HomeMy WebLinkAboutBLD2023-01376 Replace Pier, Float, Deck Ramp - BLD Application - 11/13/2023 MASON COUNT(COMMUNITY SERVICES Permit N
I y t_V
PERMIT ASSISTANCE CENTER: L
BUILDING.PLANNING.PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 NOV 13 2023
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Beffalr:(360)275-4467.Phone Elma:(360)482-5269
6�5 W Alder Street BUILDING P—E-R—MII-T APPLICAT ON
PROPERTY OWNER INFORMATION CONTRACTOR INFORMATION:
NAME: Y/1I hG1I Nobhy _ NAME: 1 1ya 15 mallVle �((.c`f1aY1S _ I
MAILING ADDRESS: Z(! °I3 rA I - MAILING ADDRESS: PG �j/c �j Gj
CITY: 1�(ka(�4( STATE:W - ZIP:�gG2'1 CITY:_L4tC'�r j�STATE:_ ZIP: SSA
PHONE#1: �-I Z 5• U e I .11 o Z __ PHONE: 3(,0 • A`)O .(o(t—7
PHONE#2: _—� EMAIL
EMAIL: 1 111 C O rY) LI 1 (o I 11�AiI.GNP- L&I REG# E�{p,
PRIMARY CONTACT: S O ER❑ CONTRACTOR❑ OTHER K A6&NT
NAME U11a .
EMAIL 9 n ,CO»1
MAILINGADDRESS CITY vtbrl STATE Grp I�
PHONE CELL_2O(o�iQ'l2la"1� d
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) O GO O L{ ZONING _
LEGAL DESCRIPTION(Abbreviated) IC.I`C G44--;;,G1 m a vv—At� I TIZ 44—)_FIRE DISTRICT
SITE ADDRESS I(,() f_� l ,-1 1� CITY (�✓+-
DIRECTIONS TO SITE ADDRESS V S I G I ids m i I'e -F Gov
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❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER P e171
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) �Q(j
IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS _ NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(s1 of Bldg)❑ NO❑
DESC B WO f1Y�/L 1141`�+tn oVGr Alfi✓ 71Gv' a (�n6t1+G<Gct FlG2�'. 5 �y /'
SOUAREFOOTAGE:(propose+existing) 1(01/✓rvQ 125F (Loat- (�00 :7 232
1ST FLOOR sq.ft. 2ND FLOOR _sq.ft. 3RD FLOOR sq.ft. BASEMENT__sq.ft.
DECK Mq,ft. COVERED DECK _sq.ft.80TORAGE sq.ft. OTHER sq.fi
GARAGE sq.ft. Attached[IDetached❑ CARPORT sq.ft. Attached[IDetached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL __ YEAR _LENGTH
WIDTH BEDROOMS BATHS_ SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC,,, SEWER 0 / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES ❑ NOK If yes,attach completed Water Adequacy Fonn
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,inclubng 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 struoture(s)for review and inspection. This permit/application becomes null 8 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)
X //- ✓2 - 02
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED �DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT JT7D t 2-
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
N. Lakeshore Place
HOBBS
Scale: i Site Plan - Proposed
I's 301
SFR
169' 198 210' 220'
Subject Property:
Mitchell & Leslie Hobbs
160 N Lakeshore Place
Hoodsport WA 98548
APPLICANT- Mitchell & Leslie Hobbs PROPOSED: Remove existing overwater
pier and unattached float. Construct new ramp to attach to an existing deck,
boat leading to an 8-foot by 20-foot float supported by four piling. Install moorage
house: buoy. AT: Lake Cushman COUNTY- Mason STATE: WA
boat
0"
house:
Shoreline
DATE: July 12, 2023 SHEET. 3 of 5
—53
742' elevation
Lake Cushman 40 OHW
54'.
Low take level
49'
L---A
0 New mooring buoy