HomeMy WebLinkAboutBLD2023-01223 - BLD CD Environmental Health Review - 10/13/2023 MASON COUNTY COMMUNITY SERVICES Permit No: rJldLUZ. -ol;oz
PERMITASSISTANCE CENTER:
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BUILDING PERMIT APPLICATION L
J PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
v NAME: Jen Northwes%Inc NAME: Lem.NwhwesL,Inc
MAILING ADDRESS:33455 6th aye S-Unit 1-B MAIIPIG ADDRESS: 33455 6th ave S,Unit 1-B
CITY;Federal Way STATE:WA ZIP: 98003 CITY:Federal Way STATE: WA ZIP: 98003
PHONEOL (253)294-1322 PHONE:(253)2W-1322 CELL: (253)294.1322
PHONE#2: EMAIL Ssm.MarUn(]Letm..wm
m EMAIL: L&I REG#LENNANL783JO EXP. 03/18/24
PRIMARY CONTACT: OWNER CONTRALTORD OMER0
NAME Sam Martin.Aeent for Lemar EMAIL Am3ssr6o®Lemurum
MAILINGADDRESS 334556tItav S,Umtl-B [1TY e e ay STAT6 WA 2Ip 98003
PHONE (253)294-1322 CELL (253)2941322
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Numb.) 12328-51-00017 ZONING R-5
LEGAL DESCRU'T10N(Abbmeitttd) Olympic Ridge Lot 17 FIMINSTRICT N-&MMon
SITEADDRESS 160 NEE Ridgemp U..g CI.I.), Belfah,WA9S528
DIRECTIONS TO SITEADDRESS
MTHEPRWECTWITHIN3WnOFSLOPE(5)GREATERTNAN14%: YESD NO® SNOW LOAD:2�BBpsf
O IS PROPERTY WTFHIN 200FTOFTHEFOLLOWING: RMldlAagy y):
N SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEWS ADDITION❑ ALTERATION❑ REPAIR❑ OTHERS
4� USEOFSTRUCDU (R,-(—.Gaure.CarwN X*Be.)Nw rack via N 8Nan2631 AOL
IS USE: PRIMARY❑ SEASONAL❑ NUMBEROF BEDROOMS 5 NUMBEROF BATHRGOMS 3
�( HEATED STRUCTURE? YES MPhwe BLA-1 D YFS~jeBDN S NO❑
p1 DESCRIBE WORK New Sinale F.flY Ruidenu bmtW and¢et6pe unh
�+ SOUARE FOOTAGE:bnBasW
IST FLOOR 1137 sq.ft 2ND FLOOR 1485 sq.ft 3RD FLOOR_sq.ft BASEMENT_aq,&
DECX—,& COVERED DECK sq.R STORAGE sq.ft OTHER 82 N'It
GARAGE 5% sq.ft .Inached2 DtWW[] CARPORT 1.& AnaahedD Dem []
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WlDTH BEDROOMS BATHS SERIALNIIMBER
ENVIRONMENTAL HEALTH:
SEWAGFISEWER SOURCE: SEPDC❑ SEWERS / NEW® MIMIC
PLUMBING IN STRUCTURE? YES S NO❑ lfP .u h a.,I a dWwt,,!&9 Pba
PtRIMEfERNOUNDATION DRAINS PROPOSED? YES S NOD EXISTING SG FT. 1813 sgft
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OiNWER iimlc. uMelsWnh9onWFermate infwmetion mq—ithesWpxpk v6a t,penNl2walion.MnwNe6ge.al aura Ia EY
&9neaM¢EYaw.16a4anlMlem M¢M'naf enellurmeraxlare petlementiMeem reyM Nla pmYleMbaa l6e unk MpNLPosea.l new
aMWeE penn¢slm hom ell lee�ssary peNez,incluein0 anY easement noleera peniez N Merttl Nepseinp Nla prgect lne axvm bpel
re C¢eNGYA(a)M AW¢W a Q Me InmNmNon gvWee Is amrale ane grants employees d Meun gcanb ecesz No Ne Now 6uW Me pepeey
apeNon.into permNeppYrsaon eemm¢s nwl a wle nwan prewon:N mnawmm�e m omnenaa wnn tm
�wxonNaman wan la aaepeneee rs.pence m Ira a.y:.
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 14.08A21
X Sd 9e442fi,P SQ4/2023
Sign m M OWNER(Mug 00aionW WMe OWNER) Dete
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS)NOTEtfCONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH C
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