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Home My WebLink AboutBLD18651 Seawall - BLD Permit / Conditions - 6/17/1986 TYPE SEAWALL P--rmit No. 18651 No. Floors Sq Ftg Owner RUTHERFORD' Carl Tel 881-3607 Date 6-17-T Address 6202 31st NE Seattle Zip Contractor Earl Lincoln Address P. 0. Box 368 Belfair Zip Legal Description Madrona Morningside E 32' Lot 18 Direction to project site 12961 NE Northshore Rd Plumbing Mechanical Se%e r Wood Stove Fireplace Deck Garage Carport Basement Loft Other Shorelines: t��nb Setback:C) -zo SG A2i Mechani Special Interior: Conditions: FILL: Mobile Home: Smoke Detect Remarks: Footing Setback: Foundation Walls: Framing: Fireplace: Wood Stove: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 �• DATE ISSUED �— / PER NO'J''ece j b�� 4�s PER IT NO. OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE ealil er E a DIRECTIONS TO JOB SITE 6 &4Si( e LEGAL /� ^ /� /� ^„ „a '� �n J (❑ SEE ATTACHED SHEET) a� DESCR. Jp�C ` l /[/( ,v[ NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR AD-at k C GOO USE OF BUILDING Aq Cie a .Se-R ulal Class of work: >K NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Fd ontkrerfd ar a- af►� Eniow kec lil'sf*3o.o0 Valuation of work: $ PLAN CHECK FEE PERMIT FEE C� � S� 8• SPECIAL CONDITIONS: Wivia I oo secs w r fiiat(ihead d c BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORI BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. F FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I rtify that I am a Currently registered contractor in WORK IS COMMENCED. t State q Washington and I the aware of the FOR OFFICE USE ONLY dinance requirements regulating the work for which e permit is issued and all work done will be in onformance therewith. PERMANENT ❑ SHORELINES ❑ �/n C(j� h (�//'6s� �'- SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Q)� Special Approvals IN OUT YES APPROVED NO Lic. No. ,�i9R-4.14G a1- 5-111C Date 13' ZONING PLANNING DEPT. 's L OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. F G of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS HECK BY APPROVE FOR ISSUANCE tr Date . 13�9� 'HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH STOWN PRINTING PLOT PLAN ADDRESS 4L/z �� _1_ 4y_ R41 PERMIT NO o z � n 1 LEGAL A DESCRIPTION LOT BLK ADDITION u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' C > 446 I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. ea NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) I ATURE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING i G iv� � C av1 Lineal n DETERMINATION OF NONSIGNIFICANCE Description of Proposal : 32 feet long by 5 feet high concrete seawall with in set steps Proponent: Carl Rutherford Location of Proposal , including street address, if any: NE 12961 North Shore Rd. Belfair , Wa 98528 E. 32 feet of Lot 18 Madrona Morningside Lead Agency: Mason County The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An Environmental Impact Statement (EIS) is not required under RCW 43.21C .030(2) (c ) . This decision was made after review of a completed Environmental Checklist and other information on file with the lead agency . This information is available to the public on request. There is no comment period for this DNS. x This DNS is issued under 197-11-340(2) ; the lead agency will not act on this proposal for 15 days from the date below . Comments must be submitted by June 5 , 1986 Responsible Official : Mike Byrne Position/Title: Director of General Services Telephone: 426-5593 Address: P.O. Box 186 Shelton, Wa 98584 Date: May 16 , 1986 Signature: A lei i� DOE DOF DOG Applicant