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BLD2016-00808 Dock - BLD Permit / Conditions - 9/16/2016
Inspection Line (360)427-7262 `cot"" MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00808 OWNER: MICHAEL MOORE RECEIVED: 8/16/2016 CONTRACTOR: BUILT BY CROCKER LICENSE: BUILTC*954BF EXP: 4/30/2017 ISSUED: 9/16/2016 SITE ADDRESS: 210E LAKESHORE DR ALLYN EXPIRES: 3/16/2017 PARCEL NUMBER: 122205000032 LEGAL DESCRIPTION: LAKELAND VILLAGE 1 TR 32 & N1/2 TR 33 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACE 2 EXISTING DOCKS WITH ONE DOCK NORTH ON HWY 3, LEFT ON LAKELAND DR, LEFT ON LAKESHORE DR, HOUSE ON RT SIDE OF ROAD. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ACC Fire Dist.: 5 No. of Stories: Occ. Load: Building: Valuation: $ 10,000.00 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E Ft. Shoreline: Ft. Water Body: ANDERSON LAKE Rear: W Ft. Slope: Ft. SEPA?: Yes Model: Width: Ft. Side 1: N Ft. Shoreline Desig.: Urban Year: Serial No.: Side 2: S Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee JBN 8/16/2016 $ 117.81 S2201600000001 Building Permit Fee JBN 8/16/2016 $ 181.25 S2201600000001 Building State Fee JBN 8/16/2016 $4.50 S2201600000001 Planning Review Fee JBN 8/16/2016 $205.00 S2201600000001 Total $508.56 BLD2016-00808 Please refer to the following pages for conditions of this permit. Page 1 of 4 8) 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. XwL 9) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinaelation, must be reviewed and approved by Mason County prior to construction. X 10) 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 a Mason County Building Ins or shall be made prior to requesting additional inspections. X 11) 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 holder 1pve prevented action from being taken. No more than one extension may be granted. X 12) 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-compliant with Maso County ordinances and building regulations. X 13) Owner shall provide pile drivers report for any and all piles supporting a structure over a body of water. Report shall be from the Engineer of record(or certified special inspector)and shall provide verification at time of inspection that piles are driven to point of refusal and/or installed per design. 14) A Hydraulic Project Approval from the Washington Department of Fish and Wildlife shall be obtained prior to wo con the nks of or within the waters of the State. X BLD2016-00808 Please refer to the following pages for conditions of this permit. Page 3 of 4 CASE NOTES FOR BLD2016-00808 CONDITIONS FOR BLD2016-00808 1) All new treated piling to be used for this project shall recieve a post treatment vacuum of two hours at not less than 22 inches of mercury. Subsequent to release of the vacuum, the piling shall be steamed for a two hour period, followed by a second vacuum of four hours at 22 inches of mercury. x el, LC 2) 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- 4�2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 3) 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 De rtment prior to any further inspections being performed or approvals granted. X �. 4) Owney Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 5) 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 comply and/or remov I of f approved documents will result in failure of required building inspections. X 6) 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 the Building Department prior to any further inspections being performed or approvals granted. X 7) 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 argedannd shall be collected by the Building Department prior to any further inspections being performed or approvals granted. BLD2016-00808 Please refer to the following pages for conditions of this permit. Page 2 Of 4 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. Signature Date —t OWNER - REPRESENTATIVE - '\CONTRACTOR' Print Name (Circle one to indicate) BLD2016-00808 Please refer to the following pages for conditions of this permit. Page 4 of 4 MASON COUNTY BUILDING PERMIT NO. Z0)0 — DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL 6'?O? WWW.CO.MASON.WAUS (360)427-9670 Shelton ext.352 Mason County Bldg.III,426 West Cedar Street (360)275-4467 Belfair ext.352 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 RECEIVED BUILDING PERMIT APPLICATION 6 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder t NAME: On+C KRE-L Yr o o RC NAME: BOO Lr 6 h Ca.o u<e-rz MAILING ADDRESS: -z-to F- LAKe-Tt4oRE- be, MAILING ADDRESS: I?-( IF- LAc<Es poac O 2 CITY: A,-L-yAj STATE: w A ZIP: i Bssz y CITY: At-c-.+u, STATE: W A ZIP: a�s2y PHONE:SGo -4,4o-cio44CELL: PHONE:S CELL: SAmur- EMAIL: EMAIL : c_c L&I REG#c,c Bu I L.TC 9S4 aF EXP. oy./30 f2017 PARCEL INFORMATION: /"� � PARCEL NUMBER(12 DIGIT NUMBER) I —5 —C/�1/� FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED) SITE ADDRESS Z tO LA t_6S troe.- 1)iZwE CITY Au"-ex) DIRECTIONS TO SITE ADDRESS N o cT K r)a uwY 3 C.e-FT 00 L.A r_t-La k)D D P_ U C, L E-�T .014 LAe_E'5"02e: D2 . L�teV,E' �sw� R�. S1pF' ©� iLpAD IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER a USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) ' tom`1 LC IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK RE-P L-Ac,c- 2 Gtc S BA T LL O k) Z)0U<, SQUARE FOOTAGE: IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. BBgK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER `L sq.ft. GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑ MANUFACTURED HO INFORMATION: *4 COPIES OF THE FLOOR PLAN MAKE L AR WIDTH BEDROOMS S SE ER 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 wo suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECT ON.INA OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE, THE APPLICATION. X ' ��� 9//6 ' < Snare of plicant Date X /�'!'C / OWNER/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEWN A)I'P`WMM DATE DENWb DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL ,w MASON COUNTY PERMIT NO. ��0 " DEPARTMENT OF COMMUNITY DEVELOPMENT , BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext 352 RECEIVED BUILDING PERMIT APPLICATION 6 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder Shiet NAME: -1A+C 04 E—L `M c O k c NAME: a0 t L-r C h Lzo cte e-n - MAILING ADDRESS: I c7 e' LAcx-71;v10k E D(> MAILING ADDRESS: I t LAtct+ Ko2G 0 Q_ CITY: At_L-yAj STATE: w a ZIP: `,S-- zy CITY: AL.(-4 STATE: LLI A ZIP: PHONE:SGO -4-14-m-1-iO4(4CELL: PHONE:*-: s 1-mac+ CELL: EMAIL: EMAIL: -tcr-occ � L&I REG#Cc 3�►i L i L"�15 BF ENP. c4./3o)ZO 1-7 (/ PARCEL INFORMATION: 2 5n PARCEL NUMBER(12 DIGIT NUMBER) ` V C -'`� FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS-2-tO G- LA i-ES UOW- 'bIZWE CITY ;gt..L.--f t3, DIRECTIONS TO SITE ADDRESS Nocj t{ �a �kwY 3 LE-r-rt ti LAkar Law) UR.I.tJC--, cE-� cr14 L1K.ESN02E 1)2 "O13rr c� �. SIIJC C"�G 1 j IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITTIIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER a USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) &--�I b -S C'C IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK RE'P SAC 2 L� I S; �GK S t4?tT a y A-�e cZ)0C,t<- SOUARE FOOTAGE IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. B$MK t sq.ft. COVERED DECK sq.ft.STORAGE sq.& OTHER 2_�_sq.ft. GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED ❑ MANUFACTURED 1101 INFOR7TION: *4 COPIES OF THE FLOOR PLAN MAKE AR WIDTH BEDROOMS THS SE ER 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction wo suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECT ON.4NA OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. S' nat re of Applicant Date x � _ -� �>n✓ OWNER/ REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) - _ bEPARTMENTAL REVIEW A0'PROf;�El) DATE DENIED DATE TAGSfi1T{ITESIC�i T1t?I( BUILDING DEPARTMENT PLANNING DEPARTMENT "� 1 FIRE MARSHAL 6) G-nIl geoAdvantage:Mason County of Washington State(App4) Page 1 of 1 eto 20 l APPROVE AASON COUNTY G SITE PLAN REQUIRED BE ON SIT HANGES SUBJET TO PROV LL ate �y � �j �a .97 64 +-r- - q � •k �agc 6�b . a ar `� •�e r�, Sentry Dynamics,Inc.and its a . 218 West Ra&md Ave customers make no representations, y .ga warranties or conditions,express or Advantage 3�425 16'17 implied,as to the accuracy or geo pt completeness of Information F:B�. contained in this report 000 '1 RECEIVED AUG 16 416 615 W. Alder Street 1,�f,.•IIR.... oPntrc��crn�mirc T.-thug rnacnn/Apfanit nensr dnnnl lg bU)20)&- 6fa RECEIVED • Planner: Grace KELL Rebecca MASON COUNTY PLANNIN INTAKE CHECKLIST AUG i .6 2ox /�J 816 W.Aidw Suet Owners Name: i Date: Project: Commercial ?: yes no Site Plan: ,2- North Arrow ,er Property Dimensions: x Irregular Shape ? es no ,�?-Streets and Driveways shown XRoad Frontage Name: �� L&i K�-SA D A 11 Existing Structures Shown with setbacks and use. )'Identified Surface water(streams,ponds, shoreline, wetlands, natural/historic drainage, defined drainage) ❑ Topography (slopes) P► r d er5D^ i-a K e, ZMinimum Structure Setbacks (direction/setback): F: L / R: V✓ / S 1 A) S2 S / ❑ Utility and Drainage Easements: yes no (if yes enter condition #5022) ❑ Other Easements wj Ko Accessory Appurtenances: propane tank Heat pump ❑ Does site plan show landings at all exits ? ,o'Variance applied for: yes Parking spaces allotted: (29) no A5un Access Permit Needed (add condition #0010) _Q-S ate—Access Permit needed (add condition 90020) -a�d rd Planning conditions: 45019 and 4700 Are there any impediments (dogs/gates) that may restrict access to your site? yes rla ❑ If yes, do we need appointment? es no ,,E<1-s site clearly marked? dress Name Other ZONING UGA'S ALLYN ELETMIUSHELTON R I LAND DESIGNA GC PF R-1 R-1P RC 1 RR 2.5 —X*&RLCULTtWrr POS FR R-2 R-1R RC 2 RR 5 LTCFL BI GC-CI R-3 RI RC 3 RR 10 IN- DING HC LTA R-5 RT I RMF I RR 20 RIBAL T MU R-10 RT/RTC RNR NE" BP vC RAC I NR Critical Areas: (streams, ponds, shoreline, wetlands & steep slopes) Shoreline Designation: ❑ N/A rban ❑ Rural ❑ Conservancy ❑ Natural Water Body: SEPA: es no unknown Flood Plain: (2) no unknown Map # Aquifer Recharge: yes no u(pjo �n Map# Tags/Cases: RLC/SPI: 6 year Reforestation: yes no Eagle Nest Tag: yes no Other/North Bay Sewer: yes no n) � Iv��Cvile