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Home My WebLink AboutBLD2022-00333 Final ATF Bulkhead Repair - BLD Permit / Conditions - 6/27/2022 f � � Mason County Mason County - Division of Community Development ''�'`—''"�*• 615 W.Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2022-00333 BULKHEAD OR DOCK- RESIDENTIAL PROJECT DESCRIPTION: ATF-BULKHEAD REPAIR ISSUED: 06/27/2022 SITE ADDRESS: 286 E CRONQUIST RD ALLYN EXPIRES: 12/24/2022 PARCEL: 122324001140 APPLICANT: WELDON LINDA E OWNER: WELDON LINDA E PO BOX 653 PO BOX 653 SPANAWAY,WA98387 SPANAWAY,WA98387 253-686-1460 VALUATIONS: FEES: Paid Due Project Valuation (BID, 4895.10 $4,895.10 Plan Check Fee $80.00 $0.00 ESTIMATION-) State Fee-Residential $6.50 $0.00 Planning Review Fee $240.00 $0.00 Building Permit Fee $156.00 $0.00 Technology Surcharge $4.72 $0.00 Total: $4,895.10 Totals : $487.22 $0.00 REQUIRED INSPECTIONS Setback Inspection Foundation Wall-Pre-Pour Inspection Footing Inspection BLD-Final Inspection CONDITIONS All building permits shall have a final inspection performed and approved by 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-compliant with Mason County ordinances and building regulations. Printed by:Genie Mcfarland on:06/27/2022 03:27 PM Page 1 of 3 c Mason County Mason County - Division of Community Development f: 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BULKHEAD OR DOCK- RESIDENTIAL BLD2022-00333 * 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. * 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 connectors approved for contact with the new types of pressure treated material. * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * The foundation/footing must be placed on undisturbed,firm-native soil. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * 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. * All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. * All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * 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. * The stamped 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, 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. * All construction must meet or exceed all local and state ordinances in addition to 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. Printed by:Genie Mcfarland on:06/27/2022 03:27 PM Page 2 of 3 oHr riq�ry . Mason County /ham Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BULKHEAD OR DOCK- RESIDENTIAL BLD2022-00333 * Comply with ecology comments I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized ent: Date: (1 a� 2c' �Z Printed by:Genie Mcfarland on:06/27/2022 03:27 PM Page 3 of 3 -n cn n n o - \ \ m k \ ^\ to § m m : ¢ / n o # # 2 2 K o o } \ / m m \ q 7 z § § 2 m / \ q > CD \ w m � § m 2 3 \ X X 0 » (n � k k � q 0- ¥ Q@ » 3 m y ¥ q mig _ cn o f m \ 2 m / -4 2 o 0 § \ \ j G� q § f B \ q� 0 B. ' z ° � c E / m —X \ k / OpJZ 0 R ] / m > ; g $ 0o \ § D ƒ / Q 00 M & ? 2 ƒ @ a _ m > ( 7 \ 2 � > I \ m 7 ƒ ƒ k m 2 \ 2 ƒ c /)-,/ ��trt p1Ftr*+ 2 L E- �wpWQw:r stor Ai two, wA t IT Tm t ,� o 7.? u MAR t 5 201 IN W. Alder Street --•+rr.. - - - ' M �--"- "may ____......_.,..._.�.._. - - ... �.......