HomeMy WebLinkAboutCOM2022-00032 Rock Redi Retaining Wall - COM Application - 10/4/2022 MASON COUNTY COMMUNITY SERVICES Permit No: ,r L �'J=1,°L"t
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH a FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 O C IT
O 2021 _
Phone Shelton:(360)427-9670 ext.352•Fax.(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elrna:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder StreetCz
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Belfair Apartments LLC(subsidiary of HCDI) DAME:DRK Q
MAILING ADDRESS:1201 Pacifc Ave,ste 1200 MAILING ADDRESS:PO Box 99945
CITY:Tacoma STATE:WA ZIP:98402 CITY:Lakewood STATE:WA ZIP:98496
PHONE 41:253-649-5216 PHONE:253-584-0192 CELL:425-458-8783(Bryan)
PHONE#2: EMAIL:Hellen@drkdev.com
EMAIL.:ssquier@harborcustomdev.com L&I REG#DRKDEI'0770P EXP, 10162Q22
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME sh�sauier-haewCu. Dewiopm.ki=lHCoq EMAIL ssquier@harborcustomdev.com
MAILING ADDRESS 1201 Pacific Ave,Ste 1200 CITY T— STATE WA ZIp98402
PHONE 253a4"216 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)123285000003112328509DO31/123285090032 ZONINGMU
LEGAL DESCRIPTION(Abbreviated)Range:l W I Township:23N I Section:28 FIRE DISTRICT North Mason
SITE ADDRESS 81 NE Ridge Point Blvd CITY Belfair
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:__psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Reridence,Garage,Commercial Bldg,Etc.)Retaining Wall E-Building L
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pa.�s)ofefdg)) NO❑
DESCRIBE WORK Retaining Wall E-Building L r7Q(tL (1(f
SOUARE FOOTAGE:(proposed)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.fL COVERED DECK sq.ft. STORAGE sq,ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
NIANUFACTURED 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
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a slop 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 entilled 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 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
COUNTY CODE 14.08.42)
X 9/26/2022
Signature of OVPER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED I DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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