HomeMy WebLinkAboutBLD2024-00651 - BLD CD Environmental Health Review - 5/23/2024 Ne UN.; o
MASON COUNTY RE a1V M
COMMUNITY DEVELOPMENTz
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BUILDING PERMIT APPLICATION M O
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D Z
NAMED. It Pevlovich&Kel H`1'Ind r
N NAME:Jonatllen Griffin Trilogy Builders lNC --i
MAB.BNG ADD�RFS :5:5 ZI ECOUn Y-- Or.� MAR,ING ADDRESS:C III
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CITY:Union STATRW ZIP Z� :LakewDod STp�
PHONE#I: 11 PHONE: CELLL7(M)67697
PHONE#T: EMAH.Tff5 nG Oul00k.cor D
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NTA OWNER❑ CONTRACTOR[I OTHER
NAME A UMe VV01 Deb n LLC EMAIL�1kilbounle0le"Idesi aw.Coln
MAILINGADDRRESS I 8Im8 V8 nrrTacoma STATH fiPA vpsm
PHONE(2531284-3170 CELL 2 -903� 3
PARCEL INFORMATION: ,. T �uu
PARCEL NUMBER(12 Digit Number)32104-60-004 WNMORR-5
LEGALDESCRIPHON(AbbrzvixW) FIRE DISTRICT 'L f
SITE ADoaess621 E Country Club DR.E GITYUnion m
DBU?OT ION S TO SITE AD DERsS Lot Ls 1 Oc ate d In 7 J ffe—rBroo GooTanaCountryZ`lu5 v
O MEPROTECTWITHIN3N0 OFSLOPE.(s)GREAT THA 14%: YES[] NOB SNOWLOAD:,95psf
ISPROPERTYWITHIN200FTOFTHEFOLLOWING: I oax Adana,:
SALTWATER❑ LAKE❑ RR'ERICREIXD POND❑ WETLAND[ SEASONALRUNOFF[3 STREAMD
TYPE OF WORK: NEW❑ ADDITION D ALTERATION B REPABI I] OTHER B
USE OF STRUCNRE(AVNma caiag.,cww.wlB,,aa)Residence
ISUSE: PRLMARYB SEASONAL[] NUMBEROFBEDROOMS_NUMBER OF BATHROOMS
HEATED STRUC URE? YFS~aadP1[] YE ~Jq dSW 0 NOD
DESCRIBE womintedor remodel and covered deck
SOUAHE FOOTAGE:#.,peed
ISTFLOORO p,A. SND FLOOR v,ft. TRDFLOOR p.& BASEMENT A.
DECK209 p.ft COVIXEDDECK96 p,k STORAGE p.ft OTHER_p.R
GARAGE_,& At MME] Dnam d❑ CARPORT p.ft. AaanandO D it
MANUFACTURED HOME][N]FORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WUTTH BEDROOMS BATHS SERW,NUNMER
E VV HONMENTAL HEALTH:
SEWAG&SEWER SOURCE: SEPTIC SEwFR❑ I NEW❑ IXISTwJ v
PLUMHMG IN STRUCPUREI YES H NO❑ Ifyv.wmeh caaplueJ Ra Adpuary
PERIMEIER/FOWIDATION DRAMS PROPOSED? YTS❑ NOB El MNGSQ.FT.
EKLSTING BEDROOM53 PROPOSED BEDROOMS O TOTAL BEDROOMS
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 1SO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EKPIREO.(MASON
/'� � COIWTY CODE IkG&42)
K 1441 05/07/2024
SgreWre W OWNER(Maul he slaneC Cv 1M OWNER I Dtiv
DEPARTMENTALAEVIEW APPROVED DATE DENIED DATE TAGSMOMVOONDFEIONS
BUBDING DEPARTMENT
PLANNING DEPARTMENT
FIREMARSHAL
PUBLIC HEALTH
PAVLOVICH & HILLMRM, RESIDENCE
621 E COUNTRY CLUB DR E
UNION, WA 98592 0610a,2024
Allori
FN#32104-60-00012 MeS0NWu.nCI3IrLaIflNING
ords WWAM
LOT INFO. D1,11ally RR5 Zoolso"Sai 2s.
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aerar,agred Side&Rear Yad Sefiai Residential derailing
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in. OR 10%Wait of lot If not more tan 100 write
carmoce 1. a M.IT. OR a,r..d ADV
ra...=arahi Side setbacks 10%-B'Min.
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ei reshishloare corrosions 3.81180
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2024-00059
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