HomeMy WebLinkAboutBLD2023-00485 - BLD CD Environmental Health Review • at,.,. r."ilth t MASON COUNTY COMMUNITY SERVICES Permit No: 1-1SP99•
PERMIT ASSISTANCE CENTER: �, IS�f
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`V'i •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHALL
i1 I. ,.. 615 W.Alder Street,Shelton,WA98584
1'; y i Phone Shelton:(360)427-9670 ext.352•Fox:(350)427-7798 Phorc
t .. " '" Bellair.(360)275 4467•Phone Elma:(360)482-5269
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00 BUILDING PERMIT APPLICATION 1-0 f 1'9
Q � j PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
N �C NAME: Lennar Northwest,Inc. NAME: Lennar Northwest,Inc.
V MAILING ADDRESS: 33455 6th ave S.Unit 1-13 MAILING ADDRESS: 33455 6th Ave S,Unit 1-B
CITY: Federal Way STATE: WA ZIP: 98003 CITY: Federal Way STATE: WA ZIP: 98003
PHONE#I: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
PHONE#2: EMAIL: Sam.Martin(a,Lermar.com
i.7,1.- EMAIL: Sam.Martin(rjLennar.com L&I REG# LENNANL783JO EXP. 03 /18/24
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Sam Martin.Agent of Lennar EMAIL Sam.Martin@Lennar.com
ill MAILING ADDRESS 33455 6th Ave S,Unit 1-B CITY Federal Way STATE WA ZIP 98003
1 PHONE (253)294-1322 CELL (253)294-1322
U PARCEL INFORMATION:
t ....V PARCEL NUMBER(12 Digit Number) 12328-21-00000; Q parent parceIsZONING
qLEGAL DESCRIPTION(Abbreviated) Olympic Ridge Lb t- I 1 FIRE DISTRICT
SITE ADDRESS 490 NE Ridge point Boulevard* * CITY
DIRECTIONS TO SITE ADDRESS
T (3 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO® SNOW LOAD:212 osf
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❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)New SFR using Approved Stock Plan 42018-0011 2631 Elevation MF GR
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 5 NUMBER OF BATHROOMS. 3
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/si of Bldg)® NO❑
DESCRIBE WORK New Single Family Residence heated and garage unheated
SQUARE FOOTAGE:(proposed)
1ST FLOOR 1137 sq.ft. 2N 3 FLOOR 1485 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVER YREI)DIK 52• sq.ft. STORAGE sq.ft. OTHER -O sq.ft.
GARAGE 594 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
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES R ❑ EXISTING SQ.FT. _1813 sq ft
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 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x 5'Q,yyL 02/14/2023
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL J}_
PUBLIC HEALTH v- 1 >/7,-5 (.(41Qt I77 adekr
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