HomeMy WebLinkAboutBLD2019-01110 - BLD Application - 10/1/2019 P9oN COL�a
MASON COUNTY Permit No•
y DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING.PLANNING•FIREMAR5 (360) 427-9670 Shelton ext. 352
http://www.co.mason.wa.us/commun�it�yV+dM//L D A� 360)275-4467 Belfair ext. 352
615 W. Alder Stre PLDIN
on WA 98584 I� V360)482-5269 Elma ext. 352
r1V?-11
BUG PERMIT APPLICATION DECEIVED
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: j 0 1 2019
NAME: Christine Peny NAME: Jesfield Construction,Ince.c; A.,,- meet
MAILING ADDRESS:12741 NE North Shore Road MAILING ADDRESS: P.O.Box1590
CITY: Belfair STATE: WA CITY: AllySTATE: WA ZIP: 98524
ZIP: 98528 PHONE: 360-275-6684 CELL: N/A
PHONE: CELL: 206-619-4786 EMAIL :: N/A
EMAIL:_McpeM@wavecable.com @wavecable.com L&I REG# JESFH*228DO EXP.
CONTACT : OWNER ❑ CONTRACTOR.L�( BELOW ❑
NAME: Jesfield Construction,Inc.
MAILING ADDRESS: P.O.Boxl590
CITY: Allyn STATE: WA ZIP: 98524 PHONE: 360-275-6684 CELL:
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 32235-50-00003 FIRE DISTRICT NMRFA
LEGAL DESCRIPTION(ABBREVIATED): TRS TR3&T.L.&W 1/2 4&T.L.
SITE ADDRESS 12741 NE North Shore Road CITY Belfair
DIRECTIONS TO SITE ADDRESS HWY 3 to Old Belfair Hi way, left to Route 300,follow to 12 mile marker
IS PROPERTY WITHIN 200 FT:
SALTWATER N 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 P OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) SEAWALL CORNERS
IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS N/A
DESCRIBE WORK Remove 2 Seawall comers a,a,boat ramp&repour
SQUARE FOOTAGE:
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 sq.ft.
GARAGE sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
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 or owner's legal representative. 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATI N TQ BE EXPIRED. (MAS UN TYODE 14.08.42)
Hood Canal 5at
is
5ta'
Lom to be rem"and red
backer Wth deadhead 1 upp Comer to be removed end poured
3k0,3' back Wth deadhead support
Bulkhead and OHM 3k4�A
P
Deck
e �
Property Line Y 2 Property Line
Y F
_ P
3
g 3
dT
Neighbor house
House
Christine Perry
12141 NE North Shore Rd
5e1feir,WA g8528
32235-50-00003
1011/19 Neighbor house
Scale 1'=20'
Commu ty septic nk
APPrOVED North
JAIS ID N n DU PLANNING Geoge
SITE FLAN REQUIRED TO BE ON SITE o veway access
CH u SUBJECT TO AP OVA
BY Date
Northshore road