HomeMy WebLinkAboutBLD2023-01004 - BLD CD Environmental Health Review - 8/24/2023 Permit NRIEl f061f0�
: . MASON COUNTY f�
A. - COMMUNITY DEVELOPMENT
AUG 2 42023
�'� Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:ROBERT MILLER NAME:B0p1'k ", m
MAILING ADDRESS:52°'E HIUCRESr OR MAILING ADDRESS:22°e E WEIGHTON AVE
CITY:PORTORaoRo STATE:WA ZIP:983" CITY:vo01.04°8ARD STATE:WA ZIP:96366 Z
PHONE#1:360-731-2027 PHONE:3°°43" CELL: 3ed"r C
PHONE#2:360-2716347 EMAIL:to""."*A " "f
EmATL:kspdarren@outlook.com L&I REG#°EA EXP.03/19 25 QI�
PRIMARY CONTACT: "INNER❑ CON':P.ACTOR 0 OTHER 0 D Z
NAME KATHY C<°NNGER.PERMITS TO GO.LLC EMAIL 1dpip°996""°
MAILING ADDRESS 6696 NW SEGERMAN LN CITY savermALE STATE WA ziP98383
PHONE g(°.613.9°°° CELL'D""'a 1'l m
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 2210862-00°62 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) PAfAD1SE SHCREESrAtssrn ss ezans FIRE DISTRICT 5t
SITE ADDRESS 23°a`AKEv'Ew OR CITY GRAPEVIEW WA 965N8 `ill
iR r FeTIr1NC TO CITF.A nOR FCC turn onto E Mason Lake Dr E from E Mason Lake Rd.Turn right on Olympic Rd UG
Comtinue straight until road bends down and left.Ally way is on left past 1st home on the corner.Follow Alley way to end. 2023
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 8 SNOW LOAD:25 psi
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): RECEIVED
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑REPLACE
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Eta)
RESIDENCE
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Perils]of Bidg)❑ NO❑
DESCRIBE WORK REPLACE O0STN6 D2"245 ED SFR VAT"NEW 52R
SOUARE FOOTAGE:(proposed) S
t'111the(L
1ST FLOOR 225 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR° sq.ft. BASEMENT B38 sq.IL
1?.) DECK' sq.R COVERED DECK 1m sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE° sq.ft. Attached 0 Detached 0 CARPORT° sq.ft. Attached❑ Detached 0
MANUFACTU TION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL _ LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC D SEWER 0 / NEW❑ EXISTING Q
PLUMBING IN STRUCTURE? YES 0 NO❑ Ayes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.A76
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I are entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT 1S BY MEANS OF INSPECTION. INACTIVITY OF THIS
PER APPLICATION OF 180 DAYS OF MORE
WILL
CAUSE THE APPLICATION TO BE EXPIRED.(MASON
CO CODE
X AN 07/29/2023
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL Y rl� � G`
PUBLIC HEALTH �� A Y'LL,b-// �l�'
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