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HomeMy WebLinkAboutBLD2024-01422 - BLD CD Environmental Health Review - 12/5/2024 MASON COUNTY Permit NO:�PEf TLd�DA� COMMUNITY DEVELOPMENT DEC 052024 Permit Assistance Center, Building,Planning 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Sort McCeert NAME:Teton Cabin Co. J MAILING ADDRESS:S405W Wawwada Or MAILING ADDRESS:PO Sant 11439 Q CfY:IroWam STATE:OR ZIP:W239 CITY:Saintridga Itadd STATE:WA ZIP:98110 �.. PHONE#1:50 3 8141 5 8 3fi PHONE:509a1a1o30 CELL: 3609T088g1 z PHONE#2: EMAIL:•Iex®tlatmcadirtc.tan LLI = EMAIL:so maddeds-8 c.mm Litt REG#035,051-03 E(P, 09_/_/_ C J PRIMARY CONTACT: OWNER[] CONFIACFORB OTHER❑ Z Q NAME ANx sWne.i EMAIL st-Goodandoodat ^ MAIWNGADDRFSS P013m11439 CITY rsaldsideslsWW SPATE WA Z1pmiio PHONE 3MJna-dei1 CELL 31104noa67l PARCEL INFORMATION: `^( PARCE1.NUMBER(12Digit Nember) dah""o Me ZONENG_Rund Residvatial U"U LEGALDESCWn]ON(AbbmvimMIL2 4aSPalox 01025a "GLIaT. IEXSun"FIREDISTRICT5 ;Rix SITE ADDRESS n00 E Pkrdidan Way crrysw1MDIRECPIONSTO SITE ADDRESSA- O10 eeusagmdbw Eto a am"n"n.r elesenee eW mahla.aor t IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14'/.: YESB NO[] SNOWIOAD:2L paf ISPROPERTYWITHIN2001TOFTHEFOLLOWING: fcAav+weroaruPPyc SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR[] OTHER rl USE OF STRUCTURE(Reoaras Gmags Conissa or fo,,creJ Reeldehrm ISUSE: PRIMARY❑ SEASONALB NUMBER OF BEDROOMS 2 NUMBER OF BATHR00MSI HEATED STRUCTURE?uIYES Irvhoa Soy 0 YES tom hj,-xM❑ NO DESCRIBE WORK Imut'R WA stJl F/5 panasw aeraa.s-aaw.laklwn awNaan 59 FOOTAGE:rwwa do ISTFLOO Z ayq.8. 2NDFLOOR v1.R 3RDFLOOR sq.ft BASEMENT_sq.A. DEC1c4W- aq.R COVERED DECK 7 Z+ sq.R STORAGE sq.a. OTHER sq.R GARAGE N.R. Attached[] Detached❑ CARPORT sq.A. Artnched[] Deruched❑ MANUFACTURED HOME INFORMATION: 04 COPIES OF THE FLOOR PLAN REQUIRED' MART Tiabn CMM to. MODEL Agode Pea• YEAR2024 LENGTH30 WIDTH 13 BEDROOMS2 BATHSI SERIAL,NUMBER W"ulFu en r Wwnonshad h ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC B SEWER[] I NEWS EXISTING la PLUMBING IN STRUCTURE? YES O NO[] lflea,aaacIr compkred Woto Add na,Fosm PERIMETTILTOUNDATION DRAMS PROPOSED? YES❑ NO[] EXISTING SQ.FL EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS OWNER acknvMeeges and suisdamon of inamurale inlormalion mrynaun in a shop aver order or Berme rewwlian.AIXrwb53emam of such m W ogroWre dams.Iaeram that I an and,wma and I Nrther declare and Im entitled W receive this pans and to do the vis npopcsea.I Iwe aEklnM parm¢sion from all the nettsaary Iaden.Including any easement holder a IdaRns of intarmt regareirq No pge2 no caner or I'm representative,represents that tra sonshadis eacurete and shank empkyaz of Meaui Cwnly access to haw Saud MwiCtl gh4erty am nharnaelal rot revWa and inaperdon. mb uelmwappimaeon waanes do n wd naolx a awlplieaa mnawcnen is rwt aammenroa wan 1w days pracgnswmgn wpn s aaapamed rota pain m 1Po days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08,12) Dec3,2024 SignetureofOWNER(MMatMaMnad Wl6e OWNERI Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Ls PUBLICHEALTH "`I ¢ ! |§ ,© � \ . � (| � ( & � . \ e 2 , § pit 2 q| N ) m ! r , ! ! Ln q I < En % \ts q | \ ! ] l § 1 § ƒ A 4Afl ! � / > © �CDMY | • : O