HomeMy WebLinkAboutBLD2025-00229 - BLD CD Environmental Health Review - 3/19/2025 MASON COUNTY Per.R No: 13=61Z 002,3
COMMUNITY DEVELOPMENIRECEIVED
Pttmit AgsieUD[S Centel Building,Planning FEB 2 6
BUILDING PERMIT APPLICATION 61sw 8
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Davld A Daboran Mbeeenen NAME:Sean Sagby-The Groper Eller 1p
MAILING ADDRESS:M K PL SE MAILING ADDRESS:MIS IGE ST E L
CITY:Pm0laRrd SPATE.WA M: t COY:Pup" STATE:WA ZIP.PeaTa Q f
PHONE#I:�1510 PHONE:2833144590 CELL:
PHONE AM 616TDOe2Bg EMAIL:w4pru b,"wo nan.mn
EMAIL:MaM¢1erWIIIN.mR1 I.AI REG#GNOEDFTFdfl4 EXP. 01./2e./25
PRIMARY CONTACT: ONTIER❑ COMTRM3ORD OTHLNI m
NAME EMAIL "1b6
0obMlbtlMOmn Z
MAILINGADDRESS P.O.Soo"M CRY 9u«s STA1R WA ZIP BB0g0 C
PHONE mevR CELL
PARCEL INFORMATION: _ X
PARCEL NUMBER(12 MIS Numbs) 1MI6I5pWS2 ZONING REES m O
LEGALDESCKIPTION(A661cvimed) una«Wm«Mrrmermnlmaeuu••arbl FIREDISTRICTS > Z
SITE ADDRESS 51 E Panxt an DR CITY BeeaO ...{
DIRECTIONSTOSITEADDRESS HeW Em WAHW bwrd NBN St,Taea mR lSlxeOnm Ntet SL bm Nell OnE Pm = m
BL OW Wlt ,0m0 E noner"R0,0m0 WA.102 E ROpmN bm tlM Mt
IS THE PROIECF WITHIS'01M FT OF SLOPMS)CREATERTHAN 34%: YESD NOD SNOWLOAD:J15 l
IS PROPERTY WITHIN MKIFTOFTHE MLLOWING: F[a.arav BRW�' D
W WATER❑ LAKE RIV S/CREEKD POND WELANDa SEASONALRUNOFFO STIUUMO r
TYPEOFWORK NEWIJ ADDITION ALTERATIONEI REPAIRQ OTHERD
USEOFSTRUCTUREDN. .G C=...mmteld<.£a.JNETAM#ASWALL
ISUSE: PRIMARY❑ SEASONAL NUNCIEROFIEDROOMS_NUMBEROFBATHROOMS
HEATEDSTRUCTURE? YESMaa 13 YESA V• e;113 NOO
DESCRRIE WORK
Sn A RI R� FOO'PAGC':W,.r..9
ISTFLOOR_q.R. ZNDFLOOR q.R. )RDFLOOR A. BASEMENT q.R
DECK M.R COVEREDDECK. q.R STORAGE q.R OTHER q.R
WLLWE_q.A.AmrhWp 4[] CARPORT ,ft. 1 d0 DebGF➢ D
MANUFACTURED HOME INFORMATION: 'S COPIES OFTHE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGESEWERSOURCE: SEFIFC`1k SEVIERD I NEW,q EXISTING❑
PLLwI NG INURE?STRUCT YES D/ N0�f F1NA ararh ronlne Water Adm,u F«n
PERIMETER/FOUNDATION DRAMS PROPOSED? YE96 NO[] EXISTINGSO.PT
EXISrINGBEDRDOMS PROPOSED BEDROOMS TOTAL BFDROOMS
ONNFR si(PMeNRmaabMYTailNuae YfwnW4T ntl�eW heMV Qe vOvv Po^�A rvmcWm.Abmeblp«anlawaf�'e b/
graom«l�.IdaWeN I bn Mbeerm]11WyepY/e M11m wXRrb��rwmY pamll sb N W Vw rrva®m9«M�rev
aLW W pembrn M1Mnr RNRYWYrdW eWRWM.W svirvFegtr vwmsaln.ml epN�p mNPaea Tl.oxa v bpA
rePe.«n.w..�eP«.e•er Ye WOnr1n PeAnee b em.R..e emm..W,..aa M«m corm=®�mu.mwa.olb.a Petro
,ne.wwb:t lv�lNwvem bgerT.Trro«na'«vlmmne.mn«eta.me.gw>wuona a,�.wmon.mromn«.au wu�n leo
am a e m�eb,um.«x E em W dee 4•ndea d I ep mre
PROOF OF CONTINUATION Of WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTWITY OF THIS
PERMIT APPLICATION OF 1SO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
/� COUNTY CODER06e2)
X ane� 2.26-25
SgniMea OWNER(YUNMFIaIIM by me OWNERI Dab
DEPARTNENTALREVIEW APPROVED DATE DENIED DATE TAGSINOTES20NDITIONS'
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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