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HomeMy WebLinkAboutBLD2025-00289 - BLD CD Environmental Health Review - 3/11/2025 MASON COUNTY Permit NB:h1CIoZb2) i- /620 RECEIVED COMMUNITY DEVELOPMENT R 2 2025 Permit Assistance Center, Building,Planning 615 BUILDING PERMIT APPLICATION W' Ider t PROPERTY OWNER INFORMATION: CONTRACTORINR C �70 NAME:Wel.merk Estals Msneganenl BeMees LLC NAME:Fakbwk Costnntm Company RF F/ 1jr MAILING ADDRESS:102M HE Pays,Or.,Sues 200 MAILING ADDRESS:M Madison AvaaroSouth CITY:mduan l STATE:WA ZIP:M033 CITY:Banbridge Island STATE:WA ZIP:eels PHONE #1:(42s)ro342ss PHONE:(2oe)802.24M CELL: R1l9)01l9e79 PHONE 02: EMAIL:cam mean.Pmiw Mgr:caAripr m.xvsiuwnlonamn EMAIL:denldm®Rahrmerk.11c oua L&I REG#FAIRBCC183C2 EXP. 6I_I_ PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER(] NAME DMRK:KMIMNERMNERREPRENWAT EMAIL dankkm®waumeautcom MAILING ADDRESS 1slmNE pznd sr CITY assassins! STATE WA ZIP woo PHONE laa)ariaaaw CELL (4»)rs3ams PARCEL INFORMATION: PARCP.LNUMBER(12 Digit Number) 32233 0-00901 ZONINGRR5 LEGAL DESCRIPTION(Abbreviated) SUNNY BEACH TR"&TAX OTr-B FIREDISTRICT e SITE ADDRESS all E Sons Radio fall CITY umnn DIRECTIONS TO SITE ADDRESS TrowI EeMFam Union atHgtMay tOB,fsopmryanbllyWW—AMen:mok Ream IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATERTHAN 14%: YES❑ NO❑i SNOW LOAD: 25 psr IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: Mhniallraersai SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR Q OTHER ❑+ basheed repek USE OF STRUCTURE 0.1darcen,Gasps,Carmmrcb/BMX,Eml shore laaecdon esudm IS USE: PRIMARY❑w SEASONAL❑ NUMBER OF BEDROOMS WA NUMBER OF BATHROOMS WA HEATED STRUCTURE? YES(Whole B/dq❑ YES fPomisl ofBldal❑ NO Ej DESCRIBE WORK ropakol waag smaMMbWMMaa SOUARE FOOTAGE:(praporr0 IST FLOOR sq.n. 2ND FLOOR sq.A. 1RD FLOOR sq.A. BASEMENT sq. n. DECK sq, n. COVERED DECK sq.R. STORAGE sq. A OTHER 103 sq.n. GARAGE sq.A. Attached❑ Detached❑ CARPORT sq.tit. AWachd 0 Detached❑ MANUFACTURED HOME INFORMATION: `4 COPIES OF THE FLOOR PLAN REQUIRED- MAKE MODEL YEAR_LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC[I SEWER❑ / NEW[I EXISTING[I N/A PLUMBING IN STRUCTURE7 YES❑ NO e❑ lfye3,attach complald WaterAdequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO© EXISPINGSQ.FT. EXISTING BEDROOMS a PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0 OWNER sdmoWedges that submission of inamurate Information may result in a abp work order orpamtt revocation.Acknowledgement of such Is by signature below.I dealers that I am the enamor and I further declare that I am entitled to receNe this pemkt and to do the wads as proposed.I have obtalned permission from all the necessary parties,including any easement holder or parties of Interest regarding this"act, The owner or legal representative,represents that the information provided Is accurate and grants employees of Meson County access to the above described property and stmcture(a)for review and inspeellon, This permiVepplimfbn became.null a void d work cr authorized constructim Is not commenced within 180 days or e construction work is su.pended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT 15 BY MEANS OF INSPECTION. INACTIVITY OF THIS X PER T APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) �! 3�3�25 Signature of OWNER(Must be sinned by the OWNER) �� Dale DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 1 U COW4"j o ° m N .9 32 0 f F \ g Zm w g z v g 7z w o,, m 80m o ' N m g � d a00o O Y f.. �' m 0 � n �� J z m I � a J4 D p Z Z A- 3 I 41:. 1 -1 `t , AII. ��I , I� �4 i � �All ftill 1011 Eeux„� JAMESARCS 6HITECTDAVIDSON O Vim_