HomeMy WebLinkAboutBLD2023-01416 - BLD CD Environmental Health Review - 11/22/2023 MASON COUNTY Permlxa: P-iLQaba -p j 1 j (
COMMUNITY DEVELOPMENT--WIT")
Permit Assistance Center, Building,Planning
rfi
BUILDING PERMIT APPLICATION NOV 21 2023 Z
PROPERTY OWNER INFORMATION: CONTRACTOR WF61E1fiy1l l]der Street �
NANjE:&uce CM1Xmlx NAME:MiMFdnnl LLC
MAUNGADDRESS:1120SCaddMDr MAILING ADDRESS:9643 Rpeng LPSE n Z
CITY:GO�HMgOd STATE:Ca ZIP:m10 Crry..O PM STATE:Wa ZIP:50E13
PHONE#I: PHONE:�s 47 CELL:
PHONE 02: EMAIL:McaaegmeelNnllOgrall.tan rn
EMAIL: L&I REG#H21cW813BO EXP.___ Z
PRIMARY CONTACT: OWNER El 1 arraud it❑ OTHER❑
NAME uwa. EMAIL Nublawin M'®P^af.e^'n
MAILINGADDRESS 6203 Cables u CITY wlall STATE u ZIPSSSIO
PHONE neama+w CELL neaba'b 2 n
PARCEL INFORMATION: Uu"
PARCEL NUMBER(12 Di Numbv)2XIS22aS0oN1
LEGALDESCRIPTION(AMnavisted) SS#308ia*2 FIRE DISTRICT 2
SITEADDRESS7MSELynNIRe CITyM:NMn Q
DIBECDONS TO SlT'E ADDRESS LpxA rmah,2330 SE Lyxa
ISTHEPRO]ECTWTT®V300FTOFSLOPE(S)GREATERTHAN14Ye: ME] NOB SNOWLOAD: --,If
IB PROPERTYWIMON 200 FTOFTHE FOLLOWING: y dtamepttw
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM I]
TYPE OF WORK: NEW EI ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USEOFSTRUCTURE(Rum GarWtunau B,4vac.)ResBa .
MUSE PRIMARY❑ SEASONAL❑ NUMRER OF BEDROOMS3 NUMBER OF BATHROOMS'_
HEATED STRUCTURE?. YES(wade nwg)O YES(vwta yeNg1❑ NO❑
DESCRIBEWORK 12M
SQUARE FOOTAGE:(Pawn"
ISTFLOOR21g32 aq.& 2NDFLOOR sq.R 3RDFLOOR aq.ft BASEMENT aq.8
DECK_sq.ft COVEREDDECK_mq.ft. STORAGE ,fi. OTHER ii
GARAGE aq.R AHa ned❑ Detached❑ CARPORT ad.R Attpchd❑ Denali
MANUFACTURED HOME INFORMATION: !4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKEWeanvgbn MODELPIretub12M0 YEAR LENGM7V
MDM40 BEDROOMS3 BATHS2 SERW.NUMBER NIAnotdMyM
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEFDCQ SEWER NEWO EXISTING❑
PLUMBING IN STRUCTURE? YES El NO❑ Ifyea,mmch cdca d)[ dWarei,Add,.,Fiv—
PERIMEFID FOUNDATIONDRAINS PROPOSED? YES❑ NOQ EKISTINGSQ.FT.
EXISTING BEDROOMS PROPOSEDBEDROOMS 7 TOTAL BEDROOMS_3 _
bXNER achroMeEpm Me[auhnbal dinocimuale Inbmia on mry nadir in a abp amM order cc blind rewceaon.PdavMe]gmaM W main my by
day..Oebw.I Eetlere tlel l am aie—and l luMerdi.:1 amen.rerelre Nil,Pa'mltaM to ao lne an kup qw].I Ma
oMeareE perraysba mall Ne m¢mryamines.including any aaaemam ndaer w pmnHa otlnlareal Weml,g Nlm p,olact 11a wawalepl
reP'asentatiw,np2mnb Val Va IMo,melim gcrtlBO q eccvele an0 penis anPbyaem d Mass Co,nry a®ss to tln aEwetlmaibai DmpMy
aM mWdu,e(sl br dines eM Irupectlon. TMe pa:miVeppYa4cn be[anam n,J a vcil tlxvik a autlxvsM mnshuvtion'e eM cdnmencM aitlJn 180
can or rmnamw+lm apr8 im aapenma for a penotl a 1m myc
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNHY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE UNRED.(MASON
COUNTY CODE 14.08.42)
z 4IZ4 Ga3
IpOaWIe of OWNER(Must be inagnIIIni the OWNER I D�
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTEWCONDMONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH '(A
fps
/!a! �_ qS
| m #`f`
® > \| § | q§
22 \\§ i a!
§ 2 r \� � ` -
Z5 .
• � � \ \\! i /
` R<
%51 f 0 r
` ¥0
� � � \ • � . � § ) (k
Z ^ > n 2
~ ` ¥ m
! CL
\¥ - ^ , k 3
;
) | 2 ( . z
�29�
/` 9!
\ z) ram'
# \ 2
\ , �\ ¢
\ < . /
� J ~ �
ITITESTERREs c | I \\
m