HomeMy WebLinkAboutBLD2024-00156 - BLD CD Environmental Health Review - 2/6/2024 �- PermILN
MASON COUNTY
COMMUNITY DEVELOPMENT FEB 06 2024
Perm tssslztance Center,Builduy,PlanMry
BUILDING PERMIT APPLICATION 616 f' �,18f Street
PROPERTYOWNER INFORMATION: CONTRACTOR INFORMA110N•
NAME:PRIAB INVEBIMENTB LLC NAME:PNW BUILT INC
MALING ADDRESS:�02 BrrN AYE Cr W MAILING ADDRESS:Nil an HVIv W BE rr
CITY:uNNERSItt PLACE STATE:WA M CITY:ruMWATER STATE:WA ZININS 1 Z
PHOi CELL:M-N11.01BB
PHONE NI: EMAIL:BFADLEY®PNWBUILTINC.CCM }G
EMAIL:RARBS®ELTOROFAMLY.COM L&I REG APNWWBIT990H E{P,_/_/_ Z N
MID
PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHER❑ D Z
NAME-sars"aa®a EMAIL BRADLEY®PNWBIRTNC.COM
NAIUNGADDRESS 84110LD NWY N SE CITY TMe^'^nr STATE WA ZIPOBia` 1 � 9
PHONE CELL as Uma �I = M
PARCEL INFORMATION: -
PARCEL NUMBER(12 DigR Number)01BBNN W15 ZONINGRRO
LEGAL DESCRIPTION(Abb iftsd)FAWN UIXE M TR 15 FIRE DISTRICT
SITEADDRESSIMSECRESCENTOR CITYSHELTON
DIRECTIONS TO SITE ADDRESS TAKE IWV3 SOUTH TO CRAG RD.FOLLOW SECIXE RD TO CREECBfIDit FC`T1
CCUO 0 670?4
ISTHEPROIECTWR 3W0 OFMOPE(S)CREATERTHAN14%: YESS NOS SNOWLOAD:� REC ter.,
ISPROPERTYWITNIN200FTOFTHEFOLWWINC: (c'tiKLouamsrspb1:
SALTWATER❑ TAKES RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW O ADDITION O ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUC L RE(dpHmoo Gangs,C—saamdt Bar,erc.)RESIOENCE
ISUSE: PRIMARY❑ SEASONA-B NUMBEROFBEDROOMS2 NUMBER OF BATHRO0MS2
HEATEDSTRUCTURE? YESMah,1151;1❑ YES4am1'/-fBhWS NO
DESCRIBE WORKREW T'ORBTRUCOCN.BNGLE FAMLLY wME
SOUARE FOOTAGE:(Pr,,a) un VIL�kE
ISTFLOOR1,131 sq.fl. 2NDFLOOR_si 3RDFIDOR_aq.R. BASEMENT'Nm'R eq.R.
DECK= aq.fl. COVEREDDECK_aq.R. STORAGE asi O'TII?li
GARAGE_e9.R. Attached❑ Demched❑ CARPORT ai R Attached❑ Dawched
MANUFACTU E INFORMA e4 COPIES OF THE FLOOR PLAN REQUIRED`
MODEL. LENGTN
DTN BEDROOMS BATHS SERLILNUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTICS SEWER / NEWS MISTINGS
PLUMBMG IN STRUCTURE? YES S NO❑ Ify ,aaach compleed N'aw Adegmsr Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES O NO EcMNG SQ.FT.0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
DINNER nkrow dpas Md wlmbbn d inaminb V mrwam my muit In a dop'ao(s ricer or pBrmit rewraton.Mliwla]penwnt a sua,is Oy
sgFoWm Edon.I Eetlas Mtl I rot Ma rower am I NMe darlam mat l am enNIN W racelve mb Tertnit end to do Na xpk as ga'P siI hmra
oGtaire]pembsbn M1un eM lM1e rauwrypartiea In<IUMOany eeeemmtlwWerwpeNrsdlnleeesl regami.N Mle pmlerl Tllewnorale,al
2ptexntAivs,repaseMa Na1tM1e Inlwmalion goMed'¢ecwmle entl penb employees d Mawn Crony ae�w to Na eEwe dwcnLal ecpM
e 16euc1ure(e)krrenew snd Inypc4'm. Tttia pemlil/appJimtlm bmmes null d INN 9awyk v autlanzetl wnsVudbn b MmmmenmdvrlNn 180
deyn a tl ms4uctim xvM'u susgndetl la a pemtl c(IBO days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLI TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.4BA2)
X �r r 1.6.24
SlnaWn of OWNER(Mast W.M.bytlW OWNER, Dete
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTESrCONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 2
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