HomeMy WebLinkAboutBLD2023-01457 - BLD CD Environmental Health Review - 12/4/2023 MASON COUNTY Permit NO: 8L�np 1451
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning DEC -4 2023
BUILDING PERMIT APPLICATION 615 W. Alder Strpgt
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Z
NANg:DmiN Pam NAME:CWYIMia DSC lLC
MAJUNG ADDRESS: MAILING ADDRESS:2009 NW Kely Dr.
CITY: STATE: ZIP: CrrY:Venmurar STATE:WA Z 98885 0
PHONE 41:M ED8.3N86 PHONE: CEL7L:"BOfl3E9
PHONE#2: EMAIL:regaLnomesRmmcattnn
EMAL:re0el.lamesHddtmdArlM L&I REG gGOLUMBIADL8I30J EXF._/_/ ZJ
PRIMARY CONTACF: OWNERD CONTRACTDR0 OTHER13 rn
NAME Edwam RaddI EMAIL aldWil Nesl .mm z
MAILING ADDRESS EB]O SE SumrvaMe Rd.SultdoM CITYONBma+ sTATEgaIm 2IPFT0/5
PHONE CELLm mNa3
PARCEL INFORMATION: ^�^
PARCELNIIMBER(121)igil NNMbeO R't�DZ.?i3 -5� - ��15 2(INDNG
LEGAL DESCRIPTION(Abtdnwmdi) FIRE DISTRICT
SITE AUDREss!R0O E Mason"M Dr.W. CRYGrapwm �a 4l•C/•
DDUEt DONS TO SITE ADDRESS
ISTHEPROJECTWRHDN3m FTOFSWPF(S)GRF"ATERTTIAN14%: YESD NOD SNOWLOAD:,d
IS PROPERTY WI'I ERNI2M FT OF T'HE FOLLOWING: IrJsaaddadvpM-
SALTWATER[] LAKEQ RIVER/CREE 0 FORDO WETLAND❑ SEASONALRUNOFFQ STREAMO
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER. 0
USE OF STRUCTURE(eaanme,Cn C®xawale4,-)ReMOance
ISUSE: PRIMARY❑ SEASONALD NUMBEROFBEDRO0MS2 NUMBER OF BATHROOMS<
HEATED STRUCTURE'! YES~8MR 0 YESV wV.1.YAu6❑ NO
DBSCRIBEWORKAdM W"MlnBhwno"M iiga9 gn
SQUARE FOOTAGE:(o�
1STFLOOR1,38T p.R 21,[DFLOORRID p.ft 3RDFLOOR p.it BASEMENTM s0.ft
DECK p.R COVEREDDECK1,I" p.R STORAGE p.R OTHER p.R
GARAGE_p.It dnached0 Debched0 CARPORT p.R MOrhed❑ Dtd, edO
MANUFACTURED HOME INFORMATION: ed COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATF6 SERIALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGFISEWER SOURCE SEPTIC O+ SEWER❑ ( NEW[] EXISTENGe
PLUMBINGENSTRUCTURE? YES0 NO 1f dt dmchdnWWddFMerAdegeary Fdrw
PERIMETER/FOUNDATION DRAINS PROPOSED? M[] NOD EXISHNGSQ.FTAW
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 2 TOTAL BEDROOM$A _j_
OWNER ad'Zowd od TM...on NNameIW.-mr-1Fe.1 swMONer o'N-4 U.,Adtd� tdaMIs ar
9OnE Eebw.l aeaan M41 em Ne omenand INtMr debe Nat I en emmeo Io remw His d—td ana to do tlwwwk u drdd ,Inn.
t41eFe]gtmieyon kom en Ha recessery pelves,InG�3�N am eassnem IMtler m wniaea'nun&tpaNlrp Nre oMan TM caner dr I .d
wP'ewmaHw,rePea.ms met me Immm�Nwn PmNded N.awN ma ewnu emvMew a uewn crony eautom.elww aeacnlled Pwom
M abY[IYIaIalMwvlewaM inapetlian. Thle wtnHUBPoNaIIOnM meS nu116 wid HvmM oreullwnied mnAruvEme mlmmmervstl whin llO
dgM1 Or M fAnelr W bn xvM Is SuapeMed IOf a wllo]of t 00 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICA ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
CWNTY CODE 1a08s2)
x HGCr',i�( ' 2�77ti 11.15.23
Bi0 reMOWNER(MYM Ee elonetl br Bte OWNERI Dab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTEWCONDITIONS
BUILDING DEPARTMENT
PLANNINGDEPARTME3NT
FIRM MARSHAL
PUBLIC HEALTH 1
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