HomeMy WebLinkAboutCOM2020-00072 Retaining Walls - COM Application - 7/8/2020 3
RECEIVED
SUILDINCi JUL 08 2020
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton.WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427.7798 Phone
ISO Belfair(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Belfair Apartments,LLC __ _ NAME: TBD _ _
MAILING ADDRESS11505 Burnham Dr.N W_,STE 301 MAILING ADDRESS _
CITY: Gig Harbor STATE: WA ZIP: 98332 CITY: STATE: ZIP:
PHONE#L253549-0636 PHONE: _ CELL: _
PHONE#2: 4 EMAIL:
EMAIL:s riffin harborcustomdev.com ! L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
1 NAME Apex Engineering,LLC Attn:Kimberly Savage EMAIL savage@apexengineering.net
MAILING ADDRESS 2601 S.35th St.#200 CITY Tacoma STATE WA ZIP 98409
PHONE 253-473-4494 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12328-50-00003 ZONING MU-Mixed Use District
LEGAL DESCRIPTION(Abbreviated)recor s ofMason°County ashingtoRgs. an FIRE DISTRICTF re Auth0 1tvRegional
SITE ADDRESS 81 NE Ridgepoint Blvd. CITY Belfair
DIRECTIONS TO SITE ADDRESS WA-3 North,turn right onto NE Ridgepoint Blvd.,site is on the left side,
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[XI NO❑ SNOV1'LOAD:N/A psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all tharapphv):
SALTWATER[] LAKE❑ RIVERJCREEKn POND❑ WETLAND❑ SEASONAL RUNOFF STREAM❑
I TYPE OF WORK: NEW® ADDITION[] ALTERATION❑ REPAIR❑ OTHER []
USE OF STRUCTURE(Residence.Garage,Conrmerciarstag,Fie.) 6 retaining site walls for proposed future apartment site.
IS USE: PRIMARY❑ SEASONAL❑ N/A NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS N/A
HEATED STRUCTURE? YES 01 hole Rldg)IJ YES fPmrlsl afBmg)[] NO[] N/A
DESCRIBE WORK 6 retaining site walls for proposed future apartment site.
----- ----------------
SQUARE FOOTAGE:Ipmpased)N/A
I ST FLOOR_----_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 0 Detached
MANUFACTURED HOME INFORMATION: N/A *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE_________— _ MODEL_ ___ YEAR_______LENGTH
WIDTH__-, BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: N/A
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ NEW EXISTING
PLUMBING IN STRUCTURE? YES❑ NO[] Ifves,attach completed Water Adequacy Farm
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FT.
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 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
i 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 permNapplication 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 APPLICAT ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE IC08.42)
X
Signature of JWNER a be ned the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSNOTES/CONDITIONS
BUILDING DEPARTMENT Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
K
V / ,. 1 j j -
w� r l 0 + 2Z
Vvb �l 3 = S +
110, .�
� 2�5X Wo"
RECEIVED
'
JUL 0 8 2020
615 W. Alder Street
MASON COUNTY COMMUNITY SERVICES Permit No: Cf7 W W ZO -0 00 7 Z
PERMIT ASSISTANCE CENTER:
*BUILDING•PLANNING•PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton.WA 98594
Phone Shelton-(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Beffair(360)275-4467•Phone Elmo:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Belfair Apartments,lLC ! NAME: TBD
MAILING ADDRESS11505 Burnham Dr.NW.,STE 301 I MAILING ADDRESS:_ _
CITY: Gig Harbor. STATE: WA ZIP: 98332 CITY: STATE: ZIP:
PHONE#1:_,53-6_9-0636 j PHONE: _CELL:
PHONE#2: EMAIL:
EMAIL: riffin@harborcustomdev.com ; L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHERIR
NAME Apex Engineering,LLC Attn:Kimberly Savage EMAIL savage@apexengineering.net
MAILING ADDRESS 2601 S.35th St.#200 CITY Tacoma STATE WA ZIP 98409
PHONE 253-473-4494 CELL
PARCEL INFORMATION:
PARCEL NUMBER(1 n_Digit Number) 12328-50-00003 ZONING MU-Mixed Use District
Lot 3 a aer tatwn, o. o ats, gs. an orthf�asQn Regional '
LEGAL DESCRIPTION(Abbreviated)remr s of Mason County ashingto9 FIRE DISTRICTF o'Authonty
SITE ADDRESS81 NE Ridgepoint Blvd. CITY Belfair
DIRECTIONS TO SITE ADDRESS WA-3 North,turn right onto NE Ridgepoint Blvd.,site is on the left side.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14a/: YESO NO❑ SNOW LOAD:N/A psf
IS PROPERTY"WITHIN 200 FT OF THE FOLLOWING: (Check all that applo:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW Q ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ '
USE OF STRUCTURE(Residence.Garage,Commercial Bldg.Etc.) 6 retaining site walls for proposed future apartment site.
IS USE: PRIMARY 7 SEASONAL❑ N/A NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS N/A
HEATED STRUCTURE? YES IriholeBldg)❑ YES(Parrls)alBldg)❑ NO❑ N/A
DESCRIBE WORK 6 retaining site walls for proposed future apartment site.
SQUARE FOOTAGE:fpmpased!N/A
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT
DECK sq.ft. COVERED DECK— sq.ft. STORAGE sq.ft. OTHER —sq.It.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT_ sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: N/A *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS_ BATHS SERIAL NUMBER— _
ENVIRONMENTAL HEALTH: N/A
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ NEW❑ EXISTING❑
I
f PLUMBING IN STRUCTURE? YES❑ NO❑ /jver,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
I
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
t OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
I -signature below-I declare that I am the owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
II obtained permission from all the necessary parties,including anv 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 permNapplication becomes null 8 void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
j PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICAT ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
t COUNTY CODE 14.08.42)
X
Signature of QWNER ftst be dioned by the NER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH