HomeMy WebLinkAboutBLD2025-00665 - BLD CD Environmental Health Review - 5/30/2025 Docusign Envelope ID:78589710-IAD2r40DA-A2OC-436B62863120
Permit No: .O2 O2-S' OO' 1/405
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
,, Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION MAY 2 9 2025
PROPERTY OWNER INFORMATION: 1 CONTRACTOR INFORMATIC:5 W.Aber S eet
NAME:Mike Lawson I NAME:McIntyre Homes •
MAILING ADDRESS:511 S 196th St , MAILING ADDRESS:P°Box 1230
CITY:Des Moires STATE:WA ZIP:98148 CITY:Graham STATE:WA ZIP:98338
PHONE#I:2ae-378-2023 PHONE:
253-208-8840 CELL: 253-208-8840
PHONE#2: EMAIL:genusislwmes.useemailoom
EMAIL:MLawson@smartsouroelk:.com : I Jo REG#MCINTHL762BK EXP. 01/12/26
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME McIntyre Homes-axaPohlreich EMAIL al iciar@m txx cinirrenesnw.com .9�
MAILING ADDRESS P°Box 1230 CITY Graham STATE WA ZIP938 13
PHONE 425-9064302 CELL 0(� e)
PARCEL INFORMATION: 12. r
PARCEL NUMBER(12 Digit Number) 221044350010 ZONING RR1O Q f
LEGAL DESCRIPTION(Abbreviated) LOT 1 OF LLS#20-01 AF#2144103 PTN FIRE DISTRICT 5
SITE ADDRESS 610 E Benson Ridge Rd OF SE S 31/248.S 48/160 CITY Grapeview
DIRECTIONS TO SITE ADDRESS Head east on W Alder St toward N 6th St,At the traffic circle,take the 1st exit onto N 1st St,
Turn left onto E Pine St,Continue onto WA-3 N,Turn left onto Mason Benson Rd E,Turn left onto Mason Lake Rd,Turn left onto E Benson Rdg Rd
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]ofBldg)0 NO 0
DESCRIBE WORK
SQUARE FOOTAGE:(proposed)
1ST FLOOR 2188 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK,7$ta sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 858 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR —LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: 14 &O C 5
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 AA NOD EXISTING SQ.FT.
EXISTING BEDROOMS_ PROPOSED BEDROOM" TOTAL BEDROOM
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/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)
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jkikt,Gu+/ 5/28/2025 5/21/2025
ruw Eawo•uc Signature of OWNER(Must be Maned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 6IzC copck,)11- at9.0.411
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