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Home My WebLink AboutMIS2000-00831 Beach Stairs - BLD Application - 7/5/2000 ' V /� k4? j;-A I-yt�ll - //-- 7 0 ) MASON COUNTY PERMIT NO.: MIS MISCELLANEOUS PERMIT APPLICATION 71 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner J 4 i "� Contractor Nameacifi�- . 'thwest B, ' - Mailing Address 140 Pira! ve Mailing Address Box City -evlew State a Zip Code City 1 1a State Zip Code _ Phone zOther Ph.( Ph.( �, ) — Other Ph. ) Lien/Title Holder Contractor Reg. # Pic fnb l I c Address Expiration 2/ / ? /41 PARCEL INFORMATION-12 digit Tax Parcel No. 12118 / / Fire District Legal Description frac t 4 of Sht Plat 572 Sec. v.KLVI Site Addrass(include street name and City ira a rive G.L view. Wa. Directions to site: Hwy. 3 to Gr pev ew Loop turn righ ono Lomberd Lp cl It onto Pirate T- ye Will t`snber be cut and sold in parcel preparation? (Yes/No) to Is your ,,)roperty within 200' of the following: Body of Water (Name) Pickering Pass, Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building RFplacement Describe proposed construction Constrt stain am top ofslpVe to provcsed stone landing on beach. Landing with crc.,)osed steps to beach SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, wood, etc.) rock Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval, be m e without first obtaining approval. Padi�fic Northw st / bUlKhead, Inc. X Date X / �/ al ! Date6/20'' FOR OFFICIAL USE BEYOND THIS POINT Accepted by 7 Date `"` ` —OtSubmittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp _ / Type of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) I TOTAL FE ES r, PERMIT NO.: MIS MASON COUNTY MISCELLANEOUS PERMIT APPLICATION (S 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 1 ti Y Contractor Name irthwest Bulks .. -Id Mailing Address 142 Mailing Address Box 1147T— City "rap,. State Zip Code City State `a Zip Code Phone( 1 5') Other Ph.( Ph.( } u' Other Ph.( Lien/Title Holder Contractor Reg. # lac j 1 Address Expiration ' / �+� /.;) I PA ;CEL INF)nu MATION-12 digit Tax Parcel No. / 75 / Fire District Le a�'i�-rj Totiri Sitsde street name and cityLra , =:�r N �rapeV ew•Dire __to. peview a�rn ono om er r p r: Dr. v e Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Iiokering Passage Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building REpx ant Describe proposed construction COastrrucL stairway from top of slope to prop 4 stone landing on beach. Landing with proposed steps to beach J[ B HORELINE PROJECTS New Replacement Repair Expansion ulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of.Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. ?&C:Lfic ;northwest, t3u.!Kt aad, Inc. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department ��,�;i - �� Gam✓/� U� �� `�-1 Environmental Health Department �''1r�3.G/ ✓ L W J� act Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) T OTALFEE S