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Home My WebLink AboutBLD2024-00443 FLD2024-00032 Repari Bulkhead - BLD Application - 4/4/2024 MASON COUNTY Permit No: A -O/ 3 EIVED COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning APR — 4 2024 BUILDING PERMIT APPLICATION 615 W. Alder . treet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Dustin Theoharis NAME: Jesfiekt Construction Company,Inc MAILING ADDRESS: 2073 E Scorpio PI MAILING ADDRESS: PO Box 1590 CITY: Chandler STATE: AZ ZIP: 85249 CITY: Allyn STATE: WA ZIP: 98524 PHONE#1: 253-335-1283 PHONE: 360-275-6884 CELL: 360-535-2106 ( PHONE#2: EMAIL: smerill@jesfieldconstruction.com EMAIL: dtranel2@gmail.com L&I REG#jessfii'@228do EXP. 1 /24/24 �R PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ Y' NAME EMAIL MAILING ADDRESS CITY STATE ZIP 6 PHONE CELL F ^' PARCEL INFORMATION: ("a PARCEL NUMBER(12 Digit Number) 32220-50-03050 ZONING RR5 \ LEGAL DESCRIPTION(Abbreviated)Great Bend Waterfront Tracts Blk:3 TR 38&T.L.Sly of Rd FIRE DISTRICT SITE ADDRESS 17131 NE North Shore Rd CITY Tahuya DIRECTIONS TO SITE ADDRESS From Belfair,take Hwy 300 and North Shore Road to address on left IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE] NO[I SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER I] LAKE❑ I IWER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR El OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residence IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldg)❑ YES(Part[,]of Bldg)❑ NO❑ DESCRIBE WORK Repair cracked and deteriorating comer of bulhead at boat ramp 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 sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ijyea,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOQ 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 1 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 OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT JTL PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH E* zbqoraq- Oc q � RECEIVED N1 APR - 4 2024 NE- /Vo�Tff S k MEI�A � W. Alder Street RR-FA M. �.� � CX 1 yT. ►�o�S t �. ��A 2 r�s��" � 0 z F r --T- w ec L 7r)ZVI a, Cxt�►T. bcLk -v s, w1kHW GOiJ't'�Et-� H oo NA L- gvLKH EA N REi A IC, DUS`r,►J TME-oKAtg45 17131 NE NOM4 !>HQ4 �2A 6CALE ! '' _/0 rA HVYA, %WA 4) 85'88 pr PROPOSAL .. v JESFIELD CONSTRUCTION, INC. P.O. BOX 1590 J ALLYN WASHINGTON 98524 (360) 275-6684 Reg# jesfii*228do n January 10, 2024 a—oa�� Dustin Theoharris Site: 17131 NE North Shore Rd 253-33$�JM E I V E D Tahuya,WA 985 dtranel2@gmail.com I, 2024 We hereby submit specifications and estimates for: ADD T Repairs to the boat ramp side corner of your bulkhead as follows: 515 W. Alder Street • Scope of work and construction detail as per engineering documents provide by Envirotech Engineering, dated 10/7/2023. • Damaged area of concrete will cut away and disposed of • Epoxy coated rebar used, epoxied into existing concrete as per drawings • Wave cap created similar to existing. • Weep holes installed with drain rock behind, remaining backfill will be material on site S 24,800 plus 8.5% sales tax This bid is based on the existing house being previously removed. Assumes necessary permits will be procured by others. We propose hereby to furnish material and labor complete in accordance with above specifications,for the sum of: Twenty Four Thousand Eight Hundred Dollars plus 8.5% sales tax $24,800.00 plus 8.5% Payment to be as follows: 1/2 down,balance on completion. 1 '/z%per month carrying charge on past due accounts All material is guaranteed to be as specified. All Work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. Authorized All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, Signature: tomado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Note: This propo a be withdrawn by us if not accepted within days. Acceptance of Proposal—The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature: Date of Acceptance: Signature: ri MASON COUNT C Mason County Permit Center Use: 4 COMMUNITY SER� FLD old a 3 � � j Building.Planning,Environmental Health,Community Het L 615 W..41der Street—Bldg.8,Shelton,WA 98584�p Date Revd Phone:(360)427-9670 Ext.352 ♦Fax:(360)427-7798 Flood Development Permit Application Owner's Name: Contractor: 1)V5)ttJ T160NA4Z) -5 Tr3Fie-t D 1 9,,)-& tvc_nor-) to. -TA/C. Mailing Address: