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HomeMy WebLinkAboutBLD2024-00398 Pole Bldg - BLD Permit / Conditions - 3/26/2024 MASON COUNTY COMMUNITY SERVICES Permit No: �L�4�P`i '003 PERMIT ASSISTANCE CENTER: R E C E I e A EE D •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL t� 615 W.Alder Street,Shelton,WA 98584 • Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone I I Belfair.(360)275-4467•Phone Elma:(360)482-5269 1AAR 2 6 2024 00 BUILDING PERMIT APPLICATION 615 W. Alder SYeCt C PROPERTY O NER INFORMRRATIOrN:: CONTRACTOR INFORMATION: WNW NAME: iG NAME: r MAILING ADD SS: ©5 U` 5W MAILING ADDRESS: CIT'l w 7STATE: ZIPH CITY: STATE: ZIP: r PHONE#I: 2 ZjZ"ZZ L PHONE: CELL: PHONE#2: EMAIL: EMAIL: Z 0 m5n b L&I REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ p t( OTH RA NAME 'N',� EMAIL +n�bL'4Y"�C iwp�,�61 r Cd/✓1 MAILING ADDRESS -14- 5 D'Af 120 CITY LC ATeW& ZIP` PHONE +Q"2© 7- Z a3 I CELL PARCEL INFORMATION: 7 / n r PARCEL NUMBER(12 Digit Number)LL'_��G! 7 I��QJ t� ZONING �`l�Cii�'� �cs I LEGAL DESCRIPTION(Abbreviated)X Di\ 7J t7, j /qN � _FIRE DISTRICT SITE ADDRESS_ ` W H�tv ,A'"loll (d vie e TY � DIRECTIONS TO SITE ADDRESS , _lol Kfi hl,e-kJ r,`P '03 i-i S n"\ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO'g SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all Mal apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW' ADDITION❑ ALTERATTI�ION❑pp REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 90MI(f IS USE: PRIMARY❑ SEASONAL f, NUMBER OF BEDROOMS © NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(parr[s]ofBldg)❑ N rr DESCRIBE WORKZ4`X.3i�lt�Z� I( Pht ll' 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_ab�k 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 Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOR EXISTING SQ.FT. EXISTING BEDROOMS i 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 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 permittapplication 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) _ 1 X `/rJ ��� '�-�ST 04"� Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Date Received: MASON COUNTY RECEIVED COMMUNITY SERVICES DEPARTMENT t BUILDING•PLANNING•FIRE MARSHAL MAR 2 6 2024 a— Mason County Bldg.8,615 W.Alder St 61 S W.Alder Shelton,WA 98584 www.c.co.mason.wa.us 360 427-9670 ext 352 q Q Permit#: Property Owner's Authorization Letter 4 - I (we): J 9� go(I , (Print Property Owners Name/Firm/Organization) Hereby Authorize: ��. C t"'�'J Ko.'e/ (Applicant-Name of Person to Sign Permit) Representative of: (Applicant Company Name/Organization) To apply for, sign, and pick-up building permits for the following proposed work: 6 CJt i n (Brief Description of Fork to be Done) Job Location: Toad 3©�;/©©© /© (Property Site Address) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above.All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). - �dj k4"'_ 3- 7 [-- ZO 2'� (Pr erty Owner Signature) (Date) Rev.0311012016jlbn Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) 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 surface'. '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. 'Common 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 X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = 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) 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 review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page I of 2 Name v Parcel# 31 950-31-000/0 BLD# -0039g 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: httpHwww.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)/145 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 property for review and inspection as m quired. Owner/ gent/Contractor(circle one)Date: Z Page 2 of 2 795' APPROXIMATE PROPERTY LINE 135 130 Uo N 0 m Ut N O � O ! s � PROPOSED !6s k 24'X 36' n POLE BUILDING ~397' -o !ps Z � m i ISo m saenen WA 98W s .- sffief i ne Park Q7min i W e 6 rnMs �p Road 7. Sal+sh C6ffs G�C APPROXIMATE PROPERTY LINE lwt wen lanky VICINITY MAP FROM GOOGLE MAPS Legal Description:Section 30,T 19N R 3W THAT PART OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER AND OF THAT PART IF ANY, DIRECTIONS: OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 30,TOWNSHIP 19 NORTH, FROM SHELTON ON 101 RANGE 3 WEST,W.M.,IN MASON COUNTY,WASHINGTON,DESCRIBED AS FOLLOWS: FROM WA-3 5.3 MILES ON 101 BEGINNING AT THE INTERSECTION OF THE WEST LINE OF SAID NORTHEAST QUARTER OF THE RIGHT ON W HURLEY WALDRIP SOUTHWEST QUARTER WITH THE SOUTHERLY LINE OF COUNTY ROAD KNOWN AS HURLEY-WALDRIP ROAD; RD RUNNING THENCE SOUTH ALONG SAID WEST LINE 500 FEET,• SITE IS ON THE LEFT 0.8 MILES THENCE EAST 700 FEET; THENCE NORTH TO SAID SOUTHERLY LINE OF ROAD; THENCE SOUTHWESTERLYALONG SAID SOUTHERLY LINE OF ROAD TO THE POINT OF BEGINNING OF THIS DESCRIPTION. EXCEPTING THEREFROM THE WEST 376 FEET,• 5.3 Acres,Mason County POLE BUILDING SITE PLAN BETWEEN 1041 & 1151 HURLEY WALDRIP RD, WA 1 if = 60' MASON COUNTY