Loading...
HomeMy WebLinkAboutBLD2008-00675 Final Pier, Ramp and Float - BLD Permit / Conditions - 5/22/2007 00 o CONCRETE MECHANICAL MANUFACTURED FIt3ME n 9D Footings I Setbacks Data By Ribbons I o Sias Piping rn o lrtiteriar Date By Interior-Date By beta By 4Cri Exterior Data By Exterior-Date B Sort-up 17, C Paint Load d Isolated Footings INSULATION Date By v BG 1 BLAB INSULATION Date By bate By FIRE DEPARTMENT Foundation Wads Floors Date By Date By Data By DECKS FRAMING Watts _ Date By Hate By Data By PROPANE TANKS PLUMBING Vault Date By Date By OTHER Grotndwwotk Atha Data By Date By Type- Date By D.W.V Type- DRYWALL Type: Date B Int Brace Wail Date By W y Date By FINAL INSPECTION p a�i Water Line Fin Soperatian iV Date By Date By Data B Pass or Request Inspect. o Type of Insp. Fall Dale Date Dane By Comments CD c `°�I /�/ SF� � AECD W O 8 o' CA O M S TJl N i 0 0o r o m No 'i m a -{ O o fD m 3 a p-� `m O v o m rn * 0 m D is 3 n p � � 0 r Q t� (D N � mmmZ ° a D (n = 0 > (0 Cl) C n - a -1 � C0 � O ((DD ° o z W m -4 z C ° Z a co ° OmcnOA =r v c zXcnX � 1D 0 co Dnioryy o0 c vD vroo m X zg Z T ci) cn cn m n ^, cnom0 00o00 CC) Omc `do�" (o C X cn ja Z Z no Z Z omo to ZCl) rn na � -n G. Zo m N CD v a ° a) �' 0 n C n `o - n0 m � CD 3 mo00 pp X v0 0 0 m N nS1Z yyN ? c co O er 3 a; Q O d Q m ao CD 0 0 -i -n r Z °x 3 o � O D n z D 8i C r m 0 cn CA C r C y p Cl) m U) � G) o �, m >CD M r C % —A1 m C Z m 8 o 0 �; a W ; �. o co) C m o N x o a �oov � o T -n c0 (On D 0 oo 2. ss N X yc c m `D (D .� CD m <. „ -n '� C -m m co r► T m - m m co r O N C° " m (D E. W O CD 0 N o, cn c0 cn N n1 ,3 0 ... CO (D0 cn �. ? DD7c7c7C Duo 0 � cnN A N C M ti v, 0 90 � W Of 0) Of Of � (c tG ,D O c � w w w G :. :. 0 N N 0 0 0 fir =3 C = 3 to d O O O OOD OOD OOD cr (A O 3 CD _ O OD OD cl > (� �, o o m 'm, � CA w 3 O ?< X � n w , _ °' -4rnrn * coi Tcnm O) oao 0 O o Ln o o w (A) CD 0 0 v O N —h cA,cA,fA,N cA'L7 3 N Q N:Ni N�N:N.N m cn QQ O N N N'N fN N O'O'O'CD, '� — Q O'O'O'O ; ; ; ; : m N0000 :D 8'O:8;8'8;O -h O N O � '� V CD 0 C) ODV cCn rn 00 N N Information for permit: MEP2006-00066 Page 1 of 2 MASON COUNTY Employmentwashington Government and Information Serv,ct,s CodesRegulations Coninnunity Links Visit ma�orl County Search oul Site Df-P.-,wmont- Email L's Building Dept ► Some information /cases may not be displayed ► This information may be outdated and inaccurate Planning dept ► Information is only for the unincoporated areas of Mason County and may only show items since April 1 st, 1992 Environmental Health ► Please contact the Permit Center(360) 427-9670 ext 352 to verify any Dept information Records ► This information was last updated: 11/10/2008 at 8:54 am ► Building permits are NOT ready to issue until Case Status is APP and an New Search activity "Approved for Issuance" is listed Assessor/ Information for Permit: MEP2006-00066 Treasurer Case Number MEP2006- Parcel Information 00066 CARTER/LU N D Case Status 10871 &10891 NORTHSHORE RD REC Applicant j Parcel BELFAIR WA 98528 Number 322245000085 Project 10881 NE NORTH SHORE ROAD BELFAIR Address Valuation `' $ 0.00 Description New pier, ramp and float. Activities r Date Date Assigned Done Description Assigned Done Status To By Notice of MEP 12/08/2006 DONE CMM CMM Application Received 10/19/2006 10/19/2006 DONE KS Planning Review 10/19/2006 HOLD CMM CMM i Hearing scheduled for 1/9/06. Permit Fees Fee Type Amount Due Amount Paid Habitat Management Plan Fee $ 360.00 $ 0.00 Mason Envir. Permit W/Other $ 305.00 $ 305.00 Total Fees: $ 665.00 $ 305.00 Amount Outstanding: $ 360.00 Conditions Fisheries H.P.A. I A Hydraulic Project Approval from the Washington State Department of Fish +Wildlife must be granted prior to construction. For more information contact Doris Small or Margie Schirato, Habitat Biologists, at(360)895-4756. Erosion Protection http://www.co.mason.wa.us/permits/main.php?caseno=WP2006-00066&case_type=MEP 11/10/2008 Information for permit: BLD2008-00675 Pagel of 5 MASON COUNTY '' . Governmcnt and information Codes Building Dept ► Some information /cases may not be displayed ► This information may be outdated and inaccurate Planning dept ► Information is only for the unincoporated areas of Mason County and may only show items since April 1 st, 1992 Environmental Health ► Please contact the Permit Center(360) 427-9670 ext 352 to verify any Dept information ► This information was last updated: 11/10/2008 at 8:54 am Records ► Building permits are NOT ready to issue until Case Status is APP and an New Search activity "Approved for Issuance" is listed Assessor/ Information for Permit: BLD2008-00675 Treasurer Case Number BLD2008- Parcel Information 00675 CARTER/LU ND Case Status 10871 &10891 NORTHSHORE RD APP Applicant Parcel 322245000085 BELFAIR WA 98528 Number Project Address 10881 NE NORTH SHORE ROAD BELFAIR Valuation ? $ 32,887.75 Description New Pier, Ramp and Float. i q Activities Date Date Assigned Done Description Assigned Done Status To By Planning Review 06/03/2008 10/16/2008 DONE JMS JMS 10/15/08 Final Planning site inspection conducted on 10/15/08 per the conditions noted in the Hearing Examiner's decision (May 2nd, 2007)all required unattached, anchored floats and morrage buoys have been removed from all three applicable parcels noted in the decision. Deed restrictions for all three applicable parcels have been recorded with the auditors office(See copies in parcel file) as has an agreement regarding joint use over water structure. Planning has no other issues. 09/30/08 Received approved HPA for Carter project.Waiting on Final Planning site inspection (per HEX decision). 09/23/08 Had meeting with Bob Fink concerning questions on permit time and begnning of construction, sent Mr. Carter an e-mail with information from WAC 173-27-090 that addressed time limits etc.Also again asked to let me know when he was ready for planning site inspection. 09/22/07 Talked with Mr. Carter regarding site inspection prior to signing off on building permit, he will contact me when he is ready. Also sent out e-mail reply e-mail regarding questions. 09/18/07 All necessary documents referrencing the decision and pertient to that decision have been recorded with the auditiors office and the applicants have submitted copies to be placed in the parcel files.Applicants must set up a meeting time for the planner to go out and inspect the site prior to the l issuance of the building permit.JMS Letter of Incompleteness sent out on 06/12/08 regarding thisapplication (see below). Per the Decision of J. Zachary Lell, Hearing Examiner, pro tem, dated May 15th, 2007, concerning the Shoreline Substantial Development permit(SHR2006-00027) I cannot process this building permit application (BLD2008-00675) until all the conditions set forth in Section VI(B)of this decsion have been satisfied. At the request of Mr. Carter(via e-mail, dated 05/29/08)1 reviewed and made comments on both the Joint Use Agreement Documents and the Declaration of Restricitons l Documents but have not heard back from him regarding this information. h4://www.co.mason.wa.us/permits/main.php?caseno=BLD2008-00675&case_type=BLD 11/10/2008 Information for permit: BLD2008-00675 Page 2 of 5 Approved for'lssuance 10/16/2008 DONE CMH Notified Bill Carter. Building Plan Review 06/03/2008 06/12/2008 DONE ARC Letter of Incompleteness 06/12/2008 DONE JMS Per the Decision of J. Zachary tell, Hearing Examiner, pro tem,dated May 15th,2007, concerning the Shoreline Substantial Development permit(SHR2006-00027) I cannot process this building permit application (BLD2008-00675)until all the conditions set forth in Section Vl(B)of this decsion have been satisfied.At the request of Mr. Carter(via e-mail, dated 05/29/08)1 reviewed and made comments on both the Joint Use Agreement Documents and the Declaration of Restricitons Documents but have not heard back from him regarding this information. Application Received 06/03/2008 06/03/2008 DONE KKK HOLD 10/16/2008 Applicant must also pay for MEP at permit issuance. Permit Fees Fee Type Amount Due Amount Paid Building Permit Fee $472.05 $ 0.00 Plan Check Fee $ 306.83 $ 258.70 Planning Review Fee $ 190.00 $ 190.00 Address Fee $ 162.00 $ 0.00 Building State Fee $4.50 $ 0.00 Total Fees: $ 1,135.38 $448.70 Amount Outstanding: $ 686.68 Conditions i No Degradation of Water Quality t Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.X ,Ai Corps Permit A Section 10 Permit(Rivers and Harbor Act of 1899)or exemption must be granted by the Army Corps of Engineers prior to work within navigable waters of the United States. X kd Erosion Protection Prior to final approval,all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X k/I - _r HYDRAULIC PROJECT APPROVAL A Hydraulic Project Approval from the Washington Department of Fish and Wildlife shall be obtained prior to work on the banks of or within the waters of the State.X �!y Construction Debris Removal All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degredation of State waters. X�Gf Temporary Erosion Control Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Sill fencing must be installed and maintained until upland vegetation has become established.X Safe Condition - Docks Dock facilities must be maintained in a safe and sound condition. X SIT PLAN http://www.co.mason.wa.us/permits/main.php?caseno=BLD2008-00675&case_type=BLD 11/10/2008 Information for permit: BLD2008-00675 Page 3 of 5 Approved per dimensions and setbackp on submitted site plan. Setbacks are measured from the furthest projection of the structure.X _ SITE PLAN Approved per dimensions and setback on submitted site plan. Setbacks are measured from the furthest projection of the structure.X All Necessary Permit Required All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and cort,9t�n must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION.X_,4 RCW 18.27 Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X &'d "CUSTOM CONDITION THIS APPLICATION IS APPROVED WITH THE UNDERSTANDING THAT SPECIAL INSPECTOR FOR DRIVING PILES ARE TO BE RECORDED WITH FIELD REPORTS AND THAT GANGWAY MFG SPECS BE ON SITE, STAMPEDWSHINGTON STATE ENG. WITH SPEC TAG ATTACHED TO THE GANGWAY.X CONDITION All Best Management Practices must be strictly adhered to throughout the proposed development. X CONDITION Applicants must adhered to all the conditions put forth in the Hearing Examiner's Decision for SHR2906-00027 dated May 15, 2007(See section VI Decision parts A&B)for conditions. X PLANS REQUIRED ON SITE All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site,then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Depart or to any further inspections being performed or approvals granted. X jar ADDRESS/ ROAD SIGNING I Owner/Agent is responsible to post the assigned addres and/or purchase and post private road signs in accordance with Mason County Title 14.28.X PLAN REVIEW CORRECTIONS The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked"APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to compJy and/or removal of approved documents will result in failure of required building inspections. X SITE PLAN REQUIRED ON SITE The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site plan is not on site,then approval will not be granted. In addition,a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by toe Building Department prior to any further inspections being performed or approvals granted.X FIRE APPARATUS ACCESS ROADS The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public r ad or to another fire apparatus access road which connects to a county maintained public road. X 1,, SPECIAL INSPECTION _ International Building Code. In addition to the inspections required by Chapter 1 of the International http://www.co.mason.wa.us/permits/main.php?caseno=BLD2008-00675&case_type=BLD 11/10/2008 Information for permit: BLD2008-00675 Page 4 of S Building Code, the owner or the engineer or architect of record acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on the types of work listed under IBC, ction 1704.The special inspectors'duties&responsibilities shall be as specified in Chapter 17.X ENGINEERING OR ARCHITECTURE Any changes,in proposed construction shall_be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction.All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. -T ALL CONSTRUCTION All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification.Any non-approved change of use or occupancy would result in permit revocation.XTs� ALL CONSTRUCTION All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted cla i ication.Any non-approved change of use or occupancy would result in permit revocation.X CHANGES TO APPROVED PLANS All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ord e or regulation, must be reviewed and approved by Mason County prior to construction.X� FIELD CORRECT CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY ! BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department.All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by M son County Building Inspector shall be made prior to requesting additional inspections. X Property Lines All pr a lines shall be clearly identified at the time of foundation inspection. X FINAL INSPECTION REQUIRED All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non- comp ian 'th Mason County ordinances and building regulations. X PERMIT EXPIRATION All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit hol r ave prevented action from being taken. No more than one extension may be granted.X _ PRESSUR TREATED LUMBER Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal X nne t�pproved for contact with the new types of pressure treated material. XR LANDINGS AND STAIRS Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"ApproveO Site Plan"to ensure these structures are s wn and meet the setback conditions listed.X I http://www.co.mason.wa.us/permits/main p?caseno= D2008-00675&case type=BLD 11/10/2008 ' MqY-19-2009 02:33F FRDM:THE KIKBRIDE GRDU? C350?491-6904 TD:13S0275752OP357 ?.? o s& o Pits Address: 4405 -7th Ave. S.E. Suite 300,Lacey Wa 98503 -_,r,ngineering Phone Number: 360-438-0301 E-Mail: Danb CandCengineering.com 5/19/09 To: Mason County Community Development Building Department Addresses: Mail: P U Box 186, Shelton WA 98584 Physical:426 W Cedar St,Shelton WA 98584 RE: Pile driving Report: Applicant:Bill Carter--Jeff Sweeney Name of Project: Carter-Pier Project Number: 2008-00615 Work Completed: 4/10/09 Dear Sirs; This is the pile driving report for the above mentioned project. Contractor Driving E ui meet Piles Lake Shore Construction Fixed Lead—Drop Hammer 6-Galy.Steel P.O,Box 1038 Hammer Weight:2,000 Lbs 0.322 Wall Thickness Belfair,Wa.98528 Follower Weight:600 Lbs Phone-360-275-5029 Drop Height(Last 2 Feet of penetration) 10 feet j Driving Record Description Pile Information F Pile Number 1 1 2 3 4 5 6 Number of Blows to Reach 4q 40 50 50 50 50 Final Penetration Penetration See Note 1 14'6" 14'6" 1 11' 11' 13' 13' i Refusal Depth 9' 9' 9' 9' Pile cut off above grade 10'6"' 10'6"' 19' 19, 2.2% 22' Pile Use Pier Pier Float Float Float Float h Support Support Guide Guide Guide Guide Pile Pile Pile Pile file Vertical Capacity >20K >20K >20K >20K >20K >20K w Note 1:.411 piles were driven to refusal.Refusal is reached when blows exceed 4 per inch. R B� If more information is required please call me. M f i t i Dan Budsberg P.E. .p 34371 '� P Contours and Concepts Engineering �S' IST � 0NAL EXPIRES 1 t/09/ O r MARINT ';TRI T TT TRFS ENGINEERING, INC. rrA _ _ 19 March 2009 Mantle Industries,Inc. 1100 Yew Avenue Blaine, WA 98230 At your request,I have reviewed Mantle Industries' design drawings for the three to five feet wide, lightweight-style aluminum gangways with 2x2x1/8 webs in 4'-0" bays and your special floor beam extrusion or 4x4xl/8 square tube floor beams. My calculations indicate that these gangway ramps meet or exceed the requirements of the 2006 International Building Code(AA ASM 35 and Parts 1-A and 1-B of the Aluminum Design Manual) for allowable stresses and deflections using the top and bottom chords listed in following tables. For all gangway lengths, the dead load allowance is 10 pounds per square foot(10 psf),the utility allowance is 10 pounds per lineal foot(10 ppf),and the handrail concentrated load is 200 pounds. The design wind is 100 mph (3-second),exposure 'D' in accordance with the 2006 IBC. Maximum-QanPwu Length,3'-0" Insid !Tear Width an E Uniform Live Lod Top Chord Bottom Chord 3x2x1 8 4x2x1/8 3x3x1 8 6x2x1 8 3x2x1/8 44' 56' 56' 4x2x1/8 56' 56' 64' axiwmu_m Ga_UgWav Length,LT Inside Cl ar Wirlth_40 PSF Unifo m i y f� Top Chord Bottom Chord 3x2x1 8 4x2x1 8 3x3x1 8 6x2x1 8 3x2xl/8 36' 48' 48' 4x2xl/8 48' 48' 56' Maximu_*n GanQwav LpnQth_2=0"Inside lea Width 40 PSF Un& n, Live T.narl Top Chord Bottom Chord 3x2x1 8 4x2x1 8 3x3x1 8 6x2x1 8 3x2x1/8 32' 44' 4x2x1/8 44' 44' 52' The supports on each end of the gangway are to be designed or evaluated by others on a project specific basis. The supports must be able to safely support the reactions of the dead load,live load and wind load acting concurrently. Please call if yo re additional information. Sincerely, -�- MARINE STRUCTURES ENGINEERING INC. Kelly Fave, P.E. , President , i 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 il✓Nele # / On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 1 t.l. CAr It Company Name L K-V_:5t}e 2F_C6hlSTR1ACn 0 hl Mailin Address O 0 TAD. Mailin Address O O CityF L>c�1 State Zip Code City P State IVA Zip Code Phone - Other Ph. Phone 1100 244 - TQ C11 Other Ph. Lien/Title Holder Contractor Reg. #[AkE50AE/ S i-A Exp. E mail address Qlf / - D WQy' • COm 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 PARCEL INFORMATION- 12 Digit Parcel No Z r Fire District Legal Description �✓ 1 L✓ �- ' - L . Site Address(Please include street name, street number and ci ) 1 101 ti WJ b RTH Sl-bRE Rb. B EL,FAiR_ DIr ctions to Eiite t L 1` X 1 t Will timbe(b6 cut and sold in parcel pr paration?Ye o 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 Work Notice,Correction Notice or other enforcement action?ye7m7o TYPE OF JOB -New Add Alt Repair Other PRIMARY RESIDENCEM SEASONAL Q Use of Building Describe Work�W A Fie; 2iENtP t FU A- -No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck1 Covered Deck Other ?1 L �% _er 4 AC FA Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make N T/-r 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 1 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 loyees f Mason County access to the above described property and structure for review and inspection. PROOF O NU OF A PROGRESS INSPECTION. X Date: grfzynaa Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department WI Environmental Health Department - 0 Public Works 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 c MASON COUNTY PERMIT NO. f` ` ' �\nC:5:� 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 l�Na✓� f On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 1 L— CArIT TEk Company Name LA M:5 t}oRE 6G1QST9ACTT 0 tJ Mai lin Address O 0 R RD. Mailin Address O O City I State WA Zip Code City P t;IIZ P. .State W Zip Code Pho el Other Ph. Phone 04 90- -50 cXcl Other Ph. Lien/Title Holder AM Contractor Reg. #LAkC5C.tE/4S"iA Exp. E mail address COLir / - D wove, .Cam 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 PARCEL INFORMATION- 12 Digit Parcel No 2 r DO Fire District Legal Description W 1 L✓ 'r I_ ' 7= L Site Address(Please include street name,street number and city) ! 1-1 AI RTH ShbRE RD. B EL.FA-u? Dir ctions to$ite — ►t_ F 12 X. ! i Will timber bg cut and sold in parcel pr paration?Ye o Is property within 200'of Saltwater _Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o TYPE OF JOB - New Add Alt Repair Other PRI114ARY RESIDENCE KI SEASONAL Q Use of Building Describe Work�%w RIF.g. 2Ame e FLDAT No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck4 Covered Deck Other ?I L _-�- l3 Arc.V5F Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make N 1/A Model Year Length Width Serial No. No.of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ 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 1 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 1 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 Aoyeesjpf Mason County access to the above described property and structure for review and inspection. PROOF O NU A O hO O EAF1S OF A PROGRESS INSPECTION. X Date: Owner/Owners Re resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date RM DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department tco i b e A(O Environmental Health Department Public Works 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 MASON COUNTY PERMIT NO. f 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 W Neg r On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 81 LL Ca•R 11LP_ Company Name 1AK1✓5 j}e!2V_,CGh1STRAcTi o 0 Mailin Address O 1 3J NO RD. Mailin Address O O City, l State A Zip Code City F 1 aR • •State W Zip Code Phone - oZ Other Ph. Phone Mo0 21 -50 Other Ph. _ Lien/Title Holder 5AM Contractor Reg. #LAktiscI/ETA Exp. E mail address GOL12 r - D WQy' . CQM E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septi Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION-12 Digit Parcel No - - 000 Fire District Legal Description V✓' Faarl 4 R 01 W. L ' T L- Site Address(Please include street name,street number and ci ) ! I is. FA Dir ctions to Fite — F 12 X ! jp/T- Will timbe(bg cut and sold in parcel pr paration?Ye o Is property within 200'of Saltwater2_Le 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 o TYPE OF JOB -New-)(--Add Alt Repair Other PRIMARY RESIDENCE SEASONAL Use of Building Describe Work E W I m. t2 Ae Rx�t No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Q—Covered Deck Other _-6el-f 13 6CMA Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make_ 74/ 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 joyees-0 Mason County access to the above described property and structure for review and inspection. PROOF O NU A O EAFIS OF A PROGRESS INSPECTION. X Date: Owner/Owners Re resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW AP P OVED DENIED NOTES Building Department Planning Department toa-( Environmental Health Department - (p Public Works Department Fire Marshal FEES Building Permit Fee 2. . o-T 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 /(lD Eti�• Pre-Paid at Submittal Valuation$ 3�2 'o—' . 75: 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 O W M oL On the web www.co.mason.wa.us APPLICANT INFOR ATI N CONTRACTOR INFORMATION Owner V Ajeld Company Name Mailinn Address C2 11W014T L. W Mailing Address City JEAt TRl✓ State WA Zip Code 9 T 17 7 City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder.S5AA4 Contractor Reg. # Exp. 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 PARCEL INFORMATION- 12 Digit Parcel No - O- 0 Fire District Legal Description Site Address (Please include street name, street number and city)_/Q_!K°I t' L 097bl- ,S14WE- Rbi41) 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 Bluffs ] 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB -New Add Alt Repair Other PRIMARY RESIDENCE.❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1 st 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 I 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 permi.Wion 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. A-- X _ V1.��,� __ — Date: t Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department .t Environmental Health Department Public Works 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$ T TAL FEES MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-On 0 ew eb Iww3w.co.mason.wa.usma (360) 482-5269 OWM"41� APPLICANT INFOR AT CONTRACTOR INFORMATION Owner VI N Ale Company Name Mailinci Address CI -17VIONT LV Mailing Address � City JJ ' State WA-Zip Code 9 T City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder 15AAtF— Contractor Reg. # Exp. 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 PARCEL INFORMATION- 12 Digit Parcel No - O- 0 Fire District Legal Description Site Address (Please include street name, street number and city) /0 F�°I! Nd Fe - Sl-foRF— 9b.¢1) 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 dr Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE.❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1 st 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 permiWion from all the necessary parties.If permission is required from any easement holder or any other parry 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Owner/A, ..=- Date: �1u/e 8 I Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works 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 Valuation $ TOTAL FEES AMY R. LEITMAN MARINE SURVEYS &ASSESMENTS 521 SNAGSTEAD WAY PORT TOWNSEND WA 98368 Tel.360 .385 -4073 •Fax. 360. 385- 1724 email . sea@cablespeed.com August 10, 2007 Mason County Building Department 426 W. Cedar P.O. Box 186 Shelton, WA 98584 Hello, Please find enclosed a building permit application, associated drawings, required copies, and a fee check for the Carter joint use pier, ramp and float project. The check includes the $155.00 Planning Department Review fee and $293.70 for the Plan Check fee (65%of the Building Permit fee). The Building Permit fee will be paid when permit is issued. Respec fully, Amy R. Leit an m AH , v� OZ b �m Z v 0 z O cn_AO � m Z-n o Z oom o m � - z m �G 7� O a v A 70 O � m Q ,�.O>Z R, .. z3 M A C-!� n O �rrorrll�... 7V C) n W N Z m m Z ~ o Z z 3 > � m C'ri 7,7j .1 O ap a fD tr (31 c i� t.: 00 D cz 7U Q r © G Z D J 07 > w o p f O W 00 O C O n r z N �+ ac _ ® m "._ co xM CD N F7 > l y F N 9 1--iI O a �. � � m -i