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BLD2023-01503 - BLD CD Environmental Health Review - 12/15/2023
PermikNa: B�n�3-orsQ3 ` MASON COUNTY RECEIVED Rm COMMUNITY DEVELOPMENT Z I4rmltA ameamer.smWn ,Planning UEC 142023 BUILDING PERMIT APPLICATION 615 W.Alder S"k = PROPERTY OWNER UNFORMATION: CONTRACTOR INFORMATION: D Z NAMED.Williams NAME:Chet Williams Construction hm � eK MAILING ADDRESS:12126 SE 284th Street MAU.MG ADDRESS:12126 SE 284th Steet CITYAubum STATE:WA ZIP:98092 CITY:Aubum STATE:WA ZIP: 98092 = m P14ONE#1: 206-713-0984 PRONE:206-713-0694 CELL: 206-71Y1201 Z PHONE W2206.713-0540 EMAIL: field tHce(al betwll'amsca0struedm.com EMAIL:ILnhohYRlla'lc=m oet L&I REG# CHETWCe210Mi EXP.12➢=4 PRUMARY CONTACT: OWNER❑ r fAN'rRACFOR ❑O'[11ER ❑ NAME Trov WilliILI EMARcwN M- Bitt®deettvilllamamruwatlonmm t NAILING ADDRESS 121263E 234N Street [ITYAuburn STATE WA ZIP 98092 J PHONE 206-713-M94 CELL206-713A694 PARCEL CNFORMATION, O PARCELNU M(12Digh Nm )122294400020ZOMNGRR5 LEGALDOCRIP]lON(Abde "TR2ofGVTLOT6TAX41I-E FIREDISTRICT North Mason CoimN#21 31IEADDREE3151 E.Nelson Rd_CITY Allyn DHIECnONS M SITE ADDRESS:Frain Macau CamiN Build'mv:Take WA 119 SRS Wm Caslvn Rd US I S' Naodeoat T.un 'm� b US-IOl S amlinue on E Hmckdak Rd Take McEWm Pram Rd WA 3NT left WA3N EGrmeri L Rddn EWNeE Rd LSTHEPRWECTWTTIm8300FTOFSIAPE(S)GREATERTHAN14%: YES❑ NOS SNOWIAAD:-25iPef13 PR0PERTYWI'1'®N2WFFOFTHBFOLLO"G: f dl--NW: F� SALWATERN LAKE❑ RWFIVCEEEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ ` TYPE OF WORK: NEW 5 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ I USE OF STRUCTURE(Rmdaaa.0e.we.Cmw.r aWy 6a) IS USE: PlUMA tY❑ SEASONAL NUMBER OF BEDROOMS 2 NUMBEROF BATHROOMS I HEATED STRUCTURE? YES(a 8W❑ YES tmM4 e'eI�■ NO❑ DESCRIBEWORK w86 andb rz13bNb 0 wiffiA )and waared dedt UA c.FOOTAGE:fpNaed 1ST PLODR1160 N,ft 2NDFLOORI526 N.& 3RDFLOORAW.N.R. BASEMENT e9.A. DECK_ q.I COVERED DECK 408.80 N.ft STORAGE I OTHER_N.R GARAGE 2=1 N.ft Attached a Deraahed CARPORT N.E. Avachad❑ DNuchad❑ MANUEA—CITi12FD HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MODEL YEAR LENGTH W@TH BEDROOMS BATHS SERW.NUABIER CNVi ONMFNT SEW AGFISEWERSOURCE: SEPTICN SEWER❑ / NEW pL EXISTING❑ PLUMBN'G DN STRUCTURE? YES s NO❑ (73Na aria A.. and Wmn Adegmry Foon PEUM TERTOUNDATION DRAINS PROPOSED? YES NO❑ PXISTINGSQ.FT. EXISTING BEDROOMS O PROMSEDBEDROOMS_,_m�L TOTALREDROOMS-- pyNl]t acknvebngae Trt wOmhun Mlmc[urab Imaimelbn nmY reeutt in a Prop waM1eNeror pemM revoralun.Mnvxhtlaemenl oleW iabY ejpgWn e,,as, n a,Mell amtlNowerand l Nmeraedare Mahem eioer0WmxNamepeteardroEo poreda The hemNo wal "a"'aaah- ap.. .1 eemewrypealmIncWdnp arty NMmemlro. or paab ..on alre9aealip Nia prplact The er. ae legal reprewmaare,repneame WI Me Moemmba pm mw®reurateana pranb ampbyeee M..on<wmY cc r tome abova Eexen woinrooe i aM Nnclurele)M mbw ana NapeNprt lnia paemNa)plkNon bemmes null8 voq awk oe aumoerzeG corelrvdlon k nm commenmo wRM1ln tE0 aen ar xwasewmnwk h ewpenaad r«a peelW a tin a.n. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACINIY OF THIS PERMIT APPLICATN3N OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X ,��a/ (//� ires 10-19-23 SgneWrc ofOWNER UE b . red by tl.a OWNE0.1 OVM DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESICID"ITIONS BIRLDNG DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH � t � ) % � . 2 $ im © q � � § � ! ( § � | | § ■ - ! ! ! -