HomeMy WebLinkAboutBLD2025-00579 - BLD CD Environmental Health Review - 5/19/2025 MASON COUNTY Permit No: bI(4ao�4 -( 1G,
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning MAY 1 3 2025
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIONS 15 W. • a 'r Street
NAME:CHRIS GILES NAME:CCC BUILDERS
MAILING ADDRESS:21826 31st DR SE MAILING ADDRESS: PO BOX 2626
CITY:Y:BOTHELL STATE:WA ZIP:98021 CITY:BELFAIR STATE:WA ZIP:98528
PHONE#1:425381.5519 PIIONE:388 551-8B26 CELL:
PI IONS#2: EMAIL
EMAIL: L&I REG#CUSTOCC82400 F,XP. 01//31//27 m Uuu
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTIIER Q C') CI
NAME Lamstevens -_ EMAIL Imsdesienstk®grru cen' m co
2.
MAILING ADDRESS 91 Ewroo!wignt Street#4 CITY Alhn STATE WA ZIP98524 m
PHONE 3"2279ee1 CELL C3
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PARCEL INFORMATION:
PARCI:I,NLJMHF:R(12 Digit Number) 42318.61-00128 ZONING Residenbal
LEGAL DESCRIPTION(Abbreviated) LAKE CUSHMAN#4 TR 1213 Subdivision:LAKE CUSHMAN#4 FIRE DISTRICT 18
SITE ADDRESS 1500 N POTLATCH DR CITY HOODSPORT
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER TITAN 14%: YESQ NO❑ SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (('hrrbalt dauapply)
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL.RUNOFF❑ STREAM 0
TYPE OF WORK: NI:W 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑'
USE OF STRUCTURE Otradrrrcc,Garage.Commercial Bldg.Ets)GARAGE/BONUS ROOM ABOVE
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whale Bide)Q YES fl u,!Gl ydtrtdra Q NO a
DESCRIBE WORK BUILD NEW GARAGE WTH A BONUS ROOM AND DECK ABOVE.ADD NEW LAUNDRY RM 8 PORCH TO THE FRONT EXTERIOR OF EXIST.
SQUARE FOOTAGE:(praparedJ 101 " LuL1i'�� �b0►'YI
�,j� 7y2- t-t6 4--e I nof, 1 cbm
1ST FLOOR (J'T-1 sq It 2ND FLOOR sq.ft. 3RD FLOOR sq.(try BASE sq.R.�-p
DECK sq.ft. COVERED DECK 147 ' sq.ft. STORAGE sq ft. OTH. 177 sq.ft
GARAGE 742 sq.ft. Attached Q Detached 0 CARPORT sq.ft. Attached Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE. L YEAR LENGTI _
DTH BEDROOMS BATHS SERIAI.NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE. SEPTIC 0 SEWER❑ / NEW 0 EXISTING D
PLUMBING IN STRUCTURE? YES 0 NC)❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. 268
F.X5S1'1T4C,BEDROOMS 1 WASNOSE.D BEDROOMS TOTAL BEDROOMS 1
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowiedgementof 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 fora period of 180 days.
PROOF OF 0 TINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMI P I ON 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
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3/1 Q/25
Signature of 0 ER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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