HomeMy WebLinkAboutBLD2024-01316 SFR - BLD Application - 11/4/2024 MASON COUNTY Permit No: tehao — 3`(
REUDVE(�
COMMUNITY DEVELOPMENT NOV 0 4 2024 �
PerrmitAssistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: z
NAME:Todd and Jordyn Hinders NAME:JDK Builds Inc
MAILING ADDRESS:71 E Happy Home Dr MAILING ADDRESS:PO Box 4852 —�
CITY:BeBair STATE:WA ZIP:98528 CI'I'Y:South Colby STATE:WA ZIP:98384
PHONE#1:360.620.1739 PHONE:360.551-3963 CELL:
PHONE#2: EMAIL:jacob@jdkbutlds.com
EMAIL:hinders547®hotmall.com L&I REG#JDKBU81787N3 EXP. 9/_/ li
PRIMARY CONTACT: OWNFR❑ CONTRACTOR Q OTHER❑
NAME bcabEt9N EMAIL jacobQjdkbuilds.com
MAILING ADDRESS PO Box 4852 CITY$-eG*r1y STATE WA ZIp98384
PHONE srtaistasea CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)22223-76-00130 ZONING RR 5 acres
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRLSS351 Greenbug Ln CITy Belfair
DIRECTIONS TO SITE ADDRESS From E Trails End Road turn right onto Greenburg Ln and parcel Is toward the end of the road on the right
hand side.See gate and collar fence at the road approach.
IS THE PROJECT WITHIN 300 FI'OF SLOPES)GREATER TITAN 14%: YES❑ NOB SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkatithwappty):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND J] SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW[a ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Gan+Re,Conanerrlal Bldg Etc.)Residence
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(IYho1eB1dg)❑ YES(Panjc/o6rR1dg)EI NO❑
DESCRIBE WORK'Construction,18253gft rambler with attadted not heated garage.
SOUARE FOOTAGE:trnworedl
1ST FLOOR1825 sq.ft. 2ND FLOORO sq.fL 3RD FLOORO sq.ft. BASEMENTO sq,ft.
DECKO sq.IL COVERED DECK121 sq.ft. STORAGEO sq.ft. OTHERO sq.fL
GARAGE,$_sq.ft. Aftaeherl I] Delaciial❑ CARPORTO 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:
SEWAGEISEWER SOURCE: SEPTIC E] SEWER❑ f NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES I] NO❑ If yes,attach completed Water Adequacy Form
PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.O
EXISTING BEDROOMS 0 PROPOSED BEDROOMS_ TOTAL BEDROOMS
OWNER acknowledges tot 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 rite owner and I further declare that I am entitled to receive this permit and to do the work as proposed.1 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 become*null 3 void if work or authorized construction is not commenced within 180
days or B 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 11/4/24
nature 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 HEALTI I