HomeMy WebLinkAboutMIS99-0418 Replace Dock - BLD Permit / Conditions - 9/13/1999 Aft�-_
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S C E L._ U._ A N E t73 LJ�3 P E R M 1 T" FOR INSPECTIONS CALL 427-9610
MIS99-0418 PARCEL :222335000005 PLAT :MAPL0 DIV ; SL.K : LOTa 5
JOB ADDRESS : 4170 E: MASON LAKE DR W GRAPEVIEW
APPLICANT : BRIAN LAWLER 206-842-2313
OWNER : BR 1 AN L.AWLE R 206 842-2313
LEGAL_ : MASON LAKE SUBDIVISION 11 BLK: LOT: 5
PROJECT DESCRIPTION :
REPLACE DOCK
PROJECT LOCATION : pEftlAIT �ppTtiON
MASON LK RD TO MASON LK DR WC ST APROX 4 MILES ON R 1 GEIT IV
av �v
PRO,.IECT NOTES ., DATE-
TYPE AMOUNT BY DATE RECEIPT
PLCK $ 72 .96 KW 07/20/99 50945
SE:PA $ 200 .00 KW 07/20/99 50945
PRMT $ 112 .2.5 NJP 09/ 13/99 51570 �
STFE: $ 4 .50 NJP �'19/ 131-99 51570 ' J_ �.. cl
TOTAL : 389 .71' OWNER OR A ,ENT DATE
NIS 11I11, rev: 04101192 COMPLIANCE TO ATTACIiED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D W WALLBOARD NAILING
date by date by
Water Line
FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
FEE Rh41 -1F CON01 -U10r4EI
Case No . : MIS99--0416
Fort BRIAN LAWLER
Page : 1
1 ) Approved per dimensions and setbackson submitted
si
te pla
2 ) All approved plans are required to be on-site for inspection purposes . It inspection
is called for and plans are not on =2ite, Approval WILL NOT he granted . In addition , a
Re-- inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this departinerit prior to any further inspeotions tieing performed or,
approval granted .
3 ) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITEMUST BE MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS -TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
4 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQU I REMNANT .
X_. �
S ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Cody* and/or1A on County Regulations must be approved by
Mason County prior to construct i onX �{.
6 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED QU I RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
7 ) Proper erosion anti sediment control practices must be used on the construction site and
adjacent areas to prevent upland sediments from entering shoreline waters . Erosion
control measures must be in place prier to any clearing, grading, or, construction .
These control measures must bey effective to prevent soil from being carried into surface
water by stormwater runoff . Sand, silt , and soil will damage aquatic habitat and are
considered pollutants .
Any discharge of sediment - laden runoff or other pollutants to waters of the state is In
violation of Chapter 90 .48 RCW, Water Pollution Control , and WAC 173-201A, Water Quality
Standards for Surface -Waters of the State of Waship.gton , and is subject to enforcement
action .
Any work In or adjacent to waterways that._ will adversely affect water quality must
receive specific prior auth.orization .frdm the Department of Ecology pursuant to WAC
1 73- 201A-1 10 . A short.-term water quality standards modification may be issued if the
proponent agrees to a number of specific construction practices and techniques designed
to minimize water quality impacts . All areas disturbed, or newly created by construction
activities must be revegetated using bioengineering techniques , clean durable riprap,
or some other�equivaient type of protection against erosion when other measures are not
practical ��
X
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
RG/SLAB Insulation Floors Final
date
aRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by I date by I date by
is 1 i ne proposea pro)ert MUST ne consistent w i t ri al I app i i cap I e Policies and other
.provisions of the Shoreline Mana(lement Act . its rules , and the Mason County Shoreline
Master p� m . , MASON COUNTY
Mason County Bldg. III 426 W. Cedar
9 ) Dock facilities must i P.O. Box 186 Shelton, Washington 98584
.:and i 1 i jjn .
