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HomeMy WebLinkAboutBLD2024-00298 - BLD CD Environmental Health Review - 3/6/2024 Permit No:D, IV& MASON COUNTY COMMUNITY DEVELOPMENT MAR 0 6 2024 Permit AdtalaWe Center,BWIdh 1,Naming BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:rvw1ER awsrvwaRmmcA NAME: MAILING ADDRESS:eta IEPACREEK WAMS No MARLING ADDRESS: CITY:Sm u STATE:WA ZIP:n CITY: STATE--ZIP: PHONE#1:tad a as PHONE: CELL: PHONE eepapaaPM EMAIL: EMAR.:meara 141Pd �e1 m.cr.r m.OP�mama L&I REG# EXP. / /_ PRIMARY COACT: OWNERS CONTRACOOROua..anoOTHER� NAME MAILING ADDRES 413 as UTAMM CITYsaRa STATE WA ZIPS ' PHONE'°eDama CELL saaam,so PARCEL INFORMATION: PARCELNUMBER(12Di®t Numbs) sxwarsmwl ZONING FIRS LEGALDESCRIFTON(Abbaviatid)�&N&Mtateu'WBBrc3 PRN 31t6B FIRE DISTRICTh2 STTEADDRESS413NH M.MROaCDR CITY uurxwv jDIRF.CDONSTOSMAODRESS aameexay tm rtum PanTawlm egnmx.Ranr.wp.wb..I.naanx.tba.r.Ree.vm.. Qj MS PROIBCT�3N0 OFSIAIPE(S)GREATERT 14A: YESS+ NOD SNOWLOAD: ref IRPROPERTYWTTtflTI20DFTOFT FOLLOWING: (C'JalalldampW: SALTWATER❑ LAKE❑ RIVER/CREEK❑ PONDO WETLAND❑ SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEw 0 ADDITION O ALTERATION O REPAIR D OTHER Tl USE OF STRUCTURE Otdd +.CmAss c addl X4,Del Re"De"CE ISUSE PRNfARYO SEASONAL❑ NUMEEROFBEDROO,,�2 NUl1INEROFBATHRO0MS3 HEATED STRUCTURE? YES(wlw B*O' YES(Po,,f j rBk(v O NO❑ DESCRIBE l SOUARE ��.w''2 vp FOOTAGE: Ur ,adl ISTFLOORyyy _aS-R 2NDFLOORIf'F�,`�p.& 3RDFLOOR_N.R. BASEMENT_K.I DEC'R_4I,& COVERED DECK K..R STORAGE N.R OTHER N.A GANAGE_N.R Aaached❑ Detached[I CAEPOBT N.R Attached Dem Aed❑ MANUFACTURED HOME INFORMATION: ed COPIES OF THE FLOORPLAN REQUIRL 1 WA MODEL YEAR TH BEDROOMS BATHS SERLALNUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPrrCa SEwEB❑ / NEWE] EXISTING❑ PLDMBINGNSTRUC'TURE? YESO NOO 1()'ea.attadro piwad Water Addu Fams _ PERIMETER/FOUNDATION DRAWS PROPOSED? YESD NOO EXISTWGSQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS P TCTALHEDROOMS 2 DoNEN ecbpWape° ,a,sum,,m_Wi_,,rma N P,,dnmd,dam,Ina shy xoMabrx pamm—dun.MFRxfeLPen:xMaf w bW agn°Wn aebx I aetlua mat I an Yie—reM INnnerae.m.mN °m wMW b ddua OR Permr endroEo me x ee pa 1— ebdired ddr, mmsllun retasszrYvenlm.IndAina erry a:anam rnMau WdesatneretlegeNinamb pgaa TMtvw bPI IraPCn.rweeanbmtlma Flwmellm goNeW b e¢umW aM yrenb amPMMea of Wem County eaves mme ebmv devlGE pWwIY en�shucWrNaugybrwgpn xolk6 suepMeOt e�peMtl Ua180 tle•Je.�es null&vaW HxwkaaulMnzad wnaWctlm herd x^s^acW MNF tap PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. IMACTMTY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) I X RlDrmwreINOWNER(M be I Redb M OWNERI Date DEPARTMENTAL EEVIEW APPROVED DATE DENIED DATE TAGSMOTESICONDITIOno BUILDING DEPARTMENT PLANNING DEPARTMENT FEE MARSHAL ) PUBLIC HEALTH l f | | ! ) m \ [F�n | Z � , { | ; ° | / f_ ■ � / � / Nr [ $ ! \� ` — \ k ! �|� ` // 5 2 k � ; / §± « _ . | } { { . — -- - - - ) ! © , ) \ | ,