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Home My WebLink AboutMIS99-00223 Float and Anchor - MIS Permit / Conditions - 6/22/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I !S;C. E l._ !LAME U„; PERM I T FOR INSPECTIONS CALL 427-9670 MIS99-0223 PARCEL. t322344400010 PLAT t DI V t BLK t LOT t JOB ADDRESS o 6371 E STATE ROUTE 106 UNION APPLICANT : JERRY VERMILLION OWNER : JERRY VERMILLION LEGAL t IN i OF &4VT E.OT 2 A T.I.. FS /1743 PROJECT DESCRIPTION : CONSTRUCT '1 R FT BY 14 FT FLOAT AND ANCHOR WITH CHAIN AND CONCRETE WEIGHTS . j PROJECT LOCATION , h 1 MILE EAST OF ALDERBROOK RESORT ON LEFT PROJECT NOTES : TYPE AMOUNT BY DATE RECE I P"r PLCK !; 48 .59 KW 05/04/99 50108 PRMT 1 74 . 75 TW 06/221/99 50682 r �� STF"E 1; 4 .50 TW 06/22/99 50682 SHR t 39 .00 TW 06/22/99 Fii 682 TOTAL : 165 ,94 /OWNSt OR AGENT D j MIS_t&K!, revt 04101/92 COMPLIANCE TO ATTACHED CONDITIONS IS REOUIREA w m w a w_ � c � g m ; m m m m F- _ CDa' m w � y w 'J � Dwgi � m ' m w In m r m n m y m C m m n 1J � CT 0. r y w �_ ', w_ -'� w w CD � m mm W � m — m r m m O_ m c U c Q MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T Cc-? ND I T I CQN 3 Case No . ; MIS99--0223 Fort ,BERRY VERMILLION Pages 1 1 ) Approved per dimensions and setbacks on submitted site-pI X 2 ) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a m i n I musty of 5 ' setback from all property lines and easesrsent lines and 10 ' from al,l County and State Road right of ways . X 3 ) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Managemer?t Act , Its rulers , and the Mason County Shoreline Master .f!r ram . 4 ) Floatation for the structure shall be entirely enclosed and contained to permanently prevent th br kup or• loss of they floatation material into the water . X i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 5 ) The Surface of floating structures shaII be a mInImura of eight inches agave the surface Of th r . X 6) All floating structures shall include Intermittent supports which( run parallel to the shoreline to keep structures off they tidelands at low tide . 7 ) A HydrauliY Project Approval from the Washington State Department of fish & Wildlife must t^ pianted prior to construction . ( contact Doris Small at (360)695-47561 X 8 ) A Section 10 Per}� it (Rivers and Harbor Act of 1899 ) or exemption must be granted bV the Army Corpsf��Ineers prior to work within navigable waters of the United States . X 9 ) All approved plans are required to be on-site for Inspection purposes . 1f inspection is called for and plans are not on site, Approval WILL NOT be granted . In addition , a Re- Inspeotion fee In the amount of $42 .00 per, hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections toeing performed or approval granted . X CXV- 10) ALL CONSTRUCT ON MUST MEET OR EXCEED ALL LOCAL CODES ,AND UBC REQUIRE 11 ) Changes to approved building plans that effect compliance 'to the 1991 Washington State Energy Code, 1991 Ventilation and indoor Air- Quality Cade, the Uniform Building Code and!or ,. +Ras n County Regulations mu�;t be approved by Masan County prior to c o n s t r u c t I o n X e�) ERMIT NO. MIS l ' 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.2 Owrl ''�� `r� �'! �. L L l D /��a., Contractor Name �owiwC Ma 4, Mailing A ress ,� City Stated Zip Code _ City State Zip Code Phone f Other Ph.(�-�60) Ph. 6 ther Ph. fir✓ d' - Lien/Title Holder I Contractor Reg-# Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. 1 3 / / Fire District Legal Description P?. of -Y 3 '7" 'Z Site Address(include street name and city -7 t �i/✓ Directions to site: r- t r M Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) d f O'wyA- Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe proposed construction 7-r- . S aL ,yS , r�T E6" r 5 SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, o d etc.) o✓ Length c`.: 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 130 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-I 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. r X 4�Cate fY. )( v 4/k- bate FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date /4--� Submittal 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 Othe� � S�� Violation Fee Pre-Paid at Submittal ( ) '»::> TOTA L FEE S i