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HomeMy WebLinkAboutBLD2006-00105 BLD2006-00105 Replace Bulkhead Final - BLD Permit / Conditions - 3/10/2006 MASON COUNTY PERMIT NO. 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 oo t �� On the web www.co.mason.wa.us ' APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Peter and Sue Overton Company Name 'Ray Marine Contractor-,Tnc_ Mailing Address P.O. Box 2453 Mailing Address 3349 Fish Trap Loop Road NE City Olympia State WA Zip Code 98507 City Olmmpia State WA _Zip Code 98506 Phone 360-786-9259 Other Ph. 360-943-5650 Phone 360-956-3451 Other Ph. Lien/Title Holder Peter and Sue Overton Contractor Reg.# BAYMAC 1095L4Exp. 1r3 G Email address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water System Name of Water System f Well Water System Name of Water PARCEL INFORMATION- 12 Digit Parcel No Fire District Legal Description Survey 9/124 and 5/74 BLA - 25358 Site Address(Please include street name,street number and city)4020 Highway 302 Victor Directions to site Located in the Town of Victor,4th drivewav north of East Victor Road on the west side of Hwv 30 Will timber be cut and sold in parcel preparation?Yes/Q4jo Is property within 200'of Saltwater X Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y o TYPE OF JOB-New Add Al Repair X Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building D scribe Work Repair and replace existing bulkhead No.of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other :;d. Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make 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. OWNER/BUILDER Acknowledges 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,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PR OF OF CO NUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X ate 'j wne wne Re resentative ontractor indicate which one 'j FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 7 (O I DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee 391.25 Site Ins ection Plan Review Fee EH Review Fee Plumbing&Base Fee Plannina Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee 1 1 State Fee Violation Fee Pre-Paid at Submittal 391.25 Valuation$ 1396 s ft bulkhead/$24 430 valuation TOTAL FEES l MASON COUNTY PERMIT NO. 6 BUILDING PERMIT APPLICATION r 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360)427-9670- Belfair(360) 275-4467-Elma(360) 482-5269 C 501 4� On the web www.co.mason.wa.us FMaili ANT INFORMATION CONTRACTOR INFORMATION ePeter anSue Overton Company Nam "Mailing Address �348 FishAddress P.O.Box 2453 85 7 City OjyflM State WA—Zip Code 5$ynl0q State Zip Code z�n-45(,_gd51 Other Ph. Phone 360-786-9259 Other Ph. 360-943-5650 Phone t? o G eter an ue Overton Contractor Reg.# BAY IAC1095L4Exp. Lien/Title Holder E Mail Address E mail address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Water System Name of Water System Well_Water System Name of Water System CE Fire District PARL INFORMATION-12 Digit Parcel No Legal Description Surve 9/124 and 5/74 BLA#91-92525358 4020 Hi hwa 302 Victor Site Address(Please include street name,street number and city) Directions to site Located in the Town of Victor 4th drivewa north of East Victor Road on the west side of H 30 Will timber be cut and sold in parcel pre--pparation?Yes/ o River/Creek Pond Is property within 200'of Saltwater X Lake Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% FNo. permit submittal the result of a stop Work Notice,Correction Notice or other enforcement action?Ye o OF JOB-New Add AI Repair X Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Building D scribe Work Re ai an e 1 e exi b lkhe d No.of Bathrooms Square Footage-1 st Floor 2nd Floor Bedrooms Sq.ft. { 3rd Floor Basement Deck___---Covered Deck Other Detached 'I Attached Detached --Carport Attached G arage Year Model UFACTURED HOME INFORMATION-Make No.of Bedrooms No.of Bathrooms- Length Width Serial No. Replacement Unit? Yes/No of Heat Purchase Price$ Certification No. ler Name WTaMedgenvxt Of OVVNER/BUI DFA Aclmovvledges submission of inaccurate intormation may e,or t contractor.I furtherlt in a stop work order or mdeclare that I am entitled to receive this by signature below.I declare that I am the owner,owners legal repff rmission is nd to dot work as proposed in t application.I declare that I have obtained t permission from all t the ryy� v obtained this nation or t work proposed d from any easement holder or any otr party in interest regarding ahPlion from tin to apply for this permit and conduct t work proposed. The owner or agent on owners behalf,represents that pe information d is accurate and grants employees of Mason County access tot above described property and structure for review and inspection•UATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ate- 2 / k"ne Re resentative ontractor indicate which one _ Accepted by: Date FOR OFFICIAL USE BEYOND THIS POINT NOTES DEPARTMENTAL REVIEW APPROVED DENIED Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES 391.25 Buildin Site Ins ection Permit Fee EH Review Fee Plan 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 Valuation$ 1396 s ft bulkhead/$24 430 valuation TOTAL FEES 391.25 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360)427-9670•web Ir�(36V0) 275-44 wa.usma (360) 482-5269 OQ 0� On the FailLinrg NT INFORMATION CONTRACTOR INFORMATION eter and Sue Overton Company Name " wR r^nrrartnrc Tnc_ dress P.O.Box 2453 Mailing Address �348 Fish Tran Loon Road NR 9 507 City Olvmnia State W_Zip Code 98506 MMia State Zip Code_ 36n_956_3d51 OtheK Ph. Phone 360-786-9259 Other Ph. 360-943-5650 Phone Contractor Holder peter an ue Overton Contractor Reg.# BAYMAC1095L4Exp. �`�� E Mail Address E mail address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water System Name of Water System Well_Water System Name of Wat Fire District PARCEL INFORMATION-17�n it Parcel N7Legal Description Stove 9/124d 5/74 BLA - 525358 2 Victor Site Address(Please include street name,street number and city)402 Directions to site Located in the Town of Victor.4th driveway north of East Victor Road on the west side of H 30 Will timber be cut and sold in parcel prep Lake aration?Yes/ o River Creek Pond X Is property within 200'of Saltwater______ ruse etland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a stop Work Notice,Correction Notice or other enforcement action?Y o TYPE OF JOB-New Add AI Repair X Other PRIMARY RESIDENCE ❑ SEASONAL ❑ of Building D cribe Work Re-pair and�gpl ce existing bulkhead oor No.of Bedrooms--No.of Bathrooms Square Footage- 1st Floor ft 3rd Floor Basement Deck.---Covered Deck_---Other Sq. Attached Detached Carport -- Attached Detached Garage_.- Year MANUFACTURED HOME INFORMATION -Make Model Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. I�/gtpl OEp Adv�owledges submission of inaccurate information may result in a stop work order or permit revocation.Aclvawled9ement of OWsuch is signature five,or the contractor.I further declare that I am entitled to receive this suchnature below.I declare that I am the owner,owners legal representative, es.ff permission is permit and to do the work as proposed in the application.I declare that I have obtained the pemiissiort from all the necessary parti pe in interest regarding this application or the work proposed in the application,I have obtained required from any easement holder or any other party' me owner or agent on owners behalf,represents that the information permissiission from them to r for this permit ar►d conduct the work proposed• and structure for review and inspection. provided is accurate ands employees of Mason County access to the above described PropertyP F OF CO NUA OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ate- X e ne Re resentative ontractor indicate which Accepted by:_ Date v FOR OFFICIAL USE BEYOND THIS POINTNOTES DEPARTMENTAL REVIEW _ftROVED DENIED Building Department Planning Department Environmental Health Depart nt Public Works Department Fire Marshal FEES Buildina Permit Fee 391.25 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 391.25 Valuation$ 1396 s ft bulkhead/$24 430 valuation TOTAL FEES W 0 O CDp C- C) m m iw < CD `< m c)o m d c� v Cl O d m DD c S `�' d o m n 1-- OO r a D cn m n cn � m z m u, x n � � zv � p n 9L CD ° z � ado m z o CL (o z ' d X ,U) zm•;u• o = o CA d " D 3 � " N) -< -m4 * g Z v O -n - 3 cov N W m 0 D o I 0omMoco Z � pz zz O cc � -+ cn cn N ° o ; m m oo m CD m 1 wn MCD N - 7 -! rr m cDo ;mil jo (no o r N 52. 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