HomeMy WebLinkAboutBLD2020-00195 SFR - BLD Application - 2/20/2020 --•--.._- . _. ..... . . .. . ---- -• •--- 8 Wow - 0 Iq
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: M I, ' e- / TO S 12. C-�I '�"O� NAME: I o u c,kn. O � " 'Ju (t L L C..
MAILING ADDRESS: 1P.0.13c& Z636 MAILING ADDRESS: Iq LS 3 le.s Rwft- I o(o
CITY: Se vo r STATE: WA ZIP: 9$S2,8 CITY: Be,1 {�o►' ,;r STATE: ZIP: 98,1T28
PHONE#1: 7-5-3- 3 Z1-3 v 18 PHONE: CELL: 3(oO..el 81- 3)y 3
PHONE#2: EMAIL : '�ouGltio�'S It &2&_n.sn. c or,
EMAIL: CI i F+crn 2-@.me.•Coy L&I REG# TO UCH SLg31 M R EXP.C1/29/2020
PRIMARY CONTACT: OWNER❑ CONTRACTOR X OTHER❑
NAME TOOO& O To Lo-v—opy EMAIL ou 2 AAS •C0r-\
MAILING ADDRESS ICMA 'E� S-h,+e-F.06-!L G CITY r ST TE lJA. ZIP 9�'L8
PHONE CELL -
PARCEL INFORMATION: BUILDING
PARCEL NUMBER(12 Digit Number) � ZyONJi
LEGAL DESCRIPTION(Abbreviated) N --'Iuu o f `�6. S E I GI .drat}6 �' L, - FIRE DIST
SITE ADDRESS X\L V Yd CITY ���� p ED
DIRECTIONS TO SITE ADDRESS 106 +0 A-lAer o od fir►, _ _
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 5 ! A/der
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): A� �trPe1
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) 51 1)C AJC
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 2- NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES (Part(s]of Bldg) , NO ❑
DESCRIBE WORK j 1•rE t ul c,13 ��K.� P9 tiJ Al A`CRU (11`='
SQUARE FOOTAGE: (proposed)
1ST FLOOR G0 sq.ft. 2ND FLOOR 13 a' sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft.
DECK 51(0 sq.ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE 13 80 sq.ft. Attached X 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 211" SEWER❑ / NEW EXISTING ❑
PLUMBING IN STRUCTURE? YES 2 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 1 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. T/T) g
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS lBY 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)
Signature of OWNER LMdst be signed by the 0WNER) Date
MASON COUNTY COMMUNITY SERVICES Permit No: 61A&2o-Oo(4S
PERMIT ASSISTANCE CENTER: RF
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584 CF1 '
www.co.mason.wa.us ICF VFO
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 6 e?
Phone cQ Beltair.-(360)275-4467• Phone Elma:(360)482-5269 �s (�j
PLUMBING & MECHANICAL PERMIT APPLICATION/derStr
OWNER INFORMATION: CONTRACTO INFORMA ION:
NAME: M i kc / JoSi a (.�t Vf pn NAME: TO uc O s
MAILING ADDRESS: P.O. $M 21o3(e MAILING ADDRESS: 2 3 E•5 � ou b(.
CITY: SeA;eu r STATE: _ZIP:q8SZ6 CITY: 4`'r STATE:LJ1 ZIP:41 8S-2B
I" PHONE: 25 3-32'1- 3878 PHONE: CELL: 3(.o-981 - 31y3
2„d PHONE: EMAIL : U o 5 l�2-eN'4SW-Carve
EMAIL: Clj h 2@ Me. . C.o L&I REG# CC.TOtzH5L`t3I M1(3 EXP. q 612/ oLv
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 00 (p(� Zoning:
LEGAL DESCRIPTION (Abbreviated): - '/4 oC �& SE ' c i e^ -7 IsV 22 N Ra ,- 1VJ
SITE ADDRESS: X ldjfwood lzd CITY: ;r
DIRECTIONS TO SITE ADDRESS: Sir& pla4te O "fir+ .'woo
-- -
TYPE O JOB: ---— --BU ! LU1-NG-
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I ST FLOOR 2No FLOOR ✓ BASEMENT GARAGE ✓ OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_X LPG Natural Gas Ductless
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace
Bath Tubs Heat Pump -1K—
Showers Z Spot Vent Fan L
Water Heater I Propane Tank
Clothes Washer I Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher I Kitchen Exhaust Hood
Hose bibs 'L Dryer Vent 1
Other 51nop 51 nk Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 contractor. 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 authorized agent 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE TH APPLICATION.
Signature of 044ey Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT `J7C6-
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
PROJEC
ION
CONSTRTDESCRIR SFR PLANNING
— ——+
CONSTRUCT 2-BR SFR do 3-BR ADU W/GRAVITY OSS. FEBSL1'--TYPE 3 ' rw E2 O 2020
0'-65"+:VERY GRAVELLY LBMS ��� ' : v
SL2-TYPE 3
d'-65"+:VERY GRAVELLY LBMS
SL3-TYPE 1 ALL SETBACKS ARE ME rUlRED 615 W.rWt1 �� �r
SL46aTYPE 4 EXTREMELY GRAVELLY MS r + ROM
�g THE F g�R i H tp ^E •( v
a'-6a'+:VERY GRAVELLY LBLFS E IV i 1 i� 6 9
PROsECTION OF THE 13UI ;;i4G j
NOTE, �.�.
SLEEVE WATER LINE WITHIN 1 O OF SEPTIC TRANSPORT LINE \ -
N
PROPERTY SERVED BY EXISTING INDIVIDUAL WELL 91 w
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SITE PLAN (OVERVIEW)
SCALE: 1" = 60'
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-ccI�S PROPERTY INFORMATION: *APjVf
PN: 1 2207—75—001 60
SITE ADDRESS: XXX E ALDERWOOD RD
SEPTIC DESIGN, LLC
DRAWN:BSM.23 SEP 2019 1 PAGE 1 OF 2 PG Sea 80f.Gfg Harbor.WA 98335 253.509.9922
Nam Parcel# t 27.0— 75 OD 160 BLD#
BUILDINS Mason County 61,6
Department of Community Development q1 ?�
a
Small Parcel Stormwater Management Application/Worksheet (page 1 rf
�f
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment', with more than 2,000 square feet of impervious surface2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area All dimensions in feet
Buildings s2 X 3 v = I (p 0
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 0 X 24 00
X = Length of drive begins at the right of way
X =
Parking Areas X = 1 5 O t7
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) b u
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent 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,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described proper view and inspection as may be required.
X Owner/Agen ontracto (circle one)Date:
If the al Impervious Surface Area is GREATER THAN 2000 Square Feet, lease read,acknowledge and sign
the information provided on page 2 of 2.
Page I of 2
Name C1 t"TQYI Parcel# 1110'1•1 S- 0 0 1 la O BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
hl!p//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)_X The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT.352
Mail: P 0 Box 1666, Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described prop review and inspection as may be required.
X Owner/Agen ontracto (circle one)Date:
Page 2