HomeMy WebLinkAboutBLD2024-00933 - BLD CD Environmental Health Review - 8/2/2024 MASON COUNTY PermitNo:t(I Onl'-� -M-0
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COMMUNITY DEVELOP ""A
Permit Assistance Center, Building,Planning 2024
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:O we&Tareea Lyons NAME:MB Dldw
MAILING ADDRESS:1305 MOUWAIN VIEW DR MAILING ADDRESS:14W 272ND AW E
CITY:FORESTORi STATE:OR aP;a7ne CITY:euduey STATE:WA ZIP: .
PHONE#l:sre-781as42 PHONE:2 1111-0 2e CELL:
PHONE#2: EMAIL :mbdUhni ewerail.wm
EMAIL:IyorR.Nreary®gmal.com L&I REG N MBOIRD'801 Wt EXP. 06. .
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER "'I
NAME t�^c—nd EMAIL sawrnb2@gmail.can D
MAILING ADDRESS 1121113MSTE CITY Fw+ea yT g wA
PHONE 2s3- H2aa1 CELL Ali^
PARCEL INFORMATION: RF Zf
PARCEL NUMBER(12 Digit Number) 32=13 03017 ZONING RR5 CF/VFD
LEGAL DESCRIPTION(Abbreviated) SHORECREST BEACH ESTATES a2 BLK 3 LO7:n s 31rz39 FIRE DISTRICT 5
SITE ADDRESS 811 RIDOEVIEW DR CITY slWlen
DIRECTIONS TO SITE ADDRESS From WA 9 Norm TR on Agab Road,TR on Cre ; Dr,non Hi laced Dr,TR an RNgeubw Ddre estlnallon
on right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑i SNOW]LOAD:2L--pd
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ceeekunthat n*):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW Q ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Resider ce,Gmngz,Conm,en alBldg s .)ResMenre
IS USE: PRIMARY❑+ SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(MwteBldgl❑+ YES(Pan(s]oJlttdg)❑ NO❑
DESCRIBE WORK Install new manufactured home
SQUARE FOOTAGE: 0aopared)
1ST FLOOR 1027 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq.ft.
DECK 32 sq.ft. COVERED DECK sq.ft. STORAGE sq.IL OTHER sq.ft.
GARAGE sq,S Attached❑. Detached❑ CARPORT sq.R AMnched❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Flselwood MODEL Pros Herres YEAR 2025 LENGTH"
WIDTH24 BEDROOMS/ BATHS2 SERIAL NUMBER Not yet bum .
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑+ SEWER❑ / NEW EXISTING❑+
PLUMBING IN STRUCTURE? YES ❑+ NO❑ Tjyes, attach conTlered Water Adequacy Farm
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑+ EXISTING SQ.FT. 0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
OWNER ecknmNedOas that submission of Inaccurate Information may result In a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed I have
obtained permission from all the necessary parties,Including any easement hostler or parties of Interest regarding this project The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County amass to the above described property
and stmcture(s)for review and inspection. This permittapplication becomes null&vold if work or authorized construction is not commenced within 180
days or If construction work is suspended for a period!of 180 days.
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 14.08.42)
4-k- 07/29/24
X Ur-1141juin,.Na 4DEDm
Signature Of OWNER(Must be signed by the OWNER I Data
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 7A 2,
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