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O , PARKING ' � r Tr?),LER a , I 1✓ --- ------_ �L t � } C` ` X !o ' Es� 1 ------------------ F Q_riSi_jt�k 17;2i FAX 360 427 7798 ►1ASOIN C-0 PER.Mir rTR 10 0 fi, n MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permlr Fmcess_ (esge�tlonQ-;Ae��:o:ctg Mahn Counly Bldg.III 426 W.Cadar P.O-$oz 196 Shelton,WA 9me4 (36Q}42'-987f SW- &.r(3- W)275.4467 Elma(360)482-526.9 Seattle (206)464-6968 REQUEST FOR BUILDIKtG PERMIT EXPED1 N NAME: v `� T P110 %O 731-y207 MAILING ADDREBSI W) N-(C,e C1 Y47 l(/ q STAY 1,[/AS {p 98.Ug PARCEL--Nv 4 �Q LEGAL DESCRIPTION- c l� C 7- - $—/O SITE ADDRESS: 1 -5.40 Al, o % S//T Rc fM- N1, A - 6A,511 REQUEST DUE TO: MEDICAL CONDITION FIDE OTHER EXPLANATION OF HARDSHf1W/_ W T (•VEELEND oS- A /'7 , Z O©4 MUST INC- D TING DOCUMENTS, THIS MAY BE A LETTER FROM A DOCTOR INSURANCE C REPOT OR REPORT OF FIRE DAMAGE; FROM APPROPRIATE FIRE REPRESENTATI F I (WE) UNDERSTAND THE INTENTION OF THIS FORM IS TO DETERMINE AND DOCUMENT JUSTIFICATION FOR EXPEDITION OF A_I3UILDING PERMIT- TO ALTER OR RECONSTRUCT A RESIDENCE ON THE ABOVE NAMED PROPERTY. SIGNATURE OWNER/AGENT A!�owy BUILDING DEPARTMENT ENVIRONMENTAL HEALTH PLANNING_DEPARTMENT DEPARTMENT APPROVED ❑ APPROVE Cr APPROVED D DENIED D DENIED ❑ ! DENIED ❑ SIGNATURE SIGNATURE SIGNATURE I ®rrMwmwww Pj 5 14X -z m, 3 F r i } A i FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. C;U `IJVI� X 1 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Mailing Address o .S//0 R9 Mailing Address City A HV Y w State . ip Code1FCity State Zip Code PhoneaA ;j— ,731'Y3070ther Ph. Phone Other Ph. Lien/Title Holder NAI Contractor Reg. # Exp. E mail address tyd E Mail Address Drivers Lic.# VL7 F0 %; R7 V DOBDK- b -j5?-7 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic K Connect to Water System Name of Water System Well, Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel o.��'��O—50 0 08! _ Fire Dis10 t Legal Description - Site Address(Please in lu a street name, street numbeg and city) IYORL14 KP. 7A 14V XA Directions to site -�" — Will timber be cut and sold in parcel preparation?Yes NO Is property within 200'of Saltwater _� Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff- 5% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye /No TYPE OF JOB - New Add Alt Repair Other P IMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other 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. 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 INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILLINVALIDATE THEAPPLICATION. X P. Dater Owner O ers Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 0 DEPARTMENTAL REVIEW APPROVED DENIED N OT Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection 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 Valuation $ 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Z t Company Name Mailing Address ` ` g -5/10 R I Mailing Address City Her yrd Statef sAtp Code ISLE City State Zip Code Phone 3k hw 1731— t70ther Ph. Phone Other Ph. Lien/Title Holder } Contractor Reg. # Exp. E mail address � �• � E Mail Address Drivers Lic.#rVcL*r V V DOB }9 W 3 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 3 O ' M 02 a WR Fire District " 3 / Legal Description `L- :- �, ..y Ali,. " C :TMt r Site Address(Please include street name street number and city) 1' c ' "`' S s�•y ' ° !' u Directions to site 1 . /i, ' ,,, „ . F: Will timber be cut and sold in parcel preparation?Yes Nod Is property within 200'of Saltwater e�_S Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 5% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work -AgeAe jr No. of Bedroom- No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other 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.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 INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X �" r ;�,- f`-,..., Date: Owner Owners Representative/Contractor (indicate which one) r FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 'i DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal TOTAL FEES Valuation $ MASON COUNTY PERMIT NO. Cl"'' 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 Company Name Mailing Address HORS° Mailing Address City V vA Stat ip Code City State Zip Code Phone b IF r1'3 Other Ph. Phone Other Ph. Lien/Title Holder b16= Contractor Reg.,# Exp. E mail address E Mail Address; Drivers Lic.# &"rF_F. c2 V DOBLam. alp -jp..V Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X Connect o Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. — Fire District Legal Description _w 7 C Ac —10 � .r�r'N-C Site Address(Please in u e street name, street number and city) 1 o F AV Directions to site U7 Will timber be cut and sold in parcel preparation?Yes AUO Is property within 200'of Saltwater S Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff— /o Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye No TYPE OF JOB - New Add Alt Repair Other P IMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other 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 fl]rther 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"frwh 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 OFAPROGRESS INSPECTION.INAITY OF THIS PERMITAPPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X t mac. . )�: �_ Date" Cownel ow hers Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT T. Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES BuildingDepartment =" Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Plannin 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. 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 Company Name Mailing Address $/10 R9 Mailing Address City 2T Hij vA Stat ip Code City State Zip Code Phone &�1— 73 f S�3D t7Other Ph. Phone Other Ph. Lien/Title Holder ,Alm= Contractor Reg. # Exp. E mail address NvN E Mail Address` Driver, RW DOB A� Drivers Lc.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X Connect o Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel o.11�.�a O c�; O EZ Fire Dist�t�N Legal Description Site Address(Please in u e street name, street nu ber and city) p v Directions to sitet1-� Will timber be cut and sold in parcel preparatio Yes/tj No n? Is property within 200'of Saltwater �[E'�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?Ye No TYPE OF JOB - New Add Alt Repair Other P IMARY RESI24 D NCE SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other 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. rAMher 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-fror{.atl 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 OFAPROGRESS INSPECTION.INACTIVITY THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X _ 0l-� ' I A-- Date Owner Ow ers Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT _A4cepted by: Date c� L DEPARTMENTAL REVIEW ROVED DENIED NOTE Buildinq Department �Z Planning Department IL 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 CO MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III,426 West Cedar Street PO Box 186, Shelton,WA 98584 1854 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 May 8; 2006 Eugene Tveten 16540 NE North.Shore Rd Tahuya, WA 98588 RE: Bulkhead Repair Proposal BLD2006-00681 Dear Mr. Tveten, I have received the above permit and plans for review. Barbara Robinson and myself previously.met with you in the office to discuss what would be necessary for your plan submittal. The plans as proposed, and as previously discussed, will require you to submit plans and calculations prepared by a Washington State licensed design professional for the repair due to the failing condition and location of the adjacent structure. Once you have submitted the design as noted, your permit review will commence. Until revised plans are received, your permit will remain on hold status. Please note that any non- permitted work that occurs, will be subject to enforcement action. Sin 41nstorlCo:de Tam Build Enforcement Cc: Property File Barbara Robinson, PAC Manager Chuck McCoy, Planner MASON DEPART ENT COUIVp Planning F COIN Mason coup P,0.Box 27 county Bldg.1 411 N.5th Shelton, (360) 427-9670 WA 9 85e4 r t Be/fair February 24,2003 Otto Tveton 164 iu 1 ATE Northshore Rd. ya, WA 98588 RE.Tax Parcel Number 3�� g Dear Mr. Tveton: On May 18,2001, Shoreline Planner,the Building Permit Application that ott Longenecker sent you a L re you that several additional items were submitted Mayl 1, 2001. S7 spo Application. quired to complete your Buietter ' fo t0 These included a State Enironmental Policy Act(SEPNitfo"lled applicable fee, as well as a Shoreline Exemption fee. Also, Scott hadlist a clarification. A copy of Scott's letter is enclosed for your reference. f sitend he t To date, none of the requested information has been received. I p erfo. plan February 3, 2003 to evaluate the status of the project. It appears that USlt was not completed and that the rebar originally photographed has beenork d and t time,Enforcement Case number ENF2001-00140 has been close . n Permit Application is being returned. Cass for this application. e records indicate that fee this 9 Please be advised that a new, complete Building Permit Application, Sl JARPA form and applicable fees must be submitted, reviewed, and app. on the existing bulkhead is initiated. If you have any questions,please County Planning Department at (360)427-9670 ext. 281. Thank you fo cooperation. Sincerely, Kristin French Code Enforcement MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Mason County Bldg. 1 411 N.5th P.O.Box 279 Shelton,WA 98584 (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 February 24,2003 Otto Tveton 16491 NE Northshore Rd. Tahuya, WA 98588 RE: Tax Parcel Number 32220-50-02008 Dear Mr. Tveton: On May 18, 2001, Shoreline Planner Scott Longanecker sent you a letter in response to the Building Permit Application that you submitted Mayl 1, 2001. Scott's letter informed you that several additional items were required to complete your Building Permit Application. These included a State Environmental Policy Act(SEPA) Checklist and the applicable fee, as well as a Shoreline Exemption fee. Also, Scott had requested site plan clarification. A copy of Scott's letter is enclosed for your reference. To date, none of the requested information has been received. I performed a site visit on February 3, 2003 to evaluate the status of the project. It appears that the proposed work was not completed and that the rebar originally photographed has been removed. At this time,Enforcement Case number ENF2001-00140 has been closed and your Building Permit Application is being returned. Case records indicate that no fees were submitted for this application. Please be advised that a new, complete Building Permit Application, SEPA Checklist, JARPA form and applicable fees must be submitted,reviewed, and approved before work on the existing bulkhead is initiated. If you have any questions,please contact the Mason County Planning Department at (360)427-9670 ext. 281. Thank you for your anticipated cooperation. Sincerely, Kristin French Code Enforcement TAX PARCEL NUMBER: 3 zzzU - sv - a zu Q OWNER: T ve VIOLATION: STATUS: DATE: 2%3 A 3 SITE VISIT NOTES: <�K-a, — na 9%26/2006 Tami Griffe �"�( )__u W y- Re Tveten Bulkhead Page 1. T'g /� KFP N From: Ken Gunther <kgunther@hcwl.com> P A Q To: <Tlg@co.mason.wa.us> 1 Date: 9/26/2006 11:39 AM Subject: Re: Tveten Bulkhead CC: 'Brian Coleman"<Bcoleman@hcwl.com> Tami, I am the engineer who performed the calculations. The surgarge shown in the calculations is there to represent the effects of the existing wall on the repair wall since the weight of a cement concrete wall is different from that of the soil being retained. In regard to the sliding issue, the repair wall and footing are pinned into the existing wall and footing therefore sliding will not be a failure mode because you have the area of the existing wall footing with the weight of soil over it to provided the resistance in addition to the repair wall footing. The analysis focuses on overturning failure about the toe of the footing which is of more concern. Regardless, the analysis is conservative as is this wall repair. We will correct the site plan where it appears the deck is hanging over the wall, that is not the case. Do I need to walk the reviewer through this so that they understand the analysis and who is the reviewer? >>>"Tami Griffey"<Tlg@co.mason.wa.us>09/26/06 10:41 AM >>> As discussed,the site plan indicates a surcharge on the wall in area of repair#1 which you have indicated is a mistake. You have stated to me that this wall has no impounding surcharges. It will be necessary for you to submit an addendum clarifying that the site plan was inaccurate and the wall design is for shoreline erosion control protection only. I will also.need the site plan corrected to accurately depict site conditions. You can fax this material to me at(360)427-7798. Upon receipt of the documents noted, I will be able to sign off on the permit with conditions. Tp 8E KEPT S, �N PA RC TyE i F��E