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Home My WebLink AboutBLD2004-00985 Cancelled Pier/Ramp/Float - BLD Permit / Conditions - 8/2/2006 Ins tion Line 36 )427262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (36)427(96700,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 irp, Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-00985 OWNER: GORDON KAUHANEN CONTRACTOR: LAKESHORE CONSTRUCTION LICENSE: EXP-. RECEIVED: 6/22/2004 SITE ADDRESS: 11170 E STATE ROUTE 106 UNION ISSUED: 8/3/2004 PARCEL NUMBER: 322251400030 PERMIT EXPIRES: 2/3/2005 LEGAL DESCRIPTION: TR 3 OF LOT 1 &T.L. 11170 STATE ROUTE 106 r}Ut'tw- VOID BY �EQX�R(RATION PROJECT DESCRIPTION: DIRECTIONS TO SITE: n-V !lam" '" PIER/RAMP/FLOAT 1 MILE WEST OF TWANOH STATEPARK General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ACC Fire Dist.: 6 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: DOCK 588 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g" Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee NJP 6/22/2004 $267.44 S22004 Planning Review Fee NJP 6/22/2004 $155.00 S22004 Building State Fee LDK 7/8/2004 $4.50 S22004 Building Permit Fee LDK 7/8/2004 $411.45 S22004 Total $838.39 BLD2004-00985 Please referto the following pages for conditions of this permit. 1 of 5 7/28/2004 Conditions Associated With 9:57:19AM Case#: SEP2003-00058 1 300 Aquatic Vegetation Shading NOT MET 11/20/2003 DMJ The pier,ramp,floa,and associated moorings shall be located to avoid shading of eelgrass and other aquatic vegetation.X o-M" 2) 310 Enclosed Floatation NOT MET 11/20/2003 DMJ Floatation for the structure shall be entirely enclosed contained to permanently prevent the breakup or loss of the floatation material into the water.X 3) 260 Erosion Control NOT MET 11/20/2003 DMJ Residential developers and individuals shall be required to control erosion during construction. Removal of vegetation should be minimize areas disturbed should be restored to prevent erosion and other environmental impacts.X 4) 320 Debris Removal NOT MET 11/20/2003 DMJ Debris or deleterious material resulting from construction shall py r v d from the beach area and project site and shall not be allowed to enter waters of the State. X 5) 330 Water Quality Degradation NOT MET 11/20/2003 DMJ Water q I' it: be degraded to the detriment of the aquatic environment as a result of this project. 6) 340 Recreational Piers NOT MET 11/20/2003 DMJ Recreational piers shall be no higher than 11 feet abo higher high water. Piers and docks shall have at least an eight foot span between pilings. X feet 7) 350 Floating Surface Structure Size NOT MET 11/20/2003 DMJ The surface of ng s ctures shall be a minimum of eight inches about the surface of the water.X 8) 360 Intermittent Supports NOT MET 11/20/2003 DMJ All floating structures shall include t e t supports which run parallel to the shoreline to keep structures off the tidelands at low tide.X 9) 1 SHORELINE MANAGEMENT ACT NOT MET 11/20/2003 DMJ The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act,its rules and the Mason County Shoreline Master Program. x QV y 10) 1 ALL NECESSARY PERMITS REQUIRED NOT MET 11/20/2003 DMJ All other necessary permits from Mason County,Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION(Dept.of Fish and Wildlife,US Army Corps,DOE Water Quality Concurrence). xZ�&ee 11) 1 COMPLIANCE NOT MET 11/20/2003 DMJ The proposed dock shall comply with all conditions of the WDFW HPA and US Army Corps permits that are required for this project. x 12) 1 LENGTH RESTRICTIONS NOT MET 11/20/2003 DMJ Per the Shoreline Master Program,the total length of the proposed project shall not extend waterward further than either 100 feet or minus 3 tide,whichever is more landward. x Page I of 1 caseconffido,s..rpt 7/28/2004 Conditions Associated With 9:58:03AM Case #: MEP2003-00032 - Z� Hermit Condition 6 Status Updat item# Code Title Status Changed By age ate y 1) 40 Fisheries H.P.A. NOT MET 3/8/2004 DMJ A Hydraulic Project Approval from the Washington State Department of Fish+Wildlife must be granted prior to construction. 2) 45 DOE Erosion Control NOT MET 3/8/2004 DMJ Proper erosion and 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 prior to any clearing,grading,or construction. These control measures must be 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 pollutapollutants 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 Washington,and is subject to enforcement action. Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC 173-201A-110. 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 minimise water quality impacts. All areas disturbed or newly created by construction activities must be revegetated using bioengineering techniques,clean durable riprap,or some other equivalent type of protection against erosion when other measures are not practical. 3) 4 Dept.of Ecology-Water Quality NOT MET 3/8/2004 DMJ A water quality standards modification will be required from the Department of Ecology for this project(WAC 173-201-035(8)(e)). 4) 60 Erosion Protection NOT MET 3/8/2004 DMJ KAll upland areas disturbed or newly created by construction activities shall be seeded,vegetated or given an equivalent type of erosion protection(silt fencing or straw matting). 5) 100 Construction Debris Removal NOT MET 3/8/2004 DMJ All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality 10 degredation of State waters. 6) 170 Temporary Erosion Control NOT MET 3/8/2004 DMJ Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent y� waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. 7) 200 Site Plan NOT MET 3/8/2004 DMJ Approved per dimensions and setbacks on submitted site plan. Page 1 of 1 CaseConditions..rpt 7/28/2004 Conditions Associated With 9:59:37AM Case#: BLD2004-00985 Status U da Title Status Changed By Tag Da By 1 31 Shading of Aquatic Vegetation NOT MET 7/6/2004 DMJ The pier,ramp,fl at,and associ to moo ings shall b loctated to avoid shading of eelgrass and other aquatic vegetation.X 2) 32 Flotation Enclosure NOT MET 7/6/2004 DMJ Floatation for the structure shall be entirely encl sed and contain d to pe ently pr ent the breakup or loss of the floatation material into the water.X � � L 3) 34 No Degradation of Water Quality NOT MET 7/6/2004 DMJ X Water is not to be�degr e��the detriment of the aquatic environment as a result of this project. �1t049,/l�t•• 4) 35 Recreational Piers NOT MET 7/6/2004 DMJ Recreational piers shall be no higher than 11 feet above mean hig er hi water. Piers and docks shall have at least an eight foot span between pilings.X e� O e.1 �► 5) 36 8 Inch Minimum Surface-Floating NOT MET 7/6/2004 DMJ The s ace of floa g s cturres shall be a minimum of eight inches above the surface of the water. 6) 37 Intermittent Supports NOT MET 7/6/2004 DMJ All floating structures shall include ' temvtte2t �ports which run paral 1 to the shoreline to keep structures off the tidelands at low tide.X 7) 40 WDFW HPA NOT MET 7/6/2004 DMJ A Hydraulic Project Approval from the Washington State Department of Fish+Wildlife must be granted prior to construction. X 8) 45 DOE Erosion Control NOT MET 7/6/2004 DMJ Proper erosion and 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 prior to any clearing,grading,or construction. These control measures must be 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 pollutapollutants 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 Washington,and is subject to enforcement action. Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC 173-201A-110. 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 equivalent type of protection agams rosion whe therm as ur s are not practical. XG .� 9) 47 Dept.of Ecology-Water Quality NOT MET 7/6/2004 DMJ A water quality standards ruodification will be r quir from the Department of Ecology for this project(WAC 173-201-035(8)(e)). 10) 50 Corps Permit NOT MET 7/6/2004 DMJ A Section 10 Permit(Rivers and Harbor Act of 1899)or exemption must be anted by the b'Co s of Engineers prior to work within navigable waters of the United States.X 11) 60 Erosion Protection NOT MET 7/6/2004 DMJ All upland areas disturbed or newly created by construction activities shall a seeded,ve e�ttaat�t d or iven an equivalent type of erosion protection(silt fencing or straw matting).X�/rcu < Pagel of 4 CaseConditions..rpt 7/28/2004 Conditions Associated With 9:59:38AM Case #: BLD2004-00985 i� Permit Condition 3 Status Updated item od ; TitleOWN Status Changed By Tag Date A6 By 12) 70 Shoreline Management Act NOT MET 7/6/2004 DMJ The proposed project must be consistent with all applicable policies and other provi ns of the Sh rel'ne Management Act,its rules,and the Mason County Shoreline Master Program.XA �t�isi 13) 100 Construction Debris Removal NOT MET 7/6/2004 