__. _ a Cal _ Yul { I Mason County WA GIS Web Map 284E CRONQUIST RD Ln A a' u) `' 4) 122324001090 LJ Q C 3i t U { 266 E CRONOUIST RD 122324001140 a 12232409C2t6t CRONQUISTRD 275 E DETROIT DR / 122322222222 121051101016 j 261 E2DETR011TIOR 5 • 273 E DETROIT DR 12455101017 9/8/2020, 11:51:56 AM 1:766 -.i 0 0.01 0.01 0.02 mi �-- County Boundary n Tax Parcels (Zoom in to 1:30,000) I , . , t I--f . ,—I T—I 0 0.01 0.02 0.04 km p Sources:Esri,HERE.Garmin,Intermap,increment P Carp.,GEBCO,USGS. Site Address (Zoom in to 1:5,000) FAO,NPS, NRCAN, GeoBase. IGN, Kadaster NL, Ordnance Survey.Esri Mason County WA GIS Web Map Application Richard Diaz Bureau of Land Management,Esn Canada.Esn,HERE,Garmin,USGS,NGA.EPA,USDA.NPS i a � �wv�rotecl� �w��weer�w� c,eotechwicat° Ewv�rowvuevtital°pra%v,,age ° 4�, PLANNING L- 6 February 10,2022 I'' w 5 Cv '� 615 W. Ad5r 'S1rest Linda Weldon 286 E Cronquist Road Allyn,Washington 98524 RE: Concrete Bulkhead Repair for Linda Weldon Residential Property 286 E. Cronquist Road,Allyn,Washington To Whom It May Concern; Envirotech Engineering previously completed a structural evaluation for the repair of an existing reinforced concrete bulkhead located at the referenced property. It is proposed to use'/2" galvanized steel straps in lieu of the designed stainless steel channels.We believe that the proposed steel straps are an acceptable substitution at the owner's discretion.The straps will most likely have a reduced lifespan compared to the channels of less than 25 years. However, we believe that this lifespan is acceptable due to the age of the existing bulkhead,and the need for future repairs and/or replacement. Marine grade epoxy has been specified within the approved plans.Any structural grade epoxy may be used for this application provided that the manufacturer warrants its use for salt water environments. Please contact Michael Staten at 360-275-9374 if you have any questions or require additional information. Sincerely, Envirotech Engineering PAL CLYp'sr RYA S// I tip. Fy n A SS�O�ALb 2/10/22 Michael Staten, P.E. Project Director PO Pox904 gelfaLr, wastitK.gtowygs2g Off. 360-2759374 ceu: 36 0-689-604s evwLrotech@geotech wi ca Li vI fo.con. EwvbYoteah Ewg Twee► mo cleotechvu,caL° EvwwrOvumevwtaL C AraiLKA e°RDadww40 REC .L� z7- �; PLA i N P&i! fiN G May 9,2020 HARR 15 2!22�.? 615 W. Akf3r Strut Jesfield Construction PO Box 1590 Allyn,Washington 98524 RE: Concrete Bulkhead Repair for Linda Weldon Residential Property 286 E. Cronquist Road,Allyn,Washington To Whom It May Concern; Envirotech Engineering has completed this structural assessment for the repair of an existing reinforced concrete retaining wall located at the referenced property.The repair will include two reinforced concrete deadmen placed behind the wall at vertical cracking in order to stabilized wall movement.In addition, a wingwall will be constructed nearest a neighbor with a recent bulkhead failure. See the enclosed 2 drawing sheets for a depiction of the wall repairs with respect to the existing retaining wall.The following conclusions and calculations are provided for this project. The deadman will encompass an approximate area of 27 cubic feet directly behind the existing retaining wall,extending beyond the active zone for lateral earth pressures.Although the active zone will be displaced 3 feet beyond the existing wall,the concrete deadman will accommodate most of these pressures and alleviate lateral pressures on the existing retaining wall. The new wing wall will have factors of safety exceeding 1.5 for both sliding and overturning with sufficient concrete as provided below. B =3 ft Width beyond back of wall W=4050 lb weight 0=300 angle of internal friction c= 100 psf cohesion 8=2/30=200 angle of wall pressures Rs=Wtan 8+cB Resistance against sliding 1,774 lb additional resistance against sliding Rs=WB Resistance against overturning 12,150 lb additional resistance against overturning ?0 gox 984 3eifair, Washlwgtovti98528 �: 360-2�5_93�4 :;ell: 360-689-6045 ev,.virotech@geotechvtiLcali,vk.fo.eow.. w Soil Parameters Structural Parameters y= 130 psf Wall Support: Fixed-fixed (p= 36 ° 0.5 in wall flexural rebars vertical, diameter ca= 100 psf 0.19635 in2 wall flexural rebars vertical, area #4 wall temperature rebars horizontal, Pore Pressure: No 0.5 in diameter Earth Pressure: Active 0.19635 in2 #4 wall temperature rebars horizontal, area. R = 5 0.5 in #4 footing rebars,diameter yw= 62.4 psf 0.19635 in2 #4 footing rebars, area 0.9 strength reduction factor,flexural 0.85 strength reduction factor, shear fy= 60 ksi yield stress in steel reinforcement Load Inputs 0.0018 yield stress ratio q 0 psf f'c= 2500 psi concrete compressive strength DL 0 lb/ft 3 in reinforcement steel cover LL 0 lb/ft yc= 150 pcf concrete unit weight w 0 lb Soil Conclusions K 0.26 Wall Geometry Ke 0.25 B= 30 in b 24.00 h = 12 in 4) 0.00 b= 12 in Rs1 613.12 H = 6 ft RsH1 560.11 t= 8 in RsV1 249.38 D= 1 in Rw 0.00 n = 6 in Rq 0.00 Key: No RqH 0.00 RqV 0.00 Re 435.10 Rs2 0.12 RsH2 O.11 RsV2 0.18 Slidinq Fr= (FWi + RsV1 + RgV)tan6+cA+ RsH2 + RsV2 3860 Ib/ft Fs= RsH1 + RqH+ Re+ Rw 560 Ib/ft F.S.static= Fr/Fs 6.9 o.k. F.S.dynamic= Fr/(Fs+ Re) 3.9 o.k. Overturning Mr= EWixi + RsH2y2+ RsV2xsV2+ RsV1 + RgVxsV1 2750 lb Mo= RsH1 y1 + Rwyi + RgHyq 1120 lb F.S.static= Mr/Mo 2.5 o.k. F.S.dynamic= Mr/(Mo+ Reye) 1.0 o.k. Page 2of 4 Y Flexural Steel in Wall(vertical) Wall load from resultant earth pressure= 1.4*(Rsi +Rw+ Rq +Re) = 1467.5 Ib/ft Mu = (Rs1 + Rw+ Rq)*(H-h)^2/20 = 766.4 ft-lb As = Mu*12/(strength reduction factor, shear*fy*1 000*(t-3-0.1*(t- 3))) = 0.04 in2 Ac =fy*1 000*As/0.85/f'c= 1.1 in2 Mn =As*fy*1000*(t-3-0.1*(t-3)) = 10218.7 in-lb cpMn =strength reduction factor,flexural*Mn/12 = 766.4 ft-lb As2=As*MukpMn= 0.04 in2 Number of rebars per foot 0.19 rebar spacing 62.26 in Temperature Steel in Wall (horizontal) As= yield stress ratio*b*dc= 0.513 in2 Number of rebars per foot=As/#4 footing rebars,area= 2.61 rebar spacing = 12/number rebars per foot= 22.82 in Wall Footing Pu= 1.4*DU12+ 1.7*LU12+RsV1/12+ RsV2/12+(yH(B/12-1/12-n/12))/12+q/12= 107.46 lb/in qu = Pu/B= 3.58 psi Vc= 2*f'c1/2= 100.00 psi d= h - reinforcement steel cover- 1.5*#4 footing rebars, diameter= 8.25 in Vu =qu/d*((B-t)/2-d) = 1.19 psi oVc= Vc*strength reduction factor, shear= 85.00 psi ovc>Vu o.k. Flexural Steel in Wall Footing Mu =qu*(B-t)2/8 = 216.72 in-lb As = Mu/(strength reduction factor,flexural*fy*900*d) = 0.0005 in2 Ac=As*fy*1000/0.85/f'c= 0.0153 in2 A=Ac/2/b= 0.0006 in As2= Mu/(strength reduction factor,flexural*fy*1000(d-A)) = 0.0005 in2 As =yield stress ratio*b*hc= 0.1890 in2 Number of rebars per foot=As2/#4 footing rebars, area= 0.9626 rebar spacing = 12/number of rebars per foot= 12.47 in Temperature Steel in Wall Footing As =ycBh = 0.65 in2 Number of rebars per foot=As/#4 footing rebars, area= 3.30 Spacing = 1/number of rebars per foot*12= 3.64 in As2= yield stress ratio*B*h = 0.65 in2 Page 3of 4 Number of rebars per foot=As2/#4 footing rebars, area= 3.30 Minimum spacing = 1/number of rebars per foot"12 = 3.64 in Maximum spacing=5'h = 18 in rebar spacing Choose in Please contact Michael Staten at 360-275-9374 if you have any questions or require additional information. Sincerely, Envirotech Engineering CLYDF sT wnsy��-fj�Z 43045 FSS�ONALENGt 5/9/20 Michael Staten,P.E. Project Director Page 4of 4 oat -- EXISTING CONCRETE PROPOSED CONCRETE NOTESt STEPS WINGWALL SEE DETAILS \ 1. LEVEL EARTH RETENTION (BACKFILL) IS REQUIRED, PROPOSED CONCRETE 2, ALL FOOTING SUBGRADES SHALL BE ON DEADMAN (TYP) CONTINUOUS HORIZONTAL COMPETENT UNDISTURBED SOIL, OR SEE DETAILS REBAR BENT & EMBEDDED RE-COMPACTED TO AT LEAST 95% OF SEE DETAILS MAXIMUM DENSITY PER ASTM D1557. 4 FT 3. ALL CONCRETE SHALL HAVE A MINIMUM n 28-DAY COMPRESSIVE STRENGTH OF 2500 psi. 4, CONCRETE SHALL BE PLACED USING MECHANICAL VIBRATION, 10 FT —I 11 FT I 5. REINFORCEMENT STEEL YIELD STRENGTH — — — — — — — — — — — — — — — — — — — — -- — — — —MHHW SHALL BE AT LEAST 60 ksl, EPDXY COATED IS RECOMMENDED FOR INCREASED EXISTING CONCRETE LIFE-SPAN, KH A BUL E D 6. CONCRETE COVER FOR STEEL MUST BE A MINIMUM OF 3.0. EXISTING BULKHEAD-PLAN VIEW 7. BRACES AND TIE-DOWNS SHOULD HAVE A CORROSIVE RESISTENT COATING. NOT TO SCALE 8. WHERE NECESSARY, USE MARINE GRADE EPDXY PER MANUFACTURER REQUIREMENTS, 8 IN —{---i 9. CONTRACTOR SHALL USE EXTRA PRECAUTION TO PREVENT DISTURBED SOILS (SEDIMENTS) FROM ENTERING THE BEACH, TOP OF EXISTING WALL 10, ALL WORK ON BEACH SHALL BE DONE AT #4 REINF❑RCEMENT STEEL LOWER TIDES WHEN NECESSARY TO NOT H❑RIZONTAL @ 12 IN D.C. AFFECT WORK IN PROGRESS, AL BARS ARE TO BE BENT AND • 11. ALL WORK SHALL BE IN ACCORDANCE EMBEDDED 6' INT❑ EXISTING WALL. ° WITH PROPRIATE IBC, STATE AND LOCAL EDRILL, CLEAN, EPDXY WITH COMPACTED GRAVEL, CODES, SI PS❑N SET XP, MARINE GRADE SAND, SILTY SAND OR PER MANUFACTURER SILTY GRAVEL BACKFILL ° #4 REINFORCEMENT STEEL NOTE: VERTICAL @ 12 IN D.C. (TYP) 1. ALL STEEL TO BE EPDXY COATED, 60KSI GRADE 6 FT MAX A 2. MATCH TOP OF WING WALL WITH TOP OF EXISTING WALL 3, MATCH TOP OF FOOTING WITH TOP OF EXISTING FOOTING PORTLAND CEMENT CONCRETE (4) #4 REINF❑RCEMENT STEEL PROJECT/ OWNER, AND FOOTING, 3000 psi MIN ALL BARS ARE TO BE EMBEDDED CONCRETE BULKHEAD REPAI 6' INT❑ EXISTING FO❑TING, PREDRILL, LINDA WELDON CLEAN, EPDXY WITH SIMPSON SET XP, 2% E CRONQUIST RD f •' MARINE GRADE PER MANUFACTURER PARCEL 12232-40-01140 ALLYN, WASHINGTDN C ENGINEER. 12I IN %. 