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Home My WebLink AboutCOM2022-00063 Bulkhead - COM Application - 7/7/2022 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: e. .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone Belfair.(360)275.4467•Phone E/ma:(360)482-5269 t _ BUILDING PERMIT APPLICATION t tl EL) PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C 07 2022 NAME:TACOMA PUBLIC UTILITIES NAME:NO CONTRACTOR HAS BEEN HIRED AT THIS TIME.; MAILING ADDRESS:3628S35THST MAILING ADDRESS: Alder CITY:TA�A STATE:WA ZIP:98409 CITY: STATE: ZIP: Street PHONE#1:253.502.83e1 PHONE: CELL: PHONE#2:253.232.3847 EMAIL: EMAIL.:JCHENRY@CITYOFTACOMA.ORG L&I REG# E-NP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER I] NAaw ME JASON HENRY EMAIL ABOVE 013" RiG MAILING ADDRESS CITY STATE PHONE ABOVE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 4220540-60000 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 52 N COOPER HAWK PL CITY HOODSPORT DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES+❑ NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkalt urw apply): SALTWATER❑ LAKE❑+ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑� USE OF STRUCTURE(Residence,Gamge,Commerciat Bidg,Etcf IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pa i[V ojBldg)❑ NO❑ DESCRIBE WORK DEBRIS REMOVAL RAMP(SEE GRD2022-00006) SQUARE FOOTAGE:(proposed) 1 ST 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 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 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION 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,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 permitlapplicabon becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is su pended for a period of 180 days. PROD IT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERM PLICATION OF 180 DAYS OF MORE WILL HE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42 X Signature of OWNER(Must be signed by the OWNER) Date DEPAR TE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 16- PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: ' •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfaic(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION &Q PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: O 20�2 NAME:TACOMA PUBLIC UTILITIES NAME:NO CONTRACTOR HAS BEEN HIRED AT THIS TIME /0 MAILING ADDRESS:3628 S 35TH ST MAILING ADDRESS: Alder CITY:TA�A STATE:INA ZIP:98409 CITY: STATE: ZIP: Street PHONE#1:253.502.8381 PHONE: CELL: PHONE#2:253.232.3647 EMAIL: EMAIL:JCHENRY@CITYOFTACOMA.ORG L&I REG# EXP. / PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER[] NAME MASON HENRY EMAIL ABOvE MAILING ADDRESS CITY STATE IP IING PHONE mOVE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 42205-00-60000 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 62 N COOPER HAWK PL CITY HOODSPORT DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑+ USE OF STRUCTURE(Residence,Garage,Commercial Bldg, IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whoi BW❑ YES(Part[s)ofB1dg)❑ NO❑ DESCRIBE WORK DEBRIS REMOVAL RAMP(SEE GRD2022-00006) SQUARE FOOTAGE:(proposed) 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.ft COVERED DECK sq.ft. STORAGE sq.& 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 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form 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.1 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) X Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT DA-m FIRE MARSHAL PUBLIC HEALTH Genie McFarland From: Genie McFarland Sent: Thursday,January 9, 2025 11:33 AM To: jchenry@cityoftacoma.org' Subject: COM2022-00063 &GRD2022-00006 52 N Cooper Hawk Place Lake Cushman Hi, We have 2 permits that are ready for pickup- COM2022-00063 Debris Removat Ramp-Amount due$1691.09 GRD2022-00006 Grading Permit-Amount due$650.00 Total for both $2341.09 Please let me know if you have any questions. We except cash, check, or credit card, if using a card,the processing company charges an additional 2.5% of the transaction. If writing a check, please make the check payable to Mason County Treasurer. Our mailing address is Permit Center, 615 West Alder Street, Shelton WA 98584. If you would like to make payment over the phone, please call 1.360.427.9670 ext. 352 Brittney will transfer you to an available Permit Specialist. If you have additional questions, please do not hesitate to respond. My direct email address is gmm@masoncountywa.gov Genie McFarland Permit Specialist 1.360.427.9670 ext. 284 ginrri@masoncountywa.gov 1