HomeMy WebLinkAboutBLD2024-00941 - BLD CD Environmental Health Review - 7/31/2024 MASON COUNTY Permit No: Cog I
COMMUNITY DEVELOPMENf E C E I VE D
Permit Assistance Center,Building,Planning JUL 31 2024
BUILDING PERMIT APPLICATION 615
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATTON: treet
NAME:Robes L«MonalNe NAME:NW Gnm caRmlmon,Ina IT1
MAILING ADDRESS:37 W saps R MAILING ADDRESS:281 N Nem W Ro Z
CTIY:Essi STATE:WA ZIP:88511 CITY: ^ STATE:WA ZIP:e3832 G
PHONE#L PHONE:35071W015 CELL:
PHONE#2:
EMAIL L&I REG#lWIOREGOOMW EXP,_ _ Z
PRIMARY CONTACT: OWNER❑ CONTRAETORB MOVER El r
NAME IOF) EMAIL umnms
MAILING ADDRESS 281 N H.miIIm RD CITY CX ft STATE WA ZIp08532 = ITI
PHONE ao`7 ®15 CELL - 7-
4
PARCELINFORMATTON: y.
PARCELNUMBER(12Digit Nambc) 51917b7-0002H ZONING Lt{ r
LEGALDESCRWDON(Abbrevised) LeluMaMw0r8loll Ze3G3D FIAB DISTRICT 13
SITE ADDRE IS37 W 8sku Plea CRY Eli
DIRECTIONS TO SITE ADDRESS TeX'W CbglNFnl Rob 8eM1 R M min(15.71rq Tun MA omo asks IN
M=YROIF.L'IWF[BP1300FTOFSLOPE(S)GBEAEERT 14%: YES[] NO(] SNOWLOADi
ISPR0PEBTYWTFH1N2MFT0FTHEFOLLOW G: (cS svassgi
SALTWATHR❑ LAKE[]O RIVER/CR 0 POND❑ WETLAND❑ SBASONALRUNOFF❑ STREAbI❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPARL❑ OTHER n RXPIecNneN
USE OF STRUCTURE(�Garsµ co+mrerdnmr.a )wNOe RRFR)
LOUSE: PRIMAKYB SEASONAL❑ NUMBER OF BEDROOMS I NUM,N,OFBATHR0OMS2
HEATED STRUCTURE? YES(PeweRun B YES ry�,)ofeW❑ NO❑
DESCRIBE WORK�n sie 2S8 a MI meMxWNP 1 `ssNM :mn wss`sesg OSa nl0«mnvftw
SQUARE FOOTAGE:orerenn
ISTFLOOR'M q.fL 2NDFLOOR Xq.& 3RDFLOOR q.& BASEMENT K.&
DECE32 q.& COMEDDECR_q.& STORAGE q.&. OTHER_q.&
GARAGE q.&A#lsi 0 DemrAd❑ CARPORT q.& Affi d d 0 Deww❑
MANUFACTURED HOME IN'FORMATTON: •4 COPIES OF THE FLOOR PLAN REQUIRED`
MAKEFMeemtlHmw MODELEpM28X898 YEAR252A LENGTHd3
WIDTH282 BEDROOMSI BATUS2 SERW.NUMBER io I»®elPlm
ENVIRONMENTAL HEALTH:
SEWAGEJSBWBR SOURCE: SEPICB SEWER❑ / NEW[I EXISTINGD
PLUMBING IN STRUCRBREI ME] NO❑ lfy ,,,ai m kud Wm Ad,q Form
PERpff+1'F.R/EOUNDATTON DRAINS PROPOSHDI YES❑ NOB EXISTING SQ FT.
EXISTING BEDROOMS 2 PROPOS®B®ROOMS 1 TOTALBBDROOMS 1
G'/NER ecknaMeEgas Mel w[ml W m N IrmvvMe in!«maDon may re W I M e aMp a«k«dr«nmX Nvoratlm.MrogMPemenl tl sudi Is Ey
sG�aMre beW"ss"n'a em Maovnl"s"", ertl lava mallan enWzkblaMa tlh[pMleMb ass is eagoo— "I
cMeis I>bs.mpslmntlMe Worn Ymm�sMm a^yrawnessl «Patin MiMeCue ssnPs ft Tnewmr«tgel
nPJeissst. e, r.,a Mahnvi This
kemnYaana PXMe an-d Isof Memn GcuMY wtdSsbure above tlesvlbM PloFdb
vq mIG nls)lormrMx is lussosd ships ooXraK#X' b-T teronx nu118wM Mvcvk«wNpmtd Mmtimh�M mmmalevEaVUtln lOn
tleys«#wnebudbn v.«k Ie suspentle!(«a pM1M of 1m Eaya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERM UCATN)N OF 188 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
X 7/30/2024
Sign nsf ER beF Ile ER Date
J DRPARTMENTAt,REVIEW AP OVED DAM DENIED DATE TAMNOTE3/CONDITIONS
BUILDING DEPARTMENT
PLANNINODEPAKIM@dT
.. PIREUARMAI
POBUCHEALTH
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