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Home My WebLink AboutBLD2023-01394 - BLD CD Environmental Health Review - 11/28/2023 ¢ 1 PermNN�-ZI&2LIZ3 —6IB-9 -A 4pMASON COUNTY COMMUNITY DEVELOPMENT permlt As¢isUnm f nteq Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: AM�R3 tNAME: DE39+59 %&* W rX MAILING ADDRESS: �OV�tP TOI3 CITYoa}(M'Ntb STATE:WA, ZIPA4SI CRY: STATR ZIP:_ PHONE 81: PHONE: CELL: RECEIVED PHONE p2: 1 EMAIL: EMAIL: 1 L&I REG A E C'. 'PRIMARY CONTACT: OWNER CONTRACTOR OTHER NAME EMAIL MMLINGADDRESS CITY STATE_21P PHONE CELL PARCEL INFORMATION: PARCELNUMBER(12Di8it Number)zk=q •F++O. ODyr.5 ZONING 5 LEGAL DESCRIPTION(Abbrevured)y FIRE DISTRICT SITEADDRESSIS!,\ To Sl—_ AIalWA645 'O¢_. IJ my Nk-j tJ DIRECTIONS TO SITE ADDRESS 0 THE PROJECT WITHEN300 FT OF SLOPE(S)GREATER THAN 14%: YES NOD SNOW TOAD: d ISPROPERTYWITHD1208FFOFTHEFOLLOWMG: VC kallrlvlappjyl SALTWATER❑ LAKE❑ RIVpERMREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM TYPE OF WORK: NEW W ADDITION ALTERATION�❑ REPAIR OTHER TT USE OF STRUCTURE(Reslhw<e.Gaya,,Cwertbl8w Pa) 1 ISUSE' P]UMARYWSEASONAL❑ NUMBER OF BEDDRROOMS-0L NUMBER OF BATHROOMS7.. HEATED STRUCTIIRE'f YES Mm BkW 4 YES ryon/sJge�� NO IB DESCRE WORK aLW tf e SOUA_RF FO.O.�'1AGE:(pwpax// IST FLOOR IILW eq.ft 2NDFLOOR-6�1.ft 3RDFLGOR_1.ft BASEMENT tq.ft DECK tq.ft COVEREDDECK Tq.ft. STORAG12.j�o`,nnvq.it OTHER aq.ft GARAGE sq.ft iyahod0 N. o CARPORT-40--II A... Da.had❑ MANUFACTURED HOME INFORMATION: e1 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MOD YEAR LENGTH BEDROOMS BATHS SERIN, ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER / NEa) EXISTING PLUMBINGINSTRUCTIRiEt YESX. NO {fyea,a=h romke�ted Wma Adegm Form PEMMETER/FOUNDATION RAINS PROPOSED? YPS� NOD EXISTING SQ.FT. EJOSTING BEDROOMS PROPOSEDBEOROOMS,a— TOTALBEOROOMS pVNER aGmMedpaa Nel suhnvion W Fettunce Nb�metim mry resun In a Aop uoM1 wEera pennil rewutlon.06nmNebaememN auo l.W d,dilgnvN2 EW x.IMJw Nell em IM caner eip NMer tleny eayo nt nidee01oreces INs—traenEb Oo NevmM1 espmposeG.Iie v ,eEpNmbNontom el at mwzNOon P edosnp nateand gnits empi eesi Nlnbream,ty a nBat.,hed. .b.warar Myal repesenle4W,rgveseMs Nal Ne Fb�mv40n p'avAeE Iz amrele entl Pmnts employees of Meson Cwnly avers b Ne aoove oeactlaen pmpMy enE aNCWn(q b Tu%ev Mil inspeciron. Till¢q�mmeppli�4on cemmes null6 win II vmM1 or auwonzetl Wnswction Is no:mmmeiKKd MNN tin a.ya orn<wumctian.An b¢u�elweE rpre venal a leo days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE IC08A2) W WNER(Puet bee UW Date DEPARTMENTALREVIEW APPROVED DATE DEMED DATE TAGSTIOTEWCONDTTWNS BUILDING DEPARTMENT PLANNING DEPARTMENT HIM MARSHAL PUBLIC HEALTH EH Setbacks 'PIoy 7 r{J1r ah A. DrainllelNReserverequiresl0'setwkhomlooting4wWMlons f B.)Septic tards)ragmras 5 salbaek hom all looliyrlouMa4ans t1_Yf ,F Il J(IIIs VQn CJ No leundalmrVFerroter Drains within 301,dow,radient of YN DrantieldrReserve area 2'50.004 o NOCulBanklh)cgraMartha.5ftheorarasdegrees)wimin ( Z 5gg,down gradient of Dralnfield/Reserve area L51 l E « fFndr(uS W N ` EH APPROVED Rhonda Thompson 12/18/2023 ;Pn,Auu Joy+ONNaoa . 0 (0 40 vlr� ,k 000 1 , Ol Audio-Visual Alesm OCleaaout I�pI Oa L NuWe Hrla-s00 ATU ran r 5� P'nai trs . © 1r000 0sUon Pomp Chamber /� P P RO VE OValve Control Hog: JUL - ^l ' I 03� DIM Mzot�1 w'ENVIRONMENTALN Jew P Prin1Bd fvon Pa-sort Cu3NaEir 6G . -