HomeMy WebLinkAboutCOM2001-00033 Cancelled Docks - COM Permit / Conditions - 6/28/2001 0 -0r
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PERMIT NO.: BLD •
MA N q-Z Cr
BUI j P PERMIT A PLACATION
6 W.Cedar/P.O.Box 186,Shelton,WA,09584
Shelton 360 427-9670'18elfair 360 275.4467.Elma 360 2-5269 Seattle 206 64-6968
APPLICANT INFORMATION C►/e eo,tA.OF CONTRACTOR iNF'ORMA'TION
Ownery,,n10 thrcH 0A.T44W Grbr,-®it►���tA!_Y3AaV?rA�P4,totr-f" Contractor Name JV.ZA .
Mailing Address P y,&y J4 5' Mailing Address
City A[.6ynt State W.4 Zip Code 48.52 y City State Zip Code
Phone llao . _,B.7S-G,&o1 Other Ph.(_; ) . Ph.( ) Other Ph.( )
Lien/Title Holder aA%& At A&619 Contractor Reg. #
Address - Expiration
SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water astern j
PARCEL INFORMATION-12 digit Tax Parcel No. I22 / i g zZ60000 Fib Distri '4
Legal Description Nw'/y of- Nk, 19 IAw~-rA,,6 2.ZAI, R I-Ay
Site Address(Please include street name, street number and city) e.23o cgvN ORIUE .S0«nv,4
Directions to siteTIKE/k Y S xi; l( 4ONr na ~.r.oi Rfx.rowt Ro.soa:s.*4; rot l
!I it+,7,e w 7�t,is RQ.a.?�'^..i�&r 7wt�t RifHra�E syri�r�.� GIQ:�.L�r i� �µ RrtrlY'-ONtat.n'Rrt��,.o r+r`irv�w�tn►+>�.yo Fr
Will timber be cut and sold in parcel preparation? (Yps/No) Ne c.As,.na m, pa.v�ry
Is your property within 200' of the following: Body of Vi(ater(Name) CooA l..i9KtE Saltwater
Lake_V River/Creek Pond Wetland Seasonal Runoff Stream Sldpes or
Bluffs
PERMANENT RESIDENCE L3 SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other)�__Use of Bt>rMing OOCK-N,*Wof ski-Baxr•1-Sml�&ip
Describe Work R-4/6419 OeT4 AYW DPeAU ,;,.inr r4gre, aN6.
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor a7?'h/•S
3rd Floor Loft Basement Deck 'Other JbcK sq. ft.
Garage ..Attached Detached ' Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
i Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type',of Heat Purchase Price $ Replacement Unit?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL 8 VOID 1F WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COIPENC!W
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered'as a
Contractor Registration Law RCW 10.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
Date A X Date
_ i
FOR OFFICIAL'USE*BEYOND THIS POINT` _
"Accepted by Date Subrnittal Ar unt Due fceipt No -
,,
:..... ::.A:..;.:RC}u..
P ......
r Building De `art me 6-�_
Occ Grou - eMs . s`
Planning Department
Environmental Health Department
Public Works Department fin.
Fire Marshal..
Vatuation
NRIMERIONs
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee :State Fee
Violation Fee Z Pre-Paid at Submittal ( )
Ifflaig TOTAL FEES
PERMIT NO.: BLD U1, h
MASON COUNTY
B u
ILDIfIb PERMIT APPLICATION
W.Ceda l..0.Box 186,Shelton,WA 98694
Shelton 360 27-967 Belfair 36t1276-446T Elma 360 2.6269 Seattle 206 64-6968
APPLICANT.INFORMATION V'.i tOPP°* 'r"' CONTRACTOR INFORMATION
Owner ce roe,lwsmv en u4i#e4wir a p7ffR aw./fir A ww d<Rt!joke Contractor Name A11A .
Mailing Address o0.t9,&w 44 5' Mailing Address
City,Ad4,YA( State W ;Zip Code fiU244 City State Zip Code.
Phone 'Starr ;Z?S-6e01 Other Ph.( , - ) Ph.( ) Other Ph.( )
Lien/Title Holder rAm& A t A do dj� ` Contractor Reg. # 1,
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Sceptic Connect to Sewer
System Name of Sewer System Well V Water System Name of
Water System 4616 S ,,,i,j f Ajo s Ate, 4ugyy49
rgEega
CEL.INFORMATION-12 digit Tax Parcel No. tzz /q / ,I OO Fi7e•Distric +t
PA
Description f / � ,wt T ,, A Aar
Address(Please include street name, street number and city` .
