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Home My WebLink AboutBLD2020-00439 Dock - BLD Application - 5/18/2020 rdnMASON COUNTY COMMUNITY SERVICES Permit No: L1� PERMIT ASSISTANCE CENTER: BUILDING • PLANNING • PUBLIC HEALTH• FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RE C E I V E D Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone Belfair.• - (360)275-4467-Phone Elma:(360)482-5269 MAY 18 2020 SIN&T> 7,21 S"�4. f�� e z..' '� rn ev< 615 W.Alder Street BUILDI G PERMIT APPLICATION FROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Richard Krie Baum NAME: Lakeshore Construction MAILING ADDRESS: 660 E Lakeshore Drive MAILING ADDRESS: P.O. Box 1058 CITY: All STATE: WA_ZIP:_98524_ CITY: Belfair STATE: WA ZIP: 98528 PHONE 41: 360-275-6019 PHONE: 360-275-5029 CELL: PHONE#2: EMAIL :— 1akeshore5029kgmai1.com EMAIL: mekrie msn.com L&I REG# LAKESC*155JA EXP. 04 / 04 / 21 PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER ❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 122205200009 ZONING R-IP LEGAL DESCRIPTION(Abbreviated) Lakeland Village 3 TR 9 FIRE DISTRICT 5 SITE ADDRESS 420 E Lakeshore Drive CITY_Allyn DIRECTIONS TO SITE ADDRESS Start m E-WA-3 in Allyn tum west onto E Lakeland Drive travel--0.7 mile,turn south onto E Lakeshore Drive travel--0.6 mile to site on West side of road IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES ❑ NO . IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER ❑ LAKE § RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW I ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Residential Recreation IS USE: PRIMARY 0 SEASONAL ❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[,)ofBldg) ❑ NO, DESCRIBE WORK Install Dock on Lake Anderson SQUARE FOOTAGE: (proposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq. ft. STORAGE sq.ft. OTHER 180 sq.ft. GARAGE sq. ft. Attached[]Detached ❑CARPORT sq.ft. Attached Detachea❑ ❑ MANUFACTURED HOME INFORMATION: N/A *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: N/A SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[-] EXISTING SQ.FT. EXISTING 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 parties of interest regarding this project. 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 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14,08,42) Signature of (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED D TE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT )12-k1 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH RECEIVED a ti D 20Z b 00 H 3 q MAY 18 2020 t 615 W.Alder Street Site Plan Lake Anderson ■ Name: Richard Kriegbaum Project: Kriegbaum Float Project Flow Location: 420 E Lakeshore Dr,Allyn,WA House. Parcel: 122205200009 FEMA FIRM i , t cattails «F f set, Mks Proposed PLAN , ��,-•.,•..�,. � _ . Dock "``�► N - _ Eq 6 x 14 — ALL SETBACKS ARE MEAS ; x 7s jj r 1 — FROM THE FURTHES oD 1 as ° ON OF THE BU1 DING .. ... � i cettella setbaos A^ d Ordinary High�� '/ '. —�"�e,.,�`NI--_'� �► Water Line / APPROVED REuDTOe�1Nouse srM PuMQr BCHA. sUBETTO�PfOVA / Scale: 1 inch=30 feet By Daft `LQ All Dimensions Shown in Feet Mason County WA GIS Web Map Topographic Map Name: Richard Kriegbaum Project: Kriegbaurn Float Project Location: 420 E Lakeshore Dr,Allyn,WA Parcel: 122205200009 1'22,ZO52 1. 2/7/2020, 9:39:59 PM 0 0.01 0.03 0.05 Mi Tax Parcels (Zoom in to 1:30,000) 0 0.02 0.04 0.08 km Contours 5 ft RECEIVEDSources:Esri,HERE,Garmin,Intermap,Increment P Corp.,GEBCO,USGS, FAO,NPS, NRCAN, GeoBase,IGN, Kadastef NL, Ordnance Survey, Esri Japan,METI,Earl China(Hong Kong),(c)OpenStfeetMap contributors,and MAY18 'r320 the GIS User Community 4 615 W. a.lder strMason County WA G IS Web Map AppliWion ar-1 Esri Canada,Esri,HERE,Garmin,USGS,NGA,EPA,USDA,NPS I r� �-Q-7 2-o2a ac9 LAKESHORE CONSTRUCTION (( P.O. BOX 1058 BELFAIR, WA. 98528 RECEIVED 360/275-5029 MAY 18 2020 RICH & MICHAEL KRIEGBAUM 360/275-6019 615 W. Alder ;:,., mekriee@msn.com JANUARY 15,2020 We hereby propose to furnish the material and perform the labor necessary for the Completion of, BUILD AND INSTALL 6'X 14'WALKWAY TO A 8'X 12' L SHAPE FLOATING DOCK WITH 50%GRATING 50%TREX DECKING $7,400.00 PROVIDE AND DRIVE 2-2" GALVANIZED PIPE FOR PILE 500.00 INSTALL LADDER 500.00 CLEATS& BUMPER 150.00 $8,550.00 TAX 726.76 $9,276.76 HOME OWNER RESPONSIBLE FOR ALL PERMITS IF NEEDED PAYMENTS TO BE MADE AS FOLLOWS $4,638.38 DOWN TO ORDER MATERIAL $4,638.38 DUE UPON COMPLETION RESPECTFULLY SUBMITTED TIM ZECH PER LAKESHORE CONSTRUCTION THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOTACCEPTED WITHIN 30 DAYS THE ABOVE PRICE,SPECIFICATIONS,AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE. DATE 22-, vL 2,020 SIGNATU E �