DMJ All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must a on land m%�f=r that deb ' cannot enter or cause water quality degredation of State waters. X r� 14) 141 Treated Pilings NOT MET 7/6/2004 DMJ All new treated piling to be used for this project shall recieve a post treatment vacuum of two hours at not less than 22 inches of mercury. Subsequent to release of the vacuum, the piling shall be steamed for a two hour period followed by eec/co'n'd v��a uum of four hours at 22 inches of mercury. XL�/r/�I-� 11L�r 15) 140 Wood Treatments NOT MET 7/6/2004 DMJ Pressure treated wood must be completel dry prior to lac ent in water. Use f creosote or pentachlorophenol is prohibited. X 16) 170 Temporary Erosion Control NOT MET 7/6/2004 DMJ Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. ilt f ncmg m t be installed and maintained until upland vegetation has become established. X 60IM7, 17) 180 Safe Condition- Docks NOT MET 7/6/2004 DMJ Dock facilities must be maintained in a safe and sound condition. X �2 /�/ //Gt�t�2�tG�✓ 18) 200 SITE PLAN NOT MET 7/6/2004 DMJ Approved per dimensions and setbacks on submitted site plan.Setbacks are measured from the furthest projec ' n of the structur . X 19) 200 SITE PLAN NOT MET 7/6/2004 DMJ Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projecti structure. X 20) 320 All Necessary Permit Required NOT MET 7/6/2004 DMJ All other necessary permits from Mason County,Washington State and/or Federal Agencies that are required for this proposed de o m t d. nstruction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION.X_ 21) 330 ACOE PERMIT NOT MET 7/6/2004 DMJ A Department of the Army permit shall be obtained prior to the performance of any activities waterward of the mean higher high water mark or ordinary high water mark or in wetlands. Ple4F c tact the US Army Corps of Engineers,Regulatory Branch,P.O.Box 3755,Seattle,WA 98124. X 22) 5030 CHANGES TO APPROVED PLANS NOT MET 7/6/2004 DMJ All changes to"approved"building plans that effect compliance with the Uniform Codes as amended and adopted,or any other Mason County ordinance or regulation,must be reviewed and approved by Mason County or c nstruction. 23) 5510 Property Lines NOT MET 7/6/2004 DMJ All prope 1' s s all be clearly identified at the time of foundation inspection. X Page 2 of 4 CaseConditions..rpt 7/28/2004 Conditions Associated With 9:59:38AM Case#: BLD2004-00985 l Status. Updated Title Status Changed ' Date By 24) 1000 LENGTH RESTRICTION NOT MET 7/6/2004 DMJ Per the Shoreline Master Program,the total length of the proposed project shall not extend waterward further than either 1,000'or minus 3 tide whichever is more landward. x� 4Y,� 25) 1000 PILINGS REMOVAL AND REPLACEMEM NOT MET 7/27/2004 DMJ The proposed project will remove nine existing creosote pilings. Replacement of four of the pilings(as specified on the site map)with environmental benign materials waterward of the proposed pier,ramp and float is allowed.The four replacement pilings will be in the same footprint, and have same structural dimensions (height ) as existing pilings. x �y 26) 1001 PLANS REQUIRED ON SITE NOT MET 7/8/2004 LDK All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site,then approval will not be granted. In addition,a re-inspection fee(refer to current fee schedule,minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspec 'being performed or approvals granted. X 27) 1002 POST ADDRESS NOT MET 7/8/2004 LDK In accordance with the Uniform Building Code and Title 14,Mason County Building Code,"Standards for Fire Apparatus Access Roads,"all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the o re r contractor fail to post the address on site prior to requesting inspections. X 28) 1012 PLOT PLAN REQUIRED ON SITE NOT MET 7/8/2004 LDK The"approved"plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved"plot plan is not on site,then approval will not be granted. In addition,a re-inspection fee(refer to current fee schedule,minimum 1 hour)will be charged and shall be collected by the Building Department prior X an er ' e tions being performed or approvals granted. X 29) 5001 SPECIAL INSPECTION NOT MET 7/8/2004 LDK 1997 UBC Chapter 17,Section 1701. In addition to the inspections required by UBC Section 108,the owner or the engineer or architect of record acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on the types of work