Directions to SiteUrig A444 oc/#w rwtwoir, A*WA A ig ftoiliigrg Ea/ -&& At r c,,4 ,.r1 dar#q.Q4 RF k P.S r•.,i.�i rbl�1
Rrtvr, aN t&rAf+ S-1@lfd A s"r: r4rHi Et Ao#A A#!!re,4 ryia r 6y,* 4Wx 4.t."^ry c.A >4fad lfri l Ar diyftFl F f+Y�t'rt t'w n't'"fyn.. r�,urre Fyc
Will timber be cut and sold in parcel preparation? (Yes/No)' IVn Z'.45 0 n upoft-"
Is your property within 200' of the following: Body of later(Name)_ _..."pt4. A.AIC4E Saltwater
Lake River/Creek Pond _Wetjand'j` Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE b SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt_ Repair Other
_)LUse of Oltilt*I •
Describe Workxa a �'
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor •.T
13rd,Floor Loft_Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached a✓
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit?(Yes/No
Installer Name Certification-No.
NOTICE: THIS PERMIT BECOMES NULL A VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITWIN 180 t)AYS.OR IF
CONSTRUCTION WORK I IS SUSPENDED OR ABANDONED FOR PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS C011IlENCBR
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS'INSPECTIOtC The owner or agent on owner's behalf`,represents that
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which.this permit is issued and all work
conformance therewith: No changes shall be made without first obtaining shall be done In conformance therewith. No changes shallbe made without.
approval. j first obtaining approval.
X Date 'l15' t+! X Date b
FOR OFFICIAL`USE BEYOND TMS POINT
"Accepted by Date Submittal A bunt Due r Receipt-No � / r
.
Building Depaltm f
Occ Group a r.
Planning Department a4la I 0 do h Oct3t tJ�►?�.
Environmental Health Department
Public Works Department ;
Fire Marshal
FPIan
Permit Fee Site Inspection
eview Fee EH Review Fee
ng&Base Fee Planning Review Fee
tkl 8i'Base FeeOther
Gas/Peuet Stove Fee State Fee
on Fee Pre-Paid at Submittal ( )
TONAL FEI=S .
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ZION'S CAMP
P.O. Box 945
Allyn,Washington 98524
(360) 275-6601
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MATERIAL 1-irr•
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FLOATING DOCK SYSTEKI ZION'S CAMP
P.O. Box 945
A. I iaterials and Construction h inimurn Requirements
Lumber
1. Framing lumber shall be#2 or belief Hern/Fjr, S4S, per VtrCL1B grading rules#';6.
D(Tk IHMNh r Shall hF S !�^! HF"TI, it C« i�r lPtr^I IF Cr 1!!11 ruder i
2. The lumber treatment shall be. CCA.st .40 lb..,cf (LP-22).
Flotation
1. Flotation units contain expanded polystyrene filled and molded in tire casings with polyethylene sheet
inserted in bottom for protection from beach and animals. Units filled to 1.0- 1.5 Ibs per cubic fool.
2. Flotations protective covering is resistant to:
Mechanical abrasions
Chemical attack(gas and oil)
Ultraviolet deterioration
Detergent:,
Animals
Steel Hardware
t. All steel hardware, hot dip galvanized per ASTN A153
2. Bolts to be per ASTM A307 and hot dip galvanized
B. Performance and Design
1. Loading-Floats shall not move more than 6"downward with a uniform live load of 20 pounds persquare
foot
2. Deck live load is a minimum of 50 pounds per square foot
3. Unloaded Freeboard-Measurement from water surface to top of wood platform with no live load applied
between 15"minimurn and 22"maximum
4. Retention of Flotation-9E%after 1 year, 95% after 5 years
5. Float sections shall be designed so that wood or other structural members arc above the waterline at full
live load (20 pounds/square foot)
G vr.�rfr�
Q.ciIJP-E
ivame of rearming ouee-.
APPLICANT TO DRAW SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPH BELOW.
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PGaNniE
V k�rNS �DOCK i
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ZION'S CAMP
P.O. Box 945
Allyn, Washington 98524
N (360) 275-6601
TOPO! reap plaited On 0�/07/00 fi-011-i "Puget.tli0" and "Ulititled tt:� "
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From: "Deana Pavwoski" <Pavwosd.DCD.MASON>
To: t1g.INSPECT0RS.PAC.MAS0N
Date sent: Tue, 20 Mar 2001 15:20:09 -0800
Subject: Zion Camp
Good day! How is it going down there?
I have been thinking about the Dock. Unfortunately it is not so clear
in our Resource Ordinance exactly (surprise surprise!) This is what
I came up with. Incorporate it however works best with your letter...
The dock located on the northwest side of the lake (I am not sure
where it is because i don't have the map anymore) was built
without any Mason County Permits. The Mason County Resource
Ordinance Chapter 17.01.110 Fish and Wildlife Habitat
Conservation Areas requires a Mason Enviornmental Permit and a
Habitat Management Plan for any alteration or shading within the
Conservation Area or the buffer zone, which includes docks. A
Building Permit is also required. Enclosed is the Application
Review Process and a Mason Environmental Permit Application.
Further information, please contact Deana Pavwoski of the
Planning Department at 427-9670 extension 593.
Thank you! Let me know if i can help ya out!
Deana
Deana Pavwoski
Enforcement Planner
Mason County Department of Community Development
411 N. 5th St.
PO Box 279
Shelton, WA 98584
360-427-9670 x.593
Tami Griffey -- 1 -- Wed, 21 Mar 2001 14:21:14
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