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B Point Load t Isolated Footings INSULATION Data By m Date By Data SLAB INSULATION By FIRE DEPARTMENT m Foundation t#Ifalla Floors Date By O Date By Dale By DECKS X FI�AtIIIINU Date By Dale By Data By PROPANE TANKS z PLUMBING vault Data By Date ic By OTHER D Groundwork Attic Type. X Dale By Z Date By Data By D,w.11 DRYWALL Type: Int Brace Vftll Date By o0 Date By Date By FINAL INSPECTION N Water Line Fire Sops ration � Dalo By Date By Data $�-, �� By N `, Pass or Request Inspect. b s Type of Insp. Fall Date date Dane By Comments CA CE a y M P „ fi i 0 ca r N CONCRETE MECHANICAL MANUFACTURED HOME O O " N Footings /Setbacks Date By Ribbons 0 a, Date By Gas Piping Date By CA Foundation Malls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By Date By 'YX Apn �p CO�'1121T- 7�FS3' i a 8 � o r E I Err N o y o� �o G o FORM MUST BE COMPLETED IN INK PERMIT NO.: BL Wto,59 PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION ���� "" `` Owner �*t/4'lE"R-n /e�oR f A AIA- C leelea:Nam CI1W1 yIt��'�C -S Address Mailing AddresseD ��/�*Iy City k State Zip Code 19 05M City c-NrMPG State k!l Zip Code Phone they Ph.(7,* j�AIola Ph.( r Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 di it T at Parcel No. ?S'Y?�7,�_/ / C7©/O Fire District Legal Description L Site Address(Please include street nam , st et umber and city) Directions to site D /IL Will timber be cut and sold in parcel prepara ion? (Yes o Is your property within 200' of the following: Body of Water (Name)_ 4".1oo(e, Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB Ne Add Alt Repair Other Use of Building Describe Work ! No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck42CC7Dther sq. ft. Garage Attached Detached Carport Attached Detached 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&VOID IF 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 COMMENCED. 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: R E (� `, OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that ran bdr �lyVe�S�d 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 �M,ea;mi i ss d all work conforms a therewith No changes shall be made without first obtaining shall be done in conformance therewith. N R3Tfge sPall bf!'FM�de without approv . first obtaining approval. 426 W. CEDAR ST, Date / /0 X Date FOR OFFICIAL USE BEYOND THIS POINT 0 Accepted by h ry A Date bmittal Amount Due Receipt No.�� . ;`DERARTM TAI: .RV111f APPR(?�ff� D; NlIEp; UNDIT7N CDE Building Department ( —19-02— Occ Group Type Constr. -T N,r=s Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES. 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 Pre-Paid at Submittal ( ) TOTAL FEES ` o0l(1 PERMIT NO.: BLD p MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION Q Owner *11 ,i0 of * 4/1+. Q&p6paeia Name ! oij�vgf S Address Mailing Address Ale I*Y10 City Pft/ SateAZk Zip Code city,tjWC) 13,CS StateJ*# Zip Code got Phone they Ph.406.)Z, (oJQ Ph Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of 1 Water System I ` PARCEL INFORMATION-12 digit Taf Parcel No.Z2' 2-1 B 2d L?Q/UQ Fire District Legal Description c t L,- , Site Address(Please include street nam , str et umber and city) ypt i Directions to site Will timber be cut and sold in parcel prepara io ? (Yes o Is your property within 200' of the following: Body of Water(Name) IA= 6fAhk, Saltwater ! Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs f PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ — f4 TYPE OF JOB Ne Add Alt Repair Other Use Of Building Describe Work 011k .No i No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2n Floor -77 3rd Floor Loft Basement Deck/ . ;;t�Other sq. ft. I Garage Attached Detached Carport Attached Detached 1. MOBILE HOME INFORMATION-Make Model Model Year f Length Width Serial No. No. of Bedrooms No. of Bathrooms i Type of Heat Purchase Price $ Replacement Unit?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF 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 COMMENCED. ! PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent,on owner's behalf,represents that the t 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: ECE'V n F' OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently reist9red as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and mt�va�re ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which Were it' i and all work conformance therewith No changes shall be made without first obtaining shall be done in conformance therewi anges shall be made without i approv first obtaining approval. � CEDAR ST Date a, X —Date— FOR OFFICIAL USE BEYOND THIS POINT }(f ! Accepted by',J/'ry Date t ' bmittal Amount Due • Receipt No.z�d i . .. . . APPROVED D;�NIED WND1T��N,�C�t3�a DEP�R-T-7. Ai..REiVIEV�F Building Department ! Occ Group Type Constr. ',j— `: �. .' ` - ,, >~ Planning Department - t� o} 5e2'i�pFwn rt c Environmental Health Department Public Works Department ! Fire Marshal i i I Valuation $ j Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee 1 Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) 4 TOTAL FEES - PERMIT NO.: BLD a�4 MASON COUNTY ' BUILDING PERMIT APPLICATION r 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION Owner M N1ER.77,0 11' W. Name 0 gi a I`G Address Mailing Address © d City M(?12Q?!&1K!J" S ate� ZipCode city 2age_State� ZipCodePhother Ph.(Zvb)L -1o/a Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect o New Septic Existing Septic Connect to Sewer System Name of Sewer System_ A Well Water System Name of Water System PARCEL INFORMATION-12 di it Ta Parcel No. �2= / _/ d d/06 Fire District_ Legal Description 49 e_ , Site Address(Please include street nam , st et umber and city) ' Directions to site A Will timber be cut and sold in parcel prepara ion? (Yes o I Is yourproperty within 200' of the following: Body of Water (Name) tfT.y� �,�¢7t�i�.. Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or BIUSCL PERMXNENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB Ne Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOO)rAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck 2C -)Other sq. ft. Garage Attached Detached Carport Attached Detached 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&VOID IF 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 ANYTIME AFTER THE WhwetpM PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agenLon owner's behal , fie% s t the information provided is accurate and grants employees of Mason County access to the above described property and—giructyress for review and inspection of this project. Acknowledgment of such is by signature below: Utt 11 8 2002 OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify tha42pq a ister ollwn ed as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that l a vv rdSlynce 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 a I work conformapce therewith No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approv first obtaining approval. i Date �� a , X Date FOR OFFICIAL USE BEYOND THIS POINT 41 Accepted by hot Datej4L6A bmittal Amount Due Receipt No.� "::>, EP #RT T1...RV11�t APPRQV A QEN1fw0 CDNUI:T+ f Cf� Building Department V p I I y' L Occ GroupType Constr. — Planning Department Environmental Health Department Public Works Department I Fire Marshal ; Valuation $ FEES .. 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 Pre-Paid at Submittal ( ) oil TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Processing/Inspections/Addressing Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 January 9, 2003 Summertide Resort and Marina P.O. Box 13488 FILE Desmoines, Wa. 98198 COPY Re: BLD2002-01659 Summertide Resort and Marina Replacing 4200 square feet of existing dock sections Dear: Summertide Resort and Marina Your plans for the building permit referenced above have been reviewed. This review letter contains only those comments related to the Building Department review and does not reflect any additional needs of the other county departments. Please review the following project data and plan review comments. To continue with review you need to submit the items that is requested in this letter. PROJECT DATA: Site Address: 15781 NE North Shore Rd. Tahuya, Wa. 98588 Code Editions: 1997 Uniform Building Code, WAC 51-40 2000 Uniform Plumbing Code, WAC 51-46, 51-47 1997 Uniform Mechanical Code, WAC 51-42 PLAN REVIEW COMMENTS: 1.This project will require engineering to address anchoring of dock to bulkhead and tying the floats together. 2. We need to know the load capacity of the plastic 55-gallon drums and the proposed number of them per dock section. 3.The engineer will need to break down each section of proposed dock with weight of dock, the load capacity of the dock, number of barrels to accomplish target use of the dock with live and dead load numbers. Please make sure the engineer knows that the area the floating docks are going in. Is in a 25-pound snow load area. 4. The dock plans will need to be wet stamped and signed by engineer he or she must supply complete engineering calculations. 5. If the engineer of record is going to require special inspection to be performed during construction a special inspection authorization form will need to be completed and returned with revised plans from engineer. Please make the required corrections and/or clarifications and submit the revisions, marked on the sheets Please detail all corrections and/or revisions in a transmittal letter to aid in a timely re- submittal review. Please be sure to reference the BLD numbers noted above to identify the file to which all re-submitted documents belong. If resubmitted documents are incomplete or changes are made requiring additional review, an additional plan review fee may be charged at the rate of$56.80 per hour. If you have any questions regarding this review, you may contact me at(360) 427-9670 extension 280. Sincerel , Robert Shaw, Building Inspector II/Plans Examiner Mason County Building Department Word: s, a i Mitchell Engineering, Inc. 7821 - 168th Avenue N.E. Redmond,Washington 98052 Phone: (425)747-1500 Fax: (425)747-5403 March 24, 2003 FILE Steve Mattson, President copy 17635 First Avenue South Normandy Park, Washington 98148 Subject: Summertide Resort&Marina Dock Replacement—Permit BLD 2002 - 01659 Hood Canal, Washington Dear Steve: I have reviewed the dock replacement plans, connection details and flotation calculations associated with the your project on Hood Canal. It is my understanding that the floating docks are typically installed in April and removed in September. During our meetings we have discussed and reviewed the construction details associated with securing the floats to the timber piling, connections between the docks, connections of the drums and other associated details. It is my opinion from the information supplied via the plans, calculations and our meeting that the proposed flotation system provides the structural adequacy required by the building department as outlined in there letter dated January 9, 2003. Steve, please call if you have any questions or require additional information. S' cerely, j- W W. Michael S. Mitchell, P.E. President Mitchell Engineering, Inc. WASkI MSW1 c:\ww\doc\Mattson It job#03-365 20 .A TE��'�l�W IO. A P Cs EXPIRES 1104+-