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HomeMy WebLinkAboutBLD2025-00432 - BLD CD Environmental Health Review - 5/29/2025 • Permit No: &,O2.oZS-OO9'62. v- MASON COUNTY •' COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION APR 0 8 2025 xirn R PROPERTY OWNER INFORMATION: CONTRACTOR INFOP l er ' _ m up p o -AV-aria ,z NAME: Randy-Ar/a L/'o eel?, NAME: 0Id/Jer' , MAILING ADDRESS: 23/ E. /illlcre, JO r, MAILING ADDRESS: CITY:Sbt/1-vh STATE:w/4 ZIP:9 'i / CITY: STATE: ZIP: PHONE#I:J6,0 - -3 3 3 - ,c OSO PHONE: CELL: PHONE#2:34,0 - 333 - SZ 95- EMAIL : EMAIL: 5f-Cc.//Cc. . A/<th7 9'f'!7 a t'/ . C ovn L&1 REG# EXP. / /_ PRIMARY CONTACT: OWNER% CONTRACTOR 0 OTHER 0 l NAME tar/a Co ceh; EMAIL 5•car/a.{ el.i@ 'mar ' C O Ir.) MAILING ADDRESS Sa.m e as Q.b o k/E CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32.0 22 - 7(a - 00010 ZONING /2--.5- LEGAL DESCRIPTION (Abbreviated) TRIO W © Survey 3 f /Z7 FIRE DISTRICT M SITE ADDRESS 23/ E. I ereS� Apr-. J CITY She /for) DIRECTIONS TO SITE ADDRESS L!L)a/e R• cm Er-es*LJ/e) i_& h4 l/e,J- yryerty or1 L_ e.4'f IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO ' SNOW LOAD: psf ‘s IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION' ALTERATION[j REPAIR❑ OTHER Q USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) JPeS/'cl en ce 1S USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS / NUMBER OF BATHROOMS /{75 HEATED STRUCTURE? YES(Whole Bldg)' YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK acid 2v X 30 eo/afy e /'i{r//rly /ova» -/ ac/I I bed/ /, 25/3o SQUARE FOOTAGE: (proposed) 1ST FLOOR 60O sq.ft. 2ND FLOOR /POO sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ �- MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER t ENVIRONMENTA L HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER D / NEW E} EXISTINGC PLUMBING IN STRUCTURE? YES' NO❑ If yes, attach completeWater Adequacy Fotm PERIMETER/FOUNDATTON DRAINS PROPOSED? YES 0 NOK EXISTING SQ.FT. £180 f ! EXISTING BEDROOMS PROPOSED BEDROOMS / TOTAL BEDROOMS .J 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 1 further declare that 1 am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal ..........n..{n{h..1{1i.:�i...«...ti...........:.Ii..l:....nn.....1.......1...n..M.+.....1............l\1........1......{..........n.....4L.....I........1.......:{....A.........w.. Hi. I\LL,LI Y CV APR 0 8 2025 •• II 615 W.Alder Street 16L.0202S - 0043 -/ -mm("000ma ``� m' o�o �.0' mo m �w ^um * �nEn? .�\_` y _ O z N d F Q` m m< a 3 m 9 maiam'cZg�m .._, . ,, F -t3 ^2-1: 4m 0 a? m - , / 3m oaa' m io m /• og> = _ -k s o� ,^ o 9 a' w_Q' • a m W :n T' m o S y m o _ _ a / . �a,ma F. m a o > O (D a • vo"° o I3o `3 -c 1J Y -F- m P y gN.c» S.- n ..• N p e 4c,m io • mFo (7, Q. 2 mDoo Gas k ( t s n 5 ; m 1 P "' c) A '\ ° v10 .p 'I- Aa H n k �`—``_ X. i. \ 41 :i,. o y �• I T x X C c- 4p X x 1-,x X v c P '� 3 x v o w n .ram, A °. . V? s."L 2Z • •-+, .•1 ,Q` -7 x to r` n S OSJ 0. oo JJ W \ `` %` \ �� F I 1 ii o. ,-,1 r _ • X r .W Tr fH ,t I 3 L __ 1 9 1 4. A 1 __ • ._.._.. __ .___. ...._._.- 1. CD A