Loading...
HomeMy WebLinkAboutBLD2023-01544 - BLD CD Environmental Health Review - 1/3/2024 MASON COUNTY PeTRitNB: iaaaah-oo 4 COMMUNITY DEVELOPMENT w Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTORINFORMATION: NAME-A Bmfgey NAAE:BLIaa CenenuN6n MAUANGADDRFSS:3ro-e - MAILING ADDEE55:3BT1 E Pipe take Lmp Raid CTTY:NMgaan STATE:WA ZIP:91dur' CIT:srebn STATE:WA ZIP:90RK z = PHONENl:6a2mse 2 PHONE: nl CELL: 36aaBeatee LU PHONE 42 EMAII.:6a^Me+new^sl^aui.mn C J EMAJL a —@baa4d,.n L&I REGNBLINECINLWI EXP.--- z Q PRIMARY CONTACT: OWNER❑ CONTRACTORD OTHER❑ QLu NAME---*.pn EMAIL dcn@Nhiecmnwclwn.mm MAILING ADDRESS M1 EPnMps Leta taop Rom —CITY— SPATE WA ZB'BB664 PHONE ae.as CELL n. PARCEL INFORMATION: z PARCEL NUFIDER(12 Digit Nambm)nggd-TSaalea ZONINCI Rxmr4Msamea LU LEGAL DESCRIPTION(Abbr iated)M 16 a a awy Sea S=I= FIREDLSFRICLs SITE ADDRESS M E WNdur Bna. CITYBh w DIRECPIONSTOSDEADDRESS(IaN WR+n3ambendyeanm Pk "Rd.S*mrb'mnNendmmnanlmroMr Nbw. Tab flMMll mb pnb 4b Mp'md mdlnm Hlsllaba YM1Tm BNd9b Yehul35 mMn dwntM road cn Cur bfl. 5 PROJECFWFTIHISSBOFTOFSLOPE(S)GREATRRTHAN14S: PESO NO© SNOWLOAD: w ISPROPERTY WITHIN FIOFTHEFOLLDWIN� Ifrt nnw.pylrl: SASALTWATER[] LAKE❑ RIVER/CREEK POND WE ❑ WETLAND❑ SEASONAL RUNOFF[I STREAMD TYPE OF WORK: NEW E ADDIUON❑ ALTERATION❑ REPADt 0 OTHER USE OF STRUCTURE(rt.,uenn,canw.caeee WBl h.,ei./Ban9a ISUSE: PRIMARY❑ SEASONALD NUMBEROF BEDROOMS B NUMBEROFBATHROOMSI HEATED STRUC UREY YES MXW D YES( '[VeBW❑ NO E] DESCRIBE WORK Nee Omagelsmde Nll SOUARE FOOTAGE:a d, o ISTFLOOR aq.R 2NDFLOOR_R.R. SRDFLOOR R.R BASRIENrr K.IL DWK_aq.& COVERED DECK_sq.R STORAGE y.R. OTHER_'.R GARAGEM eq.R Alrac [] Demched❑ CARPORT aq.A. Aadched D Oxached❑ MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WmTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC EI SEWER[I / NBWB EMTING❑ PLUMBING IN SPRUCTURE9 YES Id NO❑ 1f dr,attach co fwdd WerwAdegaary Form PERIMETER/FOUNDATION DAAiNS PROPoSEDT YES EI NOD EXISTING SQ.PT.D EXISTING BEDROOMS D PROPOEED BEDROOMS D TOTAL BEDROOMSD OWNER .nw dpu NN aubnlssnn afinawMeIMmne4m may ndnafl Ina drop x oMx a pxn Y nrttetion.Mmm4wi omml ots MYLy &pnMmb ll IdeaamM Iam the—nermd I IkOw des ftl I em wsdits mreNd Nk Ceti'and todovu Mpro,—d.Ine oEleinetl peimissun nom ae In,naceese,Cedes,inaaay anyeasnnenl ncid—no.al hnna eegaNuy ua pole¢l —wlepY npeemlaDve.mpestli6 NBt 1M nd nnnao.,ro ba..eM genh enebyms aMnan CAu'ny...totn. ecl. l d pepMy anaaWclun(sltu'e„ia+'andinnection.W.pa-ivap{$don Eemmee A It wdilxeikar aulMnzed sW nm nd rommerced w Nn 180 dap a ncmrcWCWn N suspended rora peed of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPL ATION OF 1 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.B6A21 X IZ - I � Z3 Bne OWNER Mu ai rcd B'e ER Date DEPARTMENTAL REVIW APPROVED DATE DENIM DATE TAGSRiOTES1CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FDtHMAPSHAL PUBLIC HEALTH I Z ©� ° m m 0 !IMF. y m m m m 2 5 3 N I P ---�sm m m N Z h — L�HAR BLVD (0a g� y 3 i! _i fp n A l O N or O m C N - - - - - I' D o NUj - - - - - - S N � me _ a o 0 C 3 3 A a m �*+ N � Imn i O > A y N — nil II D oaf C,+ < I! A N N 'i f] ' O II + O N 2 • "' I� o m x / 3 I I b n y,gY a'F� m co G) �• D I o s: ==3 ,� I m I N IN s a' 8 I jN rI I i I