HomeMy WebLinkAboutBLD2023-00474 - BLD CD Environmental Health Review - 8/16/2023 `r�"`'`7-4A•-• MASON COUNTY COMMUNITY SERVICES Permit No: rel A . 1/C¢�
�^ PERMIT ASSISTANCE CENTER:
`r BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
'-•~` -�_;• 615 W.Alder Street,Shelton,WA 98584 AUG 16 2023
f Phone Shelton:(360)427-9670 ext.352•Fax (360)427-7798 Phone
Belfair(360)275-4467•Phone Elma:(360)482-5269
',;•um .:: 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
t 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 m
�^' 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 C
Q PHONE#2: EMAIL: Sam.Martin@Lennar.com
d EMAIL: Sam.Martin@Lennar.com L&I REG# LENNANI893QG EXP. 11/07/23 =
�-+ PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER® m 0
N ` NAME Sam Martin,Agent for Lennar EMAIL Sam.Martin@Lennar.com •�j
N MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Federal Way STATE WA ZIP 98003 ter••
NPHONE (253)294-1322 CELL (253)294-1322,.... ,...:
S
PARCEL INFORMATION: Z.
,.,`7 7 PARCEL NUMBER(12 Digit Number) 1 2328-5 1-000 1 3 ZONING R-5
J LEGAL DESCRIPTION(Abbreviated) Olympic Ridge Lot 13 FIRE DISTRICT North Mason
SITE ADDRESS 180 NE Belfair Station CITY Belfair,WA 98528 r
DIRECTIONS TO SITE ADDRESS
V V IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO® SNOW LOAD:25.00 psf
(\ �- IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply)
1 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 pending stock plan CBLD XXX plan 1047 MF L
NO IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
1-• HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parris)of Bldg)® NO❑
DESCRIBE WORK New Single Family Residence heated and garage unheated
SOUARE FOOTAGE:(proposed)
1ST FLOOR 1021 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT _sq.ft.
DECK sq.ft. COVERED DECK (il3 sq.ft. STORAGE sq.ft. OTHER )( sq.ft.
GARAGE 386 sq.ft. Attached® Detached❑ CARPORT sq.ft. Attached❑ Detached
MANUFACTURED HOME INFORMATION: *4 COPIES OF TILE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW E EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES E NO❑ EXISTING SQ.FT. 1470
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 commer:ed 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
A- � - COUNTY CODE 14.08.42)
X c JCLEIL i�WGC�/t/�.Y 5/24/2023
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 ����
PUBLIC HEALTH