HomeMy WebLinkAboutBLD2012-00881 Final Pole Bldg - BLD Permit / Conditions - 2/25/2013 -
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o CONCRETE MECHANICAL MANUFACTURED HOME _
o Date By
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oInterior Date ;cST Jfc By interior-Date By Date By m
00 Exterior Date By / J Exterior-Date B 5•t-up r
Point Load I Isolated Footings INSULATION Date By 0
BG I SLAB INSULATION -- D
Date By Data By FIRE DEPARTMENT
Foundation Walla Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANETANKS
PLUMBING vault Date By
Date By OTHER —-
Groundwork Attic
Type:
Dale By Date By Data By
DRYWALL RYWALL Type.
Int.Brace Wall Date By W
v_ Date By — e B Daly
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m FINAL INSPECTION O
0 Water Line ' Fire SeparationNO
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RECEIVED
� ��I q s o� C-li i{e l�r�✓e. � —
NOV 2 s 2012 PLAN N I ----
426 W. CEDAR ST
r
E A� lI /vlagan Lake- Drive. �
GrafeuiP�>, WA
I
�rvFioSE�l
A Aj i
_. PLANNING:
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
PROJECTION OF THE BUILDING I p► qo'
1
' ! j
APPROVED
.'AASON COUNTY DCD PLANNING
I '
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJEC TO APPROVAL
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U4/41/4VU0 Uo.UL rn.n 0QV 441 fiao lllriDuly VV rzil"A:.1 1111%
Name Wh ��_ Parcel#„2 BLD# J I Ol • C�1„Jt7�)
Mason County
Department of Community Development ������NA'
Small Parcel Stormwater Managemeut Application/Worlcsh
Per Mason Cottrity Code, Title 14, Chapter 14.49 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 meanq�,on an already developed site,the creation or addifion 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
2C,>ommm imperviious 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.Opm uncovered retention/detention facilities shall not be considered as impervious surfaces.
.:x>.:«rq,s>...<4»',:.:f•' :�� S « .> �x .. .:i';..,:,:..:r:: :.:M:G:•i�; �,:.':ix x.!'�::i}::.nx :'s:;.q:J:i
:Cl,i'....xL'�.:.:Ai..: ...S:E:.. ���. .i#. �}+I_�f.' <�!p�4 %,9,�,�.' � ..�.>��i.i::'.' ia.':xa: ^!U.'.:•.x.,r
ass+: i.�f. .s.. >-o.e. i'x o:•s:.w
Surface TypeLength 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
Palios=alks X
X = Any paved, gravel or packed area per definition
X _ above table
Others X
.,y �✓yy.nn.y.>'���jy�fr���. '�,>�r,���w.��,,}��Q'�w�5(; �:;.x.>,ryy,�.�<x>.,:�:
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y,, ..) .,�q'/ �' x.;;.: .<: .�k.. 7��� :P<iC��f.l:w ✓ <nrl;::,y<a: '>�F;;�:;!x:>'..'.w..:<..
,h
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;:.T<::;<rm>: s>,: .�.,: x:..x.xr, >:3^.>..o.•x >.��. �a.us:e: f <y.o<x•.; psi:. ,:,� �n;i :�r£,
{ �� ,t:f,::oii:i:z:gq;•f:.,.. >.a•✓>a:�R^� o-s: x.x,>..x;f.,>:..:<k.;i.;q;:�,Mu����i,>:.,«.f��..«.l.,;x.>
„rri
If the Total Impervious Surface Are is LESS'[IiAN 2000 Square Feet,pleas read,acknowledge and sign below.
Bascd Upon the irtfon nation you have vided tormwater Site Plant IS NO required for this development activity.
OvmerBuilder/Agent Ai±nowledges thatl'submission o ' curat ormation may result in a stop work order or permit revocation.
Acknowledgement of sul%is by signature,below_I declare that I am the owner,owner's legal representative,or the contractor.I
further ackuowledg a that.the information provided is accurate and employees of Mason County are granted access to the above-
described p y i.'or eview and inspection as may be required.
_Owner/Agent/Contractor(circle one)Date:
If the total Imps-rviaus Surface Area is GREATER THAN 2000 SquareFeet please read,acknowledge and sign
the information provided on page 2 of 2.
Page I of 2
RECEIVED
NOV 2 8 2012
426 W. CEDAR ST
v'ti rli�vvV vv.vY aa.,. VVV 2�1 1 OV 1LLr1VVl VV 1L1..R�1 loll\ !''J VVV
Name Parcel# $LD#
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 ISRequired 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:
http/lwww.co.m.ason wa—us/eode/commissioners/index.htm
Please follow thi; 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 Stormwatcr Site Plan". This document will assist
you in preparing the iiecessary•information and planes 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 Ah D 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 relzistered professional may be required for more complex sites.
*'Mese details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site flan
on the pages that begin with"ITandoe'
PLFASE M-M1 L BELOW TO INDICATE THE STORMWA,TER MANAG1ENMNT PLAN FOR THIS STTE
A) The relevant details From Managing Storm Drainage on Small lots, The Small Parcel Stonnwater Site Plan will be installed
in their entirety A)`dD tt e system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An altemativc plan and/or professional design will be submitted to the Department of Public'Works for approval AND the
system will be l=ited as not to adversely allect any septic systems on this,or any otber,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, 430
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 Healiih to ensure that the stormwater system will not adversely affect the septic system of this, or
any other, parcel.'Ycv 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, Sbclton 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 f nal inspection of the building permit.
Owner/Builder/Agent Ai,knowledges 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 acknowledg-.tbai,the information provided is accurate and employees of Mason.County arc granted access to the above-
described property for review and inspection as may be required.
X Owner/Ageut/Con"ctor(circle one)Date:
Page 2 of 2
I
RECEIVED BUILDING
-.�-,
V 2 8 2012 MASON COUNTY IT NO ICj 2L I— ' �ESE I
NO BUILDING PERMIT APPLICATION eb CA
426 W. CEDep c 426 W. Cedar- P.O. Box 186, Shelton, WA 98584
"�t�21Ton (360) 427-9670- Belfair (360)275-4467- Elma (360) 482-5269 `� .�
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner le— Wh',twell Company Name SONnA pu,,1dirr6 50tFM5 cnc.
Mailing AddresA 7301 Sekf, M Streed Mailing Address .35-yb TArn CI V k�e- P,.,i
City '-far a g State wA_ Zip Code 9VIOR City� State u)A Tip Code ?F361-
Phone 253-'t 7.2 y 9 Other Ph. Phone.3/,o-y3 7-I-t►? Other Ph.
Lien/Title Holder Contractor Reg.#SouN.DRso-27Nr't Exp.
E mail address E Mail Address soundbadd,q Obvirne;1,cot-
Drivers Lic.# DOB
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 - - S2 - Fire District
Legal Description
Site Address(Please include street name, street number and city) Ea72 r M0sc.1 c.Hk-Dr 0 , Grin t%Y IE K�
Directions to site Nit � 3 ke-f c. Esc, 1rke. Rv.d , Le-ftc:, 14a6o., lak„ l�r,�r. Fy Hsu pcsr c5.•,_ �r,n��,n ,
S,fl- 1.5 c K
Will timber be cut and sold in parcel preparation?Yes/
Is property within 200'of Saltwater 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 X Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Gti-c.e- Describe Work U—:5 --chr; ef 3:+',K3E' .0 10a,lel�na aar4.+.
No. of Bedrooms n No. of Bathrooms 0 Square Footage-1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage X Attached Detached LE 2 Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
1 Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/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 permission from all the necessary parties.If permission is
required from any easement holder,or any other party in interest regarding this application or the worts proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is acrurat and g is employees of Mason County access to the above described property and structure for review and inspection.
PROOF 0 NUA N O ORK IS BY S OF A PROGRESS INSPECTION.
X Date- L
Owner I Owners epresentativ Con (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department Z �Z
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
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 I Pre-Paid at Submittal
Valuation$ TOTAL FEES