HomeMy WebLinkAboutBLD2022-00888 - BLD CD Environmental Health Review - 8/18/2023 .9 'c'''`'�ni;, MASON COUNTY COMMUNITY SERVICES Permit No: ?Iel 2D 'CCC.c:(6-
/ Vic. PERMIT ASSISTANCE CENTER:
�ti� i •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
'x(..„7
.,,�• z 615 W.Alder Street,Shelton,WA 98584
1 , Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
4/h "7 '�C Belfair.(360)275-4467•Phone Elm:(360)482-5269
�.' rtr-r ji'
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Lennar Northwest,Inc. NAME: Lennar Northwest,Inc. m
MAILING ADDRESS: 33455 6th ave S_Unit 1-R MAILING ADDRESS: 33455 6th Ave S.Unit 1-B
1 CITY: Federal Way STATE: WA ZIP: 98003 CITY: Federal Way STATE: WA ZIP: 98003 Z
�! PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
s PHONE#2: EMAIL: Sam.Martin@Lennar.com
Sam.Martin Lennar.com L&I REG# LENNANL783JO EXP. 03/18/24 = DO
EMAIL: m O
rPRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER® D Z
NAME Sam Martin EMAIL Sam.Martin@Lennar.com m
MAILING ADDRESS 33455 6th Ave S.Unit 1-B CITY Federal Way STATE WA ZIP 98003
PHONE (253)294-1322 CELL (253)294-1322 •••r rn
r0 PARCEL INFORMATION: z
7PARCEL NUMBER(12 Digit Number) 1 2328-5 1-00 1 1 5 ZONING D
`•V LEGAL DESCRIPTION(Abbreviated) Olympic Ridge FIRE DISTRICT r
SITE ADDRESS 381 NE Ridge Point Boulevard CITY
•, DIRECTIONS TO SITE ADDRESS
V
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❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
c TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
_ USE OF STRUCTURE(Residence,Garage,Commercial bldg,Etc.) New SFR Using approved stock plan'�2018-0003 Plan 2439 MF GL
Yr IS USE: PRIMARY❑ SEASONAL El NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/s/ofBldg)E NO❑
--+. DESCRIBE WORK New Single Family Residence heated and garage unheated
`n SQUARE FOOTAGE:(proposed)
1ST FLOOR 989 sq.ft. 2ND FLOOR 1351 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK l'O sq.ft. STORAGE sq.ft. OTHER se 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: i
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER E / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES E NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NOD EXISTING SQ.FT. 1630 sqft
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
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'a.m 4-12-23
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
PUBLIC HEALTH 77/0j