HomeMy WebLinkAboutBLD2025-00792 - BLD CD Environmental Health Review - 7/7/2025 Permit NO:eC�C��..i LI Y L C-792,
004 MASON COUNTY r C u
COMMUNITY DEVELOPMENT
*IR Permit Assistance Center,Bulld,ng,Planning JUL 01 2025
BUILDING PERMIT APPLICATION R15 W ANCFSVeet
PROPERTY OWNER INFORMATION: l CONTRACTOR INFORMATION: I
NAME:STEVE AND MOLLY MONKS NAME: •
MAILING ADDRESS:20 E.Betty Jo Ct. _ MAILING ADDRESS:
CITY:Union STATE:WA LIP_98592 CITY: STATE: ZIP:
PHONE♦1:360-490.1982 _ _ PHONE: CELL:
PHONE r:206-349-9954 EMAIL: �� IN
EMAIL:MLMONKS9954@GMAILCOM L&.I RED c__ FXP. 1
��PRIMARY CONTACT: OWNER O CONTRACTOR OTHER 0 0
NAME __ EMAIL tit fO�
MAILING ADDRESS CITY STATE ZIP FO f
PHONE -_ CELL __--_____ __.
•
: PARCEL INFORMATION:
PARCEL NUMBER(I?Digit Number) 32104-60-00039 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT -
I SITE ADDRESS 20 E BEI I Y JO CT. CITY Union
I DIRECTIONS TO SITE ADDRESS-
I
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN I4%: YES D NO 0 SNOW LOAD:25 psi
IS PROPERTY WITIILN 200 FT OF THE FOLLOWING: (Chuck dmrar app ..
SALTWATER❑ LAKE❑ RIVER'CREEK❑ POND U WETLANT)❑ SEASONAL RUNOFF❑ STRFaM❑
TYPE OF WORK: NEW 0 ADDITION 2 ALTERATION Q REPAIR 0 OTHER 0
I USE OF STRUCTURE(aestderice¢wage ci.,r.rerat tildg.Sic}GARAGE-UNCONDITIONED
IS USE: PRIMARY Q SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS
I HEATED STRUCTURE? YES MOTE Bldg)0 YES fror.p)of8fdg)0 NO U:
DESCRIBE WORK CONSTRUCT NEW UNCONDITIONED GARAGE ADDITION TO EXISTING DETATCHED GARAC y li
SQUARE FOOTAGE:rv'bnnt•dr
ISr FLOOR sq.ft. 2ND FLOOR sq.R. 3RD FLOOR sq.R. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.f. STORAGE sq.A. OTHER sq.ft.
•
GARAGE 090 sq.R Attached 0 Detached: CARPORT sq.R Attached: Detached
D HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDill BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: may/
SEWAGE'SEWER SOURCE: SEPTIC 111 SEWER 0 / NEW EXISTING
PLUMBING TN STRUCTURE? YES 0 NO E ffyea,attach completed Water Adequacy o,-m
PERIMETERTOUNDATION DRAINS PROPOSED? YES O' NOD EXISTING SQ.FT. -...
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS_
OWNER acknow.edges t nal sub.tssion of inaccurate infor er:on may result:n a stop work order or permit revocation.Acknowledgement of such is by
signatte below.I declare that I am the Omer and I further declare mat lam entitled to receive Ohs permit and to do the work as proposMJ have
oataL,ed permission from all the necessary parties,Indudi g any easement holder or pates of interest regarding this project The owner or legal
representative,represents that t e inlotmatim provlded'Ls acmrate end grants employees of Mason County access to the above deserted popery
and structure(s)for review ano lnspecton. This petmitapoIca'vm becomes null 6 void if work er autMrtzed oonsSUNon is not commenced within 180
days or if c.nstrucbon work is suspended for a period of 180 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 y1.08.42)
•
X Z2-25
Signature of Agent Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS
BUILDINGDEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL vy�p [[�. �/
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