10) All upland ar as disturbed or new l v created by construction activities shall be ^,eeded,
vegetated or ( 2:5n some other equivalent type of protection against erosion .
x
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
oundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Mason County
IP10
Parcel Summary Report For Parcel # 222335000005
Land Use: 2 BEDROOM FW FR 'NC Parcel Size: Lot Legal Description:
Tax Code: 85 Land Value: 239,400.00 MASON LAKE SUBDIVISION #1 LOT: 5
Fire Disctrict: 5 Improvement Value: 144.495.00
School District: 54 Total Value: $ 383,895.00
Zoning': RR5
Notes:
*Please verify zoning with the Mason County Planning Dept.
Site Address
Address
4170 E MASON LAKE DR WEST GRAPEVIEW
Role People
Type Last Name M.I. First Name Address 1 Address 2 City State
Cases Associated With Parcel # 222335000005
Case Number Status Project Description Applicant/Owner
MIS99-00418 CAN REPLACE DOCK BRIAN LAWLER
SEP99-00113 ISS REPLACE DAMAGED DOCK ON EXISTING BRIAN LAWLER
PILINGS. DOCK WILL BE 6 FEET X 63 FEET
WITH A 12 FOOT X 15 FOOT "L" AT THE
END. 608 SQUARE FOOT TOTAL.
Page 1 of 1
IT NO.: MIS 1 '
MASON Ct7UN ��
MISCELLANEOUS PERMIT APPLICA ON 7/ZD
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 9941 ZAAILZ-4 Contractor Name 6&4 QE1
Mailing Address y750 / /phi I.W, Mailing Address..E-2S /i>AV4 &4VJ14/ AO
City StateWA Zip Code q&/OIV City :2? ,t-06u/ Statea✓,4 Zip Codes;
Phone(ZC� Ny - 2,36Other Ph.( Ph.()UAyt? 37 -? Other Ph.0
Lien/Title Holder / U,0 C0GlEq70,J TIOW/Clx� Contractor Reg.# 4,vrq1 .1927,7
Address Expiration fy/ / ZO /0
PARCEL INFORMATION-12 digit Tax Parcel No. 2-2Z&3 / SU / OOOd-1- Fire District .s
Legal Description /Y"W ZC ✓6,,e. . -1 .eor S
Site Address(include street name and city VI70 P'I&AtW X C 41C xJ kffI-
Directions to site:Al,Qb'N At iW 7D W,",V <K 4" 4V473,f -V/�iL� o.✓ �/�.4rT
Will timber be cut and sold in parcel preparation? (Yes/No)_IJO
Is your property within 200' of the following: Body of Water(Name) A'IAS41✓ Saltwater
Lake V River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt—RepairX Other Use of Building
Describe proposed construction/1ET'A4 C 7/AWW r 4EZCAV4 0A1 EVJI-1 4 P/CL-** 6L>e— Q
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood-,'etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval. be made without first obtaining approval.
X Date X X,JO Date 7�7
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by__[� Date4_ 4bmittal Amount Receipt N .
Q9
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const. UGJ VA
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee 6 Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
""'''' TOTAL FEES
FORM MUST BE COMPLETED IN INK �- o T f
PLEASE PRESS HARD PERMIT NO.: MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION 2�
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275- 467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner : Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( ) Other Ph.L__) I Ph.( Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire Distric
Legal Description ..%fib
to Address(include street name and city
Directions to site:
Will timber be cut and sold in parcel preparation? (Yes/No) .,4
Is your property within 200' of the following: Body of Water(Name) M4344 Saltwater `
Lake River/Creek Pond Wetland Seasonal naff;7 , _Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe proposed construction ' '`' _ ''`' ` ` .3i;r✓� '/L � -
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval. be made without first obtaining approval.
t
X Date X � � '. .pr Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date bmittal Amount D 9. Receipt N ! C
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department C gG
-1 - O bra(v0
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ' )
r.
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