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Home My WebLink AboutBLD2024-01275 Foundation - BLD Application - 10/24/2024 Permit No• ' MASON COUNTY RECENtED COMMUNITY DEVELOPMENT PermitAssistance Center,Building,Planning OCT 2 4 2024 BUILDING PERMIT APPLICATION - ---- - t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Catehrine Mah NAME: R&R Foundation Specialist MAILING ADDRESS: t66 E Nantucket Rd MAILING ADDRESS: 1611 E Marine view Or CITY:Shelton STATE: wA ZIP: 98584 CITY: Everett STATE:wA ZIP98201 PHONE(}1:360-556-7171 PHONE: 425-76D-5077 CELL: PRONE I12: FMAJL:alesha@rrspecialist.net EMAIL: crnaholympla@gmail.com LB.I REG# RRFOUFSB29DA EXP. 03/01/26 PRIMARY CONTACT: OWNER❑ CONTRACTOR® OTHER❑ Z NAME Alesha Stickles EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEI.NUMBER(12 Digit Number) 12119-54-00012 ZONING LEGAL DESCRIPTION(Abbreviated) Hartstene Pointe#7,lot 12 FIRE DISTRICT SITE ADDRESS see mailing CITY DIRECTIONS TO SITE ADDRESS IS THE I'ROJF.CT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES[] NO F) SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (G¢oh aloha�pt�y: SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR Ej OTHER ❑ USE OF STRUCTURE(Herfdevre,Garage,Camnercl.1,70g,DO SFR IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BL'•DROOMS NUMBER OF BATHROOMS HEATED STRUCTURE7 YES 017rolaBidg!R3 YES(Parr(r)oJQldgi❑ NO❑ DESCRIBE WORK installation of 3 helicals to stabilize SFR SOUARE FOOTAGE:(pmpored) 1ST FLOOR sq.ft. 2ND FLOOR sq.H. 3RD FLOOR sq,ft. BASEMENT sq ft. DECK sq,ft. COVERED DECK sq.R. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Auached❑ Defached❑ CARPORT sq.ft. Aauched❑ Detuched❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF TIIE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ IJlrs,onach completed WarerAdequnry Form PERIMETER/POUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may rosull In a slop work order or permit revocation.Acknowledgement or such Is by signature below.I declare that I am the owner and I further declare that I am en011ed to receive this permit and to do the work as proposed.I have obtained permission from al!the necessary partles,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 slruclure(s)for review and Inspection.This permitlappflcation becomes null d 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 QiLl.JZ� j��Q.IL 10/10/24 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Date RECEIVED MASON COUNTY OCT 2 4 2024 COMMUNITY DEVELOPMENT 615 W. Alder Street Permit Assistance Center,Building,Planning ^'T Permit#:$LUR��'V� Property Owner's Authorization Letter Cathy Mah Name Mailing Address 168 E. Nantucket Rd City Shelton State WA ZIP 98584 Phone (360) 556-7171 Email cmaholympia@gmail.com Parcel Number 1 21 1 9-54-0001 2 Site Address See mailing City State ZIP I(we): Cathy (Catherine) Mah (Property Owners Name) Hereby Authorize: R&R Foundation Specialist, Alesha Stickles (Name of PersonlContractor to Sign Permit) To apply for, sign, and pick-up building permits for the following proposed work: Foundation repair to stabilize after settling. (Brief Description of Work to be Done) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above. All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 78.27). �1�u� w4 f 10/10/2024 (Property Owner Signature) (Date)