HomeMy WebLinkAboutBLD2024-00419 - BLD CD Environmental Health Review - 4/1/2024 MASON COUNTY Permit N.:j�1 �4
COMMUNITY DEVELOPMENT
_ Permit Assistance Center, Building,Planning APR 01 2024
BUILDING PERMIT APPLICATION 615 W. Alder Street m
PROPERTY OWNER INFORMATION: CONTR,,/A/CTORpI_NF�OR UTION: 2
NAME: NAME:HICK5 L3er/s. L.LC
MAJLIIJG DRESS: r MAIL G ADDRESS: P R7' F. _ �I
CITY: STATE: ZIP: CITY: STATE.I ZP��— m p
PHONE#1: D gQ—YJ'TI f PHONE - CELL:
PHONE#2: EMAIL: D Z
L&I REG# 1 EXP. /_
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PRIMARY CO ACT: owNER cOMIRpCTOR❑ / oTNeR�Tp Z
NAME EMAIL �!Y HC7tS AQYAAt L.A b) �.
MAILING ADDRESS ITY STAT ZIP
PHONE CEW, D
PARCEL INFORMATION: OO'' II''
PARCELNUMBERD2DWINambw) 2202Q2R9005% ZONINOJHJPALF &C,
LEGALDESCRB`TION(Abbrevietrd)4,r ,SP223FS�FIREDISTRICf
SITE ADDRESS '� CASngl7q('nl� A/ QTY.✓11EL70Al 1IUU
DIRECTIONS TO SITE ADDRESS (1
(11 1
IS THE JEC PROT WITHM D00FT OF SLOPES)GREATER THAN IN%: YES[] NOV SNOW LOAD:1CC—,f
LSPROPERTYWITHIN200FTOFTHEFOLLOWING: mmtw AmePsyl: '�
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK NEWX ADDITION❑ ALTERATION[I REPAIR.[] OTHER rI
USEOFSTRUCTURE(noum.KGw.ae.caeemmtwaur,em) gLUDEIIAF
ISUSE: PRIMARY[] SEASONAL[] NUMBER OF BEDROOMS_NUMBER OF BATHROOMS
HEATED STRUCTURE] YES/wnweeuy YES ryur/+l¢Iauy❑ NO❑
DESCR®E WORK t 0FAa-n1rLFo SIDAlF
SQUARE FOOTAGE:p a„m/
ISTFLOOR12SLaiL 2NDFI,0OR_eq.ft 3RD FLOOR sI BASEMENT_q.fL
DECK_,R COVERED DECK e<I.ft STORAGE eq.& .OTHER q.i
GARAGE_aq.R Atmrlied❑ OWachsst❑ CARPORT NI.ft. ARarAed D DetarJied
MAN7ACT�UnR�E�D HOME INFORMATION:
�p-�'/4COPIES OF THE FLOOR PLAN REQUIRED'
MAKECL�JA�f�?�rI J _ MODEL9_72-WAk 4$T YEAR 2tIZ4 IFiNGTH ¢8
WIDTH_ BEDROOMS_ -2 BATHS SERW NUAEER
ENY@ONMENT I.HEALTH:
SEWAGE/SEWER SOURCE: SEP71C)t SEWER❑ / NBWX EXISTING❑
PLUMBING IN STRICTURE, YESV NO❑ Urat,anwh c plemd Waor Ada IForm L
PERMETER/FOUNDATION��DD/RAINS PROPOSED? YES❑ NOW EXISTINGSQ.FT. F/
EXISTING BEDROOMS BEDROOMS Z OTAL BEDROOMS 2 l�
OWNER vdma 1-1 MYv mnozan IXInexunte iMamalbnmeynw11 InaztopxM oNer or permR n.on.AWoniwLiemzm of-m YEy
agnelure
bwow. tl¢tlare tlrel l em rEe wmr ena NMer Mclare Pel l em eMHlztl b reserve N6 permlr and b tlolM,Wr1u Pepuel. lww
cd nW parmiezim hom Witme newzzen GMlez.Inauaina em msemenl MNer o,pio.m Inmrzzl max,pNs ptletl. 1M owiwrvhyl
rewacsnlat-,re..Nm meInrormerun providedaawzme ena drams amliaym.0Muwr Ccunry eaou.m un.ft IL gaprly
vld em.mare(a)rm re+mw em LnFecean. mIs peaniu.pprunan eecpmw aw s.aN 0ww o,wmazee m,zwwdn N na ranm.nroa wnNn tw
den rc ammmwon woM m ampenaea mr a Feaod m tm aeys.
PROOF OF CONTINUA?ON OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COMITY CODE 14.08.Q)
X ed 3/�s o24
BgnaWra OWNE M Msl nad tM1e pale
DEPARTMENTAL REVI&V APPROVED DATE DENIM DATE TAGS/INOTEWCONDTQONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
ffi 200'
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8 qg�o qL < E. CASCARA COVE IN. EK/517pG 4,PAVEL ROAD
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o PLN Approved �� o
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Gavin Scouteny
N-A All Changes Subject to Approval aTp+
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