Mailing Address: ZO-73 C SW4P1-p PL- Pj fix 1 S�t� City, State, Zip City, State, Zip A Z Phone: 7_5-3- 3 35- ass Phone: 3b0 - ,S3S-Z/p Email: D*r%eA t12- C &-KMAIL 0If% Email: 5►"lt22ii-L&—Ter>rle14>COW5TY0T�tj 1 co#-I Tax Parcel Number: Site Address: 3 2ZZ0 - S0- 0 30.150 17 )3 I OF �/otZm 511 2t ►2j�>, T H✓ W I understand I am making application for a permit to develop in a designated flood hazard area. The undersigned agrees that all such work shall be done in accordance with the requirements of the County Flood Damage Prevention Ordinance, building codes and all other applicable Local, State and Federal regulations. This application does not create liability on the part of the County or any officer or employee thereof for any flood damage that results from reliance on this application, or any administrative decision made lawfully there under. Owners Signature (required): Date: Scope work for review: IZt1?A t 12 Cg A C IL ty A o z� D t i C2)o i2 A7-) N)U - 0/Z nJ tN?_ e 1'-),J W<A EA J AT CM W rNL O t' IS O AT- PA ell F. A. Description of Work (complete for all work): Assoc. Permit(s):e)W90o�`L—00 W 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential ❑ Fill/grade X Bulkhead (new, repair, replace) ❑ Addition/Remodel/Repair to an existing structure (includes mechanical, plumbing, and work such as a re-roof). 2. The parcel has been identified in the following Flood Hazard Area: ❑ A �AE ❑ AO ❑ VE FIRM Panel/Map53()) `, ( CO ,56c 'Base Flood Elevation (BFE): Official Use 3. Habitat Assessment required: ❑ Yes 5Q No, exempt per If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological Evaluation, or JARPA Application. 4. Are any other Federal, State, or local permits required? Must attach copies of permits. ❑ Yes ❑ No If yes, list type: 5. Is the proposed development in an identified floodway? ❑ Yes ❑ No If yes, a No Rise Certification must be attached. B. Complete for Historic Structures (must be on historic registry). 1. Provide documentation of historic registry from Federal or State. 2. Provide a detailed letter requesting a variance. Letter must include parcel number, address of site, scope of work and mitigation items regarding wetproofing or floodproofing that are available. No work can affect or result in increase flood heights or additional threats to public safety. All mechanical and plumbing must be flood or wetproofed. No variances will be granted in a Floodway. C. Complete for NEW or Substantial Improvements Structures and Building Sites: 1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor. Elevation Certificate must be attached. 2. Base Flood Elevation at the building site: feet NAVD 88 3. Required lowest floor elevation (including basement floor): feet NAVD88 4. In flood hazard areas without a base flood elevation (BFE), what is the highest adjacent. Grade? (HAG) Structure must be a minimum of two (2) feet above the HAG. The required finish floor height is D. Complete for Alterations,Additions, or Improvements to Existing Structures:*** 1. What is the estimated market value of the existing structure? $ Attached: Assessor's Parcel Detail Report OR Appraisal from a Washington State Licensed Appraiser 2. What is the cost/valuation of the proposed construction? $ Percentage Attached: Contractors Bid (FEMA Criteria) OR County Valuation per Mason County Ordinance When the cost or valuation of the proposed construction equals or exceeds 50 percent of the market value of the structure, then the substantial improvement/repair provisions shall apply. Is the proposed work a substantial repair/improvement ❑ Yes')�No If yes, complete section C above. • E. Complete for Non-Residential Floodproofed Construction:` 1. Type of floodproofing method: 2. The required floodproofing elevation is: feet NAVD88 3. Floodproofing certification by a registered engineer is attached: ❑ Yes ❑ No F. Complete for Subdivisions and Planned Unit Developments: 1. Will the subdivision or other development contain 50 lots or 5 acres? ❑ Yes ❑ No 2. If yes, does the plat or proposal clearly identify base flood elevations? ❑ Yes ❑ No 3. Are the 100 Year Floodplain and Floodway delineated on the site plan? ❑ Yes ❑ No Administrative Planning Staff Signature: Date: Approved: X Denied: Building Staff Signature: Date: Approved: —�<— Denied: Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes