HomeMy WebLinkAboutBLD2025-00308 - BLD CD Environmental Health Review - 3/21/2025 Permit No:.3(?Or -or, 6A
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
MAR13 ;
Permit Assistance Center, Building,Planning 3
BUILDING PERMIT APPLICATION 615 W. Alder . _ %
PROPERTY OWNER INFORMATION: CONTRACTOR jINFORMATION:
NAME:I/Ob '� vt I CP,{ CDU�,c.( NAME:6 Dime ,..1Nc. t�,''�"(
+2� MAILING DRESS: 3 /V
MAILING DDRESS: � � �� { � ,
CITY: O STATE: 1n ZIP: q gs()7 CITY: k t a STATE: ki ZIP: Q•.-,
PHONE#1: � �} — 5/-'3Q�'
PHONE: // CELL:�i 6()-7�e-3/?
PHONE#2: 3& - CS/ - 79{5 EMAIL : GY.rt fi� %�t cwt
EMAIL: LA, t L&I REG# I-}/iIFItL O6 a EXP. 5/ 10/
PRIMARY CONTACT: -�--" ER2❑ CONTRACTOROTHER ,ii
NAME ✓1- ✓� ►fir .c,tit e{,, br 1V(_EMAIL ✓I Ir COk+ !
MAILING ADDRESS �;1� L 0/VlN CITY Wi STATt MA— ZIP qT _
PHONE CELL 3(o0-79O••'7j
PARCEL INFORMATION: !� (J a
PARCEL NUMBER(12 Digit Number) J I l p 0�'1 1 1 OOC)3 ZONING it' 5
1 LEGAL DESCRIPTION(Abbreviated LX)I e. C p-0- cp# re/4 it, FIRE DISTRI T C .3
SITE ADDRESS L'l 72 vt ! wGkc CITY--Chet 1v✓t
DIRECTIONS TO SITE ADDRES 14-tAJVv I Q ( !v, 1 1 +-p �Y f o e in ex t' O4�
L j2oacK hecwl ,Pc& -1- on S 1d G4, fL ci. a roc I r le Sk- o1, l of f.
y LA/ PP i
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOO SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF D STREAM 0
TYPE OF WORK: NEW S ADDITION ❑ ALTERATION ❑ REPAIR 0 O�T/HER 0
S
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc.) . 1? �/ �
PRIMARY SEASONAL NUMBER OF BEDROOMS 3 NUMBER OF Ble CI �OMS 2-S
,„..
IS USE: � ❑
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) NO❑
11
DESCRIBE WORK ijU t ! A z W/ a- IMJ ealed !Q' nt r_•
SQUARE FOOTAGE: (proposed)
1ST FLOOR 2.-Vil sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK LIL sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 'ilea. sq.ft. Attached Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURE . *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR ENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEWS EXISTING ❑
PLUMBING IN STRUCTURE? YEW NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NCO EXISTING SQ.FT.
EXISTING BEDROOMS (j PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed. I have
easement holder orparties of interest regarding this project. The owner or legal
obtained permission from all the necessary parties,including any 9 9
ranrasantativa ranrasantc that tha information nrnviriari is art airata anri nrants amnloveas of Mason f.ninty amass to tha ahnva riasrrihari mmnartv
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