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HomeMy WebLinkAboutBLD2024-00134 - BLD CD Environmental Health Review - 1/31/2024 MASON O ri ♦ SON�T7�COUNTY P...ft NG: COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center,Building,Planning JAN 3 12024 BUILDING PERMIT APPLICATION r Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAMC:KRIST0%RANDE1RA9ENPEARSCN NAME; B 1MBU ' MAE,NGADDRESS:P.0.00K2201 MAD.ING ADDRESS: 4191NNAw8W z CITY:SHELTON STATE:WA 21P:911584 CITY:of m STATE:WA M:M612 C PHONE#l:30087Da106 PHONE:980a8DM41 CELL:886TK4a881 PHONE#2: EMAD.:dd@�aM EMAB,:aluah henm®Pea . L&I REGaaIADKKeMa.M EXP.—�2 — PRIMARY CONTACT: OWNER B CONTRACTOR❑ OTHER❑ 3 NAME —aN'®°" EMAIL NluNm.sreM�pnall.wm MAILINGADDRESS P.O.BOXMI CITY mama STATE WA ZIP9584 = ' PHONE Nomoalw CELL z PARCEL INFORMATION: PARCn NUMBER(12Di®[NNni 2218u0N010 ZONDIO IPGAL DESCS ININ(ADEr ER-AI( S N I, 5E FIRE DISTRICT ,n^ SITE ADDRESS 15N ESPENCER IAKERMU ©]'Y 9HELTON `•j1 /� DWCTIONSTOSFEADDMS TURN MGHf ON EAWTE ROADOFFOFHWY9N,LEFTON EGPENCER uIO:Rwn,Oo to VO MIIEa,fIRIVEWAV I$ON TIE LEFT. ..��(( ! VV ISTBRPRO3ECTWITBBS300FTOFSLOPE4S)GREATERTHANI4%: YES[3 NOB D:y SNOWIDAyaf tj4 jj E MOPERTYWIHN200PTOFTHEFOLLO G: rciSanawa. H: �Q f SALTWATER❑ LAKE❑ RIYER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ SITRAM❑ TYPE OF WORK: NEW Ig ADDITION[] ALTERATION❑ REPAIR❑ OTHER USE OF STRUCTURE(AUNmae Camgt Gmre IUft Sn,)GTICKFRMIED RESIDENCE ISUSE: PRD/ARYB SEASONAL❑ NUMBER OF BEDROOMS 8 NUMBER OF BATHROOMS 2 HEATEDSTRUCITRE? YES(rvh valWO YFS ryarael afslW NOD — DE$CRIBEWORKNEWGTCKMF EDVN FAMILYRESDENCE SQUARE FOOTAGE:r& w.e) 1ST FLOOR 2008 aq.R 2ND FLOOR W.R 3RD FLOOR N.B. BASEh4NC eq.R DECK sq.R COVERED DECK 450 aq.ft STORAGE aq.R OTHER NI.ft GARAGE 000 Mt.R ,I n,f B Da di-1❑ CARPORT sq.R. AOarAad❑ DawAed❑ MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MODEL YEAR LENGTH WFDTH BEDROONS BATUS SERLU, U ER ENVIRONMENTAL HEALTH: SBWAGEISEWRRSOURCE: SEPTICO SEWER[] ) NEW❑ ECOSTINGB PLUMBING IN STRUCTURE? YES B NO !/yv.artacA c p1ercGWuo Adequary Form PEJUNE /FOUNDATION DRAINS PROPOSED? YES❑ NOB EXISTING SQ.FT. EXISTING BEDROOMS PROPOSEDBRDROOMS 3 TOTAL BEDROOM58 OWNER ecFrtvl mIfuls bminmw dInIn a Iabvn mq maAl in aticpwhwM w FmmilmmYm.PMeMeE9emenlMsuM M by sgvWre ENcw.l btive Met I am tl,e amwentl I NMe,ExiletlW I m entiNEia xeiva tlVa pennBmd b N Me xoh n 01Wwatl.l Mw cMelnM Polmlubn kwn alltlm mwuary paNsa.Mu9�g airy emanwtfwMwwOeNesdintapl ae,d,p NelKa)ed TM w.naale9al IaPeaeMeWe.regea+nhtlul Ne htumetlm F�wBe3 is av,wle antl 9reMaemOluyees of Neon Uuaty ecmafo Vn ena ,Ie pryMy aMMtuW nia)Mmi Is hsNend. . w apple W Nmna nulldvaNlxa,k waullMxeC mnaWCMn bndcwnme�tlxX1i11M tleys vRmnaWctlonvw4 b susl�entletl fcre puiotl d iB0 Eeys. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNT(CODE 14.08.42) x <�/ 1 /3/�, U2'1 $gran.N OWNER Must he slm,etl M tM OWNERI Date DEPARTMENTAL REVINW APPROVED DATE DENIED DATE TAGSMOTES/ DNDITIONS BUDDING DEPARTMENT PLANNNG DEPARTMENT FIRE MARSHAL PUBLICHEALTH Lil'!1t f.�l Y FPY \ k{ # k � | ( I § § & !{ � z /o /(/( | � /| | «! w .m: t- , 5! m § § \ 4 .9 = ) I { § 9i � § m > � q §| x {( \( ' }\ 17 IF z � , � � - - - - - - - - - tea - �