HomeMy WebLinkAboutbld2025-00122 - BLD CD Environmental Health Review - 3/24/2025 Dowsfgn Envelope ID:45EEEEGA-933E-4593-AA7C-3E4 ME894FD
Permit ND: 6LS12025—0012'L
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Cents,BWIGIng,Planning
BUILDING PERMIT APPLICATION JAN 302025
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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NA MAILING
r ADDRES :23 NAME:
Aerie Hpm...Ind. 615 W.AkW
MAILMG ADDRESS?SSEwnnem.Pi MAILING ADDRESS: OST STATE
WNw0lge
CITY:AIIm STATE:WA ZIP:bi CITY:SINamMe STATE:WA ZIP:a—
PHONENI:1g51Wp-9s55 PHONE(MOAM4004 CELL:
PHONE 02:(20P2s71SS EMAIL:uWeyOaeeimanu.wm
EMAIL:I 7450owmcaM.nel L&I REG#AOAIRH-260R2 EXP._/09/28
PRIMARY CONTACT: OWNER❑ CONTRACTOR Q+ OTHER
NAME^tlw^n' EMAIL seasselledeame—mm '11
MAILINGADDRESS IoHeessm"eWHm CITY sN.erR STATE
PHONE Pesideaaoa CELL fn� O yy
f V
PARCEL INFORMATION: L
PARCEL NUMBER(12 Digit Number) +aeadvamd WNINGRye �Q f
LEGAL DESCRIPTION(Abbreviated) Tit+fIF SE her S JIM FIRE DISTRICT
SITE ADDRESS as E Wdi.re m CITY mron.WA Seeas
DIRECTIONS TO SITE ADDRESS Fmn a'—'--ar WA INIYe.'Aw Wgger"m,Pms4y Nu Ma aM m Me'A
IS THE PROJECT WITHIN 300 IT OF SLOPE(S)GREATER THAN 14%; PESO NO a+ SNOW LOADi
IS PROPERTY WITHIN 200 FF OF THE FOLLOWING: ic'MernrwrmPyi
SALTWATER[] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM[I
TYPE OF WORK: NEW I]i ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑
USE OF STRUCTURE(Rmaemae.torso Crsamrnal idea.En:)XOR
ISUSE: PRIMARYEc SEASONAL[] NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS-
HEATEDSTRUCTURV YES(R'Ad AGdii YES(Panplgrvid o MOO
DESCRIBEWORKInopoaed3W.25mffi2l4mh SFRWaI W5N0 ft2rrwrme
SOUARE FOOTAGE:mmmnw0
IST FLO)i aq.ft. 2ND FLOOR se,R. 3RD FLOOR wl.fl. BASEMENT aq.R.
DECK sq.ft. COVERED DECK+M P, ft. STORAGE M.ft. OTHER_eq.ft.
GARAGEM sq.R Attached Qi Defoched❑ CARPORT sq.ft. Audi❑ Deloched
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGUSEWER SOURCE: SEPTIC EI SEWER[] I NEW EXISTING I]+
PLUMBING IN STRUCTURE• YES[a NO(] Ij rda,amenh completed Water Adegeery Form
PERIMETEWFOUNDATION DRAINS PROPOSED? YES Qi NOO, EXISTING SQ.".n
EXISTING BEDROOMS 0 PROPOSED BEDROOMS s s/ TOTAL BEDROOMS V
CINNER acknowledges that sudni lion ofera ouala informe4m may resutl in a slop wF promor Parmi revocation.ACFmMeeBamenl of eucti Is by
algnsure OMvw.Id�mMMIem Meo raMIIuMerdedam NMIanentilbdtoro ,e thispermitend IOdo IMu as Ro W Iwo
Weaned permission hem all the receesay Pa'tbn,ioclueirq any easemml holderor parties MNlaerst reguding Mid prgevt The vmwrm legal
d as accomed,and
odared
and ammoture(s)forrrevew and nspe[9on,nts that nor Thiion s permrdapplicatim bemnges roll fl void it xVk a auMo ized constructor its odies of Mason Coorly addess 0 am U wdemanded
mmmenaed rather w�M80
days aif construction work Is suspended for a p flood of N days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
�A-s.Tp/�pned by: COUNTY CODE 14.01
I ITTABLA A" 1/29/2025
p gr pd WNER(Muat IM stoned by the OWNER) Dale
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDTHONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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