HomeMy WebLinkAboutBLD2023-01547 - BLD CD Environmental Health Review - 1/3/2024 N , Permit No:FC�t 6 U
MASON COUNTY
COMMUNI[TYDEVELOPMENT DEC 28 2023
PmmR AUlslanm Center,Sulidit Plennim
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY W/NER INFO IATION: CONTRACTOR IN 1I7ATI [EDO
NAME: i PL&I GMSTIT
NAN1IT'/izG/ Y ^� JAN 0 3 2024
MAU-ING ADD SMAILING ADDRESS:
CITY: CITY: STATE-. ZIP,
PHONENI: PHONE: CELL: RECEIVED
PHONE#2: EMAIL.:
EMAI,_ L&I REG# EXP.
Y C NTA OWNER Pr CONTRA CTOR❑ OTHE ❑
NAME EMAIL ( CoAR .H e r
MAILI G ADDRESS CITY STATE _ZIP G?j q
PHONE�(I-3ac -17Gf: CELL
PARCEL INFORMATION: )
PARCELNIIMBER02Dign Ntmba)1a = Z -� �1� 71 ZONING
ISGAL DESCROTION(AbMevieW)<-2i R— FINE DISTRICT
sire ADDREss.,s?�1 F P /te r])get.T /'. CITY ../SI®r/J'n
DIRECTIONS TO SITE ADDRESS
E TBE PROOF WTTHIN 300 FT OF SLOPES)GREATER TRAM 14%: YES[] NOS$ SNOW IAAD.�f
ISPROPERWWI'I9IN200FTOFTHEFOLLOWING: (Caeeta mea,*):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORE: NEW)SIADOGIONE3 ALTTT1EEH1RATION❑ /RfEPAIR❑ POTHER ❑
USE OF STRUCTURE(AeYJerca Gaoge Cwwoew Buy lia.) B�, �±
IS USE: PRIMARY K SEASONAL❑ NUMBEROFHEDFRBOOMS NUMBER OP HAI'HROOMS�
HEATEDSTRUCTLRE1 YESMh!,BW13 YES(�Jr[BWOD9— NOD
DESCRIBE WORX/V BG✓ IIO'AK—
SOUARE FOOTAGE:m 4
f tDa } ISTFLOORI eiVaq.I. 2NDFLOOR q.0. 3RDFLOOR p.I BASEMENT N.R
DECK eq.ft COVITJ D0VDyECK I. STORAGE sq.ft OTHER sq.R
GARAGEm.R. AMched tp.DemJud❑ CARPORT p.ft AOoahed❑ DemchH❑
FACTUREDINFORMATION, a4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL AR LENOTH�
BEDROOMS BATHS SERIAL NUh1BER
ENVIRONMENTAL HEALTH'
SEWAGEISEWER SOURCE: SEFTICV SEWER❑ / NEVI* EXISTING❑
PLUmFING IN STRUCTURE? mw NO Ijyes.Much camylaW Mah.Adegwc,Foem
PERI
EXIMNG SQ.
MSTRTG�DROOMSUNDATIObLDRAINS PROPOSED?PROPOSED BROOMS N ✓ =ALH ROOMS FT.
OW HER wkro he Mat eew"'Mdine¢urale inlumatisn mey he,A in aaKq xwk veers pah,hk rewcetiM.MF/vn1M2Bment d mdlbEy
algnaWre he,tletlere tOT am tlb wmer anE WnhNamlart Ma,,en MtilleObreCOiBe M.pmmil and b M,M. k05 p4 . n.e
Mtaine0 pemissim Iran ell the MCeseary partm.InCluding eM aesM2M hdtlar dpanlm N iMuest re WM me pnryOCL The rimer w"I
rp antatiw,represMLs Iha1111e Inldmetlm prw+tlM is eauMe enE grenrs employeaa W INSM Cwmy eM99 W me eGow EmCeipOJ Dmoeny
eM sbutlulelslkrer ant Inspendeh Tis.6 Of 1Pl0.1,txomK nWlBwiEtlwdkdeuNMttE mneVug9nknd mnmeMetl xHhln t&1
bays a II mlWrvctM uwk is suepenEM Iv a Dd✓+II W t80 tleye.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
a
P A N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
re M NER IMum besinned Mtba DWNERI DaftTAL REVIEW APPROVED DATE DEN6D DATE TAGS/NOTES/CONDITIONS
PARTMENTEPARTMENT'LTH ( I
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