The URL can be used to link to this page

Home My WebLink AboutBLD2023-001233 - BLD CD Environmental Health Review - 10/12/2023 M♦ SON COUNTY Permit No: PLDX2')-diiii m COMMUNITY DEVELOPMENT RECEIVEDT Permit Assistance Center,Building,Planning OCT 12 2023M %0 BUILDING PERMIT APPLICATION RI O PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. der StfAtZ NAME: Al- In^v'•f[ NAME: /C':+ hill Se.' 1A X M MAILING ADDR S: L:. IC't MAILING ADDRESS- its rp Z CTTY: t"rl STAT]i ZIPi CITY: (%rlwl:5 STATE: WA' ZIP: f i �.{ PHONE#h 24r, - �y( L ILC PHONE: >-) CELL: Lh D PHONE#2: EMAIL: r J, c r EMAB,: s e - 1 1 v_ ..(, .r LBI REG# EXP.LIjLIZv PRIMIARYCONTACT: OWNER, CONTRACTOR Q OTHER NAME- J /o EMAIL OTHER NAME— MAILINGADDRES Mile S PC /k-A CITY "i SfAT ' EP�y— PHONESU• lIG'IitO CELL PARCEL INFORMATION: �Sftn PARCEL NUMBER(12 Digit N.1i .Z3MK-MH - U:'7O ZONING W LEGAL DE$GRTPTIGN(Abbrtviatcd) u/ IfZ SE 46 SE S NI LfG'i Egw DISTRICT OCT 1 23 EREADDRESSI 116 17w,; Ten,I CITY DIRECTIONS TO SITE ADDRESS RECEIVED IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO]d SNOWLOAD:ksir of LS PROPERTY WITHIN 200 FTOFTHE FOLLOWING: (Desk.Bsisusl): t SALTWATER[] LAKE[] RTVER/CREEK❑ POND[I WETLAND❑ SEASONAL RUNOFF[I STREAM E TYPE OF WORK: NEW]a ADDITION ALTE,..RI1ATIONQ REPAIR13 OTHER [3 USE OF STRUCTURE(B®mwee ca,vgc Lonmerdol Bla{.&c/ LC S:eIr+l! < ISUSE: PRIMARY$ SEASONAL NUWBEROFBEDROGMS NUMBER OF BATHROOMS Z HEATEDSTRUCTURE? YESlwnweearin/� YES/Put,]yYegi NO[3 DESCRIBE WORK [6'v dC •[ F'li,rr f SOUARE FOOTAGE:(,,i ISTF10i ii 21qDF[DOR - sq.R. 3RDFTAOR sq.ft BASEMENT I sq.R DECK_24 _sq.S. COVEREDDECK 7.13 sq.ft STORAGE sq.It. OTHER=sq.ft. GARAGE sq.R Antiu d 0 Detached❑ CARPORT - sq.R Aearhed[3 Dstaul0 MANUFAC/TU1REDIHOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED• MAKE K'.�(LiIL.^ Nc±srs MODEL F:rs^ 1+5f aS00 YEAR ZO�r1 -. LENGTHF C, WMH_e,•."`f. BEDROOMS 2- BATHS Z- SE1UMNUMBi {-I61 EZ`tl ENVHIONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC$ SEWER❑ / NEW❑ EXISTING PLUMBINGINSTRUCTURE? YESgt NO[I Tfyis,almch wn di Water Adegrmcy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES[] NO® ERISTINGSQ.FT. EKISTINGBEDROOMS 1 PROPOSEDBEDROOMS L TOTAL BEDROOMS Z Mom eCkmvptlgee thk eudnimwon orinamunle mown may rinul1in a sop rock oNx d pi nvwlmn.Mkmwba9anwt Or WJi Is by aiaaamm mda.I aeuara NaI I aw Ise o.,nar am I mmr.r a:bra mar I aw.nlama to reai.e mb perms uw m apeevmr®aape•ea.I I�..a ablan.a permbsen mm anme�ee..ary pane..m.mmre aar enemem Iamer erwmw m�nmresl regarmnp uIa prgM.The w.mararbpN ondb mm,mPCserM1mallbelmm�nal bnpmNaea laecwrala onnenuampbyaes a w s sIrurry a ssiisnMcnrnm'neaa pmparly sillsrvmr.1 mlew aM InayGlan. Tms pa.0,11laoon Eewmea null avm ilxwkorau[Mlzetl mnaOVNon la nM comm.rcae wimin 1BJ nays re ueoivlrvcganwrk Ia awpaeaee mr a panes m tea says. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 100 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.BBAa) �/ Bgrumre of OWNER(MsatM aipnatl by Ne OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE mca-d#6'1�S TAGS/NOTESJCONDITIONS BUDDING DEPARTMENT PLANNING DEPARTMENT i FIRE MARSHAL PUBLIC HEALTR (BZ m o �Il _ ■ r F � | � �: • � ! § ` � -- �~ wz — , . « F1 \ h{ \ I - !® I � r . �. . � © . \ ( § . } {/ /� \� - HIM . w Rill . $\ M § % E � / ! \ / : \ » � % \ \ '