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BLD2006-00269 Pier, Ramp, Float - BLD Permit / Conditions - 5/11/2006
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E \ \ CD J ; - Ga 77 = o - � D ( a ] § \% C _ § \ / k /0 § ° w = f J ® tea % ° S ° \ $ E_ ¥. 2 _ = m _. � 8 = 2 ƒ E E x / _ • < \ ) k / � \ \ \ / / $ ƒ ƒ y /� fCD * 7 } �# \ S 3T./ (D \ j\ � )� \\ / \ / / \ § DR/ �\ cn $ CD ] 0 = EE \ s o = 3 (D _ » \ & ° ® m § , § n k cn c _ ] E ® cn ° 2 � E f % ® 2 / § \ � m o � e � (DF. / \ \ 3 (� c \ . / // 3 / n ® ) 7 ) E _ ) g 4\ E m c n = _ _ = 7 & e E 7 % ] & m& z E a) CC) o § _ CD = g. _ - \\ D \ ƒ 0 ( \ \ _© § 2 ee CD o = 0 § % @ / _ = n. c m \° � k 0 _ f = & = J f \ mm n 9 ] e % 7 _c ¢ 77 / CDom = 2. a e \ m E J x § a 0 (n 0 3 7 c o = 4 ee \ 7 ƒ / / / / � \ & / § \ § CD \ J ® J \ \ 0 9a FORM MUST BE COMPLETED IN INK MASON COUNfiY PERMIT NO._(�D(/(n -QC;� PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar - PO. 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 DAN No2->5TIZOO Company Name L AKE5HnRL Con/,Si RUG lob Mailin Address 2 -_Ll 90 AV_F_ Mailing Address 'PO Rgy0 ZT City E LP_7 V1A State WP� Zip Code 9$00!f City ELF rZ State InA Zip Code 9 9 Sag Phone o- Other Ph. Phone '�Coo ;,L'5-5Da-9 Other Ph. Lien/Title Holder Contractor Reg. #LNKESCA�L 15SJA Exp. L04.1ckQG 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. a — 5 0- 0 Fire District Legal Description CC- 33 r ► cla t Al R 03 W VQIVI Site Address (Please include street name, street number and city)—T� E 5TATE P0LkT>=(o(o U7'4lQt4 Directions to site l2 o fy1 Upj 100 J i fF' 15 pq P_u)</AAAT Lj' j •S M 1 t�s rksj ILLI 5 (s3 Will timber be cut and sold in parcel preparation?YesI& Is property within 200'of Saltwater _Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 1 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 Wor 5TRktu NEF'j PIER RAMP r FLOAT Jai - No. of Bedrooms No. of Bathrooms Square Footage - 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other tU „y.ft.- 10 5LAMO27,- 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 12. Certification No. OWNER/BUILDER Acknowledges submission of inaccyrattq i n may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I dee&0 tha Im 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 permis- sion from all the necessary parties.If permissiorM ig(N f 1s)(tnent holder or any other party in interest regarding this applica- tion or the rk77Z: e application, I have o ained permission from them �rt-o-apply for this permit and conduct the work proposed. X Date: Ow r/Owners Representativ Contrac (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department 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 COUNT-Y 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 i A11 L Mailing Address City State Zip Code City State Zip Code Phone_' , Y. j r t} i Other Ph. Phone `: , Other Ph. Lien/Title Holder 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. ,_ Y - t.:'; _ Fire District Ys Legal Description Site Address (Please include street name, street number and city) P Directions to site E k"0 1 A 1111 E C'�r-1 17 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 1 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 j Use of Building Describe Work r. `; 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 ermit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare u�flla i rmis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest re arding t is applica- tion or the Work proposed in the application, I have obtained permission from them to apply for this permit and cpti(*jc tl proposed. X Y, ,x.v, Date: - iy i;d MASON Ow 2r Owners Representative-1 Contractor (indicate which one) COUNTY FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW AP ROVED DENIED NOTES Building Department o Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee J G _ ).S 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 S� Violation Fee Z/- Pre-Paid at Submittal Valuation $ fey- 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 Mailing Address City State Zip Code City State Zip Code Phone ` Other Ph. Phone Other Ph. Lien/Title Holder 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. + µ Fire District Legal Description t Site Address (Please include street name, street number and city) Directions to site t Will timber be cut and sold in parcel preparation?Yes /No 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?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 rev rya Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the con=tc I�ual6 declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I gV tgined the permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in inter Ino tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work pros X „< Date: Owner/Owners Representative l r ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department 3( ' Environmental Health Department Public Works 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. 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 Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder 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. Fire District Legal Description ;r, Site Address (Please include street name, street number and cityj- " Directions to site L # 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 Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or p Lcalm. Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I furt er declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have oliain permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding i applica- tion or the work proposed in the application, I have obtained permission from them to apply for this permit arr0 (&throb prYs,ed. X Date: ��VV Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. 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 Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES