HomeMy WebLinkAboutBLD2024-00886 Replace Dock, Ramp - BLD Application - 7/23/2024 MASON COUNTY Permit No /iT,1 z(1')__-) -
COMMUNITY DEVELOPMEr€C E I V E D
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION JUL 2 3 2024
PROPERTY OWNER INFORMATION- CONTRACTOR INFORMATION:
Mika and Jenny Sinanan AMT Des and Construction,Inc. Alder S t e e t
NAME: Y NAME: Design
MAILING ADDRESS:510 N.Standstill Dr.S MAILING ADDRESS:P.O.Box 1221
CITY:Hoodsport STATE:WA ZIP:98648 CPI-Y:Belfair STATE:WA ZIP:98528
PHONE#1:206-251-1099 PHONE:360-�5`2-2609 CELL; 38a271-5796
PHONE#2:206-650-5787 EMAIL:amtdesignandconswabnOgmea..00m
EMAIL:mikasinanan09130gmail..comm L&I REG#AMMEDC8MJL EXP.04 03/25
PRIMARY CONTACT: OWNER El CONTRACTOR❑ OTHER❑ Z
NAME As above EMAIL mikasinanan091309malt.cam
MAILING ADDRESS CITY STATE ZIP _s
PHONE CELL 206-251-1099 Q
PARCEL INFORMATION• J
PARCEL NUMBER(12 Digit Number) 42205-52-00044 ZONING Residential
LEGAL DESCRIPTION(Abbreviated) TAKE CUSHMAN19 LOT:44,S 48l126 FIRE DISTRICT 18
SITE ADDRESS 510 N..Standstill Dr.S,Hoodsport,WA 98548 CITY Hoodsport
DIRECTIONS TO SITE ADDRESS 101 to 119 to N.Standstill Dr.S.
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES[] NO❑+ SNOW LOAD:_psf W
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (cr,eckaa mw apply):
SALTWATER❑ LAKE p RMWCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR Q OTHER ❑
USE OF STRUCTURE(Reridau.e,cmagr,Comrnocid Bid&&c)swimming,sunbathing,watching bats at night,searching for mermaids
IS USE: PRIMARY❑+ SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(fih k Bldg)❑ YES filwifzjofBW❑ NO Q
DESCRT13E WORK Replacement of a ramp and dock in a lake ("K.& yrAprl sm
SQUARE FOOTAGE:(propmegI
i ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.fL BASEMENT sq.fL
DECK sq.R COVERED DECK sq.iL STORAGE sq.ft. OTHER80 sq.fL
GARAGE sq.R Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE NA MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO 0 Ifyev,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑+ EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
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 tine owner and 1 further declare that 1 sm entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,inducing 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 pemlr/application becomes null 8 void if work or authoraed construction is not commenced within 180
days or If construe 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 APPLICATI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
((AA.A COUNTY CODE 14.08A2)
X VVN� � �
2,1
Signature of R(Must be signed by the OWNER) Da a
DEPARTMENTAL lRbOEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITroNS
BUILDING DEPARTMENT i r
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY PermfitNo--TO L A -a)00�
COMMUNITY DEVELOPME C E I V E D
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION JUL 2 12024
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
Mika and Jenn Sinanan AMT Des and Construction,Inc. A I d e r S t e e t
NAME: Y NAME:
MAILING ADDRESS:510 N.Standstill Dr.S MAILING ADDRESS:P-O-Box 1221
CITY:Hoodsport STATE:WA ZIP;98648 CITY:Belfair STATE:WA ZIP:98528
PHONE#1:206-251-1099 PHONE.360-852.2609 CELL; 360-271-5796
PHONE#Z:206 650 5787 EMAIL.amtdesignandconstruatonOgmeil-own
EMAIL:mikasinanan0913®gmail..comm L&I REG#AMTDEDC833JL EXP.04/13/25
PRIMARY CONTACT: OWNER E] CONTRACTOR❑ OTHER❑
NAME As above EMAIL maasinanan09130gmail..com
MAILING ADDRESS CITY STATE ZIP
PHONE CELL 206-Yb1-1099
PARCEL INFORMATION•
PARCEL NUMBER(12 Digit Number) 42205-52-00044 ZONING Residential
LEGAL DESCRTFITON(Abbreviated) LAKE CUSHMAN#19 LOT:44,S 481126 FIRE DISTRICT 18
SITE ADDRESS 510 N..Standstill Dr.S,Hoodsport,WA 98548 CITY Hoodsport
DIRECTIONS TO SITE ADDRESS 101 to 119 to N.Standstill Dr.S.
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (chart opt that gipiy):
SALTWATER❑ LAKE I RIVEIUCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDTTTON❑ ALTERATION❑ REPATR Q OTHER ❑
USE OF STRUCTURE(Earidarce Gmngr,comme,ciat B*Etc)swimming,sunbathing,watching bats at night,searching for mermaids
IS USE: PRIMARY I] SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(fihole BW❑ YES(Pr ,AjafRW❑ NO Q
DESCRIBE WORK Replacement of a ramp and dock in a lake (L p-iL& wk jpn t
SQUARE FOOTAGE:(p,k<posed)
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.IL BASEMENT sq.fL
DECK sq.R COVERED DECK sq.fL STORAGE sq.fL OTHER 80 sq.R
GARAGE sq.R Attached❑ Detached❑ CARPORT sq.ft- Attached❑ Detached❑+
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE NA MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTTC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO 0 Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOR] EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
OWNER admowledges that submission of inseminate 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,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 properly
and stnicture(s)for review and inspection.This pemlidappricatkm becomes nun 8 void if work or auCmartzed construction is not commenced within 180
days or If construction work is suspended fur a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
x V1M(LA aV.\ ►tom l73
Signature of JrNR(Must be signed by the OWNER) Dials
DEPARTMENTAL AM41EW APPROVED- DATE- DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT yj L V_
FIRE MARSHAL
PUBLTC HEALTH
N. Standstill Dr. S
Prope Line
Septic
North Driveway
i
Propert Line
—L GARAGE `J
No djacent lot waterfront .._...
devel ant In either direction
Lip_I J _
DECK .
1
LAK RELINE 1 urFom 7�
-- Scale: 1" - 25'
��P
Lake Standstill '
41m n 11 C