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HomeMy WebLinkAboutBLD2006-00043 Final Replace Seawall - BLD Permit / Conditions - 4/6/2006 CD p W m X ED w m C n !� m S g � -n w 3 = gRM : m � m 10 emo DCD v nrD -Z-1 m m O n CA X C 0 0 s O rkNJmC 0 0 � � -� r' nNio � mco `2 � Z W r � O cn 0 o A n n , o � m Z �. = OOQZm to v � ma Who o � �Z � m N � N dCO) o — ? fig N og .. m m m D 1 ? =r X 0 � O J l/ CD a21 . . . . �► c -4 S $iC n $ � Z p0 c� o `�" C c ;uttii c - $ 79 5 wav � MO Z : Z v O O r G 3 OH. r' rp 4 C c c m w 3 V CO) M 3 °f m � m * r Z � v OD z —� SWcO� m S = j N O `' a 0 CO) Co O Qn� n3 c ay o mD O - �i m z r 40 Nebo `� o Z mm O 8tNiiO � O m 0 Cl)n0v Nm�w W N� fJ g� �( Q Q O �N N CO �N g , O N IV W 0 i, W N N O 0)CD _ _ XN � X off_ X � 1. j Cp -v Xo o v xa 'o-'v o o CIO ° ' w �: o gcf v_ fzn o 0r c Co0 CD Hag d � ` � OC c "'m � m &r 0 -4 o CA ° Z w A am 3 _ '" 3 m o 0 3.82 m Q ohm `s o K 3 O y Oo Q. m 2m � Q . v c n aQ m rA � war $ ° o aacr c to a > ? c co O Q m o v � °-' $ o m cD = o 3 ° � m 00 � 0� a� N' o0mg 01 a � coo$ < 0 � C o 0) m o w o g N Qo 6Q 6 ZZ m 0 Hca m Q0 �� 0 a. —� m Fr aCA 0 m X OL 3 �' '0 $ Qca m UOSL M-4a an v9 5 �° c Q O m g o v01i c � o c ° ao 0 02 / w � n � � 0 dm > > � 0 p o Da o T. aD � c z -, o a .• ° 3 w ZF m O c �a cD =tc C ui 0'a maT � y Np z cn -� o� o � 3' 0 g c d o C coo m a ° p .. o- D � z 3 � c s 5 a D cca 0 cm 0 w0 0 0 ° oo m 0 .� c 0 (Av, 0 c pp�� o �- (D p to FL Q N z y tD j 0 Q cr m N 0 as � c -� cr I a N oc°i, CK mN �. r: g a� y 3 0) N ° � v mX m� > 00 0 cm W CD = 0 _ 0@ 0 0 N yR - < rt F0 cc m Cep 0 ? w m 0' a c °'� W ° p v -I } � Q c o v, c a aS m � � v° 3 v c. ? ? ? co 0 C W. 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Dar By int.araoa vfto twat By Date By RHALMOMECIv VI#Am Una Fin Sgmration N p By Dsls By Dam By �S O b Pass or Request Inspect. O Type of Insp. Fail Dante Qste Done By Comments ors w 0glor/C6 O -9 9 0 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.�'yood o 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 APPL IT INFORMATI N Owner Company Name Mailinn Add - Mailin Address Ci �te Zip Code City Mate ZipCode P Other Ph - 'T7- 30 Phone - - Other Ph. - O Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic. DOB Drivers Lic.#14 DOB �- SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Wel Sewer System X Name of Sewer System PWW INFORMATION - 12 Digit Parcel No. - Fire District Legal Description _ Site Address(Pie include street name, street number and city) Di s to ite W . Will timber be cut and sold in parcel pre aration. Yes o Is prop"within 200'of Saltwater Lake River/Creek ond woo Seasonal Runoff Stream__Slopes or Bluffs 15% I*t hila Imtitsubmittal the result of a Stop Work Notice,Correction Notice or other enforcomeM satlep'P TYPE OF JOB - New Add Alt Repair O er PRIMARY R SIDEN S ;$ NAI_ Use of Building Describe Work u No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck.Covered Deck Other Sq. ft. Ga e- Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make odel Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Ugm2 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 entitled Iegal representative,or the contractor. I further declare that I am eed 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 necassw parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposbcl In It t 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 ve described property and structure for review and inspection.This permittapplication becomes null&void if work or auth ' a not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONT1NUATI MEANtQE&fWGRE48INSPECTP ACTI OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE TWC nON. x r Date: -�i'-D 40 2005 owner I Owners Represe ative Contractor (indicate which one) OR OFFICIAL USE BEYOND THIS OINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building De artment Planning Dep2rtment Environmental Health Department Fire Marshal FEES Buildina Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbins& 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)z f m v a i O F^ A Y o ry7 A ro '"+Nal s� -,�of �i��' Nn 1 "-•F-,+�r r�'�z - Cq•.p.r,' r2 ..^' >- ST YI a t;•::. 14x�F�� Z I I L r}:•. m p� *', k I N E y � F N S Sao Y O oos+s v' R T H lid e l o �\ nit 0 4 LA G T G 1 x. LA 0rn o \ r,1 ^ vest i £ ,y. _ lx -8 •�" u- Z 7C o 2 -C ;D ci fP�yaloi.,o = n sr ,�„g H A £ °'l•^ m d^ I'ss C ^ <z n� co' 'oo I z II �� j\'i _ '"1�� Al•' t��E j fyy o C7 •�z- y,n�< n Z 'S ,T i E n� D q MARLEME D > 9q u ON y 9 FULLER LOU15 O f ti C Z - -- < Oi_ =D~ O EM6EL oLsoN CD OF= no" _ Rppc P i E R C C 0. ,I'�• _ \ € —__� --1 —GQ ' .--- �, ''- '"'�i�•. -/ � .iN �������1� I w=wT�gE��`I'1�t(Py � � '`^ ;^ i - n 3 g I I 10 - - 1 O M�aK[LSCN fl -ti .'-:a I - •y � �4 •ycY _j � iI x iy�a----. > Rl • i.>f N - x� O OE a - c I-aL \ - - I I Z = .rat o � � I - - SMITH t r e r � /• a -o[ I s \\ t £ » i m 18 a MP*~ A cu �� I -4 < a s - / •i^, > 1 e P uMAN z ) ) i Z WCST TAC NEWS ►P. N ROOMAN p - O ^ •^ I > �.•or[ 4•um No<s a_ F n pCAZLf Y,�G.y�t � �". -?� c �C I PIERCE CouNTY 'T of Gy. t - - I ~_' � 1 1 > _• 2 � YCITN F �e ^ Z I i� = I c Z" � �. I I I n 2 G r?Hft COUNT\ E AR - 3.1 IA •,I i = Z; ^'� .p WMS—a [OUNTr PICACL I I" NEwa pm., CO II o,,, I > PfT[a GOa"., C i i ,, •` I a z s m r-71[NN[a _ N.AN OM PIERCE COUNTY `- �'.�.,�yt Y Wx-FAAN[.f Z - E...APP z of;• ,•' ..ANt[S r.OTT CN r xerwA i n *}r 1a. p �, •� , _ .r If TE RJ r MAaf NGA 4.1 t \ o'er 3•, n= i m ® G. >~ ` ^ �Y J.. '_ _. -1[A1 i w[f�Y'► L! [s.wT A:-i T•t• -- � �\R � .�. Look Up a Contractor,Electrician or Plumber License Detail Page 1 of 3 Topic Index Contact Info 22. r � Ilk I Find a Law or Rule I I Get a Form or Publication! Look Up a Contractor, Electrician or Plumber Printer Friendly Version Generai/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. License Information License JESFII`228D0 Licensee Name JESFIELD CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600293059 Verify Workers Comp Premium Status Ind. Ins.Account Id Business Type CORPORATION Address 1 PO BOX 1590 Address 2 City ALLYN County MASON State WA Zip 985241590 Phone 3602756684 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/20/1978 Expiration Date 11/24/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=JESFII*228DO 4/4/2006 MASON-COUNTY PERMIT NO.Cko • BUILDING PERNT APPLICATION 426 W. Cedar•P.O. Borne 186, Shelton, WA 98584 Shelton(360)427-9670 -Belfair(360) 275-4467 - Elma(360)482-5269 On the.web www.co-masomwa.us APPLIC T INFORMATI N CONTRACTOR INFO I Owner- WOt rr Company Name E• lAN M)aifing Addr ss �W- Marlin ddress �• D City M fate •Zip Cggde City `State Zip Code Phone Other PhS�O-•�7 � Phone Q" Other Ph. 73l U3 Lien/Title Holder Contractor Reg. ;r tV Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.Ah EUTETY 7Y#V/ DOB • SEPTIC/WATER,SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to water Sirn yste Well.; Sewe Sys e N Narri: iwer Syste " PARCEL INFORMATION - 12 Digit Parcel No.