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Home My WebLink AboutBLD2024-01268 Remodel, Addition - BLD Application - 10/23/2024 MASON COUNTY Permit No: BLD'm , (.0-0 COMMUNITY DEVELOPMENrVECEIVED Permit Assistance Center, Building, Planning T 4 P BUILDING PERMIT APPLICATION � 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#1: 425.576.3393 PHONE: 206-502-2489 CELL: 206-551-9679 PHONE#2:425-753-7755 EMAIL :COLINOFAIRBANKCONSTRUCTION.COM EMAIL: derrickm@watermark-Ilacom L&I REG#FAIRBCC183C2 EXP. 06/25/26 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 0 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 0 LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR❑ OTHER ❑� USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) RESIDENCE IS USE: PRIMARY ❑ SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 4 HEATED STRUCTURE? YES(Whole Bldg) 0 YES(Part[sj of Bldg) ❑ NO ❑ (3 FULL, 2 HALF) DESCRIBE WORK REFURBISHMENT OF EXISTING SINGLE-STORY RESIDENCE,INCLUDING KITCHEN REMODEL&BATHROOM ADDITIONS. SQUARE FOOTAGE: (proposed) 1 ST 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 0 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: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW❑ EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES El 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 permitlapplication 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 P IT APPL ATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X G�►v"� t D 2 !s 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