HomeMy WebLinkAboutBLD2025-000143 - BLD CD Environmental Health Review - 3/19/2025 Permit No-
MASON COUNTY SECEIVED
COMMUNITY DEVELOPMEN
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BUILDING PERMIT APPLIC T DET.GARAGE/ADU
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Dgf...IULPIMC.f NAME:T"Xou=v.(wocaxe U.0 F(T` 101s
MAILING —ADDRESS — MAILING ADDRESS:IWExgOHERx sXr ORIVE
CITY:EDIe1M� STATE:ww ZIP: ° CITY:SHELTOx STATE:w=ZTP:Meea Q -
PHONE#1:weal-"w PHONE!MeafT n. CELLaeP 711T
PHONE#2:a2sMx-Oro EMAR.:ifufu "^le^"aawaM11°I"'w^I
EMAIL:jufln o�'UO1.O°"avmll LRI REG#TANGLMINOCE EXP.On+azr
pR1R1ARY CONTACT• OWNER❑ warm mt[I OTOR❑
NAME��°^Lv°"°.^emx°wwrtcTe LLc EMAILP�X�`°w^''"n
MAILING ADDRESS RI me"A 'sIm Car xMeaP SPATE wA ZIP— TAL
PHONE•e'en CELL•a••e�
PARCEL INFORMATION: H EALT
PARCEL NUMBER(12 Digif Number) a2was'�m's ZONING Iw
LEGALDESCRIPTION(Abbrcviercdf TXImN NEIw TRACTS rR leeTi.a TR+swa2ame FItE DISTRICC'r
SUE ADDRESS eTIxwEIUTER LANE Clgy LurxwP ��
DIRECTIONS TO SITE ADDRESS ^o"'�^O1Rawwuu�rwwvuucEwFturoaw..xxartaXus+w xxwclo ��
PgLT NILklES.C/JYIMttES PxOILMI PgMwrtONMFBeTEfl LNE CA 3w RTD a1+. (l
ISi pR ELTWITHINIIMFEOFSLOPE(S)GREATERTHANl4%;MDU❑ [pNOW1,0AD:--.per1S
pROPERTYWITHIN1o0EFOFTHEFOLLOWING:IC1ecLd(nrw ): �Q j
SALTWATER M LAKE D RIYER/CREEK D POND D WETLAND Q SEASONAL RUNOFF D STREAM 0
TYPE OF WORK: NEW❑ ADDITION[I ALTERATIONO REPAII❑ OTHER
USE OF STRUCTURE(RnI6Ne,cove care eq,.)OETADHEP ONU-wOD--
ISUSE: PRIMARY❑ SEASONALD NUMBER OF BEDROOMS I NUMSEROFBATHROOMS'
HEATED STRUCTURE? YES lwweeh4tl 0 YES lime!+JHe141❑ NO D
DESCRIBE WORKDEMDE%ISTwDueRwE.eplB*RUCTXEw OETAOIEO aueu+E N+DAw HOVE
�JU RA�FOOTAOE:(,,ounp
IST FLOORD K.R. 2NDFLGOR— K.R. 3RDFLOOR_rq.R BASEMENT_m.R
DECK m eq.R. COVERED DECK D w.R. STORAGE eq.R OTHER D eq.R
GARAGE 811 K.R Attachd❑ Dnaehfof CARPORT af,0. Att=W[3 DewehMl)
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH O
WIDTH BEDROOMS BATHS SERIALNUMBER O
ENV ONMEINTAL HEALTH: S
SEWAGEISEWER SOURCE: SEPTIC SEWER / NEW RUSTING El
PLUMBOIGONSTRUCTURE? YESQ NO
I/yv.Mxh cunPleted WNer Adequay FDrw ^\
PERIMETER/FOUNDATION DRAINS PROPOSED? YES Di NOD EXISTING SQ.
EXISTING BEDROOMS PROPOSED BEDROOMS ' TOTAL BEDROOMSI
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m bpe�mbeia^M1un MX+�enmarY paNaa ^GuEllg amy amememM.m apanles of Imwml IeJVCing Pi41x4ee' ill'wrterV Ian
anuvn la4y rtpasBeb elal yg iDlamlgYt ppWei Isaaaualsa^E92nbemployees o1 Maso^,uu YMCBea IoIM abma«aa1Ce0 p lnI
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMR APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.0SA2)
�GERALD REDOING.ARCHITECT.A ORRED PGENT 3113/2024
BIR110hlw W OWNER ba el Mb 1MOWNERI Dele
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS(NOTE&CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH EEO
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