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BLD2008-00572 Cancelled Replace Pilings and Dock - BLD Permit / Conditions - 5/13/2008
o CONCRETE MECHANICAL MANUFACTURED HOME M X Date By T C) Gas Piping Footings I Setbacks Ribbons N C) Interior Date By interior-Date By Date By X (D C.n 0 4 Exterior Date By Exterior-Date Set-up 03 Point Load I Isolated Footings INSULATION Date By M BG)SLAB INSULATION __.1....__1.,_,._,______ X Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By pate BY Data By — DECKS FRAMING Walls Date By Date a D t_ Data BY By PROPANE TANKS PLUMBING Vault Dato By LU Date By OTHER Groundwork Attic Date By Date By Type Date By DMV DRYWALL Type- Date By Int.Brace Wall B Date By Dail. y FINAL INSPECTION CD Water Line Fire Separation W C Date By Date By Data By 0 Pass or Request Inspect. Q 0 — Type of Insp. Fail Date Date Done By Comments (Ln zr '4--- 4 (D EP (D O 0 ch _0 CD 9 0 h Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 ` RESIDENTIAL BUILDING PERMIT BLD2008-00572 OWNER: ROBERT MERZ RECEIVED: 5/15/2008 CONTRACTOR: LAKESHORE CONSTRUCTION LICENSE: LAKESC"155JA EXP: 4/4/2009 ISSUED: 7/15/2008 SITE ADDRESS: 250 NE LAKE DR TAHUYA EXPIRES: 1/15/200 PARCEL NUMBER: 223305000186 LEGAL DESCRIPTION: HAVEN LAKE TR. 186 PROJECT DESCRIPTION: DIRECTIONS TO SI E: Replace existing pilings and dock (slightly Larger) St Rt 3 to Belfair, St Rt 300, on B Ifair Tahuya Rd, R on Haven Wy, follow to La Dr nd ook for site ddre s. General Information Construction&Occupancy Informatio Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: R3 Deck: Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: OCC. us: aso al Basement: Dock 640 Manufactured Home Information Setback Info mati n Shoreline&Planning Information Make: Length: Ft Front: Ft. ho line: Ft. Water Body: Haven Lake SEPA?: Yes Model: Width: F . Rear: S pe: Ft. Shoreline Desi S 9• Urban Side 1: Year: Serial No.: Side 2: Comp. Plan Desig.: Rural Plumbing Fixtures \MechL Fixtures FEES Type Y. Type Qty. Type By Date Amount Receipt Plan Check Fee GMM 5/15/2008 $108.71 B12008000 Planning Review Fee GMM 5/15/2008 $190.00 B12008000 Building Permit Fee KKK 5/15/2008 $10.00 B12008000 Building State Fee MAL 5/19/2008 $4.50 S22008000 ADJUST--Building Permit Fee CMH 7/15/2008 $157.25 S22008000 Total $470.46 BLD2008-00572 Please referto the following pages for conditions of this permit. 1 of 4 0o C- -I CA Cr � CA) N o �. .� .� N O 1 Cb b Xo D XD (,YD Xmo) � x@ 08 � X0 X0o D x --10 3m8' fl0fD o CD av o0 N = N O > > < CD < N 0 b N CD O N �, N CO n) -0 N N co C) Cu 0 CD < � c � � o -1 = -1 D m v < Am 0- 0 N O Cu (� CD O I � N cD Co :3 3 CD ' '0 N = = ( CD S. < CD 0 o co o so n -o Q (D .. av oom Nr. .. 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UA260�'OUJ72 PLEASE PRESS HARD 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 On the web www.co.mason.wa.us APPLIC T INFO MA ION CONTRACTOR I FORMATI N Owner -L Company Name / Mailing Addr s I ?-U Mail A ess L City— k\fK1QA2dState= Zip Code City State Zip Code Phone Other Ph. Phone 3i6o 2 -SO Other Ph. Lien/Title Holder Contractor Reg. Ke 0 1S J A Exp. LI -CA00v, 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 Sewer System Name of Sewer System PARCEL INFO M TION - 12 Digit Parcel No. Fire District Legal Description I t(9 H fl uPln 4Q-0-0T Vm ( - 1 Site Address (Please include stre t n g, street num er and city) G1Ke, f. Directions to ite' o Will timb be cut and sold in parcel prepara ion?Y s No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop W ce,Correction Notice or other enforcement action?Ye TYPE OF JOB - New Add Alt epair Other PR I PAY R SID E SE`�AS AL Use of Building describe ork 1J No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floo 2 d Floor 3rd Floor Basement Deck Covered Deck Other 412dl Sq. ft. (4yQ 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 informaticn provided is accurate and grants employees of Mason County access to the above described property and structure 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 for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFAPROGRESS INSPgFION.I ACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X Date: Owner Owners eprese iv Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by-a by-ain i Date 15-16-08 DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. NJ 60�-'���US 2 r/ BUILDING PERMIT APPLICATION E 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLIC&INIT INFOI MA ION CONTRACTOR PrORMATION Own Company Name f Mailing Add res I '2t0 h Mail A ess City tate Zip Code City State UJQ Zip Code I Phone-, Other Ph. Phone Q 2 •So Other Ph. Lien/Title Holder Contractor Reg. K_ 155.1�Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB I SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description ( � UC um� ( - 1 ate Address (Please include stre t n street u er an city) A � 'r Directions to ite t c Will timb&0be c4 and sold in pardel prepara ion?Y s No Is property withi200'of Saltwater ,Lake River/Creek Pond Wetland Seasonal Runoff" Stream Slopes or Bluffs Is this permit submittal the result of a Stop W 'ce,Correction Notice or other enforcement action?Ye TYPE OF JOB - New Add Alt (Repair Other PRI ANY R SID E SEAS A Use of Building Describe ork tJ No. of Bedrooms No' of Bathrooms Square F86 6 $, ¢ ,r 2�J-d Floor 3rd'Floor Basement Deck Covered Deck Other 1� iCfT 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. i OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. i 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. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY ` MEANS OFA PROGRESS INSP TION.INACTIVITY OF THIS PRMITAPPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X _ `- ' Date: ... 'f Owner Owners Ffepresen ive Pcontractor on cate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted byzaall g Date �-�� i DEPARTMENTAL REVIEW APPROV tDf DENIED NOTES Building Department Planning Department j Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection i, Plan Review"Fee .:: • O EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee 'b j Pre-Paid at Submittal Violation Fee 1 TOTAL FEES Valuation $ 4KX0 �-- i MASON COUNTY PERMIT NO ;I `� of !_?` , ..(:r �`, d 2_ - 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 On the web www.co.mason.wa.us APPLICANT.INFORMATION CONTRACTOR INFORMATION Owner CAE t� kVk k( —4_ Company Name i-- Mailing Addres _� 1cll }`� Mail A ess i City ( tate' Zip Code City e State U Zip Code Phone Other Ph. Phone ;bey 1�I5 5 ti Other Ph. Lien/Title Holder Contractor Reg. #Li' ke Exp. -a" L 1 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 Sewer System Name of Sewer System PARCEL INFORM TION - 12 igit Parcel No. Fire District Legal Description 1 �, `.`(10t Ut1'v _:t u 1 - 1, Site Address (Please include street name, C T street number and city) a f Directions to site �� t � ,�. � _ : Will timber be c4 and sold in parcel prepara ion?Y s No Is property withi 200'of Saltwater _Lake River/Creek Pond Wetland Seasonal Runoff" Stream Slopes or Bluffs Is this permit submittal the result of a Stop W ce,Correction Notice or other enforcement action?Ye TYPE OF JOB - New Add Alt Repair Other PRI A Y R SIDE CE SEASONAL KZF Use of Building Describe o6 1 t No. of Bedrooms No. of Bathrooms Square Footage 1st=:FIb r 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. (4yo - 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 informaticn provided is accurate and grants employees of Mason County access to the above described property and structure 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 for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSP TION.I ACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X .,�- Date: Owner I Owners Keprese ive/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by4L I i i t Date�.� DEPARTMENTAL REVIEW APPROVED DENIED #fNOTES Building Department Planning Department l3 Environmental Health Department Fire Marshal 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 Valuation $ TOTAL FEES i PdnOL�d IV 1.7-1 �� 311S NO 01 C.3�i 1 i V-11d 311S ✓G� ��� JNINf�t'-lE (10C] 1,1. f100 NOSdI r, l a3AO8ddd -�o �a�� Ic"IF i (3 W goo$ ,, � Z i � i awl c u z Cj) z . i x a �. o � ( { � 4 t 1 A t1 ' r t• S Z N 0 U d1 N Zx � UmQ ¢03� 11� vzj a Y m 00 z � a Look Up a Contractor, Electrician, Plumber or Elevator Professional License Detail Page 1 of 2 Information in Spanish I Topic Index I Contact Info I .................... Home Safety Claims @ Insurance Workplace Rights Trades @ Licensing ------------------------- _.........._...... ...................._.................. ......................... .......................... Find a Law(RCW)or Rule(WAC) Get a form or publication ....... Close this Page > General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. LAKESHORE CONSTRUCTION Business and Licensing Information Verify Workers' Comp printer friendly Premium Status Name LAKESHORE UBI No. 600567516 CONSTRUCTION Phone 3602755029 Status ACTIVE Address PO BOX 1058 License No. LAKESC*155JA Suite/A t. License Type CONSTRUCTION p CONTRACTOR City BELFAIR Effective Date 4/1/1985 State WA Expiration Date 4/4/2009 Zip 98528 Suspend Date County MASON Separation Date Business Type CORPORATION Previous License Parent ZECH ENTERPRISES INC Next License Company Associated License Specialty 1 CARPENTRY/FRAMING Specialty 2 OTHER (SPECIFY) Business Owner Information Show All https://fortress.wa.gov/lni/bbip/Detail.aspx?License=LAKESC*155JA 7/15/2008 v 7. oN-STATE MASON COUNTY o A 5 o DEPARTMENT OF COMMUNITY DEVELOPMENT F o NVZ Planning Division T P O Box 279, Shelton,WA 98584 Z7 N Y Y (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION June 09, 2008 ROBERT MERZ 7319-126TH AVE NE KIRKLAND WA 98033 Parcel No.: 223305000186 Project Description: Replace existing pilings and dock (slightly Larger) i Dear Applicant: You have submitted a permit application (case no. BLD2008-00572)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. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360)427-9670, ext. 294 if you have questions. Sinc ely, i James Scholz Land Use Planner Mason County Planning Department 6/9/2008 Page 1 of 2 BLD2008-00572 ,A NOTIFICATION OF INCOMPLETE APPLICATION 6/9/2008 Case No.: BLD2008-00572 Comments: Mr. Merz, The proposed development that you have applied for: The replacement of an existing but damaged dock on Haven Lake does not meet the Mason County Shoreline Master Program Use Regulations. According to the Use Regulations (Chapter 17.50 Piers and Docks) your proposed development (replacement of a existing dock with a larger L shape dock) does meet the standards set in these regulations most notably the attached end section coming off the 8' x 50' dock to form the L. Floats are allowed at the end of a dock but not a fixed structure such as a dock. I have attached a copy of the Mason County Shoreline Master Program Use Regulations that apply as part of this letter. You will need to submit revised site plans that conform to these standards before your application can be processed. 6/9/2008 Page 2 of 2 BLD2008-00572