HomeMy WebLinkAboutBLD22491 Pier, Ramp, and Float - BLD Application - 8/9/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 'Lll� L/
PERMIT NO.S '` / q/
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Anderson , Roy W. E . 10111 Hwy . 106 Union , Wa . 98592 898-2537
DIRECTIONS E. 10111 Hwy . 106
TO JOB SITE
PARCEL 2236-5 DESCR. SW2
1-00904 LEGAL 1 trl2 & tr13 west of row &TL Pebble Beach Pk .
NUMBER
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR owner
USE OF
BUILDING
CLASS OF NEW XX ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK Construct pier , ramp and float as per attached plan . Drive 9
pressure treated pile .
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN I G AP�VALFROM TH BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OXV ER .a DATE ��/ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION L YES NO YES NO /�•<` �
HEALTH >< PUBLIC WORKS FEE
PLANNING �� FIRE BUILDING PERMIT �� S
D.O.T. BUILDING PLAN CHECK
-S
SPECIAL CONDITIONS BUILDING GROUP
/Gi�� �=� PRE-INSPECTION
SHORELINE
WOODSTOVE
C 12. LcC PLUMBING
MECHANICAL
STATE BUILDING FEE J C
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
c1!' 3�LH BY /Q CASH CK MO TOTAL
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�`� •9 NOTES:
PURPOSE: Private moorage and
�C,Lo water-related recreation.
DATUM: M.L.L.W. =0. 0' (N . O. S . )
Fed . Harbor Lns. Not Estab .
\� ADJACENT PROP. OWNERS :
PkOPMt0
F�oAT RAMP
� D. W. Sanders
E. R . Busch
o `Float to have stringers on
\,�,• ` �. bottom to prevent full ground-
��41 o QI'GPOSED
. , �ing at lower tides .
Contractor to verify all mess-
��`,,.v u�ments at job site .
�.r PROPOSED: Pier , Ramp , Float and
\ Piling .
IN : Hood Canal , Puget Sound
NEAR : Union
PLOT PLAN. COUNTY : Mason
STATE: Wa .
APPLI . BY : D. Ghylin , for
ScALE N F«T R . W. Anderson
Feb . 29 , 1988 1 /1