HomeMy WebLinkAboutBLD2023-01344 - BLD CD Environmental Health Review - 11/13/2023 Permit No: �j4�, oi' ,44
MASON COUNTY I c L t
COMMUNITY DEVELOPMENT
Canter,Moildfint,MenIng NOV 07 2023 03 BUILDING PERMIT APPLICATION 615 W. Alder Str et NV 1 31013
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: RECEIVED
NAME*10h 1t fsta ll NAME: �THYIMI /TIC
MAILING RIMS: MAII.W0 RESS'
CITY: STATE: ZIP: CRY: STATE:WA ZI: b m
PHONE#]: 6 PHONE: _ELL: �6
PHONE#2: EKNA L
EMAI,' �L n L&1 REG# EXP._/_/_
PRIMARY CONTACT: OWNER.H COWRACTOR.0 0 HER❑ m
NAME EbU D
iMILINGADDRESS owSTATE ZIP r
PHONE 366'43iL4 CELL
PARCEL INFORMATION: A��.. S Z
PARCEL NUMBER(12 Digit Number) SyLI-3Z-7w 4L TONING z
LEGAL DESCROTION(Abbrcviercd) PLUS DIST CT� D
SITE ADDRESS 1fyZ1 w L611d/ CITY JrAr m �—
DIRECIIONS TO SITE ADDRESS
ISTREPRWELTWMM3W0 OFSLOPE(S)GREATERTBANI<X: YES❑ NO It SNOW LOAD:—psf
IS PROPERTY WITTIM 200 FT OF THE FOLLOWING: lCluRNrrAm appryJ:
SALTWATER❑ LAKE❑ KIVEAACR D POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDInONX ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCNRE(Aeedma,fame,CrwrmrN#Ng,sae)
MUSE: PRIMARY❑ SEASONAL❑ NUMBEROF BEDROOMS 3 NUMBER OF BATHROOMS Z
HEATED STRUCTURES YES! !k YES ryw�❑ NOD- II
DESCRIBE WORK ni;-ie
''11SMRE FOOTAGE
.fpaw+aNraff7y 1 _
1 40
1GIY4 R ,.fl 2NDFLOOR sq.& 3RDFLOOR sq.R BASE)dENT sq.R
DECK del COVERE1)DECKLI3L sq.ft STORAGE p.I OTHER sl
GARAGE_,.& Aaached❑ Deddel CARPORT ,.R. Amached❑ Dewelrsd❑
MANUFACTURED HOME INFORMATION: •A COPIES OF THE FLOOR PLAN REQUIRED•
M MODEL YEAR LE�NGTH /
TH BEDROOMS BATHS SERIALT'Of�E(—
ENVIRONMENTAL HEALTH:
SEWAOEMEWER SOURCE: SETTICg SEWER❑ / NEW EMSTUNGX
PLUMBING W STRUCTURE? YES4a NO❑ If ace all comylnad Water Adegunry Fomt ��//����
PERUAET'ER/POUNDATION DRAINS PROPOSED? YESell
EXIS ING SQ.FT._TJ1
EXISTING BEDROOMS PROPOSED BEDROOMS Z TOTAL BEDROOMS
pVNER s*nWeOpes tryn suEMNon Nnamneett'mbrtnetim mry muryln a sbp vuM1 wJx tt pamA reupcellm.Mkmebepemen erausa Is try
der.wre hiS IeeEeremtl f eat Mewmare.l further do.—M.l eat tested to nersNe mN 1-1 and to do me—,lr sc Popmed l line
nodded pmmaaM son all ne¢ssery peNee.Ihel oing any e s endenl holder or p.me.N?Merest reamelna hem protect flu mn.rm Ieow
dd and hum(:I tv rcsvbw hen oh i the lindearrinsfican s MaimNecWKeeon Meent lrun stymie n wore or aummuea tonrucuoMnals net chrhenaerherzG�nI00
eeye or Rsn9N 3m were a weLended M e period 0180 eeyc.
PROOF OF CONTINUATION OF WORK ON THIS PERM&IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WALL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.09.42)
x
�EpnNufa oTOWNER(Nurtbalened EV Ne OWNER) Dab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTESICONDFFIONS
BUILDING DEPARTMENT I'
PLANNING DEPARTMENT
I=MARSHAL
PUBLIC HEALTH
220--
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