HomeMy WebLinkAboutBLD2025-00735 - BLD CD Environmental Health Review - 6/23/2025 ' ,1 Permit No: ())14(209. J_007 56
MASON COUNTY
COMMUNITY DEVELOPMENT ';EC E Iv 1VI RO N M E NTAL
Permit Assistance Center,Building,Planning JUN 16 2025 HEALTH
BUILDING PERMIT APPLICATION t
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PROPERTY OWNER INFORMATION: CONTRACTOR �'E•RMATR' Stree
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NAME:Amber Nolan NAME:Adair Homes,Inc.
MAILING ADDRESS:3254 SE Mahali Ln MAILING ADDRESS:2303 93rd Ave SW
CITY:PodOrchard STATE:WA ZIP:98 CITY:Tumwater STATE:WA ZIP:98512 ,
PHONE#1:(380)710-7334 PHONE:360-3594520 CELL: i v
PHONE#2: ' EMAIL:tbame@adairbomes.cdm
EMAIL:amberm.08@gmail.com : IAI REG#600257908-001.0012 EXP
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PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ (17/��
NAME Ain°Br Nolan EMAIL amberm.08@gmail.com ( C) O
MAILING ADDRESS 3254 SE Mahali Ln CITY Pot°rendre STATE WA ZIPS8366 Q tan
PHONE 360.71a7334 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)221232250030 ZONING Rural Residential
LEGAL DESCRIPTION(Abbreviated) PCL 3 OF LLS N23-01 AF*2201909 PTN OF NW NW S 29111,S 53/179 FIRE DISTRICTS
SITE ADDRESS CITY Grapeview
DIRECTIONS TO SITE ADDRESS Turn right onto E Island View Rd,turn left onto Thomas Rd.turn right onto E April Ave.
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IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:35 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Erc.)Residence
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS4 NUMBER OF BATHROOMS3
HEATED STRUCTURE? YES(Whole Bldg)[ YES(Part(s)of Bldg.)0 NO�
DESCRIBE WORK New single family residence
SOUARE FOOTAGE:(proposed) •
1ST FLOOR2,843 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK317 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGES 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:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER L, / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO If yes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES. NOIX EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS-4 TOTAL BEDROOMS 4
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 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
C COUNTY CODE 14.08.42)
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 (2er /II4S-
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