HomeMy WebLinkAboutBLD2023-01135 Replace Bulkhead - BLD Application - 9/21/2023 q. MASON COUNTY COMMUNITY SERVICES Permit No&I GI A620-Q I I:
PERMIT ASSISTANCE CENTER: RECEIVE
C E I` ,E
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL K V
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
BeNalr.(360)275.4467•Phone Elma:(360)482-5269 S E P 2 1 2023
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Nye Tides,LLC-Wendy Kramer NAME:Sealevel Bulkhead Builders,Inc.
MAILING ADDRESS:6249 Old Olympic Hwy SW MAILING ADDRESS:PO Box 375
CITY:Olympia STATE:WA ZIP:M12 CITY:Kingston STATE:WA ZIP:98346
PHONE#1:360-339-3039 PHONE:360-297-2401 CELL:
PHONE#2: EMAIL:jenny@sealevelbb.com fir.
EMAII,:wdnkramer@hotmail.com LBLI REG#SEALEBB9931-7 EXP. 8 /2023/_
PRIMARY CONTACT: OWNER❑ CONTRACTOR IR OTHER❑ v
NAME Sealevel Bulkhead Builders,Inc. EMAIL
MAILING ADDRESS PO Box 375 CITY Kingston STATE WA ZIP 98346 rr•
PHONE 360-297-2401 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 42223-50-00006 ZONING RR
LEGAL DESCRIPTION(Abbreviated) Potlatch Beau,Tracts TRs 6.8 a T.L DPc s10-12 FIRE DISTRICT
SITE ADDRESS 23022 N US Hwy 101 CITY Hoodsport
DIRECTIONS TO SITE ADDRESS Heading North on US Hwy 101,end at site
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NON
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all dwrapply):
SALTWATER LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR R OTHER ❑
USE OF STRUCTURE(Residence,Gamge,Commercial Bldg,F.rc.)Bulkhead to protect the home
IS USE: PRIMARY❑ SEASONAL N NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whale Bldg)[R YES(parr[s)oJB/dg)❑ NO❑
DESCRIBE WORK Replace+/-176 of concrete bulkhead with a precast concrete soldier pile bulkhead
SQUARE FOOTAGE:(propose+existing)
1ST FLOOR2023 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 60 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 64o sq.ft. Attached❑ DetachedX CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
N/A
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC$ SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES N NO❑ If yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOtN EXISTING SQ.FT.
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 2
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.1 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 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.
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)
XQk2t��� 2/28/23
ignat of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT JfZ 14-2,
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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