HomeMy WebLinkAboutCOM2024-00008 - COM CD Environmental Health Review - 2/2/2024 MASON COUNTY PermitND:_ L Vm Ot IVED
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning FEB 022024
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME K-3Paaanala NAME:
MAjLjNr ADDRESS:31 a rathnrwa MAILING ADDRESS:
CTTY:shi STATE:'Mi, ZIs:33334 CITY: STATE: ZIP:
PHONE#I:38 Wllaa PHONE: CELL:
PHONE#2: EMAIL:
ptMAB.:w'Ar1lssOnmaw.wn III REO# EXP.
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PRIMARY CONTACT: OWNER[] RT CORACTOR❑ 03HeRja A n o
NA),IS dd' EMAIL "I'C. N /cai_CLJ YlLnf b Wh'1•�. M
MAILING ADDRES531 Enialaii cmY SLAT? A ZIP33333 G rn
PHONE CELL Senn' rn d
C3 N
PARCEL INFORMATION:PARCEL NUMBER.(12 Digit Namba)4amyAegglo ZONING
LEGAL DESCRIPION(ABBrtNated) FIRE DISTRICT
SITEADDRESS101 W ww"amm CI'd'Yahatan,WA
DiEwnONS TO SHE ADDRESS
IS THE PROIECT WITHIN 300 FF OF SLOPES)GREATER THAN 14%: YES[] NOF1 SNOW LOAD:_Pef
SPROPEEE[I LUCEI00 FTOF ICREEK.LOWQIG: (clrtt TI-ANDyl�
SALTWATER[] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFP❑ STREAM❑
TYPE OF WORK: NEW[] ADDITION❑ ALTERATION[] REPAIR[] OTHER R
USE OF STRUCTURE(Aauam,r aap,Gaaaaal wdy,
ISUSE: PRIMARY[] SEASONAL❑ NUMBEROFBEDROOMSa NUMBEROFBATHROOMS3
HEATED STRUCTURE? YFS M+alede[y❑ YES(earNIMN410 NO[] —
DESCR®EWORK3A'alWar mWs lPfccFa
SQUARE FOOTAGE:mraraaaNl
ISTFLOOR000a 3SR 2NDF1.00R_sq.R 3RDFLOOR K.ft BASEMENT aq.A
DECK_sq.R COVERED DECK_sq.R STORAOEN32 N.R. OTHERAga3 N.R
OARAGE_sq.ft AMched[] Defachad❑ CARPORT aq.A Attached[] Dwawfad❑
MANUFACTURED HOME INFORMATION: A4 COPIES OF THE FLOOR PLAN REQUIRED-
MARE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERW.NUMEER
ENVIRONMENTAL HEALTH:
SEWAGAISEWER SOURCE: SEPTIC SEWER / NEW EXISTING❑
PLUMBWGINSTRUCI" YESE NO❑ IJyes,attach mRylwed WaferAdegaacy Fosm
PERIME1ER/POUNDATTON DRAWS PROPOSED? YES[I NOE MISTINGS(l.n. O
EXISTING BEDROOMS PROPOSEDBEDROOMS V TOTAL BEDROOMS
()WNER scI—iadgas tm1 futmbelm d mss n a4Ammah n may mWl In a ekp wpM cs x a pamlX mwoliom AdmWelaemBM J Sudi Y by
sign mmk-,I tladaa that l am lAa wanr ai l lunner ackre Mel l amm hse ha mcan.this gamin an<to maw wM as DM1 meet I Mve
oelainatl tennicsion Fom aA Me naessery paa'ws.'mdudng Bnyeasemenl M1olaeror panlas Ninleresl regaNing M'n gplBd Tlm awns a,IaO
RDfBeen�]AsBi amaseMs Ywl has Inkmlalbn Dm cmd Is acwrma aN palls employees mf Masm Ccunly a..ta R9 mass a ac lama pmPamY
Ba saudaa(gtm rtWewens MepdW NIXa pdWdldlralion aammes nWlAwia AwoM1 oraullpaxea mmliuclionknd mmmercsa MMIn 1eD
Osyv IX RCnaruGm awk I9 ausgntlM penM d 1P0 Qsys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERM:? C ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
I15 2P�e _ CWNTY CODE 160E.f2)
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5'0 oTOWNER(Mueld atoned WINe OWNERI Dale
DEPARTMENTAL REVIEW APPROVED I DATE I DENIED DATE TAGS/NOTES/CONDDTONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
Fite MARSHAL
PUBUCHEAux
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