HomeMy WebLinkAboutBLD2024-00542 Piles, Piers - BLD Application - 4/3/2024 DocuSign Envelope ID:BAA72CB6-4F44-46F4-9E8E-BD68BCAACB38 Permit No'P_21-Q q ~V V 6 I
MASON COUNTY
COMMUNITY DEVELOPMENT-
Permit C E I V E D
Assistance Center, Building,Planning APR — 3 2024
BUILDING PERMIT APPLICATION
tC60PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Teresa Baker NAME:TerraFirma Foundation Systems-Ashley Haney
MAILING ADDRESS:70 N Cedardale Ln MAILING ADDRESS:13110 SW Wall St co
CITY:Hoodsport STATE:WA ZIP:98548 CITY:Tigard STATE:OR ZIP:97223
PHONE#1:424-382-3684 PHONE:971-205-52.23 CELL:
PHONE#2: EMAIL:Ashley.HaneyL&goterrafirrna.com
EMAIL:TessabakerQhotmail.com L&I REG#173547 EXP.j2j 1 Z4
PRIMARY CONTACT: OWNER❑ CONTRACTOR® OTHER❑
NAME Ashley Haney EMAIL Ashley.HaneyicDgoterrafirma,com
MAILING ADDRESS 13110 SW Wall St CITY Tigard STATE OR ZIP 97223
PHONE 971-205-5223 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 422125110503 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 70 N Cedardale Ln CITY Hoodsport
DIRECTIONS TO SITE ADDRESS first house up the hill on the right
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_psf
r IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apptv):
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.)
IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whate Bldg1❑ YES(Part[s]n/Bldg)❑ NO❑
DESCRIBE WORKVoluntary Underpinning using 8 pin pile&4 Push piers
SQUARE FOOTAGE:(proposed)
1 ST FLOOR 1592 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 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:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 2
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 480
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
D-uS.gy.d br.. COUNTY CODE 14.08.42)
TLMS& 15AIX 1/11/2024 1 6:57:01 PM PST
c�MIWof OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTPIONS
BUILDING DEPARTMENT �TL Ip-C-211
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
RECEIVED
1 0 1
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BAKER RESIDENCE 3
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N /Q�OQ1-00 1 tt 1 70 N CEDARDALE LN., U >
HOODSPORT,WA 98548 \ —
` 11 PARCEL#::422125110503 G
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II IMPERVIOUS AREA ,L
p ROOF AREA: 3715 SF
I I TOTAL 3715 SF U Z
I I i
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PLAN ON SHEET S0.1. I
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o I o l I BUILDING COVERAGE
(E)RESIDENCE 1734 SF v
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I I I TOTAL 1734 SF rn
In
GENERAL LOCATION OF I I 2
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SEE FOUNDATION PLAN I I y Om
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PROPS ` / ! TOTAL 1.34 ACRES �
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�`IV DRAWING TITLE
SITE PLAN
J ENGINEER: CF CHECKED BY: DMH
DATE: O1-09-2024 DRAWN BY: AG
LitQ
7�;�� JJ l ,� OVERALL SITE LAYOUT
SHEET NUMBER
C0.0 1" = 60'-01' -09-2024 CQ Q
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