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Home My WebLink AboutBLD2024-00420 - BLD CD Environmental Health Review - 4/1/2024 MASON COUNTY Permit No: 1zQ a4 -A?gQ0 COMMUNITY DEVELOPMENT RECEIVEDZ _ Permit Assistance Center,Building,Planning APR 01 2024 BUILDING PERMIT APPLICATION 615 W. Alder sot 0 PROPERTYOWNER INFORMATION• CONTRACTORIINFORMATION: D Z NAME: S! NAME: MAILING DRFSS: G D - - IIII _ K CITY: STATE: ZIP: CITY STATE: Z@:� Z' PHONENI: 0 D^9(7( PHONE - 'Rj 3LL: PHONE 02: EMAIL: D Ell ' L&I REG M EXP. / / r PRIMARY CON 'A OWNER CONTRACTORD OTNERIppr" ( NAME EMAI ('�i/f1ETTErA k9NV0r1. Al MMLINGADDRESS �J ( nTM STATS'— ylp PHONE LELL 4 O PARCEL INFORMATION• PARCELNUMBER(12Digil Number) 4 lANING LEGALDESCRIPTION(Abbblaaaled) �3 FRctE'D�ISTRICT n C� SITE ADDRESS,]L (IASpA 12A rMorS. CffY TryJ DIRECFIONSTOSRBADDEESS �q�� O LSTHE PROJECTWITHMJ00FT OFSLOPE(S)GREATEB THAN 14%: YESD NOV SNOWLOAD:y.Prf ISPROPERTYWITHIN20011TOFTHEFOLLOWING: Tama M/dMroPbl: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM TYPE OF WORK: NEW$ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n USEOPSTRUCTURE(aaru.a Gaw Oan.—,.uJ.eb) RCF)aEdAF LSUSE: PRIMARY SEASONAL[] NUMBEROFBEDROOMS 3 NUMBER OF BATHROOMS 2 HEATEDSTRUCTURBT YESrWaofe may� YES rPan/rl Mew❑ NO DESCmEWORKZ/({rALJ. ,(LgilUFA�.TLL2�13 f/O1JiE SQUARE FOOTAGE:on pn,.q ISTFLOOR aq.R 2NDFLOOR sq.R 3RDFLOOR_q.R EASEMENT_M.R DECK_M.R COVERED DECK eq.R STORAGE sq.R OTHER_aq.R. AGE GAR q.R Aaaehed❑ Dwwc ad❑ CARPORT sq.A. Aoarhed0 Dmached0 ' MAN U yyF1ACTURED HOME INFORMA�T.IrnONY:�p�A Q•4CCOPIES OF THE FLOOR PLAN REQUIRED• MAKELLAyT&Q MODEL I IF I kK 65-5F LYEAR ?V;4 LENGTH WIDTH Z7 BEDROOMS BATTEI—p— IALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW)f EXISTING❑ PLUMBING IN STRUCTURE? YESW NO❑ (/yea,march camp/ aill Adequacy Fay PEIUMETER/FOUNDATION DRAINS PROPOSED? YES N EXISTING SQ.FT. EXISTING BEDROOMS_e__ PROPOSEDBEDROOMS 3 TOTALBEDROlS ONNER.aay xbrnlaepm Nnaubmtebn d inecureie iMwmatlpn mey iewVM a Ypp aak ertbor pemtll ravpulbn.A kvMWaer�wy MOM b by egneWraemunfnan Mell an Ne nw paany,IM1Nbertleny Vallnt mlltlaab as Henna eneb th MemMeepec—olove mpmetlal Wbn Irma all MeenF..patlies,'mtluyin8enyananenl is moysyba alson nn,accg Mb fte0. leemmgror., represenative,npreeeMe Vul Vro iMwmetim pmvitletl b emurele erp Snarls wrylgap IX Meam Lmnry access b Vre eMve tlewiM pmpwly anea IN nankr mlew mtllnapeUbn. Th'o dod of 180iklon[xvmea niA6Me XxoA o�euVaVie]mnelmdianb M[mnarcetl xiNln lBV can m a mnavudion w n le auepaneee ror a payoy a 1eo yarn. PROOF OF CONTINUA ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT gPPLICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 1A08.42) X 3152¢ 3lpmeae of OW14M a edb NE Dale DEPARTMENTALREVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 4ZA lut / \ j LU § \ } � } N n LLI \ ƒ i k - a . . � 2 / & 50 | � — SS H � • � 2 \■ _ `.,.! 9q! � � { � t . . / al l 2R� - - - - - - - - - — �-- - — # w \ �/� -- - ----/— � -- �� ■ ( / © ace.4 COVE m / } i mm# �m ,3 /\` z/! /( rr / 2| � / /( ' - -_�� . ) # _ ®9 __D v� f - : c a / � ��` � ■ / , — _ { } , �\ � / � \ \ � E � § ( J � 2j 3 » + , 2 § §` )� X. X. � {� P N Ap r v d _s a Mason_� _mow m All Changes Subject,Approval t k !