44. a #4 REINF❑RCEMENT STEEL aAE� L�nrsra ENVIROTECH ENGINEERING (FLEXURAL) @ 12 IN O.C. �L pf , Tn BELFAIR, WASHINGTON 98528 6 IN 1— � '1- PHONES (360) 275-9374 2,5 FT MIN UNDISTURBED, FIRM SUBGRADE DRAWN BY. DATE "CS 5/9/20 .,; r DESIGNED BYt DATE- CONCRETE WING WALL-SECTION R'GISTV ' a�` Rkn°°` s<°t°", P.E. 5/9/20 SHEET NOT TO SCALE !ss/oNALtia�'` 6��n SHEET I OF 2 .. EXISTING CONCRETE NEW CONCRETE BULKHEAD DEADMAN #4 REINFORCEMENT DEA 3000 STEEL psi MIN. a d v VERTICAL CRACK 3' SS CHANNEL 3 FT 15' I V . ° ° ' DIA STAINLESS STEEL (SS) THREADED ROD 15' WITH 3' SS CHANNEL (TYP) .: #4 REINFORCEMENT AS SHOWN PER DETAIL. (3) LAYERS 3 FT 12 IN NEW CONCRETE DEAD N 3000 psi MIN. DEADHEAD/CRACK REPAIR-TOP VIEW v NOT TO SCALE my A-F ° a° 2 FT d s v ° v A ° v 3 FT a a d 'v e ° ° ° 4 ' . e v ' ° - ° U a PROJECT/ OWNER, d. 4 a a °d ° ° CONCRETE BULKHEAD REPAI LINDA WELDON PARCELCRONGL It40-MI40 EXISTING 3 F T BULKHEAD ALLYN, VASHtNGTON tl UNDISTURBED NATIVE CLYllc. ENGINEERb xISTtNG » GR SOIL OR COMPACTED L'11 y �•,,, sl�T PO BOXT984 ENGINEERING FILL (SEE NOTES) ter` R�i tp BELFAIR, WASHIWTON 98528 PHONE- (360) 275-9374 EMBED #4 REBAR 4' INTO EXISTING BUKHEAD. DRA; SIMPSON SET XP OR ER. PREDRILL AND EPDXY "CS� BY- S/9/20 PER MANUFACTURERS RECOMMENDATIONS P 43045_c DESIGNED BY- DATE, DEADHEAD/CRACK REPAIR-SIDE VIEW ES�CrsTLR � Nkhnet Stntm,PE 5/9/20 1p:VALE, sj9/Tn SHEET NOT TO SCALE ET MASON COUNTY COMMUNITY SERVICES Permit Nod2w 6, S�s PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING.PUBLIC HEALTH•FIRE MARSHAL R E tr i 615 W.Alder Street,Shelton,WA 985M �//pp {, • Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone irli-R � •l BeBair.(360)275-4467•Phone E/me.(360)482-5269 BUILDING PERMIT APPLICATION615 W- Alder arrest PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME;LINDAWELDON NAME, rl I ' MAILING ADDRESS:Po BOX 653 MAILING ADDRESS: La CTTY:SPANAWAY STATE:WA ZIP:9M7 CITY: STATE: ZIP: PHONE#1:253•686•1460 PHONE: CELL: ' PHONE#2: EMAIL: EMAIL,;UNDASOPTIONS@YAHOO.COM L&I REG# EXP. PRIMARY CONTACT: OWNER E] CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)1223240.01140 ZONING RURAL RESIDENTIAL 5 ACRES LEGAL DESCRIPTION(Abbreviated)TR 14 GOVT LOT 3&TAX 1094-A S 3/11 FIRE DISTRICT SITE ADDRESS286 E CRONQUIST RD CrryALLYN DIRECTIONS TO SITE ADDRESS GRAPEVIEW LOOP RD TO CRONQUIST,EAST ON CRONQUIST UNTIL MAILBOX#286,TURN RT ONTO GRAVEL ROAD,FOLO DOWN,AROUND 90 DEGREE TURN AND STRAIGHT INTO DRIVEWAY. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER E] LAKE❑ R1VER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bid&EM.)EXISTING BULKHEAD REPAIR IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldg)❑ YES(Pan[s]of Bids)❑ NO❑� DESCRIBE WORK EXCAVATE BEHIND BULKHEAD,BUILD 2 DEADMAN(S)AND CONCRETE WINGWALL,FILL BACK IN AND COMPACT SQUARE FOOTAGE:(proposed) 1ST FLOOR sq.& 2ND FLOOR sq.& 3RD FLOOR sq.& BASEMENT sq.ft. DECK sq.R COVERED DECK sq.& STORAGE sq.fLOTHER sq.fL GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MA{ENONE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC El SEWER❑ / NEW❑ EXISTING 0 PLUMBING IN STRUCTURE? YES❑ NO 21 Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOO EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that 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 and 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 O TINU TION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER f� I AT O 180 DAYS OF MORE WILL CAUSE THE APPLIC IO7�BE EXPIRED.(MASON COUNTY CODE 14.08.42) n re of OWNER(Must be planed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT w (�•7-27, PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH