HomeMy WebLinkAboutCOM2002-00192 Replace Boat Ramp, Add Docks, Piling Final - BLD Permit / Conditions - 10/31/2008 FORM MUST BE COMPLETED IN INK n N
PERMIT NO :
PLEASE PRESS HARD MASON COUNTY
BUILDING PERMIT APPLICATION -)Df -
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 CONTRACTOR INFORMATION
Owner oQ-r of Ati . N Contractor Name
Mailing Address_ O Bc»c. I Mailing Address
City_ ArL-ijM State WA Zip Code City State Zip Code
�
Phone( 360 ) 2��3o Other Ph. J Ph.
Lien/Title Holder WA- pQ I L_� Other Ph.(_�
�� Iti);t�il Contractor Reg. #
Address Ot_ VJA-, Expiration
3E- "Tl�e �rkbrz�z 4 �s se -V'. A4- fMj e - k 360/4y I-vloo A+6,: I.IEI, Ar-�rvo�.br\l
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. I -L2zo / So / otogl o Fire Districts_
Legal Description_ S ZO. T 22 N , tz I v\I oo�-�,�o•� e� +o`x L„+ 9 1 r
Site Address(Please Include street name, street number and city) as uCJ�r�
Directions to site
�iR-�yh. �2 - 3 _ �ru t'4 t�7hST or.1Tr� pP�l/rk GTOt�cr -tp IfJt-ET 11,
put F--T souw4D.
Will timber be cut and sold in parcel preparation? (Yes/No) flo
Is your property within 200' of the following: Body of Water (Name)_ CASE I h1I_ET n►oe-T+h- BatY Saltwater_y4t§ _
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New X Add Alt Repair x Other Use of Building
Describe Work aoArz Qstw.P ,k INs-TALL-o-nLDa of r-L-C�s WIT-" PtL-106V
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck 1&0 Other
Garage rt Attached Detached Carpo Attached Detached sq. ft.
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 TH Jrnl E .
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on own r e 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify t I current) registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington an l ��F0 ScTimance
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.
X Date I L ?� OZ X Date
� FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date/ � nittal Amount Due_ p
Recei t No.
DPARTMEf�TAI» FVIEIN ROVED: DENIED:! COIVpITI+DN CORES
Building Department,
OccGroup Type Constr.U D—(Y
,S I .S
Planning PJ`epartment
I
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
OYJA
PERMIT NO.: fib aooe�
MASON COUNTY 4K,�
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 CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( ) Other Ph.(_____)_ Ph. Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff' Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New _,, Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2ndrFloor
3rd Floor Loft Basement Deck 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 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 propertyRF7 ��
SrWEu[ ,f�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 u �r red as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and thfria4e ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for wh �jt��s��;eaarmit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith�lldCh�l(IeC"ft adc without
approval. , first obtaining approval. ��Cl
' f
X s ;,
! I . Date ' , , r ! i=�� X
-Date-
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by d Date1 Sp,bmittal Amount Due j Receipt No.
DEP/1RTMENTA!» Ft�Vl�llll AR 0VEp DENIED CDNpITI+�N cops
Building Department., -
Occ Group Type 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
TOTAL FEES
a
MASON COUNTY PERMIT NO . BLD
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 CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone(_) Other Ph.( Ph.(_ Other Ph.(
_�
Lien/Title Holder Contractor Reg. #
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 1 / Fire District
Legal Description s —
Site Address(Please include street name, street number and city)
Directions to site IF,z 4_,, ..
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) ,: : , v f Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE
Eibe JOB New )e Add` Alt 1'� 'Repair .x Other \`� rUse of Building
De
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd`Floor
3rd Floor-Loft- Basement Deck 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 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
inspection of this project. Acknowledgment of such is by signature below: Itru�ctures for review and
. rti
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I c atJ c
g 1@aMr urfe�tly registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washin t tahty tffst f am4 il/e of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the wo which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance#41tM aN t�i®n�es shall be made without
approval. first obtaining approval.
Date 1R ? �`, X
Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by i. Datew° - YJ, ,`..S mittal Amount Due F
o, Receipt No. ws
DEP/1RTNIENTAI� REVIEW APPROVED DENIED CONpIT1+�N eop5
Building Department
Occ Group _- Type Constr. I
Planning,.Department
Environmental Health Department
Public Works Department
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
Py�N.STAA MASON COUNTY
c DEPARTMENT OF COMMUNITY DEVELOPMENT
o n°v Planning Division �l
i N T P O Box 279,Shelton,WA 98584
�oJ Y Doti (360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
January 10, 2003
PORT OF ALLYN
PO BOX 1
ALLYN WA 98584
Parcel No.: 122205006910
Project Description: REPLACEMENT OF BOAT RAMP AND INSTALL FLOATS
WITH PILING
Dear Applicant:
You have submitted a permit application (case no. COM2002-00192) for proposed construction or
development in the county. Upon review of your application, I have determined that the contents of
the application are incomplete or do not provide enough detail for review.
Therefore, review of your application will not proceed until the necessary information is provided (see
the comment section of this letter for details.) Once the information is submitted and the application is
complete, I will continue to process your application accordingly.
Please contact me at(360) 427-9670, ext. 577 if you have questions.
Sincerely,
Rick Mraz
Land Use Planner
Mason County Planning Department
Comments: Based upon a preliminary review of the building permit application, the
parcel identified for the proposal is also the parcel that contains the
existing pier. Per the Mason County Shoreline Master Program
Chapter 7.16.170, use regulation #8, only one dock is allowed per lot.
As proposed the project cannot be permitted. Please contact me if you
have questions or require clarification of these issues.
1/10/2003 1 of 1 COM2002-00192
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