HomeMy WebLinkAboutBLD2023-00262 Cancelled SFR - BLD Application - 9/3/2023 MASON COUNTY COMMUNITY SERVICES Permit No:-�)O Zo23'Lb2le 2-
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL �I n - eve-
Phone
615 W.Alder Street,Shelton,WA 986M L I
Shelton:(360)427-9670 ext 352-Fax:(360)427-7798 Phone _- 1
Belfair.(360)275-4467•Phone Elma:(360)482-5269 61�rap U 1 a GQ{.Q—J
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
Q NAME: Lennar Northwest,Inc NAME; Lennar Northwest,Inc
v MAILING ADDRESS: 33455 6th ave S,Unit I-B MAILING ADDRESS: 33455 6th ave S,Unit I-B
Q CITY: Federal Way STATE: WA ZIP: 98003 CITY:Federal Way STATE: WA ZIP: 98003
PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
(� PHONE#2: EMAIL: Sam.Martin(u,Lennar.com
Q EMAIL: Sam.Martinna Lennar.com L&I REG# LENNAN1893QG EXP. 11/07/23
N PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER fR
NAME Sam Martin,Agent for Lennar EMAIL Sam.Martin@Lennar.com
t MAILING ADDRESS 33455 6th ave S,Unit 1-B CI3y Federal Way STATE WA ZIP 98003
PHONE (253)294-1322 CELL (253)294-1322
PARCEL INFORMATION:
C PARCEL NUMBER(12 Digit Number) l ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
V'n SITE ADDRESS CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S G R THAN 14%: YES❑ NO® SNOW LOAD:_2500psf
ROPERTY WITHIN 200 FT OF THE FOLL IN (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK D❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® AD I ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage, mme Bldg,Etc.)Establishing New stock plan for Olympic Ridge Plan 2120 Elevation MF GR
IS USE: PRIMARY❑ SEASON ❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTU YE Ole ❑ YES(Port/s)ojeldg)® NO❑
DESCRIBE WO New 'n I Fa esidence heated and garage unheated
SOU RE FOO GE: (prapos )
IST FLOOR 899 ft. 2N FLOOR 1223 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. CO RED DECK W sq.ft. STORAGE sq.ft. OTHER X sq.ft.
GARAGE 391 sq.ft. Attached® Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED UDME FORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MA MODEL YEAR LEN
IDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ /fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NO[] EXISTING SQ.FT._1340
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 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 permitlapplication 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.
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 5'dy�7AfdAt4;P 12/5/2021
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DAI F; TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH