HomeMy WebLinkAboutBLD2024-01466 - BLD CD Environmental Health Review - 12/13/2024 o:
MASON COUNTY Permit N R MEkr:.D4W
COMMUNITY DEVELOPMENT DEC 12 2024 Z
Pefmit ASY0.mce CeIT,gullanp,Pknnlny
BUILDING PERMIT APPLICATION 615 W.Alder StEEk =
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: rn O
NAME:N4'a Nm4Mwx NAM(RHid%t—UZ D z
MAB.MOADDRESS:-M--AN MAH.ING ADDRESS:I.INETNaexxfer . K
CITY:x°g°Y STATRwA ZIP:-p CITY," STATE ZIP MlW m
PHONE#1:N PHONE: CELL:>sonMm z
PHONE#1:ae "- EMAIL:
MnNxmN¢Deulblaom
EMAIL:M°:+w^°OV^°Mx^ L&1 REG NNAfiTwamEDl EXP._l 1 D
PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHOt❑ p r
NAME p°°ilml EMAIL IxalmefpxlE4.nm (�
MAILINGADDRESS'en NET.xP.x.4xMM CITY'M° STATE wA ZIP.
PHONE CELL'"+"eew > `�
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PARCEL INFORMATION: L�
PARCEL NUMBER(12 Digit Nxmhpr) ZONING-°M°eAw
LEGAL DESCRIP'RON(AbFmietM) p^^^I+I:e Tna1M61X1 FIREDISTRICTNwul
SITEAODRFSSIWNETW P EIe?x MTxwy—MgiA CITYTxxw
DIRE(:'ITONS TO SITE ADDRESS Fmm Bx4FTxxy PdYmyNm WynwYXln4nan w.nl.4ux:e:g4mTwr.e4a.ni:M
MTHEPRWL WITIIINMWOFSLOPE(S)GREATERTHANTA%: YES[] NOO SNOWIDAD:IL—PsT
IS PROPERTY W ITWN 200 FT OFTHE FOLLOWING: 2'b+crppNm ,50:
SALTWATF.RD LAKEEI RIYERICREEKD FUND[] WETLANDD SEASONALRUNOFF❑ STREAMD
TYPE OF WORK: NEW 0i ADDITION❑ ALTERATION❑ REPAIR II OTHER D
USE OF STRUCNRE/xrx4na lan:OCCawexTiol R4lg e'a.)RaNEmn
ISUSE: PRIMARY@ SEASONAL❑ NUMBEROFBEDROOMSR NUMBEROFBATIRLOOMS-
HEATED STRUCNRE? VES Me oW❑ YES#wdalyNdy 0 NO❑
DESCRIBE WORK ure Xy18Rt WwxIrJW Axfw
SOVARE FOOTAGE:Ofwmd� I
ISTFLOOR'De p.fl. 2NDFLOORRX?p.k )RDFLOOR p,a. BASEMENT'Elr p.R
DECKING p.ft. COVERED DECK p.A. STORAGE p.0. OTHER_,ft.
GARAGE p.A Awxrhed0 Dewhwd❑ CARPORT p.A. AlftkdO Dnm:hed❑
MANUFACTURED HOME INFORMATION: aA COPIES OF THE FLOOR PUN REQUIRED-
MAKF. MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SF.RIALNUMBER
ENVIR014 NTALHEALT&
SEWAGESEWERSOURCE: SEPTIC SEWER❑ / NF Rl ]DUSTING0
PLUOIDING IN STRUCTURE? YES Di NO❑ blP Mach mW1.1id WPwr ddo,l Fei.
PERIMETE&TOUNDATION DRAINS PROPOSED? YES DO NOD EXISTING SQ.FT.
METING BEDROOMS_ PROPOSED BEDROOMS p TOTAL BEDROOMS
O1NER WpWeEpx V:9 f WI:4fkn dlnvobell MpTYM mvyrtfuX In aaOpxwY bJN V pamM�amllm.AtlSow4dpe:nxNa Wtll If Cy
fpne4w XeIw.I MIan Ntll em lle wmx n011MnerOMxeMxlam rENNIo�6xN VN pxmllx:Ewto Ye xak e°gOpaN.I Ma
Mxeu:efprmfflprnvm xl IM1ereceaaery ponies "dIti aoY°°ffmxn Barmthe aWson !<pY0F0INfg iitiodew repo
represenlellve,reprevenla tnm to NfolmNm pmN0e0Necclmin nO Aten4 empbleee JlMem--o—s lM1e hoi EeMME pmpy
an0 aVUre2(e)Mrexiewan0ln°peC4on.TM1If pxmlVepplkellpn Oecwnea null dwM Xvwk w eull:wlss0 WnBOpCIb14 Mvi:InlenceO vANho 1B0
ney a°Xmnnru Lm vwk k eueppntlen Itt a penM d 1BJ Eats.
PROOF CONTINUATION OF WORN ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P IT PP ATION OF 100 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 10.08.42)
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DFPARTMENTALREVIEW APPROVED DENTED DATE TAGSMOTES'CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBI.ICEEALTH iDATE
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