HomeMy WebLinkAboutBLD2023-00268 Cancelled SFR - BLD Application - 9/3/2023 MASON COUNTY COMMUNITY SERVICES Permit No: 1"J 60a L
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 STOCK PLAN 2018-0043
Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Ph O LY M P I C RIDGE
Belfair.(360)275-467-Phone Elma:(360)482-5269 PLAN 2120 ELEVATION B GARAGE R
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
QNAME: Lennar Northwest,Inc NAME: Lennar Northwest,Inc
MAILING ADDRESS: 33455 6th ave S,Unit 1-B MAILING ADDRESS: 33455 6th ave S,Unit 1-B
CITY: Federal Way STATE: WA ZIP: 98003 •Federal Way • WA • 98003
CITY. Y STATE. ZIP:
PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
PHONE#2: EMAIL: Sam.Martin(a,Lennar.com
NEMAIL: 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 Federal Way STATE WA ZIP 98003
PHONE (253)294-1322 CELL (253)294-1322
r
s� PARCEL INFORMATION:
n PARCEL NUMBER(12 Digit Number) NING
. V' LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS TY
DIRECTIONS TO SITE ADDRESS
THE PROJECT WITHIN 300 FT OF SLOPE(S)CREATE HA 14 YES❑ NO® SNOW LOAD:2S 00psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Che rl r t apply):
j SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND AND❑ SEASONAL RUNOFF❑ STREAM❑
Y TYPE OF WORK: NEW R ADDITION❑ AT ION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage,Commerclai B/ rc. to lishing New stock plan for Olympic Ride Plan 2120 Elevation B GR
IS USE: PRIMARY❑ SEASONA NU R OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole !dg) rr/s)ojBidg)® NO❑
DESCRIBE WORK New Single Famil esidence ted and garage unheated
SQUARE FOOTAGE:(proposed)
1 ST FLOOR 899 sq.ft. 2ND FLOOR 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® Detached❑ CARPORT sq.ft. 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® / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ Ijyes,attach completed Water Adequacy Form
PERIMETER TOUNDATION 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 permittapplication 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 12/5/2021
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH