HomeMy WebLinkAboutBLD2024-00136 - BLD CD Environmental Health Review - 2/6/2024 ' MASON COUNTY �/Permit No: r + iE D
COMMUNITY DEVELOPMENT FEB p 12024
ParmN Assistance Centeq Bullairig,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:'-.Ss NAME:
MAILING ADDRESS:=NE—9 Dr MAILING ADDRESS:
CTTY:BaxNr STATE:wA Ze:� CrrY: STATE: - ZIP: )ccz)
PHONE#1:2 nO82DB PHONE: CELL:
PHONE#2:2g 71n 10 EMAIL:EMAL:a4-@ —1aawm L&I REG# ESP.PRIMARY CONTACT: OWNEREI CONTRACTOR❑ Imam❑NAME ws EMAILM I.INGADDMSSMNElelafaegeDr EL CITY— STATE WA "seuaPHONE�+^ CLIQ
PARCEL INFORMATION: ir =
PARCUNUMBER(121 igit Number)223D1.Tb8NN TONING FPS
LEGAL DESCRDTION(Ahbrenamd)TR3 OF SURYI2IBBIR B OF BPcMi z
SMADDRESSMONEw PId,e Dr QTyeaseir W
DIRECTIONS TO SITE ADDRESS NUNewTuarFwxoRmwwoaNsawNar.^a°"arlr'n"a oesunoPn
caxraae Newu w NrFa.nEa taw uFr wrto*aura w.uwrm m.ruN wear wm ww None ow.T ar Nw aF wVm wva.
ISTHRPROIF.CTR'TTiRN388FTOFSLOPR(S)GAEATERTRANI4%: ME] NO[] SNOWLOAD: ear
SALTWATER[]
LAKEEI FTOF ICREEK0 POND ((]r3 TLANNyf:
SALTWATERp LAKEO RIVER/CREHC❑ PONDp WETLAND❑ SEASONAL RUNOFF❑ SIREAMp
TYPE OF WORK: NEW p ADDITION❑ ALTERATION p REPAIR❑ OTHER n
USEOFSTIUJ N (e^+_»twggacomarrimRW.pc)RESIDENCE
MUSE: PRIAARYD SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS +75
DATED STRUCTURE? YES lw ,B*)Ej YES lFaNal ofR+1V❑ NO❑
DESCRIBEWGRRNEWLONSRm 1428EDROOMRESIDENTAL E
SOUARE FOOTAGE:(PmPmeq
1STFLOOR+,780 K.ft 1NDFLOO_AAc�� K.H 3RDFLOOR eq.8 BASEMENT aq.ft
DECK aq.ft COVEREDDECN�e,.& STORAGE eq.ft OTTUX� Nft-
GARAGE ad..R A# ad p DNwMd❑ CARPORT ,8 Amarlred❑ DetarAel
MANUFACTURED HOME INFORMATION: w4 COPIES OF THE FLOORPLAN REQUIRED'
MAKE Moun LENGTH
BEDROOMS HAMS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGESEWERSOURCE: SEPTICEI SEWER p / NFwp EXISTING❑
PLUMBUNGINSTRUCIVRE? ME] NO❑ lfat,alas �&W'Ter Ade Fares
PERIMETER/FOUNDATIONDRAAIS PROPOSED? YES❑ NOB IXL4TING SQ.FT.
EXISTING BEDROOMS l PROPOSEDBPOROOMSi-� TOTALBEDROOMS 2
OWNER¢ sd,oa that suNMaica ollne¢uNN mMmaton may mane an sM1q rah omtt or ennandameadon.Acknowk .meadsuch N by
siBnaaae MUw.I eaeare mar i am me o«cer wa i n,nnNceraare ureI i am ananaa m reeare ma cem�n ane weome wen as PmPoaaa.i naae
cMaiW penny, fivnautreenecessary aenaded!maaanveasamaa Meer u,amOf Masodesl renaNi�w ei pgetl. Tn.owrwwIpN
rwmaenMme.wPwaenn wu ma mmimanan Pwraea N a�,are ana Pants amPloyeas or Mason coannac«eam me aewe essmeee P^PNtY
Na�a(a)rormNw ane inacereon. Tare PNmN=Pµwaon eNnmae nen g.aa n won o a�moarae wnwanaon a nn QanmNawa wwW 180
am w ecwwwouw wrx a susce�ae Tess wroa N+W am.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.0BA2) g
X: 0 1/2 812 0 24
gneW ER Dare
DEPARTMENTAL RE EEW APPROVED I DATE I DEN® DATE TAGSINOTFSICONDITIONS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLICHEALTH
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ip N N I�. I . I ik� IJ 550' Oi
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r ` 540 �450'
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490'
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