HomeMy WebLinkAboutBLD2024-01268 Remodel - BLD Application - 10/23/2024 MASON COUNTY Permit No:P2LN 4 'o,arn$
COMMUNITY DEVELOPMENIfECEIVED
ONRC' Permit Assistance Center, Building, Planning OCT 2 3 2024
BUILDING PERMIT APPLICATION RMLOLNG
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:WATERMARK ESTATE MANAGEMENT SERVICES,LLC NAME:FAIRBANK CONSTRUCTION COMPANY
MAILING ADDRESS:10230 NE POINTS DR,SUITE 200 MAILING ADDRESS:220 MADISON AVE SOUTH
CITY: KIRKLAND STATE: WA ZIP: 98033 CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110
PHONE#I: 425.576.3393 PHONE: 206-502-2489 CELL: 206-551-9679
PHONE#2:425-753-7755 EMAIL, COUNCFAIRBANKCONSTRUCTION.COM
EMAIL: denickm@watermark-Ilc.com L&I REG#FAIRBCC183C2 EXP, 06/25/26
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER E]
NAME DERRICK MINIKEN,OWNER REPRESENTATIVE EMAIL derrickm@watermark-Ilc.com
MAILING ADDRESS 15120 NE 92nd St CITY Redmond STATE WA Zip 98052
PHONE 425-576-3393 CELL 425-753-7755
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 322335000901 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) SUNNY BEACH TR 5-A&TAX 977-B FIRE DISTRICT 6
SITE ADDRESS 6999 E STATE ROUTE 106 CITY UNION
DIRECTIONS TO SITE ADDRESS Travel East from Union on Highway 106,property on left just before Alderbrook Resort
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER EI LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑
TYPE OF WORK: NEW❑ ADDITION [] ALTERATION REPAIR❑ OTHER Q
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) RESIDENCE
IS USE: PRIMARY ❑ SEASONAL E] NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 4
HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[s]ofBldg) ❑ NO ❑ (3 FULL, 2 HALF)
DESCRIBE WORK REFURBISHMENT OF EXISTING SINGLE-STORY RESIDENCE,INCLUDING KITCHEN REMODEL&BATHROOM ADDITIONS.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 5149 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 764 sq.ft. Attached❑✓ Detached❑ CARPORT 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 EI SEWER❑ / NEW ❑ EXISTING 0
PLUMBING IN STRUCTURE? YES EI NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES EI NO[] EXISTING SQ.FT. 341
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 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 permittapplication 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
PE IT APPL14ZATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X. t� 42
Signature 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 HEALTH
Permit No: V v5
.- MASON COUNTY
' COMMUNITY DEVELOPMENfECEIVED
Permit Assistance Center, Building, Planning OCT 2 3 2024
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:WATERMARK ESTATE MANAGEMENT SERVICES,LLC NAME:FAIRBANK CONSTRUCTION COMPANY
MAILING ADDRESS:10230 NE POINTS DR,SUITE 200 MAILING ADDRESS:220 MADISON AVE SOUTH
CITY: KIRKtAND STATE:wA ZIP:98033 CITY:BAINBRIDGE ISLAND STATE:wA ZIP:98110
Is'PHONE: 425.576.3393 PHONE:206-502-2489 CELL: 206-551-9679
2nd PHONE:425.753.7755 EMAIL :COLIN@FAIRBANKCONSTRUCTION.COM
EMAIL: derdckm@watermark-Ilc.com L&I REG#FAIRBCC183C2 EXP. 06 /25 / 26
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):322335000901 Zoning:RR5
LEGAL DESCRIPTION(Abbreviated):SUNNY BEACH TR 5-A&TAX 977-B
-SITE ADDRESS:6999 E STATE ROUTE 106 CITY:UNION
DIRECTIONS TO SITE ADDRESS:
Travel East from Union on Highway 106, property on left just before Alderbrook Resort
TYPE OF JOB:
NEW F--J ADD=ALT=REPAIR=OTHER=USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS-1ST FLOOR=2ND FLOOR=BASEMENT=GARAGE OTHER[-=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPGE I atural Gas�uctless=
Toilets 2 18.00 Type of Unit No.of Units Fees
Bathroom Sink 3 27.00 Furnace
Bath Tubs 1 9.00 Heat Pump
Showers 1 9.00 Spot Vent Fan 1 10.00
Water Heater 1 9.00 Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood 1 1400
Hose bibs Dryer Vent
Other Solar Panel
Other Pizza Oven 1 14.00
Base Fee 25.00 Base Fee 30.00
TOTAL PLUMBING 97.00 TOTAL MECHANICAL 68.00
OWNER acknowledge 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,owners legal representative, or contractor. 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 authorized agent 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&uthonzed construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CO I UATIO OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL I V IDAT HE APPLICATION.
S gnature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
� viD�C�✓ I c� ��
PAI Ca DIAGPAM INTSP
EH Setbacks _ —� n
A.1 Drainfield%Reserve requires 10'setback from footing,foundations , ---may- "- - �—;'K=--T
B.)Septic tank(s)requires 5'setback from all footing/foundations f"�.:,,.,,, .a,>.... a%w+:ii01� °"�'"""'110""" % ..+ucamn,r.r
C.)No foundation, meter Drains within 301t,downgradient of oownmuw �e.�u>�o.a ne.o-.rn"uwceR,aana It swaoa r rrrme
Drainfield/Reserve area ��� f -" --- 'w"°°"` °
D.)No Cut Bank(s)(greater than 5h and over 45 degrees)within _l. -- �
50ft,down gradient of Drainfield'Reserve area __ i - °0"'�'""•01B"' ,Q,,,,�,�,,, --
_
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Interior remodel only.Home to remain 2 bedroom.
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E{H APPROVED
Fif—da Th-Vson IZV2/2024
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Department of Labor and Industries FAIRBANK CONSTRUCTION CO INC
PO Box 44450
Olympia, WA 98504-4450 Reg: CC FAIRBCC183C2
UBI: 600-340-585
Registered as provided by Law as:
Construction Contractor
(CC01) - GENERAL
1268
FAIRBANK CONSTRUCTION CO INC Effective Date: 2/22/1982
220 MADISON AVE S Expiration Date: 6/25/2026
BAINBRIDGE ISLAN WA 98110
Please keep the department informed if your address changes. It is your responsibility to keep us informed
of your current mailing address.Failure to supply the correct address may result in your renewal notice
being"lost' in the mail.Failure to renew within the proper time frame may result in additional cost and/or
retaking of the qualifying test.
• Change your address online:www.Lni.wa.�lov/licensing permits/contractors/re�7ister-as-a-
contractor/le<ga]
• By mail by completing the address change information below and return it to the mailing address
on the front of the certificate.
License/Certificate Number:
Name:
Address:
City State Zip
Signature