HomeMy WebLinkAboutBLD2023-01225 - BLD CD Environmental Health Review - 10/13/2023 MASON COUNTY COMMUNITY SERVICES Permit No:&d26Z3a61&
PERMIT ASSISTANCE CENTER:
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615 W.NEm Sheel,SneMn,WT9B5Be }/(e1t'i 1P/1 �/
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-�- BUILDING PERMIT APPLICATION
\s� PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
�( NAME:.Le.Northwest I. NAME: 4ntmr Northwest,Inc
v MAILING ADDRESS: 33455 fish ave S Unit 1-B MAILING ADDRESS:33455 6W We S,Unit 1-B
5 CITY:Federal Way STATE: WA ZIP: 98003 CITY:FMICM W STATE: WA ZIP: 99003
PHONEBI: (253)294-1322 PHONE: TI CELL: R53)294-1322
ll PHONE 111 EMAIL:
EMAIL:SMM.M (m1 onm.com L&I REGALENNANL783JO ExF, 03/18/24
rr-- PRIMARY CONTACT: OWNER CONTRACTOR OTHER®
1 Agent
MAILIN ADDRESS 334556NmS,UNt 1-B CITY P e�Way t.nn.STATE WA 2fp 98003
Q PHONE (25312M-1322 CELL 1253)294.1322
�- PARCEL INFORMATION:
PARCELMUMB R(12Di®tNwnhr) 12328-51-00018 ZONING R-5
LEGALDESCUFTCN(Abteev.W) Olympic Ridgelotl8 FUtEDISTRICT North Mason
SITE ADDRESS 151 NE Ridges p Crossing CITY Belted,WA 98528
DIRECTIONSTOSITEADDRESS
UJ ISTREPRWECTWITHH4300FEOFSLOPE(S)GREATERTBANI4%: YES❑ NOE SNOWIAAD,.L5.00esf
IS PROPERTY WITHIN 200 PT OFTBE FOLLOWMG: IDSzewldr qpy):
SALTWATER❑ LAKE❑ RWER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
USEOFSTRUCTURE(he..cmrwe.Cw.wrtwl R6*.Dc) New SFRusingarmove .ko1an4201"-0 Plan3439MFOR
ISLES: PRIMARY❑ SEASONAL❑ NIIMBEROFBEDROOMS 4 NUMBEROFBATHROOMS 25
HEATED STRUCCURE9 YES(P9 AAW❑ YES FeMf INsMd R NO❑
DESCRIBEWORK New Single Family Ruidmce hisi and gsMi eunhnted
SOUARE FOOTAGE:NwPawm
ISTFLOOR 989 N.R. 2NDFLOOR 1351 sq.ft. 3RDFLOOReq.ft EASEMENT aq.ft
DE —N.R COVEREDDECK W.It STORAGE eq.ft OTHER 50 N,ft
GARAGE 591 sq.It Anached® DlbMed❑ CARPORT 1.It Anassi d❑ Demehed❑
MANUFACTURED HOME INFORMATION: `4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SMJALNUMSER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER® / NEW® E%ISTMG❑
PLUMBINGMSTRUCTIIRE? YES® NOD UYec atmch congdeted Waver Adegmry Form
PERAfETERIFOUNDATPON DRAINS PROPOSED? YES® ❑ E OSTING SQ.FT. 1630 sgft
EXISTMG BEDROOMS PROPOSED BEDROOMS TOTALBEDROOMS
ON1ER a*Ip.WEgp Mel mAnnYm NMmeale inAm ton my wee in a aw xwF dniar a pmil�cn.Pcsnmesipmles dwnM N by
alpuaae below.I JeWntlW I am Me—,end I Wee netlen Vu1I era mr.to nraveuie 1m111 and to 4o Me.ae FmM+ad.I.
WYW pm9eelan Ianr Me mwuen pelves,mrlunme arty amemnt Mlaeror p.mas W I.—.n9MMi9 des prgecl.TM ewie:xle9Y
npessmi nptlwYe Ms McInl Wen wmdnen Is ecanle and grants empiWees N Meson Cwn,a®ss W Me a5ue nemllro]wowM
neaMmlMel ldtnMew mdlvyec0on. mmecennNappllreewne asnwlswidff a wauMommdmnaeanuonnnaxnmamenwmntm
dryswemnmudlmw kau WWMrapanedmteodays.
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 14.08A2)
x 5'e1x,')yjaAlJrp 5242023
Signatum W OMER(Mu [b eldnad W me OWNERI Deb
DEPARTMENTAL REVIEW APPROVED DATE DEN6D DATE TAGS/NOTESICONDITIONS
BUILDING DEPARTMENT
PLANNMG"'AR=
FIRE MARSHAL
PUBLIC HEALTH 0 a S
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