° Lla=y Fire`DlstriGt J Legal Description Site Address(Plea include street name, street number and city) O ev%eJ Directiolas to ite IV10i 04-1 f %ew qa o TZ Will timber be cut and sold in parcel pr aration_ Yes No Is property within 200'of Saltwater _ ._Lake River 1 Creek and Wetland Seasonal Runoff Stream -Slop o1 E ffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notioe or other enforcement action?YesW TYPE OF JOB - New Add Alt Repair Other pR{ gRY.I IDF, I S 4NAL Use of Building Describe Work . W'e AL No. of Bedrooms '' ' No.of Bathrooms_'k Square Footage- I st FloilL - 2nd Floor 3rd Floor Basement Deck Covered Deck-Other - Sq. ft. Garage Attached Detae d Carport Attached Detached MANUFACTURED HOME INFORMATIO ake Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes f No Installer Name Certification No. OWNER/BUILDER Acknowledges subrMssion 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 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 permiss. n from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application of 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 Coun e described property and structure for review and inspection.This permit/application becomes null&void if work or 918=1 n 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 MEAN OGRE INSPECT ACTT OF THIS PERMITAPPLICATION OF 180 DAYS WILL INVALIDATIF AM . X Date: Owner/Owners Represen ative jContractor )(indicate which one) BELFAI k FOR OFFICIAL USE BEYOND T S POINT Accepted by: i Date DEPARTMENTAL REVIEW A OVED NIED , NOTES Building Department Ire Planning Department a Environmental Health Departm t Fire Marshal FEES Building Permit Fee Site Inspection Plan Review fee EH:, iew Fee Plumbing & Base Fee P#�annin 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.C VCU—a)d l 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 i. On the web www.co.masonwa.us 4 APPLICANT INFO tMATI N CONTRACTOR INFO A i N I Owner Z41P Company Name .Q Mailing Addr ss .W• Mailin ddress1• City �► :State Zip C de City State Zip Code " Phone Other Ph Idav X"• � Phone 1 Other Ph. r7 f' '777V Lien/Title Holder Contractor Reg. S` �' Exp. E E mail address E Mail Address Drivers Lic.# DOB Drivers Lie.#1499STF'Ty t DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water System Sewer S to ame of Water.System tm N ys� Name of Sewer Sys te wjr- PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address(Plea include street name, street number and city) o v%,tw Directio to site ! 0&4 of Will timber be cut and sold in parcel pre aration7 Yes Vo Is property within 200'of Saltwater . _Lake -River/Creek and Wetland Seasonal Runoff Stream Slopes or BaVffs 1 RO Is this permit submittal the result of a Stop Work Notice,Correction Notice or other onfarcem nt action?Y '. TYPE OF JOB = New Add Alf Repair O er % PR1�ttARYSIDENC S SONAC Use of Building Describe Work IAC4.e 4&A t& 'Sea W W,• No.of Bedrooms- No.of Bathrooms Square Footage- Ist Floor; 2nd Floor 3rd Floor Basement Deck - -Covered Deck—Other Sq. ft. Garage- Attached Detac d Carport Attached Detached MANUFACTURED HOME INFORMATION #Rake 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 subAssion 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. 1 declare that l 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`BF is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINu !�I BY iMEAN 'AAROGRESS INSPECT ACTT OF THIS PERMITAPPLICATION OF 180 DAYS WILL INVAUDATE, k�FAP1PL21CATION. x Date: " ` 'JAN 2005 owner/-0vmers Representative Contractor (indicate whrch one) 6ihF*11R OFFICE OR OFFICIAL USE BEYOND THIS"'Pt INT Accepted b Date _ 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 Planning Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES