The URL can be used to link to this page

Home My WebLink AboutBLD2024-00580 Replace Bulkhead - BLD Application - 5/8/2024 MASON COUNTY Permit No-� COMMUNITY DEVELOPMENT RECEIVED C Permit Assistance Center, Building,Planning MAY 0 8 2024 BUILDING PERMIT APPLICATION er Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Lynn Hall NAME:Sealevel Bulkhead Builders,Inc. MAILING ADDRESS:1170 Alki Ave SW#601 MAILING ADDRESS:PO Box 375 CITY:Seattle STATE:WA ZIP:98116 CITY:Kingston STATE:WA ZIP:98346 PHONE#1:425455-0416 PHONE:36O-297-2401 CELL: PHONE#2: EMAIL:Jenny@sealevelbb.com ENJAIL:lynnchall@hotmall.com L&I REG#SEALEBB9931-7 ExP.08/31/24 PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME Jav,9erRutsren.S-1-1 EMAIL Jenny@sealevelbb.00m MAILING ADDRESS PO Box 375 CITY Kinpton STATE WA ZIp98346 v PHONE 3e0-297-2401 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)32235-22-0001 O ZONING Res LEGAL DESCRIPTION(Abbreviated)TR tot o.L 5 a T.L.acL 2 Bu*92-26 Acz542490 va 2 of.es Bkn*98-48 FIRE DISTRICT SITE ADDRESS 12571 NE North Shore Rd CITY Belfair DIRECTIONS TO SITE ADDRESS WA-3 S,Turn right onto NE Clifton Ln,follow onto WA-300,Stay straight onto North Shore Rd End at site on left 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: (checkauthat apply): SALTWATER❑+ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION R1 REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Cormnerraal Bldg,Etc.)Bulkhead IS USE: PRIMARY❑ SEASONAL❑� NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan(sjofBldg)❑ NO❑ DESCRIBE WORKReplace bulkhead SQUARE FOOTAGE:(proposer) I 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 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 0 PLUMBING IN STRUCTURE? YES❑ NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[a EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 0 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 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-CONTINl3ATt0N UE� THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS MIT APPLICATION OF 180 DAYS OF MOR CAUSE THE APPLICATION TO BE EXPIRED.(MASON / COUNTY 14.08.42) X Signature of OWNER(Must be sinned by the OWNER) Date D AL REVIEW A DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH -, MASON COUNTY Permit No: RECEIVED COMMUNITY DEVELOPMENT C Permit Assistance Center, Building,Planning MAY 0 8 2024 BUILDING PERMIT APPLICATION Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Lynn Hall NAME:Sealevel Bulkhead Builders,Inc. IVIAIL ING ADDRESS:1170 Alki Ave SW#601 MAILING ADDRESS:PO Box 375 CITY:Seanle STATE:WA ZIP:98116 CITY:Kingston STATE:WA ZIP:98346 PHONE#1:425-455-0416 PHONE:360-297-2401 CELL: PHONE#2: EMAIL,;Jenny@sealevelbb.com EMAIL,:ynnchali@hotmail.com L&I REG#SEALEBB9931-7 EXp,08/31/24 V PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ Z NAME Jwnffer Rolsten,searever EMAIL Jenny@sealevelbb.00m MAILING ADDRESS PO Box 375 CITY xingston STATE WA ZIP98346 PHONE 3e0-297-2401 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)32235-22-OW10 ZONINGRes LEGAL DESCRIPTION(Abbreviated)Tf4 tof c.L s 6 T.L PcL 2 au e92-2e AF#s42490 PCB 2 of see au e9e<8 FIRE DISTRICT WWI SITE ADDRESS 12571 NE North Shore Rd CITY Belfair DIRECTIONS TO SITE ADDRESS WA-3 S,Turn right onto NE Clifton Ln,follow onto WA-300,Stay straight onto North Shore Rd End at site on lea 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: (Checkan that apply): SALTWATER❑+ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑+ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Bulkhead IS USE: PRIMARY❑ SEASONAL❑� NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(noleeldg)❑ YES(Par4(a)ofBidg)❑ NO❑ DESCRIBE WORK Replace bulkhead 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 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 r❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 0 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 pernillapplicetion 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 N(- q FIRE MARSHAL PUBLIC HEALTH S i � v 4:f t ''�, .a..J w.�� yt��'�� .i�i�� .�1.?YL5 C• ... �` �? L ;' �,} ' �� F} a ♦'. �`� h, ZY Tom, � �:1�P, 1. ly 4 �• y {Y 4 J r i a "4 • v f r {,,�YAI�PTX�£�(v2�.r'y �� 'V � l