HomeMy WebLinkAboutBLD2024-00184 - BLD CD Environmental Health Review - 2/13/2024 Permit NB: IJLVa ( 04
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
Petlnit ASsIS0Rcv Center,Bullding,Planning FEB 1 2 2024 m
BUILDING PERMIT APPLICATION 615 W. Aldo Street Z
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: _
NAME:KARENGREFN NAME:GREGMORGPN(MORGAN-SUILTHOMES) RICK D Z
MAD.DJG ADDRESS:`WI NENORIHSHORE ROAD IAAJLING ADDRESS:55X)NE NORTH SHORE ROAD
CITY:BEIFAIR STATE:WA ZTp:98528 Crry:SEIFAIR STATE:WA ZIP:smI
PHONE#I:DB 7-119 PHONE:Ri (M)nSWlll CELL:GW(B69)W14140 = m
PHONE#2:2D%d8%1n1 EMAIL: mm m Riv®LS`ssss n.mm Z
EMAIL:KARENOREENOTIDEWORKS.COM L&I REG#MOFGA5H9T6LC EXP.___
PRIMARY CONTACT: OWNER❑ CONTMCTOR[] OTHER❑ r
NAME ME.e EMAIL
MAILINGADDRESS CITY STATE_ ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBEK(12 not NambCc)Y ID-12{0971 ZONDIG RR5 A
LEGAL DESCRIPTION(AbbEvWM)TRTOF GL2SOFRfxgTAX 1000.E FIRE DISTRICT cl
S[TE A,DRESS5471 NE NORTH SHORE ROAD G]'I'Y BELFNR 2
DIRECTIONS TO SITE ADDRESS FRa RELFN w M W STATE ATE smTORE SEv RTUNYA FS3 1.awscc+PRF RSss SS. 3Q
NE NORTH SHORE ROAD TO THE SITE ADDRESS ww<<
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN IdY.: YES[] NO❑ SNOWLOAD:.2psT
ISPROPERTYWITHIN IN FTOF THE FOLLOWING: rCA..tra//N.aoyyr
SALTWATER[] LAKE❑ MVER/CREEK❑ FORDO WETLAND[] SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW[] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCNRE(R.d-4aW Cues ./W&El ) STORAGE(-tRSeEyBIXJUS RO0E11baW)
LSUSE: PRIMARY[] SEASONAL❑ NUMBEROFBEDRCOMS D NUMBEROFBATHROOMS 1
HEATED STRUCTURE? YES lMAUIe EWJI❑ YES Pa 1,191 lO' NO �p
DESCRIBE WORKCONSTRUCT NEWSTORAGE WITH SECOND BOOR HEATED BONUS ROOMBTUOIO t3emaR�rI
SOUARE FOOTAGE:lWaPaa�u
1ST FLOOR_K.B. 2ND FLOOR_li&—sq.R 3RD FLOOR_Sq.ft. BASEMENT_sq.ft.
DECK__sq.ft. C pPERED DECK sq.R STORAGE d1.ft. OTHER aq.ft.
GARAGE_U0_* sq.ft. Adwhed l] DemckedEl CARPORT sq.ft. AIWMSd[] Dnachsd❑
MANUFACTURED HOME INFORMATION: ad COPIES OF THE FLOOR PLAN REQUIRED'
MARE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC El SEWER(] / NEW[] EXISTING[]
PLUMBING DI STRUCTURE? YES[] NO❑ Ilf s... A mmpfemd Wit.,Adequacy Farm
PERD.tETER/FOUNDATION/THtAWSPROPOSED? YEB❑ NOM EXISTMGSQ.FT.
EXISTING BEDROOMS f�y PROPOSED BEDROOMS D '(� TOTAL BEDROOMS
OWNER ecknoA%E9es that 5Ud EMcn 01-11Silu .N nm roeWl in a slop vrt -Sss`mtR"d reymetion.MrcMe62anienlalaucnuty
BpnNara Eelw.I aeUere matlem ma oxrer uq lwMiaraBClare tlutlan amweC to receammie pcmha�k kdo Na xvk as poWsal.I nave
ePa panniaabn Aoma1W ,Mom patlieF,iMutling anY amammiIckesaom&Wlm mrd mathea Th8mo vW
repre¢ematrve,reprmems Mat IM iMo�metim pmirME is accureie anG gnnb emgoyees W Mewn Leuny owm bihe aWve tleechbh pNpMy
aM siNCWrels7lot teviewentl Inspection. This paTnNappliratian Eecanm nW 8 rok Mwwkor eu0wnxed mntNd'ron'rs mt mmmxueE w1Nin t80
tlaye IX it CMatNG11m xOtlt ie 9aapentletl(or a DING IX Ien d yes.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF TIED DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
naWredfWMER(M b tlbv b OWNERI Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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MREN GREEN ass�+.veasr_-
9 NEWDEANEDSiORGE/BONUS ROOM GHARLE5RITfER -ram--
5471 NE NORM SNORE RD De GNwoR HOF
MVAIRWA 98528