HomeMy WebLinkAboutBLD2024-00201 - BLD CD Environmental Health Review - 2/21/2024 Y MASON COUNTY Permit No: L o0a�1
RECEIVED
COMMUNITY DEVELOPMENT
FEB 14 2024
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W.Alder S
PROPERTY OWNER INFORMATION: CONTRACTOR 0FORMATION: m
NAME: MNmvd 8 Karen EaMMch NAME: Ken Slovens Const Inc
MAIL NO ADDRESS: B2n 103N Ave NE MAILING ADDRESS: 51119l 51.E.
CITY: pMend STATE: WA ZIP: 9B%i3 CITY: Taronle STATE: WA ZIP: 9B1a8 F�
PHONE A7: 4253013995/MMlceq PHONE: 253318-BOw CELL: 2S931Bepee 'P�
PHONE 42: 20&21B221S0(amn olp EMAIL: Een"wernsnmn C� Q
EMAI.: :aatLestllnacnRmRl.mn L&I REGN KENSTCKil Il OY
PRIMARY CONTACT: Ol13 CONTRACTOR❑ OTHER❑ i
NAME Nan Eitail EMAIL 0,11_udWe @
NAILING ADDRESS 62111031d Ave HE CRY NMN:I STATE WA LP p8033
PHONE 4254hl CELL 425301aw5
PARCEL INFORMATION:
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PARCEL NUNO3ER(1Z Digit Nwnhr) 322W.50.Wp12 ZONING RRE r
LEGAL DESCRIPTION(AEbrevioll Mail.Mcinki ltle Hill Till FIRE DISTRICT
SITE ADDRESS 12901 NE NiOnanae Road CRY We
DIRECDONSTOSITEADDRESS From Bandn Teke WA300,WA9000emree NmNYlare Rom,Wm Nn lino pdveb OMe 91
apggalmMelYNa 12.3 nee marker.PmPaM N ertl d tldve.
ISTHBPROJeCTWRNIN300FPOFSLOPB(S)GREATERTHANI4%: YE50+ NO[] SNOWLOAD:_Paf
ISPROPERTYW IN200FTOFTBEFOLLOWING: (caaR d+dxgwtyl
SALTWATERQ LAKE❑ RIVEWCREEK❑ POND❑ WETLAND❑ SEASONALRUNCil STREAM❑
TYPE OF WORK: NEW$3, ADDITION❑ ALTERATION 0 REPAIR[] OTHER
USE OF STRMURE(aeva.n.Goings.Cussun-1.1.1.1 Ciara9e mMdenee
IS USE: PRIMARY❑ SEASONAL Q NUMBER OF BEDROOMS NUMBER OF BATHROOMS 1
HFATEDSTRUCFURE? YES(wrole8W43 YES(Pnnl NO❑
DPSCRIBE WORK Doude cerperape wIN e¢esf W liing eras e0mre
SQUARE FOOTAGE:(P'amsel
1ST FLOOR W sq.R ZND FLOOR sq.ft. 3RD FLOOR_RI.ft EASEMENT uI.ft
DECK_,ft. COVEREDDECK aq.ft STORAGE aq.It OTHER_sq.ft
GARAGE l sq.ft mil❑ rish ed a CARPORT ,ft A JssA D DelacAed❑
MANUFACTURED HOME INFORMATION: 44 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SEUALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC SEWER❑ ( NEW EMSTINOD
PLUMBING IN STRUCTURE? YESB NO❑ IJPea,nual completed Winer Adequary Fom+
PERIMETERTOUNDATION DRAINS PROPOSED? YES D NOa MISTINGSQ.FT. 1920
EXISTING BEDROOMS 2 PROPOSED BEDROOMS L__ TOTALBEDROC)
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drys w tltmaWticn vnh'u euspen0ed for a penotl N t W tlrya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PE
x_ flM APPLI TION OF IRO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.("SON
COUNTY CODE 14.08.42) z/13/zy
�dDWNER IM:sNMaMetl OvtM OWNER I Date
DEPARTMEll REV'IW APPROVED DATE DENIED DATE TAGSMOTFS/CONDITIONS
BURDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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MATT AND MEN ESMACH BIA1o2s}- �.
1 12901 HE NORTH SHORE R0, REIFAIR, WA QOa-OI oil
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o as PARCEL 32234-50-00012