HomeMy WebLinkAboutBLD2023-01258 Repair Bulkhead - BLD Application - 10/30/2023 MASON COUNTY Pet-mit No: A ao2,�-br�I Ji3
COMMUNITY DEVELOPME L L i V C L
Permit Assistance Center,Building,Planning O C T 3 0 2023
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORM�T164N. Alder street
NAME:David&Paula Dillard E NAME:Bay Marine Contractors,Inc,
MAILING ADDRESS:71 E.Grape Dr. j MAILING ADDRESS:3348 Fishtrap Loop NE
CITY:Grapeview STATE:WA ZIP-98546 l CITY:Olrripfa STATE:WA ZIP:98586
PHONE#1:206-919.6M i PHONE:38G-956-3451 CELL:
PHONE#2:425-681-9092 IIyA]L:bmai2o@comcast net
EMAIL:pauladillard900@gmaiLcom L&I REG# EXP. / I
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ .,.
NAME r'-w-DO-' EMAIL pauladillard900@gmail.com
MAILING ADDRESS 71 E.Grape Dr. CITY — STATE WA ZIP 98546 ■�
PHONE 2w-919cs3e CELL
PARCEL INFORMATION•
PARCEL NUMBER(12 Digit Number) 12108-51-01014 ZONING Residential
LEGAL DESCRIPTION(Abbreviated) wNEYARD COVE LOT.14BLK1S-0m:17.Township:21N,R-W.1w FIRE DISTRICT #3
SITE ADDRESS 71 E.Grape Dr. CITY Grapaview r~
DIRECTIONS TO SITE ADDRESS KW-3 N,right on Grapeview Loop Road,straight at stop sign onto E.Eckert Rd.,
right an E.Stretch Island R.S.,follow to vineyard Cove Community Gate,becomes E_Grape Drive,Lot is straight ahead at the T.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheat all Am apply):
SALTWATER 0 LAKE❑ RIVEWCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR I] OTHER ❑
USE OF STRUCTURE(Residence.Garage:Cammerciat Bldg,Etc.)Seawall,Bulkhead
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF 13EDROOMSNA NUMBER OF BATHROOMS NA
HEATED STRUCTURE? YES OVWeBldg)❑ YES(Parrftj4Bldg)❑ NO❑
DESCRIBE WORK Emergency repair of failed concrete bulkhead
SQUARE FOOTAGE:(yropomd)
1ST FLOOR sq.ft. 2ND FLOOR sq,fL 3RD FLOOR sq.ft- BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.IL Attached❑ Detached❑
MANUFACTL4WWHO VIE-INFOR.NIAT N: *4 COPIES OF THE FLOOR PLAN REQUIRED'
MODEL -- -YTa4R__-
(OM�1�� BED�RWIAS�� BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE:- .SEPTIC❑ . -SEWER❑_ / NEW❑ EXISTING❑
PLUMBIN STRUCTURE? YES❑ NO❑ If yes,attach canoeted Water Adequacy Frs o
PER OUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
STING 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 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 paties of interest regarding this projecL 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 stfucture(s)for review and inspection. This permitlapplication 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.
PRO OF NTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
R T APPCOLI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
4�i-4—cs-— /D �11 ( 23
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED 4 T DENIM DATE TAGSINOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH