HomeMy WebLinkAboutBLD2024-01153 - BLD CD Environmental Health Review - 10/1/2024 MASON COUNTY PemitNe: P,Lmc�Z4 —C1153
'
COMMUNITY DEVELOPMENT
Prmftftss nmUntr,SunemePlennip RECEIVED
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION
NAME.xomrr yr " NAME -'Iydaa6 anheaey
MAI.INGADDRESS:s-+E arreLwPR->e MAILING ADDRESS:em sEF
CITY:srr> STATE:WA ZIP:MW CITY:-- STATE NA ZIP:nMP>
PHONE#l:ewzzne>ze PHONE CHLL:
PHONE#2: EMAIL:m�¢�t O �5(�
EMAIL:rT ra Op^rn.rm L&I REG#MLNIMIW EXP._/ / CT 0
PRIMARY CONTACT: OWNER❑ CONTRORE oTBER❑ 1Z01G
ALT
NAME vnvnarrxea.estm EMAIL wwrMomawm
MMLINGADDRESS mreer ere CITY er.� STATE rs ZIPMm> fCENfp
PHONE--a CELL
PARCEL INFORMATION:
PARCP.LNUMSER(12D,tNumbs) EJE'—a' ZON10—
LEGALDESCRPDON(A b MW) D Ua&n D FINE DISTRICT
SITEADDRESVMEevmnLrppor CIIYmaN^
DIRECDONSTOSDEADDEESS Ee Rre+¢Eeaoi:ncpRrg
M=PROIECTWITHA`3WFTOFSIDPE(S)GREATERTHAN14%: YESD NOE) SNOWWAD:PL ya
ISPROPERTYWITHN2WFTOFTIRFOLLOWING: lCti .aawyprJ:
SALTWATER Di LAKE❑ RIVF.RICRPER❑ POND❑ WEO.AND 0 SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW Est ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Ammo«.woad CmeeN ,,4s)Nl Rr
ISUSE: PRIMARYQ SEASONAL[) NUMBEROFBEDROOMS- NUMBEROFBATHROOMS+
HEATED STRUCU l YFS(NMIeBkW EI YES(v 1 lBkW❑ NO D
DESCAII3E WORK Aw^¢>^M'^nbM•ro¢ammis Mrrplmvynapeim telH'.eteeF.
SOUARE FOOTAGE:#mom
ISTFLOORrn >N,R. 2NDFLOOR nq.t 3RDFLDOR N.ft BASEMENT
DECK- sq.ft COVERED DECK >q.ft STORAGE MI.ft OTHER 9I k
GARAGE u1.I. Anwhed❑ DeM-Md❑ CARPORT xl.It A. [] Dam o
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED•
MAKE MODBL YEAR LENGTH
WIDTH BEDROOMS BATHS SERW.NUMBER
ENVIRONMENTAL HEALTH: ". .
SEWAGESEWER SOURCE: SEPTIC OO sEwER❑ I NEW O EXISTINO❑
PLUMRNGWSTRUCTUREI YESQi NO TJyan,aBrcAr..Valad Wwo Add lForm
PERTMETP.WFOUNDATION DRAINS PROPOSED? YES0 NO[] MdSDNGSQFT.
EXISTING BEDROOMS- PROPOSED BEDROOMS - TOTAL BEDROOMS -
O MER inoMMpe¢tlul wbmYYm of h. eb iMw .,m>unlnastop xwF order«p¢imll n>cutlon.a&—.dPemamr>uai:>ty
vo>enre Leba,. cea>rc Vat I>m Me om«>ne lunidi galae Ue:l>m mMbe roa g diH>pert re end n n nre,ctr gapore.l irm9
re:einee penn¢tlun hom xn:M reme>ar Pane¢,intluginp znr eermem nags wme>of ime'e9 renaiting mi>ggea.M wecralepel
represemr.e,reprerms me:m mmm�ro�Pmmme i¢emaM ra Pmem empy..¢r M.vfr cwiy>aer mma.eoe memwa«npero
na aw«orelsl r«renew as ingttmn.Tnb pemlNepPh'stlpn he«me>mn s wN nwx«eumonzea mnammm ie na wamenrarmnin teD
my>a ncanvmrm wx h wwrgee mr a Peeea or tlw aey>. `,
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS`
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.Ma)
X 9/19/2024
£IpnNre al (Moat ha akned by Ma OWNER) DM
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGSINOTER+CONDTOONS
BUEDINGDFPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLICHEALTH IQ
-
�
,
/
< \
Cf')
f &CL
»:
\ CD
£ CD
Zo
CD
ƒ M \ : ,
a ! - • , -
�
CO)
. ,
� § `
| 0 —
.
. )� P
p.8<
rm
r
8 z \
3 Q n \ \
I CD
Q
N
CD
v�u- w
�n yi D 3e� nNT�
a�'�noR
@m
ya
14 \ C'
S
107
1AOil
Yb8 wQgu eg 46^ S s�if S�gg
g99 wE r B 3Y
v � r
v 4:1"3w