HomeMy WebLinkAboutBLD2022-00787 - BLD Application - 6/21/2022 ep0G•A`l.vH� MASON COUNTY COMMUNITY SERVICES Permit No: 'r�0787
+ PERMIT ASSISTANCE CENTER: �+
l •�I. BUILDING••PLANNING••PUBLIC HEALTH••FIRE MARSHAL FEE .E.,
615 W.Alder Street,Shelton,WA 98584 �•/
1\1....�.,/'^"� 0 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone i I E'� 2 ' ���1,
M1av Belfair(360)275-4467.Phone Elma:(360)482-5269 3 V
CJ.H.['I`r3�
BUILDING PERMIT APPLICApylv Neter Street nJ�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIONVI R0 N Y'E' `T„L
NAME:Chris 8 Lynn Trotter NAME:Hart Homes LLC (,�C A`T H
MAILING ADDRESS:2915 12th St PI SW MAILING ADDRESS:PO Box 123 n G 1
CITY:Puyallup STATE:WA ZIP:98373 CITY:orting STATE:WA ZIP:98360
PHONE#1:253-864-3780 PHONE: CELL: 253-753-7692
PHONE#2: EMAIL:harthomesllc@outlook.com
EMAIL:cdlptrotter@yahoo.com L&I REG#HARTHHL853D4 EXP. 9 /4 /22
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME Dale Hart EMAIL harthomesllc@outlook.com
MAILING ADDRESS PO Box 123 CITY°ding STATE WA ZIP 98360
PHONE 253-753-7692 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12332-52-00002 ZONINGR4
LEGAL DESCRIPTION(Abbreviated) Lot#2 Clifton Ridge Plat FIRE DISTRICT North Mason
SITE ADDRESS 51 NE Daybreak Dr CITY Belfair
DIRECTIONS TO SITE ADDRESS From Hwy 3 turn up Romance Hill RD and continue to Daybreak Dr.Lot#2 is 2nd on right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 9 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)EI YES(Parris]of Bldg)0 NO 0
DESCRIBE WORK Build SFR 2254 soft new home
SQUARE FOOTAGE:(proposed)
1ST FLOOR 2254 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 228 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 857 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached❑ Detached 0
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❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 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
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 commenced 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
PERMI APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
-`�� , COUNTY CODE 14.08.42)
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be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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(n No. Date Revision Designed By: KRH '�
Trotter Residence Drawn By: KRH cr
�� � TEAM HUGHES
Mason County,WA Checked By: KRH �°j o Fo
O yN A
A Owner. Site Address: n' M
1 -`--<' T ENGINEERING
Chris Trotter 51 NE Daybreak Dr Scale: 1'=20' N (6pF ` �_
253-864-3780 Belfair,WA 98528 10'4. a•'� 4015 104th Ave SW (253)256-5486
Pacel#: 123325200002 Original Date: sr3rz2 i
Olympia,WA 98512 kevin@teamhugheseng.com