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BLD2020-00974 MFG Home ADU - BLD Application - 8/27/2020
MASON COUNTY COMMUNITY SERVICES Permit NoSIct :26-20-DC414 PERMIT ASSISTANCE CENTER: RECEIVED •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL : 615 W.Alder Street,Shelton,WA 98584 A Phone She ton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone HUG 2 7 2020 (360)275-4467•Phone Elma:(360)482-5269 ` S , 615 W. Alder Street BUILDING PERMIT APPLICATION PRO ER INFORMATION: CONTRACTOR INFORMATION: NAME: ; V, �k NAME: 6t7t`SA 6G MAILING AD•DRESS: F0 MAILING AD RESS: 'cL q, O CITY:26`161111Mr STATE:_ZIP: CITY: BErI ,Y-' STATE: WAI ZIP: 5 PHONE#1: 2.�3.31�•34�� PHONE:IWA16.0 60 CELL: ALOaPbt•31te PHONE#2: EMAIL :Touc,%,of m EMAIL: (���f��roN'Z,9r[Me„G©V� L&I REG# 5�g3tN►e EXP. / / PRIMA Y CONTACT: OWNER% CONTRACTOR❑ OTHER❑ NAME O V\ EMAIL G •C�? MAILING ADDRESS CITY eA h9r STATE LVA ZIP PHONE 115 1 lali a v-146CELL 0 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) I X-Nic-116 0 ZONING q ? LEGAL DESCRIPTION(Abbreviated) l w 7.-). /y Se_CkW',1 FIRE DISTRICT �63 SITE ADDRESS, I I V I A49-dw p0b De _CITY Qe,� ?ct w D CTIONS TO SITE ADDRESS STa3Q, R"tt, WV `VAhV-A lbe19AWd- Or pri . ��SMolei 106 !, r rde IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Z SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW N ADDITION❑ ALTnERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc.) Res L6ew&/ IS USE: PRIMARY% SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS I HEATED STRUCTURE? YES(Whole Bldg) X YES(Part(s)of Bldg) ❑ NO ❑ DESCRIBE WORK M 0.L7�� LL SQUARE FOOTAGE: (proposed) 1ST FLOOR 9 ►2., sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK�d sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION:,4w *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE WttitoV0 Sl3peit Vg, �uC, MODEL t 2113�7r11 YEAR O O LENGTH WIDTH 3� 1) BEDROOMS 3 BATHS I SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING ❑ PLUMBING IN STRUCTURE? YES X NO ❑ If yes, attach completed Water Adequacy Form 1 PERIMETER/FOUNDATION D S PROPOSED? YES ❑ NOg EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 3 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 CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIZAPPLOICATI 880 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) 'loryIL +ze 8 21� Signature of OWNE ust a si ned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT GC— 16•I G'ZU PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH RECEIVED -3 0 aoa o AUG 2 7 noq 114 ,� � 2020 CONSTRUCT SGRIPTION• ADUW� _ OOM ve � 5 W. Alder Street - CONSTRUCT 2^9R SFR Ec 3-BR ADU W/GRAVITY OSS, S�- Y�VLRY GRAVELLY LBMS 2 ^�^ — CO I / o( SLZ-1YPE 3 (C..l li l.(L l.F/ 0"-8511+ VERY GRAVELLY LBMS s'13-TYPE I+.'EX p� NING. S1 60"+:EXTREMELY GRAVELLY MS ' (71- +gVEYPE ALL SETBACKS RE MEASURED / 0'-GD'+;VERY GRAVELLY LBLFS ' SLEEVE WATER LINE WiTIiiN10'OF SEPTIC TRANSPORT LINE � 5,11 FROM THE URTHEST E BUILDING PROPERTY SERVED BY EXISTING INDIVIDUAL WELL all PR ECTION bFK / u:' + SITE PLAN (OVERVIN ,�- --� SCALE: 1" = 60' ( ` l `l, ■.ai iNw y� / t 1, Q� 0 IV 20 30' 40 50 fv r re'IIa: '� Ca�uualu,rlWWVvYypevo�AtnfLLorrP�IIuuit�eetaa hlauec�lleq." `� _ thJiR(tOrtPfuhmlo t iPCtf�ana➢�v.cPq. �' are' ooa uragponN yoPlM properly a� r. a 10f1 � r' anwa� 0 VD � r Os Y2 Z Ad � Q ,.� o, '4 P • L Y Li�s °' cT �� o EXrines 2/25 1 y s 20 ue /sm+ O, r Lo, 09 uc. OQ �� ,a fr+� ,„�.Mm smi MII Mp L1U.wDl1 �°' APPROVED MASON COUigTY MD PLANNING 31TE PLAN REQUIRED TO BE ON SITE t&JOSIE CLIFTON CHANGES SUBJET TO APPROVA (360) 5097 5642 ROPERTY INFORMATION: By a1h 1 2207—75—001 60 PEW SITE ADDRESS: XXX E ALDERWOOD RD SEPTIC DESIGN, LLC DRAWN:BSM, 23 SEP 2019 PAGE 1 OF 2 aoo.v un,clalr,raor,nAPonae w.ecn.ansd i Name 1 1 {I C�1 rfn f) Parcel# I aao n• ��' 601 (94) BLD# 2_6RSM V LL Mason County AUG 2 7 2020 Department of Community Development Small Parcel Stormwater Management Application/Worksheet45gleVi Attyr Street 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 redeve nt',with more than 2,000 square feet of impervious surface'. 'Redevelone an already e,the creation or addition of impervious surfaces,structural development including cllatio e - i n of a building or other structure,and/or replacement of impervious surface that is not part of a roe land disturbing activities associated with structural or impervious redevelopment. 'Common 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 X = q 1 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X _ Driveways miri = X = Length of drive begins at the right of way X = Parkinq Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = oZ 8[� 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) 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 property for revi and inspect.on as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface rea is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Parcel# 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 f9f Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason'County website: http//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 app oves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive copy of the Public Works document entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwa r Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to re ew and approve. Per Department of Public Works this document will constitute an approved plan if all of a relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affe s any septic system (see Environmental Health information below). If an alternative system is to be used a plan will ed to be submitted to Public Works for approval. A design by a registered professional may be required for more co lex sites. *These details are found in the document Managing Storm Dr age on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout' PLEASE INITIAL BELOW TO INDICATE THE STORM W TER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Draina on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to a ersely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional desig will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any ptic systems on this,or any other,parcel. If you have further questions pertaining to p cel drainage and stormwater management Mason County's Public Works Department can provide additional instruc ' ns,guidance and examples. (Section 14.48.130)contact Public works at: Phone: 360-427-9670 ext 450 100 W. Public Works Dr Shelton.WA 98584 If this development has,or will ave,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ens a that the stormwater system will not adversely affect the septic system of this,or any other,parcel. You may so wish to consult with the septic design professional involved with the project. Mason County Division of Enviro ental Health can be reached at: Phone: 360-427-9670 ext 400 415 N.6th St—Bldg 98 lower level 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 property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2