HomeMy WebLinkAboutBLD2024-00925 - BLD CD Environmental Health Review - 7/31/2024 MASON COUNTY Fern" 8L.p�2 0690?5
qwCOMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning JUL 30 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Vder Street
NAME:STEVENaM YUT/E NAIVSE:ENVISKNEXCAVATION .�At
MAKING ADDRESS:141M E STATE Ban¢1% MAILING ADDRESS:1fns I4 OT
(grY:SDFAN STATRWA Ze:MSRs CITY:GIGHMBCR STATE:— ZIP:— G
PHONIE8L: M-lm PHONE: 1 cur L G
PHONE M2: P.MAD.:EWISIONEXLAVATIaIiOMY.LCM 'A� !' �S
EMAII.:MYACCTJIISILW4H31MLCOM L4i REGMENlnuI MNO EXP. /__ O (I G
J
PRIMARY CONTACT: OWNER❑ C0IHRACTORO oTNERO Z L
NAMEa�^e ESSPOSOMM2ar uauw SNAIL OOWM111PERMn9@TATE WCaMI O
MATING AD➢RPSS Poe0z M22 CITY STATE WA wlil
PHONE
PARCEL INFORMATION:
PARCELNIIMBER(12 Di®[Numbs) �a Z(1NINGRRM
LEGALDESCRBTTON(ANneviemi)uneM[MAYSHMSai6 UCRRAW,NctF la PIKE DISTRICTS
STTEADDgESSlWES44["Sr GDYUNICN
DIRECTIONS TO SITE ADDRESS MCM E STATE BTE 14 TuRN SCUTH ON E LCAEAW RD.THEN VIESTCN E NH ST.SCUTM
CN E PQlWMV NOQASr,EASTON E SPRUCE Sr T01 W.
NR PROJECT�800FTOFSLOPE(S)GREATERTRAN14%: YFSQ NO0 SNOWLOAD:A--pd
SALTWATER[]
LAKM 00 FRRF CRFOLLOWOXE TAeNnaAM ;
SALTWATERD LAXE❑ RIVER/CRF.EX❑ FOXED WETLAND❑ SEASONAL RUNOFF❑ STRHAM❑
TYPE OF WORK: NEw❑ ADDITION❑ ALTEgAnON❑ REPAIR 0 OTHER f_T &f WO"AAA-
USEOFSTRUCTURE()4.elMre.G,Conxz W*w RESIDENCE
IS USE: PIUWARYD SEASONAL[] NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATEDSTRUCTURF1 YISSMso lMrm E] YES(emintafBh ❑ NO
DESCRIBE WOREPROPOSIW SFR MANUFACIUREO HOES
SOUAREF�LO�OTAGE:
ISTELOORL'yn W.R 2NDFLDOR W.R 3RDFLOOR N.it BASEMENT sq.A.
DECK W I COVERED DECK t9 2 sq.A. STORAGE N.& OTHER W.R.
GARAGE_W.B U aeW EI Derac 0 CARPORT q.R AD [I Deu I]
MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED*
MAKES(Rl\#A lOIrMma5`MoneL4C+2?�i72A
WETTH BEDROl _ BATHS Z SERW.NUMBER
ENVIRONMENTAL HEALTH:
SEWAGFISEll SOURCE: SEPTIC SEWERIa / NEWQ EXISTINGEI
PLUMBING IN STRUCTURE! YESD NO P,.Aa cmrplcud lPaurAdeguory Fenn
PERIMETER/FOUNDATION DRAMS PROPOSED? YES❑ NO§, EXISTING SQ.FT.
EXISTMGBEDROG]l PROPOSEDBEDRUOMS��TOTAL BEDROOMS ._.
OWNER a�Ana.lmattua aamiaMa�ariaamme inranMuml GMr mw m e ampxax arEttaPmm lewcaupn.AW1aNetlaemMlaauMlbb/
cal Cmsstle IM anthewmsaM fivlMEetJme AM menaa�to OMe Fla pnmli Mto tlo ticwdasne—a].IMw
oplanetl pennissimfivmall Nenecessvy pnti aIM�Aal uy old gmaa amsM Nett repeNinB Nispee 1Te alx mapl
reP¢am@Ore.repRsenle M9 Ne iMdmatlm pmAOeE Y�eMe entl 9�anR employcea IX Masm Lvmly atteea to Ne save JttmEH pICpME'
e�p 50�xYu Ys)Im rehew entl mspetliron. TWe pdmaleppMtatlm aevm es nu118 wi0 R V.aM a eullenx�mvNUNon i5 n i¢mme'mtivdM 1aD
Eery ofGan9ntlun rwkvs suspenGeE Mapaint al tSO Gap.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 1N DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.INASON
COUNTY CODE 14.08,42)
x '%l 'r C.♦ -,&y .GA . - 07/17/2024
317re0ee d DWNER(NUM m Alallad by UN OWNER) Dal
DEPARTMENTAL REVIEW APPROVED DATE DEN® DATE TAGS/RT0IESICONDmom
BURRING DEPARTMENT
PLANNMG DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Doc ID:tl4h]M55025ac841bSOE5ab01he505W5U]a59
[ � �
) f{ § 2 (
fi) } § o[ ! @
2q2 §
1 2 ! §| § ! • { � § ! t , ■ | § ; ! | 7 2(0 {
« ® } ! ! :� _ � ■ ; • f § , § £ 1 � . � . ;
§ se -
j /\ /
oat
- _ t —
\�)|
_` w R!
)� mm
� �
� k h [ ] o
ce
» - -; § &• _
- - - - - - - /
— \ - - - - - i �
2
/
— a_\ | )
\
SPRUCE S
- - - - - - - - - - - - - - - - - G[
, mom
, $