HomeMy WebLinkAboutBLD2024-00784 - BLD CD Environmental Health Review - 7/2/2024 Permit�iyl� {
MASON COUNTY It
COMMUNITY DEVELOPMENT JUL 07 2024
PennRAsslamxe Gems,Suild!M Planniry
BUILDING PERMIT APPLICATION 615 W. Alder St f 8t ✓U ��
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ( �IZOI
NAME:Pao-ma AimaMnp nAnOarCutrP NAME:HILme H.ni RF�aF 4
MAILING ADDRESS:+�Ha'0"er+^ MAHJNOADDRESS;Iml P /VFD
CITY:aWi.mn STATE:WA yd.;mvts CITY:Wet,Yd STATE:WA ZIP: m4
PHONE#l:��ta PHONE: CELL:
PHONE#2: EMAIL: m
EMAIL:prAnws®Imnae.m'^ L&I REG#WHIUNHSS9BD ESP._//
PRIMARY CONTACT: OwNERO CDNTRALTORB DTRRRO
NAME OW P.n.e EMAD.FAnRaKq.mw,>+n
NAILINGADDRESS 11010M W&MW OTY O14 x.mr ,An WA UP NEW
PHONE a 41ffl CELL m 0
PARCEL INFORMATION: D z
PARCEL NUMBEIt(12 Digi[Numbc) P2+P9150o052 ZONINGS m.
LEGAL DESCRIPTION(AbbscviNd) macs OaF cvnaar.uvasoanwromwatams FDiEDISTRICf[lasso GLabo�rtee =SITE ADDRESS)D E QoAm oIn =Grapeuter z
DIRECTIONS TO SITE ADDRESS LMmEW Oiapwhxsmpsn lMnlpNan Beam Beam Ba TMn wSmmm[aN fl'Ia1ta P6 D
69pR Hnm+arvn Faelnmu.Be.TMn a.n nyNw men.wlm ane. J r
]B THE PRO3ECI'WTI'ImSl00 FF OF SLOPE(5)GREATERTHAN Ia%: YPSI NOM SNOW LOAD:_�ef
IS PROPERTYWTTI@1200 FF OF THE FOLLOWING: (O.d.namyy
SALTWATER❑ LAKE❑ R[VER/CRECR13 FORDO WEIT.AND❑ SEASONAL RUNOFFQ SIREAMD
TYPEOFWORK: NEWB ADDTDONQ ALTERATION[] REPADtD OTHENn
USEOFSTRUCTURE(em,,Ov Ce 01*F )NaNO.ma.
ISUSE: PRNTARYB SEASONAL[] NGb1B6R OF BEDROOMS 2 NUMBER OF BATHItOOM3�
HEATPD STRU=HE? YES(RArl XEW EI YES(o [.JMRles1❑ NO❑
DESCRmE WOES,BuldW a SFN
SQUARE FOOTAGE:
ISTEL000,2M q,& ZNDFLDOR q.ft 3RDFLOOK q.ft BASEMENT N.&
DECK q.R COVFREDDECK= q.ft STORAGE q.ft OTHER q.R.
GARAGE PAO q.R. A..c dB Deraehad❑ CAEPDRT q.R AaacAM❑ DW 13
MANUFACTURED HOME INFORMATION: es COPIES OF THE FLOOR
MAKE MODEL YEAR LaiGl'H
WIDTH BATHS �""NIIMBER
ENNqRONMENTAI,HLALTH,
SEWAOFISEWERSOURCE: C SEWEER' 3 (�J/p ,��'[N�EW STING
PUDMBINGINSTRUCIURE9 YES NUtl�tM �jJFy b:o3h arm
PERILIElE.R/FOUNDATION DRAINS PROPOSED? YES,$/ NOD EDSFWGsgn '®—
EXISTING BEDROOMS Q PROPOSEDREDROOMS TOTAL BEDROOMS
AWNEReWwM>Bm N6 abmitim dinemmm nbrm4 n mry resuh n a Sop xaM1 dtlarulanN Rwmlion.M}nv.NeEgemenlNxixA rsEr
eynaDae aNay.I saws mm fan n.oa..remin.nmamaa mml ma amalaamr..aimmH p.iNlmeroaa masox as v�vosminare
aDlsiwa peaais9mmsaam.ae'.sur va�es.mavan0 a.ra�.+�snnm�o-wal�orlNresiaD.amo ml�v,�au. m�o,.e,oIeea
�vmaNaeva,rewm.as ma ma Ira.mama puum a aozma.a0 a�a�as.ngoreas a Nmaa D..+r asmss ro ma adore aawiem v�w.b
.q amam�m(slmrmw.a in�Wia1 flee pemvuepplieeEm nemmes Full swq nwon oraiM.vtl mmwction is na mmmercm.unin ta0
eWa urmnsmmvn.ax Is s.sprneea r«a pesos ata0 oars.
PROD O C TINUATO F WO�11`
N THIS PERMR IS BY MEANS OF INSPECTION. INALTMTY OF THIS
P ICATOR OP MORE WILLCAUSE THE APPLICATION TO BE EXPIRED.(NISON
e//, 1, / COUNTY CODE 14.08,42)
X
0 Date
DEPARTMENTAL REVIEW OVED DATR DENIED DATE TAGSTIOTFSrCCONDITIONS
BITILDING DEPARTMENT
PLANNING DEPARTMENT
FREMARSHAL.
PHRUC HEALTH I.
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