HomeMy WebLinkAboutBLD2024-00900 - BLD CD Environmental Health Review - 7/25/2024 MASON COUNTY Permit NO: FSI 02-02<I— 00900
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 3 O�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:°° +&PAM JAME3 NAME:gFEReIX1RlRIILMINLLC �d
MAIDNG ADDRESS:11e E.MEDIl W. MAILING ADDRESS:mmapeBR -A El
CITY:ul STATE:WA 21P:perm CIIY:call. STATE:WA 7M:11W]l
PHONENI:sepse - PHONE:ssc&matw CELL: MmM
PHONE 42: EMAIL: IrmcwarwclwN.a"D
EMAIL:cx®NCTc.mu L&I REGN wfERClezwM E)l
PRIMARY CONTACT: OWNER❑ CONTRACTOR El OTHER O
NAME m LESMFER EMAIL oluwwnasoxerMcrwwopa
WIHNGADDRESS 1siskR wAEME CITY STATE w'A 21FM
PHONE MOM41M CELL mamm
PARCEL INFORMATION:
PARCELNOMBER(121)i®t Number) vlansmotz TONING
LEGAi.DESCRPT[ON(Abbmidd) FORE DISTRICT
STTE ADDRESS 11.E.PINSOIRQM RD.IMC1l.WA Wel CTTY UNNMI.
OIRECOONSTOSITEADDRESS ^1011YEL0Xi4XEwr.anm�m.mm aa.dunvroelamlazklmmawlu•.
ISTHEPROJECTWTTHIN3MIFFOFSWPE(S)GREATERTHAN14%: YES[] NOB SNOWLOAD:I5ef
ISPROPERTYWTFHIN200"OFTHEFOLLOWLNG: R apml
SALTWATERO IAKFO RLVER)CREEKO PONDO WED.ANDO SEASONAL RUNOFF O Still
TYPE OF WORK: NINE] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE*MRo,cams.Cum oWAM&Dm)OAS
IS USE: PRIMARY SEASONAL❑ NIJMBEROFBEDRDOMS NUMBER OF BATHROOMS_
DEATEDSTRUCTURE? YES(mwe amy❑ YES( [.Jrloxhs ❑ NOO
DESCRIBE WORK�p�C Y�n N'V�
SOUARE FOOTAGE:(piapvq
ISTFLOOR lol 2NDFLOOR_gft 3RDF1,OOR N.R. BASEMENT K.R
DECK_s R COVEREDDECK p.ft STORAGE m.ft OTIIDt o ft
GARAGEeae N.ft Aul[] Nwkd0 CARPOl alft Attached❑ Opal
MANUFACTURED HOME INFORMATION: w4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WTl BEDROOMS BATHS SFRW.NUMBER
ENVIRONMENTAL HEALTH:
SEwaGFJSEWER SOURCE: SEPICK SEWER❑ / HEWO EXISTIl
PLU WGINSTRUCTUREI YES❑ NOJ( Uyer.omwehNVkmd WakrAde Form
PARR.t£TERrFOUNDATION DRAAS PROPOSED? YES❑ O" EXLS'fINGSQFT.
EXISTING BEDROOMS PROPOSEDEEDRDOMS TOTAL BEDROOMS
OWNER llok ea tlel aun tool lnewnele lmamumn mer.10.abp amerorranrvt rew's1bn.XknrwYdlemeXd wT DW
aprelue Ceww'.I ticJere tlu! em Itle olmerentl NnM1xae4ae Nal an enlMktlto rewlw Nn pamX vtl to 6o Na vxrtdIRNUM.I have
Mlemeolmmieam Ilvn."1M nx r,pam.,imord0enr--rut hold,or penles of Inwoom nsl Mil".. nor,—v teal
,reseMetive,urproo ¢IMI Neinlwmtlbn pool le etclvele and greens empl,a Mesm Coen,?sass to 1M aeon droll prl
+ W slonnum (a)iv rlre and ps,l P,,r pennNeppso,non Eem,'nm null&vud 11 w or aumonntl anaEucton Is old ammamtl xMlo IN
days or I rondru don walk R suspended fora w.d 1W days.
PROOFeNUTION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITYOF THIS
PERMII�OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 1&08.42)
X 7/23/2024
IBmtule DI RNIN, (MUM W elanetl by Me OYINER) Dam
DEPARTMENTAL REVIEW APPROVED DATE DEN® '. DATE TAGSINOTESICONDTFIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH L -17'fkA-S
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