HomeMy WebLinkAboutBLD2023-00264 Cancelled SFR - BLD Application - 9/3/2023 MASON COUNTY COMMUNITY SERVICES Permit Vo:�{ 2Q23-0O2 LPL4
PERMIT ASSISTANCE CENTER:
-BUILDING-PLANNING-PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 ?W n 2 12 Q jV
n Phone Shelton:(360)427-9670 ext.352-Fax(360)427-7798 Phone
�J Belfair.(360)2754467-Phone Elma:(360)482-5269
go BUILDING PERMIT APPLICATION
8 -
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Lennar Northwest,Inc NAME: Lennar Northwest,Inc
MAILING ADDRESS: 33455 6th ave S,Unit I-B MAILING ADDRESS: 33455 6th ave S,Unit 1-B
Q CITY: Federal Way STATE: WA ZIP: 98003 CITY:Federal Way STATE: WA ZIP: 98003
PHONE#l: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
NPHONE#2: EMAIL: Sam.Martin(a,Lennar.com
EMAIL: Sam.Martin@Lennar.com L&I REG# LENNAN1893QG EXP. 11 /07/23
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Sam Martin,Agent for Lennar EMAIL Sam.Martin@Lennar.com
MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Fed-e—ral Way STATE WA ZIP 98003
�- PHONE (253)294-1322 CELL (253)294-1322
4^ PARCEL INFORMATION: 'I+ /�
V/ PARCEL NUMBER(12 Digit Number) IL V rh L"'A ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GRE E HAN 14%: YES❑ NOW SNOW LOAD:25_00psf
IS PROPERTY WITHIN 200 FT OF THE FOLLO ING. ckall thaatapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ D WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW R ADDITIO A TERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage,Commercial B d,Et tablishing New stock plan for Olympic Ridge Plan 2120 Elevation A GL
IS USE: PRIMARY❑ SEASONAL❑ OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑ ES rt/s)ojBldg)® NO❑
DESCRIBE WORK New Single FamilyResi ce d and ara a unheated
SQUARE FOOTAGE:(proposed)
I ST FLOOR 899 sq.ft. 2ND F OR I sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. Crt.,!!dt4
D C sq.ft. STORAGE sq.ft. OTHER 50 sq.ft.
GARAGE 391 sq.ft. to ed❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED H 0 ME INFOR ATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE DEL 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._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 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 am,7e AtF 12/5/2021
Signature of OWNER(Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH