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HomeMy WebLinkAboutBLD2024-01167 Bulkhead Cap, Ramp, Float - BLD Application - 9/26/2024 MASON COUNTY OT T1�TTY Permit No: '� ^` — 6 1 ` ,L <� ►JVj�I 11i\ 1 1 v COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning SEP 2 6 2024 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 6 Y1 /I G 1 1'1 aS NAME: MAILINQ ADDRESS: D W La DES[ 0, MAILING ADDRESS: CITY: 0 rl STATE: ZIP C- CITY: STATE: ZIP: PHONE 41: 0(c PHONE: CELL: PHONE 112: ;!L'7(0 3�y -ISO EMAIL: EMAIL: i 1 L&I REG# E)CP. PRIMARY CONTACT: OWNER ff' CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS _CITY STATE I ZI PHONE 2 D(c r a - 5381 CELL Sa rnf!- +res PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 519 o I - 5 a hr©lo ZONING LEGAL DESCRIPTION(Abbrevviated) FIRE DISTRICT SITE ADDRESS 12�Q Y V i L ( V C� t� �— DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:_I1sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: preckall thin apply): SALTWATER❑ LAKE Ej' RIVER/CREEK❑ POND❑ WEILAND❑ _SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER` 'l `` USE OF STRUCTURE Residence, dg,F.rc.) Q©C k �ti 6dI`LL�aY ( Gwoge,Commercial BI IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTU . eB ❑ YES(Parrlsl ofAkw❑ NO❑ DESCRIBE WORK I' SOUARE FOOTAGE:&,vpasee) �L I ST FLOOR sq.fL 2ND FLOOR sq,ft. 3RD FLOOR sq_ft BASEMENT sq.fL DECK sq.ft COVERED DECK sq.IL STORAGE sq.ft OTHER� R =ZM 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 ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC Q SEWER❑ / NEV❑ EXISTING❑ PLUMBING CTURE? YES❑ NO❑ �yes, ttach completed Water Adequ�FormmPERIM ERNOUNDATION DRAINS PROPOSED? YES❑ EXISTING EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation_Admowledgement of such is by signature below.I declare that I am the owner and 1 further declare that I am entitled to receive this pemdt and to do the work as proposed.I have obtained permission from all the necessary parties,induding 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 Ccunty access to the above described property and sbucture(s)for review and Inspection.This penrAlappocation becomes null&void hf 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) Z /Sigrjataj�--of OWNER Must sligned by the OWNER Date DEPA TMENTAL OVIEW I APPROVED DATE DENIED DATE TAGS/NOTES/CONDrrIONS BUILDING DEPARTMENT F f1 O L - c PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit No: -1 l` � L!� COMMUNITY DEVELOPMENT 2 6 SEP 2024 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: `Ei U i Y1 i /j G 1 ©LA-nCtS NAME: MAILIN�ADDRESS: O �S( MAILING ADDRESS: CITY: I O" STATE:W A ZIP: CITY: STATE: ZIP: PHONE#I: Q 5c-,0-0iR PHONE: CELL: PHONE#2: 2 0(n 30 y -ISO _ EMAIL EMAIL: 13a L&I REG# EXP. PRIMARY CONTACT: OWNER[r]' CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS P )r CITY . STATE / ZI PHONE_ 2.0(c r 0 - 838 I CELL 50.rut F PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) C ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS I1 �� A , L l V CITY �N P���✓1 DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:_pst IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkoll char apply): SALTWATER❑ LAKE E� RIVER/CREEK❑ POND❑ WETLAND❑ _SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER try 1 USE OF STRUCTURE Residence, Bldg,Eu.) C k V QlV-Wo ( Graag4 Commercial IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES OrkdeBldg)❑ YES(pants]ofagg)❑ NO❑ DESCRIBE WORK I&J ILCV-Ltd • r V 1 JL' 'r 1. SQUARE FOOTAGE:(proposed) VJ� I ST FLOOR sq.ft 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.ft DECK sq.R COVERED DECK sq.ft. STORAGE sq.ft OTHER*)��.ft. =Z�� 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 ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC El SEWER❑ / NEW❑ EXISTING❑ PLUMBING CTURE? YES❑ NO❑ I yes,attach completed Water Adequacy Fornr PERIM ER/FOUNDATION DRAINS PROPOSED? YES❑ EJOSTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or penrtit revocation.Acknowledgement of such is by signature below.I dedare that I am the owner and I further declare that I am entitled to receive this pemat and to do the work as proposed.1 have obtained permission from all the necessary partim 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 shucture(s)for review and insirection.This pemiit/appticetion becomes null&void if work or authorized construction is not corvnenced 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) �Sfgrfaftjje of OWNER Must signed by the OWNER Date DEPA TMENTAL REVIEW I APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH � � t C5 1 Al f i f GO i • - t t t s ( a r ! /C,/•y G New p¢� 39 t 'e - 7-11Itz F E e l S i K l ca -- r _ i r 0