HomeMy WebLinkAboutBLD2024-00390 - BLD CD Environmental Health Review - 4/2/2024 MASON COUNTY Permit Nu: i ► 1 11 v
COMMUNITY DEVELOPME§f C E IV E D
Permit Assistance Center,Building,Planning MAR 18 2024 Z.
BUILDING PERMIT APPLICATION C
PROPERTY OWNER EMRMATION: CONTRACTOR INFO N: Aide, OIL 28t
p]AAg:NW EOUf1Y IN HWBINO.LLC. NAID¢:VRLINESECAVATMUCG D Z
MAILING ADDRES5:4aat aBTHAVE xE MAILING ADDRESS:P090%nRa
CITY:otvgww STATE:wA yip:Baste CITY_a, STATE:wA 7ap:mwe
PHONE#I:ae wfl PHONE:aeoasa+ass CELL: = m
PHONE#2: EMAIL: -""" z
EMAIL:JRUMELuWPHA,3ZPIC.COM AI REG#ccveuELesaPw FXP._/07/
PRIMARY CONTACT: OWNER 0. CONTRACTOR OTHER n D
NAME+'mxmvel EMAIL JRUSSE HMSEPDC.COM 9A �UU r
MAILING ADDRESS xa21 MTN AVE NE CMdI^PW STATE WA 9PP%A1
PHONE CELL er°°r°tad 51 C�VG
PARCEL INFORMATION: 1
PARCEL NUMBER.U2 Digit Number)820219Ba9012 ZONING `
LEGAL DESCRIPTION(Abbreviated)SHORECREST ADD all BLK:3 LOT:12 EM DISTRICT
SHEADDMSS1s0NIGWAV1ANEE CTIYaHEiTw
DIRECTIONS TO SITE ADDRESS r�M EAQATEIad.W wFmEwpR,wearawcoasrvEw dal I.aaFrw MwvArtoartEAmREsaw MSxr
J
LSTBIPRTYWEEC12N300FTOFSLOLLOW]AEATERTHAN IC%: YBS� NOD SNOW :_yN
I,PROPERTY WITRHV 300 FT OF T'HE FOLLOWBVG: Fa.uoNamt va'rl'
SALTWATER❑ LAKE❑ RIVERICR D POND❑ WETLAND❑ SEASONALRUNOE'D
TYPE OF WORK: NEW❑ ADDITION❑ ALTERAEON❑ REPAIR❑ OTHER ❑
USE OFSTRUCTURE(xmamo.Cm Cmne ,B*,,arc)RESIMNCE
ISUSE: PRDl SEASONAL❑ NUMBER OF BEDROOMSB NUMBER OF BATHRDOMS2
HEATED STRUCTURE? YES Demfe4ldKl[ YES fPonRl`BHP❑ NO❑
DEtS•GRIBE WGRI(aEr NEW MAXIIFACTURErt XOME
SOUARE FOOTAGE: oagdadl,
ISTFLOOR120 sq.ft. 2NDFLOOR_sq_ft. 3RDFLOOR_al BASEMENT_N-.
DECK_sq.ft. COVEREDDECK_sq.ft. STORAGE sol.R OTHER_sq.R
GARAGE_sq.R Avachedl] Desunhel CAHPORT it Adached❑ IJaroched❑
MAMMA( 'URED HOME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED'
MAX11-2wL-- MODEL PAc YEAR2®' LENGTHW
y/ill BEORDOMS3 BATES2 SERIAL NUMBER
ENVERON ENTALHEALTH•
SEWAGEISEWER SOURCE: SEP SEWER
❑ I NEW❑ EEISD`HG I]
PLUABINGMSTEUCTURE? NO {fes,,dal completed Wader Aosel Form
PERIMErSELFOUNDATION DRAINS PROPOSED? YES NONT� E%IS'DNG SQ.FT.�
E)DSTINGBEDROOMS PROPOSED BEDROOMS TOTAL
TOTAL BEDROOMS
OWNER ackm mh;tlul wEmisd,Nlna2urele lnlamYbn new red.lne0r.,t timer or Fernst..ration.PfYJvelM2a em ofwMle by
somma a Eeim.I Sedan that l am Me dasher and 1 mother OecNK tlM I am andand b ral the Moral np b do me mA as preWseE.I base
ohmsed pannisslontmm all the IreUssery paNes,IntluOinp eM eaulipnt MIEc or pelliu M iMetM npaR4ng Nla pmletl. Tae pMer or lepl
Iapeswtaiiw.mmsemstwlM InformationpmOded Isar MWendpmasemployeeso W$mCa evesto N..boreeesmoetl,.'de,
andsN lure(s)bhade end inspeMn. This pMnandswlmHon demrres null is wad lmn,w aummleed whoa n is on sommetced eamen 180
dayswtl.d.n.Ls.0 dedforap.ad1Wdays.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMITAPPLICA ONorl 05YS OF MORE WILL CAUSE THE APPLICATIONTO BE EKPIRED.(MARON
/%/)// COUNTY CODE 14.0l
% 3 -25- z4
Sional of OWNER fMtntM seemed bytlte OWNER) Deb
DEPARTMENTALREYIEW APPROVED DATE DENIED MTAG�OMICONDITIONS
BUD,DWG DEPARTMENT
PLANNING DEPARTMENTFIRE MARSHAL
PUTIUCHEALTH
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