HomeMy WebLinkAboutBLD2023-00966 - BLD Application - 4/12/2023 t
•o' .''l'A': MASON COUNTY COMMUNITY SERVICES Permit No: ��� -7�w j
'c'ill PERMIT ASSISTANCE CENTER:
• •BUILDING• •PLANNING•PUBLIC HEALTH••FIRE MARSHAL
.l I•: '`7 615 W.Alder Street,Shelton,WA 98584
-2.`f.ri Phone Shelton:(360)427-9670 ext.352.Fax (360)427-7798 Phone
,,,..._
— - Bellair(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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
PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
PHONE#2: EMAIL: Sam.Martin cr,Lennar.com
EMAIL: Sam.MartinALennar.com L&1 REG# LENNANL783J0 EXP. 03/18/24
vY*
' PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Sam Martin,Agent for Lennar EMAIL Sam.Martin@Lennar.com
MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Federal Way STATE WA ZIP 98003 m
PHONE (253)294-1322 CELL (253)294-1322 z
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 1 23 28-5 1-001 1 4 ZONING `
DO
LL LEGAL DESCRIPTION(Abbreviated) Olympic Ridge FIRE DISTRICT m 0
SITE ADDRESS 391 NE Ridge Point Boulevard CITY D Z
DIRECTIONS TO SITE ADDRESS E
• �' = m
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO® SNOW LOAD:25.00 psf Z
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all:ha:apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ D
., (}\ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ® r
;' JJ\ �1 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)_New SFR using stock plan UTBD for Olympic Ridge Plan 1217 MF GR
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parris)of Bldg)® NO❑
DESCRIBE WORK New Single Family Residence heated and garage unheated
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1185 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK LIT sq.ft. STORAGE sq.ft. OTHER V. sq.ft.
GARAGE 400 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 BATIIS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW E EXISTING 0
PLUMBING IN STRUCTURE? YES 2 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NOD EXISTING SQ.FT. 1645
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 it 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'aM, / ut- 4-12-23 i
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 l/ l��1
PUBLIC HEALTH J1/ r/ /7 •Y