HomeMy WebLinkAboutBLD2024-00666 - BLD CD Environmental Health Review - 5/30/2024 MASON COUNTY NvafltNo:eL�A�o�ototo
COMMUNITY DEVELOPME�TXC EI V ED
Permit Assistance Center,Building,Planning
- BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 1)0l/ d—//rI{ NAME: %)Er11.4 $- i, W t 3
MARDJG ADDRESS: O k / MAIL@1G ADDRESS r Oi 7AG , Al
CCFY:�l.�M�IN STATE:JILF ZIP:98Y9Y®p CITY: M STATE: W* ZB:� n w ((W
PHONE#j 1: "L 79�. o75S PHONE: CELL:560 yw ii A T
PHONE#2: EMAIL, . TILL G7 M G
EMAIL: L&I REG# EXP.,�/ZIP' p
PRIMARY ON A OWNER❑ WNTRACTOR� OTHeR❑
NAME D� - BMAIL GRAC�,- 7<-T a M'y�
NAME,
SS 01 CITY 6 rhn O,R STATE�(.f-21P
PHONE 390 V CELL
PARCEL UNFORMATIOM
PAECELNUMRER(12DigilN.m ) �2?/V 76' 000 SIb ZANDJG p 7<
LEGAL DESCRIPTION(AbbmieaS) FIRE TISTIUCT W ;
s1TE ADTREss 29/ W. SgU/OANwNGr crrr Naow'f, ' ^/ r; C,
DIRECTIONS TO SITEAD NWy � t —� Cr,/a rat /c [,vy r[ * m o l
SpaI Mnyc L.v >'R f %/ 1v Md ss c 4• p F
ISTAEPRO.IECFWITHIN3 nOFSLOPE(S)GREATEATHANld%: YESJ!r NOLI SNOWLAAD:_4u6
ISPROPERTYWTOIIN 00FTOFTREFOIAD Pow❑ WELLAND� SEASONAL RUNOFF❑ STREAM❑
SALTWATER❑ LAKE❑ RIVER/CR []
TYPE OF WORK: NEW p' ADDITION❑ ALTERATION❑ EEFAIR❑ OTERstn
USEOFSTRUCTURE,,(x/uiama.�e.commwulacN.Fz) Rf� 2 ERINIDER OF BATHIt00M5 2
ISUSE: PED.fARYUF SEASONAL❑ NUMBEROFBEDROOMS
REATEDSTRUCWn? YES(R,1 BVB' YES?anr,/daWd❑ NO[]
DESCRBEWORK /Nfr,011 ITGD f/I A/F
SQUARE FO��OyL,PTppA,,GE 6mmnW
I ST FTDORIEA.++9-ft 2ND PTAOR_N.R 3RDFLOOR_p�ft BASEMEN'C sq.ft
DP.GC__W.R COVEREDDECK_a9.R STORAGE K & OTRER qfL
GARAGEsq.& A# W[] �—W 11 CARPORT ,& Aaa 13 Tem all
MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REtQt//UOt®'
MAKE SX�1y/lNG MODEL 418E 0 YEAR Zo24 LENOTE�,,
WDTTH�-P BE)ROOMS BATHS 7r SERIALNUMBER /%AEG
1EnNIR0NWW9AL HEALTH:
SEWAGPISEWERSOURCE: SEPT,I-C✓ SEWER❑ ( NEw❑ ERISTDIGEr
PLUMEaNGINSTRUCruRE? YFSIr NO❑ U)�*•eRmAr°^P?�W.Adea,kry Form
PERIMETERTOUNDATION DRAINS PROPOSED? YES❑ NO#, E%ISDNG SQ.FT.
EXISTENGBEDROOMS PROPOSED BEDROOMS TOTALBEDROOMS
OWNERakmMm6es Mat suAMSYm dYumvak lnlmnslbr rrM' "InaslapxM atlsn YnrXmvlb,MmMstlaemM.G WIkW
sla REemw.l s I semtlRdeereM wrMereBria2 Mall Mtlhd WmmlWMK pmmll mHmMNxxORes PAm++1.1M2
oetalnna vaannsim^orn an u.rerr canes.mnwsq am essmnem naamm pertiesa Imeren reg.rSnq u:s pgen meenar m bael
,svT-+anmave.revressmz 1�tM Inbrtnetim prmdam k evvnk vN Peres anwloyees a Neson cwrRy a¢acs m Ne mae Ee�itlM pWaro
.�=rree(ss)WmxvM1kwWa nittay WPBO aetlye oemmes nu116 vaE XnoM1 or aullwrizeE wn9lniclion'¢Mmmmrce�vlltin lB'J
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVRY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE MILL
CODE )USE THE
APPLICATION TO BE EXPIRED.(MASON
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X Sig Dm
ONNFR M al OWNE
DEPARTMENTAL EEVD:W APPROVED DATE TENDED DATE TAGSHOTES/CONDITIONS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 6
Mason County WA GIS Web Map
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.) Drainfield/Reserve requires 10 setback from footing/found ons
.)Septic tank(s) requires 5'setbac from all footing/founda ns
.)No foundatiorvPerimeter Drains 'thin 30ft,downgrade t of
rainfield/Reserve area
.)No Cut Bank(s)(greater than 5ft an rover 45 degre )within
Oft,down gradient of Drainfield/Reesery area EH APPROVED
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0.1 Npmpmseme emaelaroreire wnnm aon,aprv�araeiNn or EH APPROVED
D.)N.CW 9aerve area
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son,ro.,np�iem of Dreineeldmeaerva area Fhonda Thompson 06/21/2024