listed under UBC Section 1701.5. The special ins toTsl duties&responsibilities shall be as specified in 1701.2 and 1701.3. X 30) 5003 ALL CONSTRUCTION NOT MET 7/8/2004 LDK All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permi d c a s' cation. Any non-approved change of use or occupancy would result in permit revocation. X Page 3 of 4 CaseConditions..rpt 7/28/2004 Conditions Associated With 9:59:37AM it Case#: BLD2004-00985 Permit Condition° Status U dated item# Code Title Status Changed By T Da By 31) 5600 FINAL INSPECTION REQUIRED NOT MET 7/8/2004 LDK All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason bounty o;ds and building regulations. 32) 5610 PERMIT EEXPIRATION NOT MET 7/8/2004 LDK All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days,upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action fr b ' ken. No more than one extension may be granted. X 33) 5700 PRESSURE TREATED LUMBER NOT MET 7/8/2004 LDK Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode metal fasteners,connectors,and fl tall metal connectors approved for contact with the new types of pressure treated material.X Page 4 of 4 CaseConditions..rpt 31) All building mits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a fi I inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with • Mason County finances and build' regulations. X 32) All permits expire 1 days er permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period no x ding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevente on from being taken. No more than one extension may be granted. X 33) Pressure treated w d m factured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and fl hing. I all metal connectors approved for contact with the new types of pressure treated material. X 34) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6 -0�82. The,perso0 signing this con ition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X e> This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.Proof of continuation of work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. J OWN ER OR AGENT: �� Gti�/li2st/ DATE: BLD2004-00985 Please referto the following pages for conditions of this permit. 5 of 5 W , r 0 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Footings /Setbacks Date By Ribbons 0 m Date By Gas Piping Date By co 0, Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date B y Date B y PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date BY , f. .`: Date By CD 1 0 C 0CC G 1 8 O �i b Err Cn OF '@ (X C11 0 h Reference: Bent,Edwina Materials: App:Marine Surveys and Assessments In:Hood Canal near Union Pilings:f9�•:�' treated,dass B,Doug[a Floats:4 ALIA training lumber,flc•ation is Purpose: Recreational use of pier,ramp& polystyrene foam enclosed in polyethylene float Datum: MLLW resin shells Pier:ACZA framing lumber,galvanized Adjacent Property Owners: fast 1) Lyle&H Ramp:prefabricated Stokes : aluminum 2) William&Annette Simmons Sheet 2 of 3 Date:tAaxeJ,, 4 Z FIGURE 2 Construction and site details are contained in REVISED SITE PLAN the project Biological Evaluation 'Piling to be replaced 2 piling to be removed a �/ NORTH Proposed redesigned 961 dock rl 150' Concrete bulkhead czalwo Concrete 100, bulkhead 72' Natural shoreline 4 MY with overhanging 85, vegetation 24' SR 106 A � C � z m � n APPROVED m t-0 — MASON COUNTY DCD PLA°°!; l��, n o rn SITE PLAN REQUIRED TO BE ON SITE .tA 4 CHANGES SUBJECT TO APPi2OVAL By — >`� Date - y w o �E7� �or,y • oa�4 y > � a o w � v U CQ Lij 3 Access ramp --> `O to pier FIGURE 3 REVISED PLAN AND ELEVATION VIEAS 142' r 10' 1 Gate to pier 0 by 50'pier 4'by 40'ramp 9 by 16 float _ I SR 106 White line centerline at road edge AAHHW AG{fyy Concrete 11-g footing 1--^— ---1 Float sops on al float Pilings W-LW of Z APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL QSy4.2a: z-kn!t� —_ Date 7'07;L-oY I I NORTH I g PhW _ t will be removed Sic exos6ng P&W located beNween 12 136 and199 7-wide grating 50%gig in Rost Reterence: Bent,Edwina Materials: App: Marine Surveys and Assessments In:Hood Canal near Union Pilings:t9�•:�?