HomeMy WebLinkAboutBLD2024-00903 - BLD CD Environmental Health Review - 7/9/2024 Permit No:�I�TL GTU� —U1V 1®�
MASON COUNTY COMMUNITY DEVELOPMENT F.L_"E I V E D
PertnRAsecspnee a°ter,eawre,RanN°e
BUILDING PERMIT APPLICATION JUL 232014
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PROPERTY OWNER INFORMATION: I CONT ACTMORIAT 5 . Alde Str. � r,
NAME:Aena�gN. NAME:ftO, "I to
MAILING ADDRESS:T—Y hNA- MAH,INGADDREsh- Mmams "'
CRY:— STATE:.ZIP.2T°22 CITY:T— STATE:" ZIP:—° YID1C�. i
PHONEAI: PHONE:NsO322 e1 CELL: _
PHONE P2: EMAIL:
EMAIL: LAI REG AnwI Hx EXP._/ /25
T:PRIMARY CONTAC OWNER❑ CONTRACTORS OTHER Z .
EMAIL o.ENve.+aa.m'e
MADJNG ADDRESS Ny11VI.M"mnwBW PlEIIp CRY.er STATE WA ZlPsssl2 rI
NAME�ft�
PHONE es°2s>m^ CELL _ Z
PARCEL INFORMATION: �.
PARCELNUMBER(12 fttNNhbv) 1211Eeo04)ml ZONINGpm ,
LEGAI.DFSCMMON(Abblt iKd)' lm"—�"`IX'"'@'— "• m— FIRF.DIBTRICTI
SITEADDRESS°ETEv IXE CRY anama
DIRECTIONS TO SITE ADDRESS WNHm!Tum RVeeaa E P MA NhN.4 1NmRm.MlN daps..Len a.E NsE wsm M.
T.�1an(yl RiY°RE.Faa EM Polmae W E6Yyw PIYAN9EfNYYpE
IS THE PROJEET WITHIN NO FT OF SLOPE(S)GREATERTHAN I4S: YFSQ NOO SNOWIAAD:!L--,f
ISPROPERTYW THIN2MFTOFTHEFOLLOWINC: M1'Hactl AneMb'
SALTWATER❑ LAKE❑ RIVEMREF.K❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW(a ADDRION❑ ALTERATION❑ REPAIR❑ OTHER TT
USEOFSTRUCTURE.(A.n ew.pt'e..eewr/AEc Ee'.l R"2R E.mrOwe.w
ISUSE: PRIMARYO SEASONALQ NUMBEROFBEDROOMSI NUMBER OF BATHROOMS
HEATED STRUCTURE: YES~xis,/O YES,v ,",W❑ NO❑
DESCRIBE WORK
SOUARE FOOTAGE:ras...q• ... _ .. _ __.. . . . ._.... .. _.I
ISTMOORIMI N.A. 2NDFLOOR" sq.R. 3RDFLOORw N.R BASEMENVw—A sq.A
DECK_sq.R COVERED DECKw sq.A SI'ORAGEI+W N.fl. OTHER—WAR.
GARAGFa1° sq.R Ar..w El Drum: [3 CARP InA N,A. AmMedO /Aoss A ❑
NIANIFACTURELD HOME INFORMATION •4 COPIES OFTHEFLOORP QUIRED"
MAKE YEAR LENGTH-
WID EDROOMS BATHS R BER
ENVIRONMENTAL HEALTH:
SEWAGMEWER SOURCE.: SEFOC❑ SEWERO / NEWO EXISTING[I
PLUMBING M STRUCTURE? YES O HO❑ UWs.dsmeh cvnFINW Wmn Adryuay Fdm
PERIMETEWFWNDATION DRAINS PROPOSED? YES❑ NOO EXISDNG SO,FL °
EXISTING BEDROOMS ° PROPOSED BEDROOMS 2 _ TOTAL BEDROOMS °
gpRER eUnoMeOpe Na wdneYm almrtuM IMdmEPn mH re.uM In a etcp"a8 uG»Pomil l 11bn.MnwMnpemenl awT w Ey
.Ipnaem teW IOMme Xtllem IM OMKK MIDI nNI1M°C 1BIe°ial bn ammnro�xa..Nhpsh,.hj,s. . Th.—or Mw
WIenM peimuam han eM IM nxgN.ry peMu.NWAnp ny ueanem nd2Y IX pei°u d mlxnt mpel°I°P Ind ggetl. Tllewma u lapel
.prcsnmina,.urea.ll.l m.immim+ln maa2d+p ewer..e°a Pnu.mvloe.e.m w.oe twmye«to umanw a..me.a dw«d
naa.xtvetalb�euiBieeM lmpetAm. mla pefminapPd'ep°°�npnulldvanXxana artnonaea amawc°on 1.rwwmmalceavhnn t8°
I °y.dn�wml wile w.pem.2mre Polo2atm°eve.
PROOF CW CONTINUATION OF WORK ON THIS PERMIT IS SY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO Be EXPIRED.(MASON
COUNTY CODE 14.08.42)
XM.{RrMr OU:.., 11192, 9074
SgnOWn NOYFEER IMiMMaMn.a by tlr BNMERI DAN '
DEPARTMENTAL REVIEW - APPROVED DATE. DENIED - ;DATE- TAGSMOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIREMARSHAL
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