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Home My WebLink AboutCOM2020-00072 Revision Retaining Walls - COM Application - 9/26/2022 MASON MUN7Y 4 .ice - - a • �l isa2'• �_'�� Y s_ COMMUNr1YS VWES C'U r Permit Number BL /COM: - Appllicant Name: Email: , i.� C o." �i'e--rt • 14 tc•; Phone#: project Title: !y Parcel Number: )A- 2 Cj Please provide a complete, detailed description of the proposed revisions to the approved plans. Please refum this form to the Mason County Permit Center. tv Fit, The following documents are required to be submitted with this form. ➢ One set of revised plans or addendum indicating the changes. Yes_ No ➢ One set of the approved construction plans. Yes_ No_ (The"Red Stamped"approved site plan must be included) ➢ Revisions are to be clouded with clearly and accurately identified on the revised plan/s or adden um. Yes_ No ➢ Does the plan contain a structu I, architectural or soils engineer analysis? Yes_ No (If yes,has the Registered Profess al/� pproved this revision) Yes_ No (is a stamped and signed approval ' ded with this request) Yes_ No_ (If no engineering or other changes regt) tq � istered professional have been made,the plan may be approved withoutonsent of the engineer or architect of record) ➢ Does the proposed revision modify the location of`the structure/s? Yes_ No_ (If YES, is a revised site plan,with all new setbac dimensions included with this request?) Yes_ No_ Additional Information: G� Applicants Signature: �C ( ate: '2 Z- STAFF REVIEW SECTIO Reviewed by: _/+ Department Date Assigned Date Reviewers i for Review Received Reviewer Approved Approval Original Valuation: $ c-r Additional Valuation: $ Building I 1 ' '�� Sq.Ft. X ZY Sq.Ft. X $ Planning Additional Fees: $ Additional Plan Review: $ Public Additional Building Permit: $ Health Additional Plumbing: $ Additional ec anlcal: $ F Other, Marshal Total Due:Q �� $ Public , l � Works \ Page 1 of 1 i AG wA 98 LI6 2 z 53 11�q C�fo 3�0 MASON COUNTY COMdUNM SERVKMS Permit Number BL /CO D- 11pplicant Name-&-Cj IA.. Small: SSflv� ar 5o��-a and-e.cl. Phone#:.X5�5•LO 11 • Project Title: Parcel N ber: GO IfY1 521 lvs1 a 3 a8.5a• 0060.3 Please provide a complete, detailed description of the proposed revisions to the approved plans. Please return this form to the Mason County Permit Center. The following documents are required to be submitted with is form. ➢ One set of revised plans or addendum indicating the changes. Yes_ No ➢ One set of the approved construction plans. Yes_ No_ (The "Red Stamped"approved site plan must be included) ➢ Revisions are to be clouded with delta's clearly and accurately identified on the revised plan/s or addendum. Yes_ No_ ➢ Does the plan contain a structural, architectural or soils engineer analysis? Yes_ No_ (If yes,has the Registered Professional/s approved this revision) Yes_ No_ (Is a stamped and signed approval included with this request) Yes_ No_ (If no engineering or other changes requiring a registered professional have been made,the plan may be approved without written consent of the engineer or architect of record) ➢ Does the proposed revision modify the footprint or location of the structure/s? Yes_ No_ (If YES, is a revised site plan,with all new setback dimensions included with this request?) Yes chm Noo— Additional Information: � ,^f) U 1 O (n ,—•l -1n2OApplicants Signature: • U�• -� Date: STAFF REVIEW SECTION Reviewed by: l.0 Department Date Assignedr-30 Reviewers for Review Received Reviewer Approval Odgi Valuation: $ Additional Valuation: $ Building 1 I I(1`a'h LSq.Ft. X $ Sq.Ft. X $ Planning Additional Fees: Public Additional Plan Review: Health Additional Building Permit: �T C,g�,�$ Additional Plumbing: Additional Mechanical: Fire Other. $ Marshal I v 11j� 7 Total Due: Public Works zbm V v 1 co Page 1 of 1 �J �V l � p 1� MASON COUNTY COMMUNITY SERVI�CES . Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 �t/ Phone Shelton:(360)427.9670 ext.352•Fax:(360)427-7798 Phone On' i•r e�✓� t 'CV- J t: BeHair.(360)275-4467•Phone Elma:(360)482.5269 BUILDING PERMIT APPLICATIO YN,,b2c7-. j PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Belfair Apartments LLC(subsidiary of HCDl) NAME:DRK MAILING ADDRESS:1201 Pacific Ave,Ste 1200 MAILING ADDRESS:PO-Box 99945 CITY:Tacoma STATE:WA ZIP:98402 CITY:Lakewood STATE:WA ZIP:9M9 PHONE#1:253-649-5216 PHONE:253-584-0192 CELL:425-458-8783(Bryan) PHONE 92: EMAIL:Heflen@drkdev.wm EMAIL:ssquier@harborcustomdev.com L&I REG#DRKDEI*0770P Exp. 10162Q22 i PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER❑ NAME sha Sirier-Hertw C omDevlep em,Im(HCDI) EMAIL ssquier@harborcustomdev.00m MAILING ADDRESS 1201 Pacific Ave,Ste 1200 CITYT STATE WA ZIP98402 PHONE 253a+9-5216 CELL f PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 123265000003 ZONING MU LEGAL DESCRIPTION(Abbreviated)Range:l W I Township:23N I Section: 28 FIRE DISTRICT North Mason SITE ADDRESS 81 NE Ridge Point Blvd CITY "fair I DIRECTIONS TO SITE ADDRESS IS THE PROJECT WTI'HIN 300 FT OF SLOPES)GREATER THAN 14%: YESE] NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWITNG: (Chectall that apph): SAUTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAsL`RUNOFF❑ STREAM❑ i TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION[aREPAIR❑ OTHER (1Revised Design USE OF STRUCTURE(Residence,Garagc Comm rW Bldg,Etc.)Retaining Wag-Revision to drawings for COM2020-M72 IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whote8ldg)❑ YES(Parr(sjofBldg)❑ NO❑ DESCRIBE WORKRetaining Wall-Revised Drawings to COM2020-MO72 SQUARE FOOTAGE:0�ralxued) I ST hOOR sq.ft. 2ND FWOR 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 Q Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAIN REQUIRED" MAKE bIODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑' EXISTING❑ + I PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attack completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 i 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 perrmitrapplication becowes 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 PERMIT APPLICATION OF 180 DAYS OF MORE•WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY COgE 14.08A2) 7/12/2022 Signature of OWN (Must be signed by the OWNER) Date DEP.ARTMENTAL REVIEW APPROVED DATE. DENIED DATE TAGS/\OTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT • FIRE MARSHAL PUBLIC HEALTH -� 12.0 G>0 C6 Y yr-e�JJ'6r �Qp, c x 1a ' - 3,bR0't-1, 12 , tag -T- 4-P J ------------------------ �-�m1 LA 2,b Z .