^ treated,class B,Doug fir Purpose: Recreational use of pier,ramp& Floats:4 ALLA naming lumber,flc-ation is float polystyrene foam enclosed in polyethylene Datum: MLLW resin shells Pier:ACZA framing lumber,galvanized Adjacent Property Owners: 1) Lyle&Helen Stokes fastenings 2) William&Annette Simmons Ramp:prefabricated aluminum Sheet 2 of 3 Date:lA,arel,-,Z5.Z FIGURE 2 Construction and site details are contained in REVISED SITE PLAN the project Biological Evaluation 4 piling to be replaced 2 piling to be removed a �/ NORTH Proposed redesigned rasp 96' dock 150' win Concrete bulkhead r_-T5= Concrete 100, bulkhead 72' Natural shoreline 501 with overhanging 85, vegetfition 24� SR 106 A � C � z rn � c7 m � m v o C � o rn -4 Materials: Relerence: Bent,Edwina App:Marine Surveys and Assessments Pilings:14=...-?r treated,class B,Doug fir In:Hood Canal near Union Floats:4 NULA training lumber,flc•ation is Purpose: Recreational use of pier,ramp& polystyrene foam enclosed in polyethylene float resin shells Datum: MLLW Pier:ACZA framing lumber,galvanized Adjacent Property Owners: fastenings 1) Lyle&Helen Stokes Ram prefabricated alum m inu 2) William&Annette Simmons p� FIGURE 2 Construction and site details arc contained in Sheet 2 of Date:Pk0XC), L4 Z REVISED SITE PLAN the project Bolo ical Evaluation 4 piling to • be replaced 2 piling to be removed � NORTH Proposed redesigned 96' dock 150' Concrete bulkhead asPa� Concrete 100, bulkhead CN 72' Natural shoreline 501 with overhanging 85' vegetation 24' SR 106 N C � 0% rn APPROVED n � rn_ MASC," CUUNTY DCD PLC► _'"'I " v D' n o M SITE PLAN REQUIRED TO BE ON SIT" 7D C rn CHIANGES SUBJECT TO APPROVAL 711 � By�!� °'-��- Date l) in F— w o Joe N Q WC'2 Lu CQ v L.Li 3 Access ramp r `O to pier FIGURE 3 REVISED PLAN AND ELEVATION VIEWS 112' 10, I Gate to pier i 6'by 50'pier 4'by 4U nwV 8'by 16 float SR 106 White line centerline at road edge Concrete tiff footing F---2U Float sops on , A�.LW ... al float piings Of APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL By — Date, - i i I j NORTH 1 9 OkW ! will be removed Suc Ming pings located betvmn — 135'and196 7-wide graft50%grating oe re�� b� < in float q Figure 1.Project vicinity map d Hill \ ��moo, �.:' J �. �• '`�, or _ O { !?? H It �y � � I � •, � �''�, Sunny Flay � �� ,R• � t-��..• -�\�_� � /,� �/ �� ;.o Via• �� •+( / , .�_ \Il��, 0. �... • ,1 i� f: J l l W /r 019, Project Site ` p f ,` ,✓• !! � �' �•� �; ! �"�_,. ��.L �r=�- ":' Well t ' lEast Cromwell r i , �� WrIl l,;�het Ketners Point �C ble GP0 /� �� /'s• ',' • s + l + + ,ice gyp. + ::{;Ji�•� / J8r IF •z Islsn$ �< 'G: ,� Ma$''aO�tia,,.\ • � � • • . 36 +� O�ti .-Heights`' I { 100 T Scale: 1 inch equals 2000 feet Copyright(C)1997,Maptech,Inc. — -- -—- - ---- Trunk Ramp and Float Project•24 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar • PO. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner I-I , , -. E PL- .i ra,,, d,, t<r , ,,,. ;, Company Name T,a,. 7,-,--k Mailing Address 11176 F lo/,, Mailing Address 5kor,fir)- rr, -)f; , City ))a&) State 6)A Zip Code 22L `42 City State 0 Zip Code Phone 34.0- RZ'Z—;Ziff Other Ph. Phone 7 6 2 9 Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address jtal- Let t f f r tin c-otv, E Mail Address Drivers Lic.# q=q C,Z DOB •: �' A" Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description 7-22N. t;6;5 u) Site Address (Please include street name, street number and city) ///70is 5f -, 5').2 Directions to site I m,IP L4 .. st .,% Z7,) ,A ']I,f-- 7-1eP Will timber be cut and sold in parcel preparation?Yes/, Is property within 200'of Saltwater yes Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No ) TYPE OF JOB - New Add Alt Repair .Other PRIMARY RESIDENCE E] SEASONAL ❑ Use of Building Describe Work - )t ! ; , No.of Bedrooms No.of Bathrooms Square Footage - 1 st FI or 2nd Floor 3rd Floor Basement Deck Covered DeCK — .Other — Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No.of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/No Installer Name Certification No. OVMVER/BUILDER Acknowledges 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,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica- tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. X >r/ _ Y %)"�. '/", - % Date: caner Owners Representative/Contractor (indicate which one) � A ,FOR OFFICIAL,U E BEYONDTHI P INT Accepted by: '_'PTTtnning Pd fCk# Date Bld Pdnl;4 Receipt DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department L Planning Department Environmental Health Department Public Works Department Fire Marshal i f FEES 42 Building Permit Fee Site Ins ection STf Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES