HomeMy WebLinkAboutBLD2024-00674 - BLD CD Environmental Health Review - 5/31/2024 MASON COUNTY D
COMMUNITY DEVELOPMENT MAY 3 0 2024
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
M :DD Still
NAME:ta�Nrc
@GARre
MAILING ADDRESS.1213 SYa.M
CITY:l STATE:WA 7jp;8M13 CrMcenN+a STATE:wA j,Ip.aM31 J
PH0NENI:"§l4ZS) PHONE:38aWT-1MR CELL:M -0BM Q
PHONE 112: EMAIL:Ra�mn
EMAI.:� L&I REG plezARNMacs EXP._/__
PRIMARY CONTACT: OWNERD CONTRACTOR[] OTHER[3 W =
NAME EMAIL J
MAILINGADDRESS CITY—STATE—ZIP
PHONE CELL Z Q
PARCEL INFORMATION: 0 LLI
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PARCEL NUMBER(IZ Digit Numhr)32a10.9160180 ZONING
LEGAL DFSCR�rtON(AbbnviriM)�"�""xx'^"""11e�""�"""�"'""" FREDISTRICT z
SITE ADDRESS 801 EW AmAorwmr Im CITY3�an
DIRECTIONS TO SITE ADDRESS""'a^xaw.axnrm....rnwuxearuae�x ..rzarw.eyxn. /�
M MEPROIECFWITIBN300FFOFSLOPE(S)GREATERTMAN/4%: YESD NOE SNOWIAAD: ilA
IS PROPERTY wrrxIN Zoo Fr oFTHE Fol.wwwc: rceac+allxxvayAly) MIQ,-
SALTVJATER D LAKE D RIYERCREEK❑ POND❑ WE LAND❑ SEASONAL RUNOFF❑ STREAM Nz/
TYPE OF WORK: NEW21 ADDITION[IALTERATION[3REPAIR[IOTHER ❑USE OF STRUCTURE(xuwme..Cmga.Conaam7aBkk i1a.J
ISUSE: PRIMARYE] SEASONALD NUMBEROFBEDROOMS-3 NUMBEROFBATHROOMS3
HEATED STRUCTURE( YES~Bmi O YES(PmeplalAW❑ NOD
DESCRIBE WORKNT"'cwmumon sFR
SQUARE FOOTAGE:N-wa'ai,
ISTFLOORM5 vIR. 2NDFLDOR_dN.ft 3RDFLOOR ,f, BASEMENT all It
DECK_a ft COVEREDDECKW is ft STORAGE vl.fl OTHER K.R.
GARAGESM K.A, Attached O TkracAM❑ CARPORT ,.ft Amched❑ Txmchrl
MANUFACTU •4 COPIES OF THE FLOOR PLAN REQUIRED•
MODEL YEAR
lTi BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC DO SEWER[] / NFWD EXISTING[3
PLU MGMSI-Itu URE1 YESD NO❑ IJ3'ea.a h meplezed Winer Adegmry Form
PERDAETERIPOUNDATION DRAMS PROPOSED? YES El N1OD - EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 V TOTAL BEDROOMSS
ONNER tlmMeEpestlW aGxnh4on atYam�Me FlamMbn mrynwlllnaalcp vwk«derwwrm11rewuM1n.MF iaspaaatdauih Tab/
a,.—LalO..I dime tlW I amtln oxner and I NnMr detlx..l em MW INia 1-i all--Ne ewn es g l— I Nee
oM4neE pemisabn hom all tlw mass paralrl lm aW eaaenanl roldw«palls NlMamV mg«M qla piNaM tte ever or ka l
mpnaeMaBn,npamrt,Nal ve Mmme rar pmwded Is e—mle all pra.emgoyses d Wsm County a«ess bMe all deavltal pmpmly
MaautluMa)Wn endlnwe r. TNis pamnuapq'ration Mranea mE1avoid NVM«autlionzed mnstrutlbnis nd smnerc'ad MdYn1w
d"arnrau wx §su"ndedWaI>•lod0Ie0dan-
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMH APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
IrdT j COUNTY CODE 14.08.42) J`/}6,/j�
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' 44reWnM R(Muri lw alanedWRm OWNER( Data
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGSTIOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIXE MARSHAL �r 2
PUBLIC HEALTH 2o4:J-
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