HomeMy WebLinkAboutBLD2025-00747 - BLD CD Environmental Health Review - 6/23/2025 `- KC cittjlMASON COUNTY Permit No: blkeeti
.., ' ) COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning JUN 18 2025
BUILDING PERMIT APPLICATION 615 W Alder Stroet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Martin Redmond and Dwangning tie NAME:
MAILLNG ADDRESS:e_l ne ridge point binds D-102 MAILING ADDRESS:
CITY:ba"air STATE:wa ZIP:58828 CITY: STATE: ZIP:
. ...\
PHONE#1:782888 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:redmond19698 habrrail.com L&I REG# EXP. / /_ G
PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER❑ c(1
NAME EMAIL t� C.
MAILING ADDRESS CITY STATE ZIP G
PHONE CELL c
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PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22213-n80028 ZONING fZS
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 211 E Johnson Ridge Dr CITY Beralr
DIRECTIONS TO SITE ADDRESS hwy 108 s tun left onto East trails rd.tun belt onto East trails end dr.turn left onto rasor rd,turn lett onto
mortis creek rd,turn right onto E Johnson ridge dr
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all dam apply):
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER O
USE OF STRUCTURE(ResidescR Garage.Conoeecid Blrrg,Etc.)Rwe/I i
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(whole Bldg)0 YES marls)o(etdg)0 NO O
DESCRIBE WORK 2 story dwelling attached to an existing garage.Conditioned space 2844 St and unconditioned mechanical room 38 al
SOUARE FOOTAGE:(proposed)
1ST FLOOR2t" sq.ft. 2ND FLOOR88' sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 3 2. sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER38 sq.ft.
GARAGE sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached❑ Detached O
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER O / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOQ EXISTING SQ.FT.
r/ ✓
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges that submission of inaccurate Information may result in a stop work order or perrNt 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
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commences within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT
%�%!7`� N O�CLAYS OF WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
NTY CODE 14.08.42)
X Gf J72 /42`lam s2(31 cc:) l}• —
Signature of OWNER(Must be maned by the OWNER) Bate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �
PUBLIC HEALTH t lil�ft`'�T (J k(oi Detj0-4
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