HomeMy WebLinkAboutBLD2023-00938 - BLD CD Environmental Health Review - 8/7/2023 r I Perak No:►/�G1 ��1�' OV 1 /�
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
PamltA sotaNe center,swun ,ManNn{ AUG 01 2023
BUILDING PERMIT APPLICATION 911r, reet
PROZ TTY OI CONTRACTOR INFORMATION:
PL Z NAME: m
NAME: Z
CITY: AD 'SS: MAH.WGADDRESS:
CRY: Ha 227 STATE:_g- T C17Y: STATE ZIP: <_
PRONE BI. Z sr 0115, PHONE:
PHONE#2: EMAIL
EMAIL: O I.&1 RE1iON 1 . 10laP. � D ZPIUMAR7
NAMB Y QWAC ' OWNER❑ BMAICTOR0
MAILING DRBSS OTY ATE DP = m
PHONE 1 CELL
PARCEL INFORMATION:
PARCELNUMBER(12Di®tNumbv) ! 1 R 1 0C- S�/ ' 17005 wNwc 1 '��y I"[ [
LEGAL DESCRIPTION(ANh.iataQ FIXE DISTRICT
SPIEADDRESS I Ro F T G „e�.'.la/ p:_7,1� CITY a� AUG o e za23
DIRECOONS TO SITE ADDRESS
RECEIVED
ISTHEPROHiCTWMEN3NFFOFSLOPE(S)GREITERTRAN14%: YESO Mg SNOWLOAD:--Paf
18PR0PKRTYWFF Nm FTOFTHEFOLLOlKNG: tlI ka"gmak:
SALTWATERKLAKE❑ WVER/CREIX❑ FORDO WETLANDD SEASONALRUNOFFO STREAM❑
TYPE OF WORK NEW ' ADDMON O ALTERATION❑rr/�/REPA[R❑ OTHER D
USEOFSTRUCNREO .YmaArwemrtlea*—) rK
IS USE: PRIMARY❑ SEASONAL❑ NUMBEROF BEDROOMS NUMBEROF BATHRODMS
HEATID STRUCTURE? (waoka,w❑ YES tom- D NO
DFSCIt®E WORK -
SOUARP F/O'�/O,T�AGE:p. .` t1��
ISTFLOOR-9�M,ffi 2NDnA)OR-qV eq.fl 3RD FLOOR ,,A. BASEMENT_p.d.
DECK20 .B. COVEREDDECKaq.fl STORAGE N R OTHER N 8.
GARAGE_,.R A W D Det d d❑ CARPORT aq.fl Armrhed❑ Dem []
MANUFA ON: e4 COPIES OF THE FLOOR PLAN RSQUMEDa
MODEL IFNGIH
BEDROONO_ BATHS SERIAL NUMBER
//]LNVHIONMENTAL HEALTH: R
SEWAWSEWER SOURCE: SEPT[c SEWER❑ / NEW❑ ExISTIN(3
PLUMBRHIMSTRUCIURE? YES NOD ff s,avach namakMWa Adegm<y Form
PHtIMETEWFWNDATION(p�RAINS PROPOSED't YES❑ NOD EJ sI mi;SQ.FT.
IXLSTBiG BEOROOMS_ lJ PROPOSEDBEDROOMS L TOTALBEDROOMS
owxrR.a�wn.aaee me suemNeon ormaw„reIe mroacaon mq man'n a ampwn um.xommnmoauon.A A�WMoemMe ah'a N M
aieaaoae aew,.i emare me i am ma owner aoa i wm,w aaueg me i.re amN.am�xrg m Pemm.ia Nee u.wax nPgPowa.I nmm
comma ,tem tas maaatorthyParW ieuw acaroaaaamWnaamwe.nNa altatta ge�oaas wgaa Tnaalhhl Noe
mpreunN4ae,reoreaann inel me Imoimalian pmvlaeo Ia atoned em creme emgvyaasal lwon eamb ewe.a b Ine aawa aaerfaea wWaM
maam�cNels)Iw resew am Inamaaon. omdN a 1eo 180aetion eemnes mtlawiarcxak ar.ienwtrm�urlim unMminimaeawmn iw
care nrcawuamnan wear m maPenaea Nr a a Paaoa mra.
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 E IRFI)JRkSON
COUNTY CODE 14.08.42)
Spnelum W OWNER(Must W M EV Ma OWNERI DSM
DEPARTMENTALREVU:W APPROVED DATE DENIED DATE TACSINOTESXONDTFIONS
BUDDING DEPARTMENT
PLANK Nr DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH —,
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