HomeMy WebLinkAboutBLD2024-00345 - BLD CD Environmental Health Review - 4/2/2024 MASON COUNTY P-Bra NBJ& --a0345
COMMUNITY DEVELOPMENT RECEIVED m
Permit Assistance Center,Building,Planning MAR 132024 z
BUILDING PERMIT APPLICATION gig W. F Ske O
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ROPERTY RMA N: CpNTRACTORINFORM4TION• I D Z
: WU P NAME: M O bi IC I"�T'sC. MCg(r L 3
NGADrD-`REM [ MAII.ING ADDRESS: _
M4a" STA ZIP: CITY: ST TE: Z@:
#2: �C'; PPHO13M�P7E��o0 rs: 3�2-{9 y
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IF ACT: OWNRE LMAIL al¢L�
PHONEC�D�� CITY -r STATEy-A uP
CELL
PARCEL INFORMATION: p u
PARCSLNUNIBER(12 DIgnN®hm) .�ZDZ 17.I000 VD TpNINGvFIRE DISTRICTSIZE ADORBSCITY<Ie PI 4O¢'LDIltELTIONS TO SITE DRE39 ..,V Z }r., . n¢¢ '.A. . i—TT I{EYMTREPROJECTWIT� MFTOFSLOPE(S)GREATRRTHA 14%: YES[] NO DI SNOW LOAD:LMPROPERTYWI'FMNQFFOFTHEFOLLOWING: yk.t.nn,r,µ y/. 7' CI
SALTWATER❑ LAKE❑ RrVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF❑ STREA
TYPE OF WORK; Nawal ADDITION[] ALTERATION[I RHPAIR[] OTHER fl
USE OF STRUCTURE(&�cmnge,coma Bit N,) RQI I�gu4L
IS USE: PRUMARY$� SEASONAL NUMBER OF BEDROOMS_._ NUMBER OF RATRROOMSJ_
HEATED STRUCIURET YES(RIweN,y/pf YHS /�A'W❑ NO[]
DESCRIBE woes &a&, t..y-A l I l 1 1
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SOUARE FOOTAGR:
ISTFLOOR-eq(,,#q.ft 2NDFLOOR_p,R 3RDFLOOR
DECK N.R BASEMENr_eg.R
DECK—K.A.ft COVBR®DHCK_p.R STORAGE I.R OTHER_%ft
GARAOE_aq.ft dagched❑ ne haa❑ cAReoxr ag.R Aawmp Dam nmp
MANUFACTURED HOME INFORMATION: •4 COPEZS OF THE FLOOR PLAN MUMED•
MAKE RPu1 �:K MODEL Kj fib YLRK YEAR 0j LENGTH-Vy
WIpTH� BEDR00MS Z EATHS�_sERIAL NUNIBER�nzq�
ENVHLONMENTAL HEALTH
SBWAOMEWHRSOIIRCE: SEPTICXL SEWER / NEW[] E3MMGJ(
PLUMBINOINSIRUCTUREI YESQ NO Ilya,affachr IehM WmoA .m dequuy Ao
PERNMETELTOUNDATION DRADIS'(PR�OPOSED9 YES❑ NO TOTAL EEDROOMS._ .
_
MaSTINO BEDROOMS PROPOSEDBEDROOMS 2
¢OWNER m?rwbrbq pd
andsubmb¢bn NIno—no,Inlom,atlun mry mWl Ina..vv mMre and mper oon,q"lr.,wwWmemal ,4W
gEm Mtl bebw. tletlere IW lam Me—I..I NMer tlacmre uM em ersued Ip ramhx,,o o-BaM to tla M¢tvDR ae pgry¢p,{,I I,Boo,
mgven u�mn lmm all Me rcceuary paNae,lndutling e,ryea[mmer,i M1OlMror petlB¢ollntare¢I regardmA V,b pmba T ..yyyal
eM¢budurq'e)br rmalew Erb Iba nbrmaibn prm"tla11e eccureia on,guns empby of AAewn Counry aaea¢to ueabve Mxnbgl pcpriy repNpn.Tb4 pem,ir/aplJlnown bewmm null&wltl Il vorM or amome0 wnonm0un o mi=mar—Ia.INF IN
&,or Xwnvu,.Mpn—*b¢upm,betl fire per.a1180 d.M
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS SY MEANS OF INSPECTION. INACTIVITY OF THIS
PE PLICATION OF ISO DAY F MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08AI)
OWNER Mva Galonatl Sv tM OWNER) O OZy
j D ALREVIRW APPROVED DATE DENIED DATE TAGSNOTRR/CONDTI'IONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIXE MARSHAL
PUBLMC HEALTH
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