HomeMy WebLinkAboutBLD2023-00670 - BLD CD Environmental Health Review - 6/23/2023 k.
' r ,�"' 1''}+•• MASON COUNTY COMMUNITY SERVICES Permit No: 1) i(71 Le 2- -O'Ot9 7U
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PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
i •
I 615 W.Alder Street,Shelton.WA 98584
%t.•J f—, q Phone Shelton:(360)427-9E70 ext.352•Fax:(360)427-7798 Phone
�,;-- . "' Repair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION `j� ,.-4 Pieat �b le) _CO ::,
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
J NAME: Lennar Northwest,Inc NAME; Lennar Northwest,Inc
MAILING ADDRESS: 33455 6th ave S,Unit 1-B MAILING ADDRESS: 33455 6th ave S,Unit 1-B ____
CITY: Federal Way STATE: WA ZIP: 98003 CITY: Federal Way STATE: WA ZIP: 98003
v PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
PHONE#2: EMAIL: Sam.Martin(a)Lennar.com
EMAIL: Sam.Martin@Lennar.com L&I REG# LENNANL783J0 EXP. 03/18/24
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
—4— NAME Sam Martin,Agent for Lennar EMAIL Sam.Martin@Lennar.com
0 MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Federal Way STATE WA ZIP 98003
PHONE (253)294-1322 CELL (253)294-1322
OS PARCEL INFORMATION:
C
PARCEL NUMBER(12 Digit Number) 12328-51-00100 ZONING
'.1 LEGAL DESCRIPTION(Abbreviated) Olympic Ridge FIRE DISTRICT
SITE ADDRESS 510 NE Ridge Point Boulevard CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E SNOW LOAD:25_00psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVERJCREEK❑ 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 4 20 1 8-0023 for Olympic Ridge Plan 2121 MF L
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan's]ofBldg)E NO❑
DESCRIBE WORK New Single Family Residence heated and garage unheated
SQUARE FOOTAGE: (proposed)
1ST FLOOR 899 sq.ft. 2ND FLOOR 1223 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK c)t-.. sq.ft. STORAGE sq.ft. OTHER -50- sq.ft.
GARAGE 591 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 E NO❑ /fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NOD EXISTING SQ.FT. 1540 sqft
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgem t 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 8 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 _ 03/20/2023
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 / 1l p,�
PUBLIC HEALTH k�- G/y C „11y1M CICKS
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