HomeMy WebLinkAboutCOM2024-00024 - COM CD Environmental Health Review - 4/25/2024 1pMASON COUNTY Perni1Na: D
COMMUNITY DEVELOPMENT APR 2 5 2024
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:N^arp^Ca'eMvuOuaa NAME:I+^y evar^Caluwxm.Ye
MAILING ADDRESS:]IWI N U.fMV 101 MARLING ADDRESS:
CITY:a.ean STATE:— ZIP:MM4 CITY:eau"A.x STATE:wA ZB:eeaM
PHONEHL.,aseemz+e PHONE:deoMer+de CELL:
PHONE 82: EMAR,:aa,aahaodI,har ' Q
EMAIL:a,•°ro®n"m^wtll.pry L&I REG 8eesaeeae EXP._1_/2 z
PRIMARY CONTACT: OWNER❑i CONTRACTOR❑ OTBBR❑
NAME--P-art EMAIL N.emgm.axWa+w �Ci�r
MAILING ADDRESS 2IM!N M fy+/y lei CD'Y sl.bn STATE ME— .J
PHONE manmemzN CELL Mowwnrt+aml z Q
PARCEL INFORMATION: {.1.1
PARCMNUMBER(12 Di9iI N.tar) >r^daePee't ZONDIG°a+°ene^°"e""°a..xw
LEGALDESCRIPTION(Ablahyh, d) L°T"cesebwn«mMnxaEMMaNN.ema ataa FIREDISTRICTM
SUE ADDRESS CITY°"In` Z
DIRECTIONS'1'GEI'PEADDREb'b' TunmbE Vlwzeb Rlzeel101E aaFearHRO,IaM'ENevex0.untllrynnybeTYE MgNoezlPNflfi, Uj
Om flgq m lu F PEpoatl 0.H me blw,Ne rtM b tlw wb wM Ne pgvly x m Pe bl1 NM sbs.
ISTNEPRWECTWFFHDV300FTOFSLOPE(S)GREATERTNAN14%: YES[] NO❑+ SNOWLOAD:=ya(
MPROPERTYWITRIN2WnOFTHEFOLI NG: FEa'IpllltlnlwNy):
SALT WATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITIONO ALTERATION[] REPADt❑ OTHER ❑
USEOFSTRUMM(A ,,ca ,..C—aele�.E )e^"Ipe
ISUSE: PRIMARY[] SEASONAL[] NUMBEROFBEDROOMS NUMBEROFBATHROOMS
HEATED STRUCTURE? YES lwndasmi+❑ YFS(vmr(r(/geuM❑ NO 0
DESCRIBE WORK cmarinlaxgez.Mpp•"'m'ne"""`°e 4 �l}V� �/lA'Vlc n/)iy7�.L(�yTO-hon 1�1 ib e
SQUARE FOOTAGE:on,,an aJ -
IST FLOOR_aq.R 2ND FLOOR aq.ft 3RD FLOOR q.R BASEMENT_aq.ft
DECK aq.R COVERED DECK N1.R STORAGE,f. OTHER aq.ft
GARAGE_sq.R. Attached❑ Dewchad❑ CARPORT ,It Attached[] Dewched❑
MANUFA e4 COPDES OF THE FLOOR PLAN REQUIRED-
ILA MODEL LENG
DTH BEDROOMS BATHS SERLLLNUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER[I / NEW I] EXISTING
PLUMBINGIN NO❑ I ercdWmnAdegmryF.-
PERIM UER/FOUNDATION DRAINS PROPOSED ❑ NO
EXISTING BEDROOMS ROPOSED BEDROOMS TOTAL BEDROOMS
OMNER' .— EmLL4on olmemrale MOlmatlOn mart...Im.star,vaM aevmpemalrtwuhn.MkmMe homy amN b by
w,,,reMl tletlarelMlem Ne onmreM lNMereetlera tllNlem eMMeeb reaM Mid pmnX ene Wtlo Ne xwkugopafae.I Nxa
oElemae pemlizion hem ell the
nemsury paNp,btlWnp any eeaemMl udder or paean olinlentl re,rd' BIIJa pmied. TNea .rrclyal
p M reesee4M,fgxemis that the Inlmmation pmNeed la—r0a and plants en8xoyees of MS80n CWMy ea'ssa to the ab—eermhee pmpeRy
aria[ 1u )ftaroo ranearrho ion. The pelmlVapglralbn[e¢mea nNlawle nvicek orautlunzetl mnslluction Is nWwmmmm!Mln'm tDJ
daysorKe M9 one m3uspmaetlforapwd&1Mgays.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE%08.42)
X 1�,LI/w6Md> W 04/11/2024 Dew
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTEWONDUIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
I_
TR,e BTRa
.TP.PH 13TP4
!�J
H• 4 _
SOURCE:Mason County GIs
LEGEND:
0-FT) MASON COUNTY PUD #1
wrwww*emotensawury (1'=20
WATER TANK
MASON COUNTY.WASHINGTON
Must comply with Washington DOH Figure
INSIGHT GEGLGGIC, INC. EH APPROVED permitting requirements related to Group A
Rhontla Thompson OM28202a water systems. Maintain all required Site Plan
setbacks.
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permitting requirements related to Group A Ow"
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water systems. Maintain all required # - ' ' .
setbacks. _ $k i i ii.
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