HomeMy WebLinkAboutBLD2025-00022 SFR - BLD Application - 1/9/2025 Permit No: B Lj)R 02S_0 00A9
MASON COUNTY REC WED
COMMUNITY DEVELOPMENT JAN 0 9 2025
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Susan Anderson I Anderson Family Trust NAME:Rrewalker Homes,LLC
MAILING ADDRESS: 411 Avenida Salvador MAILING ADDRESS:3731 E Sparks Road
CITY:San Clemente STATE:CA ZIP:92672 _ CITY:Easton STATE:WA ZIP:98925 z
PHONE g1:(949)374.3569 PHONE:(206)39e-3773 CELL: same
PHONE#2: _ EMAIL:srewalkereanswedonQgmell.eom _
EMAIL:suenicoleacox.net L&I REG#mREWHt.761JA EXP.04/12/26 �.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Craig SWW,e11Sttlwea Neuron Amhkeds EMAIL enig®sRWeleronson,mm
MAILING ADDRESS 46 FSruda St,Sune 200 CITY Seattle STATE WA ZIP 96109
PHONE 206.2P.1504 CELL 20640 s2eo
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22209.50.00017 ZONING RR5
LEGAL DESCRIPTION(Abbreviated)Cady's Pebble Beach Tracts TR 17&T.L.S 52/225 FIRE DISTRICT MittWI Rodcae F.ftftnty
SITE ADDRESS 6921 NE North Shore Road CITY Benalr
DIRECTIONS TO SITE ADDRESS From Beitair,head NW on WA-300 W(.2 mi).Turn left to stay onWA-300 W(3.3 mi).Continue onto North Shore
Road(3.4 mi).Site will be on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E) SNOW LOAD:2g psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall chat apply):
SALTWATER R] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION Q REPAIR 0 OTHER Of
USE OF STRUCTURE(Rordence,Garage,Commerolal Bldg,Bto)Residence
IS USE: PRIMARY❑ SEASONAL RI NUMBER OF BE 3 NUMBER OF BATHROOMS 4
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parl[s)ojBldg)Q NO❑
DESCRIBE WORK Construct new 24"residence with attached garage
SOUARE FOOTAGE: (proposed)
1ST FLOOR 2011 sq.ft. 2ND FLOOR 820 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.&
DECK sq.R COVERED DECK 91 sq.ft. STORAGE 235 sq.R OTHER sq.&
GARAGE 860 sq.ft.Attached❑ Detached[I CARPORT sq.ft.Attached❑ Detached❑
MANUFACTURE111HOME 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 0 EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ tf yes.attach completed WaterAdequacy Fom
PERBAETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ,FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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/applicabon becomes null&void if Hark or authorized convection 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 14.0842)
I ) Signature of OWNER h Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE {
BIJILDING DEPARTMENT !r i 4 (�
PLANNING DEPARTMENT .., "
FIRE MARSHALIr'
PUBLIC I-1EALTII