HomeMy WebLinkAboutBLD2024-00247 - BLD CD Environmental Health Review - 3/1/2024 Permit No:'I l a -
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
PenoRMsisrance Qnrx,BuilEiry,Plamirq FEB 28 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: treat
t7LA/..VE I/
NAME:�.tyl( S N NAME: DWA.Et IINe
MAILING ADDRPS .{�,7f M .f a MAILING ADDRESS:CITY, STTE `R/
ONE#1: SLO-9L9A0747 PHONE'A, ZIP:1852( CITY: ST CELL: ZM. C�01149
PHONE82: EMAIL: F l
EMAH,73dw✓.+.a� No ;OuO L&I REG0 EY.P._l—� F 40
PRIMARY CONT CF: OWr5RX CONTRACTOR OTHER l
NAME_ AS ALSPIIX E Z.
MAIWNG ADDRESS STATE_ZIP
PHONE CELL
PARCEL INFORMATION: pp��.��y�) T /��
PARCELNUMBER(12 Di®[Numbsr)2 ZI(3-76- TO062— ZONING f�l v.
LEGAL DESCRIPTION(Abbmie FIRE DISTRICT '> �Gs
SITE ADDRESS E LNG ff 6G 6
DIRECTIONS TO STTE ADDRESS 6�Nil S. :4 6 si fi4 c- ry y"lsn LCL�e.J '�' m
f. F.`be RJ.v L/J R�L oaJ YY�# it h) ✓iz,Y44. zJ
ISMEPROME WITHIN3NFTOFSLOPE(5)GREATERN14%: YESD NOV SNOWLOAD:—,af -N
m PROPERTYWTIT 2mF OFTHEFOLLOWING: �dfMsq,,W D
SALTWATER❑ LAKE❑ RIWR/CREEX❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STRPAM❑ r
TYPE OF WORIG NEW$ ADDITION D ALTERATION D REPAIR D OTHER n
USE OF STRU TURE(Auimv..,Cmga.Comm ..d ehg.Ee.J
IS USE: PRIMARY SEASONAL❑ NUMBER OF BRDEOOMS�'HUMBEROF BATHROOMS
HEATED STKU=m? YES(Ah lal4BNy❑ NOD
DmE EwoR IJELJ S F FL
SOUARE FOOTAGE:Ipgoaq
ISTFL00R—ZL2Lsq.R 2NDFLOOR sq.ft 3RDFLOOR m.R. BASEMENT .p.R.
DPLK aq.R COVERED DECK sq.ft STORAGE >q.R OTHER N.ft
GARAGE Qlj_aq.R Aemhed lCDsmchsd D CARPORT q It AauchsdD Der []
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
BEDROOMS SAME S
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC,ff SEWER / NEW EXISTING❑
PLUMBINGINSTRUCTURE? YESN NOD Tfyes,IshNhcPhVeIhd WmerAdegmry Porn
PERIMETER/FOUNDATION DRAMS PROPOSED? YES N EXISTING SQ.FT.�L
METING BEDROOMS PROPOSED BEDROOMS TOTALBEDROOM$—_3_
ONMER sAwMeepes NM aubnbYon a Inuvale FlwmNon mwranA In a Wy xak aeern pemil rewulM.Odnw.leepememaaN la Ey
aNtlaxre ceiow.l eeaare.�i are ue>.mar.m I n�nlrer sea.re aix I em mmee x remiw uis peimn.�e ro ao u.»eM as prep0a.e.I Ire..
oMeinaa paemrssionhom ao me eeceesen Mrbm.iMWlna anv aasemenl Mlex ry panieE a iman6l reaaNMo Ims yged. lTe UMx V NPN
represems( orm,ewIndineecooh.This psmr I5 eavrere ene pnaae�gluyeesoMason Coumv wueeWNC a40wonionMp[perly
eM aWQNels)b�resiew anE InspecYon. Tnia pennNap�W�iOP MWmea nWl6 wie Xvroik o�aullwnaee wneWcliM®nol mmme�4tl xMnIhn 1B0
Bays or it COnebut9on wJM i5 auapeMeElor a peME N 180 erys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPL F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.40)
X a �a�a -? I
v Sp DINNER(Wist W.M.04.1 Me OWIMKI Ode
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSPIOTE&CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Pi H&U.TH
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