HomeMy WebLinkAboutBLD2023-00265 Cancelled SFR - BLD Application - 9/3/2023 MASON COUNTY COMMUNITY SERVICES Permit No: i✓Jd 2623-062 P5
PERMIT ASSISTANCE CENTER:
•BUILDING•6 5 PLANNING
-Street/Shelton,HEALTH
-FIRE 98 84 MARSHAL ! I .^ 2— I z o
Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 PhoneISO r (•/•• , lJ
T Belfair.(360)275-4467-Phone Elms:(360)482-5269
QBUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Lennar Northwest,Inc NAME: Lennar Northwest,Inc
Q MAILING ADDRESS: 33455 6th ave S,Unit 1-13 MAILING ADDRESS: 33455 6th ave S,Unit 1-B
CITy: Federal Way STATE: WA ZIP: 98003 CITY: Federal Way STATE: WA ZIP: 98003
PHONE 41: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
l PHONE#2: EMAIL: Sam.Martinna,Lennar.com
EMAIL: Sam.Martin(a,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
Q- MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY F-e-d—eral Way STATE WA ZIP 98003
PHONE (253)294-1322 CELL (253)294-1322
• �_ PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)
LEGAL DESCRIPTION(Abbreviated) v FIRE DISTRICT
SITE ADDRESS CITY
�r. 4crZECTIONS TO SITE ADDRESS
t J IS THE PROJECT WITHIN 300 FT OF SLOPE( G TER THAN 14%: YES❑ NOR SNOW LOAD:2_55 00psf
IS PROPERTY WITHIN 200 FT OF THE FOL (Check all that apply):
J SALTWATER❑ LAKE❑ RIVER/CREE OND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® AD ITI ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage,Co rcia Bldg,Etc.)Establishing New stock plan for Olympic Ridge Plan 2120
IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES l�tesoidence
YES(Part/s]ofBldg)R NO❑
DESCRIBE WORK New S heated and garage unheated
SOUARE FOOTAGE: roposedJ
1 ST FLOOR 899 sq.ft. LOOR 1223 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 50 sq.ft.
GARAGE 391 sq.ft. Attached R Detached❑ CARPORT sq.11. 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 R / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES R NO❑ /fyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES R 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 1 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 12/5/2021
Signature of OWNER(Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDPPIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH