HomeMy WebLinkAboutBLD2024-00327 - BLD CD Environmental Health Review - 4/11/2024 MASON COUNTY P CE E At oo3a7
COMMUNITY DEVELOPMENT E C E E /�1/RO
Permit AedaG Qeter,Builaine.PlayMnB MAR 11 2024 N,y
BUILDING PERMIT APPLICATIPW. Alder y�4T FNTq
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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NAME: q F e 13 NAME:
MAD.DJ DRESS: f_ MAILING ADDRESS:
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CITY: '}O STATEo- CITY: STATE: ZIP: 9
PHONE BI: a 3 36ta -62.13 PHONE: CELL:
PHONEN2: ' - : EMAIL:
EMAIL: REG N EXP. �FnF 1�O
PRIMARY CONTACT: r, OWNPR)r CONTRACTOR❑ y W
OTHERp cs
NAME o EMAIL M 5 of Il •CoNT O
MAIUNGADDWS �- CITY 0 ZIP
PHONE 'JtS. - CELL
PARCEL INFORMATION: �3
PARCELNIIMBER(I2 Di8BNimbm) last 7J p7e-S1�lJOlx71.. ZONING
LEGALDESCRIFGON(Abb.iat4 FIBEDISTRKT
SITE ADDREss__ E Dhug nE r}K UILr CITY �6I �'wl K
DIRECTIONS TO SITE ADDRESSV'�a3IDII}N1G9� /
I'F' 0R7 AI£ o XIB ICc�a nR '3 I LQl nr , L e r
ISTREPROJECTWITBIN300FFOFML (S)GREATERTBAN14-A: YFSp' NOD KNOW LOADL--,d
ISPROPERTY WOTKE9N FT OF THE INOLLOWNE) I WETIANDI�
BALTWATH!❑ LAEE❑ RrvER/CREEK❑ Porrop wET1.Alm❑ sEAsoNAL RUNDFF❑ sraeAMp
TYPE OF WORK: NEW IX ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n
USE OF STRUCTURE(ewwce eenac I]ewrc4/Blf.�/
TSUSE: PRIMARY)R' SEASONAL❑ NUMBEROFBEDROOMS 3 NUMBER OF BATHROOMS,
HEIITEDSTRUCTURE? YES(MMee X' YEE/PmOr]Aelae,x NOD
DESCRIBE WORK
S UAREFOOTAGE:p,�nv
ISI FLOOR 2NDFIAOR_aq.R 3RDFLOOR_M.R BASEMENT_sq.R
DEIX p.R COVEREDDECK_y.R STORAGE p.ft OTHER cµ&
GARAGE-Lq-sjrm-ft "oohag Tb a❑ CARPORT q.A. AN W D IM W p
MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SEAW.NUMBER
ENVIRONMENTAL HEALTH:
SEWAOEISEWER SOURCE: sEPTICDf SEWER❑ / HEW EXISTING❑
PLUMBMGNSTRUCTURE? YESIt( NO b'—,altark mmptdd wmoAdequazy Pon,
PERIMETER/FOUNDATION GRANS PROPOSED? YEs)( NO[] ERMTNGSOFT.
EXISTING BEDROOMS PROPOSED BEDROOMS �� TOTAL BEDROOMS
OWNER ee .I dopee'aan. nletion Nvuoee I NYilw raconmeynaPina9m a aF narapvmM.wxa4cn.ANmmMapameMd,a-kb/
vpnkun ranim Omine aR.ne Na ovmereMII AaecknaW ame eorpaeww Nk PennaaMb ao Neya ee Pcpueao aew
nnorinetlpmmievoran ttlp npoessery peXin,iWudng any meemxR Fgasa,perlbo of'm�enn ngertnlq Mk po}tt Tlie wnxorlegel
npreaenletive,rtpwenk Mel Ne MlameM1on paJ9ed b ecwrele vtl gents emgoyee d Mesm Camry e¢ess to Ne aEwx aeocnCotl PrW>ry
ianyor ff (el,arw.yaaena(nape Jvn. a. p orlmdayalisvnea nuMarrva if xwNvaMalle]wrsPummknotmnme,xal WNIn1�
mysmnmawam wexkcucpena.a rnePvaae�E9 aeys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF TMS
PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.A9)
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DEPARTMENTAL REVIEW APPROVED DATE DEN® DATE TAG&NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ippfr q
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BOB AND CATHY'S RESIDENCE SCALE
PLOT MAP LOT I DAYBREAK DR. 1/8 2'-0'
BELFAIR,WA 98528
PARCEL# 12332-52-00001