --Ligi2•7 O LL
PRIMARY CONTA T: OWNER[] CONTRA OR orx ❑
MMLINGADDRESS Gln STATE Wive ZIP
PHONE :•A&0— 50-001/6 CELL �— Z
LLI
PARCEL INFORMATION:
PARCEL�R(12 Digit Nmnb ) — — ZOMNG
LEGALDFSCRIPTON(Abb trd) .S FUCEDISTNUcT
SITE ADDRESS .3' W KT m 3 of- A. Af, MYSIIP I-L rL.
DDtECDONSTOSITEADDRESS f.—OG4 G—
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IS'IHEPROJECTWITBP1300FTOFSLOPE(s)GREATERTRAN34%: ME] NO'IA WOWLOA S ps(
LSPROPERTYWITHIN200FTOFTUEFOLLOWING: (Cr dlmmwpW:
SALTWATER❑ LAKE❑ RIVEWCRERK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW jf ADDITION❑ AL�T'jE�RATPN❑ REPAIR❑ OTHER n
USEOFSTKUCfURE(nrm.+.Im�.Cunnw &t FicI NCP+e jdQrar�
ISUSE: PJUWRYX SEASONAL❑ NUMBER OF BEDROOMS—_ _NUMBER OF BATHROOMS Z
HEATED sTRucruse? YEs rAad•N41 YF,�(P�a�,��Naal❑ yo❑
DESCRIBE WORK NPR• ZLs legc+I�-1 (.,.�5-F. 14 e•
SOUARE FOOTAGE:mew)
ISTELOORALLA6q.R 2NDFLOOR sq.ft. 3RDFLOOR_aq.ft BASENffiN7 Kgft
DECK32—,. COVEREDDECK_A&, ft STORAGE sq.ft OTHER K.ft
GARAGE sq.It A. [] Dew[] CARPORT sq.R. Addy F ❑ D ha[]
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED•
MAKE MODEL YEAR LENGTH
W m B®ROOMS BATHS SERIALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGF/SEWERSOURCE: SBImC❑ SEWEKD ) NEW❑ EXISTING
FLUM6QiGINSTRUCTURE? MjS NO Ij3rgaaoh—a ietsdW erAdeq yFa—
PERD.4TEIUPOUNDATION DRAINS PROPOSED? Mir NO[] EXL4TNGSQ.FT.
EEISTDNGHMSCIOMs TOTAL BEDROOMS*nsaun Z.
avNERWWa63 tNtIdadm andI MamnwnarriI ann anaw wort warvwtnwotim,axroMeN^meM1a.�auq
..m.nebw.In.ad l atle gaaa.jnldpg a, tlullanvMbam rectlentls pennn uq toMnnxwksggwW.11isw
ad.mm Pnl6eswam.ammea.rawy9•A.s.mawma.q—a.mn•wera.waasdimeren rs9.saa m.pgee meowararsagN
a:P�mrt.,nPes.as nw ere MwmdYn Paea•a w,W,nle ma 9�ae eaMoYaas of smsoa caarr a�ssm me.fiae aeemtea aweM
na 6wwgsl vnatrx.a•imeakn.Dae 6nmme2pr lion 6emmes nuu a.aa 6..on n aamonzm mastrutim.•ml mmm•iv6vAl�tm
a6y.o<umwn,m=a.an u wgemae s>.c•A•a d 1ea a,n.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMIT OF THIS
PE f APPLICATION OF 100 GAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNW CODE 14.W.42)
x 10/2/z3
B nahned ER ustMsl NE D.
DEPARTMENTAL VIEW APPROVED I DATE t DENED I DATE I TAG"OTESICONDITIONS
BUI DENGDEPARIMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH G
Rhonda Thompson (EHS) created
this record based on information
this home has its own system provided by Steve JobbS 11/8/2023
1s
e320317590033
111 W Macy In
32031779001-1 320311390090 320311390100 32031139DOOD
20 W 5loreybrook Ln 31 W Store Ln ybrook Ln Storeybrook
r
320317690043
System 1 DF 61 W Storeybrook Ln
Ln 320317690051 320317690052
31 W 90 W 320317690042
Kingfisher Ln Storeybrook Ln 91 64 Stor= k Ln
320317690041
121 W Storeybrook Ln
320317690053 320317690054
61 W 110 W
Kingfisher Ln Sumaybrook Ln 320317690040
141 W Storaybrook Ln
320317690060 320317690030
101 W Kingfisher Ln 161 W Sumeybrook Ln
69 03
Sys1tem (SWG2011-00017)
181 W 61 W Storeybrook In lhis home has its own system
320317690061
190 W Smrsybraok Ln
320317690032
191 W Sioreybrook Ln
320317690022
200 W Storeybrook Ln 320317690021
32D317690020
251 W Storaybroak Ln
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