HomeMy WebLinkAboutBLD2025-00362 - BLD CD Environmental Health Review - 5/19/2025 •
Permit No:BLD2025-00362
•
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT 7
Permit Assistance Center,Building,Planning APR .. 2025
BUILDING PERMIT APPLICATION,,5 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:V m r
0 IJUL
NAME:RICHARD&TRACEY CARTWRIGHT NAME:Toelne.Construction m • a
24013 26TH DR SE 2205 C O
MAILING ADDRESS: MAILING ADDRESS:
CITY: e" STATE:WA ZIP:98021 CITY:DeilMines STATE:WA ZIP:981" p o
PHONE#1:425'8224454 PHONE:253390.2004 CELL: Same IV
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PHONE#2: EMAIL:Toaa"an'sagn'a°.o°"'
EMAIL:"ta@oomcast"at L&I REG#TOW-C•8560M EXP.09/19/25
PRIMARY CONTACT: OWNER D CONTRACTOR 0 OTHER 0
NAME c'w'r'ee1ef EMAIL T°el"sntc@crs'I°°'"
MAILING ADDRESS 2205s252"aet CITY Des Moines STATE WA 1 s NMENTAL
PHONE 2534ea2a°' CELL 252001
PARCEL INFORMATION: • HEALTH
PARCEL NUMBER(12 Digit Number) 422°95100079 ZONING 19-resideetid
LEGAL DESCRIPTION(Abbreviated) LAKE CUSHMAN#8 LOT:79 FIRE DISTRICT Hoodsport
SITE ADDRESS 451 N Fairway Drive West CITY Hoodaport
DIRECTIONS TO SITE ADDRESS Head to Hoodsport then turn on 119 and go up the NI to golf come dMislon
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc.)Garage
IS USE: PRIMARY 0 SEASONAL 9 NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bidg)0 YES(Part(s]ofBldg)0 NO 0
DESCRIBE WORK Install ground floor bathroom and loft storage.
SQUARE FOOTAGE:(proposed)
1ST FLOOR 1200 sq.ft. 2ND FLOOR 480 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached 0 Detached D 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❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ OD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS ,C/ TOTAL BEDROOMS
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)
X ,e--f ( 5340c167-7200.4db0-8c41-b61b179e477e 02/20/2025
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 kr glo - CBo0Vo -GI;-id