Loading...
HomeMy WebLinkAboutBLD2018-01133 Final Detached Garage - BLD Permit / Conditions - 1/16/2019 r m 0 m p o_ CD XCD �� 00 C- CD CD v n�i n m r o d o 0 0 w .o �• 0 C fJm > D i $ w 3 r x (D -n0 00 L00 4y3 = �F 2 wn - m � nZD � cn CD CD 3 0 a yZ � � 0C) Z a cfl CD -+ _� 3 s 5, o m zX � MX cno y O y o CDQN � -n Dn O EL- o D r w z y c < m Z v D Z � m z v D � � -0 � 0) zm 00 Z ' m C) z z m 0 � Cz (n (n n 07 p o � C Cl) -0CD N N N O C. 0 ° a rn m CD N - 2) : a . W 00 0 -iC 10 CD 0 3 d 7 `° (nz m m S o o c0 m CD � cQ m 3 3 c yz Cl) O A N cn oo ? y? y, y = r TI g 2 o00o m o r v o 000a � � � _ m n CD o „ ; o c a r v cn oOo o o v z C "Z m CD p o CQ r � j ° Dm m r o a o Ccy Zwn „ mm 0L zz � x o ' " ° Z vZ mv 0 Fro m v, 0303v- m -0 -n -n 20cn N X O o a a > > r- f- cn Z Ei. 5. j n z m _0 Cl) � , -� mz m m, � - T m f m m CD ai W r `D f o m a cn 0 = wo n o cn > cQ m z 0 No Z �l N mmi �mi c > vv W m 0 o CD_ mm CD C) � o o (j) X0 m- 0000o m chi, vwi To g- -n mX w w rn rn rn m cn v m C G Z 0 o0000 X z ; G) mZ p v (D m 0 a to cfl v> v� v> En D D Q (D o a m 0 r m X N CS O O f0 r — Q 0 T X 0 O)O cNi, o 0 a)) N CCD 4 D '2 (n m O r °.�' n o O '� m m m N CD � � www m 0 y cn . 0 C Cb N N N N N C 0 O O O O O C �_ o_ CO O q co co co 0 0 0 0 0 n N N m CD O (D o0000 o D N � rn -L 0 0 0 0 0 x O N N -& V 0 0 0 0 0 o CD Cl) 0 0 0 0 0 00 00 W N N •e co r (0 vo -4 a) v v v N O w p� o3 a D Do O X 0 XD X � � Do 3 CD ' a(Do 410.5D � F0mCD a) 0�6 - oN < 3 o v Q CD v <� °� oQ 3Qo rnm m ov- • o m m Q _Q n) o Cl) W, Q (D n 0 v N 3 (1) 0 q v n �' � N � 3 Q m T o 3 � CD CD m o - � x - 3 < CL cnQuo 0 3 am CD �' 3 cn � 3 Q y N. v C OOfD - C N o N (nN N � 3 �. m v a c o 3 cn 0) Qua a) n•� NN � O 0 � � Q N. 3m QCD Cn .0 w cD � v (03 n fD (p (n IS 0 . cn O Q O 'a 7 !. 3 o c0 (D C < � (D �,O to o N 3 0 7. (D o Q N (D O- .N. — 3 O 0 '�" N -0 Cr N (<D 0 7 0 O N moo (n a) 3 0 N N' C- O (D Cr 0 3 (n o cn (D 3 = 3 0 O N # e. (D.p () (0 (D N O6 Q (p CD v N cr (D CD 3 D] Q (a o — .. 3 CD N N P -0 � cn 3 O .0 -. 3 `< O O 3" N.O0 Q CD lD -O Ul 3 C Q a Q CD m O 3 cD (n 30 O m 0 0o cD �; (D cD << O C 3 N 0 In (D 3 -� 3 N _0 3 CD _0 s � � ma 3 QC = � 0J v wv n (D d- 6 6- o D 0 � � CD g 3 ? Q (n o ,) C� _ < v �, 3' 3 Q o (D cWym o -0mN Om = 3 v CD Q 000 WN - � Q o fD m 3 ;, 3 3 c� a r z r fl � -u- 3cn0 mob O (n a) 0m o � v < � o 0 3 C m 3 0 c d Z Q O CO) Q n� � c i m cn ,� no (a 3 O .a O cn (n N m v (i (o c_ 3 m :3 N p O can v Co z 00 --I ccn (D:f�D Q (D � 3 >y N `< fD N (n (D n Ocn b 0 o �� c Q CD CD 3 o W0 Wo p 3 -O (D -0 Q3. n .3. ai 3- 3 a, 3 W W v a 3 En 3 0 p (D C ° o C Cl) a 3 N' 3- - u C, - O Q r; N Cn 3 3 w ::r N o (D (D o 3 C 0 0 cn O ;: 0 — .-F O Q C C cn cr cn O (�D mO v Q 3 O CD� - ? 3 N 0 m a) lD 3 (D 3 (D a) ((D � 3- O Q — 0cr D 0 C O O N C (D (D N (n tT a Cl) O x 3 a o«iorwp ::rw (�• CD Q Ul 3'- (Q 0 (n .. (C (0) Q O (D 3 3 — C 'O N 0 -0 Q 3 N n m0 N � 3 S N Om CD 0 N O 3 0 0 _0 cz (C 3 (D O Q 3 3 0CD �' C- 0 n 0 a) O CD "O N 3 Q O (n 3 N N 3 .n.1 p a N C < w 3 --0 CD y O — 3 (D O ( a) 0 cn � -O 3 ON � o - o 0 O n (D f� - 3 (D (C CD 073 (n — to N — < 3 TIC 3- 0 fD 0 n 3 C ._: 3 C (D N. � (D w - 0 0 3 0 0 — 0 3 — cn' - - (n 1 1 O LU 0 0 3 Q n C O O C tU 3 3 cp N'-0 m 3 (D 0 m 3 v m (Co CD p —. n 0 C) 0 0) cr O n 7 3 C •< !,1 0 6 C' o — 3 — = C 3 CT — " 3 (D - nCD > C — CD N3 3 W� v 3 O cn QCD N QO N N cn -O N � W .. A j' N N 3V i O C N OND (0n 0Q N. W (fl � .,,t.C) y D X a3mv X x � m o a) inni w �. CD cn �' °v coo °CD 0 �' �. C p ° ni 3 ° c Q ° cr ° 3 �co 0 cfl m O p �� OC = � 0 -0 `< 0 ,-r 0 n Q CD M C C � m � N 3 O � -0 m m CCD 0 0 D3 0 3 �' z -To q D CD mCD cn � m 3 �. m -, �. cn cr cn cn m Cr IL"r: O 3 -< r: C -0 k ma °=r CD �, v o m v 0 � v v m = ml� i m =. m o 0 m 3 0 = n N p) v 3 ° 0 O Q 7 3 cn m < O ° O Oi _� cn �_ N rt Y m m ° CD 0 N Q � � m -. m N � n x a m CD m � ° CD m 3 O 0 P m v o cn N am — o'O O Q cQ m O N O In (Q 0 O m X OJ o — K w -n N 7 3 C 7 Q N N CD cnN a � 3 = m- c0 v , 0 � Cam D v, m chi ° nm m Q � 3cfl m 0 < � aa r � o .. .� X � v °� 3m ` v3 cn �' 00 � oo CL cr v0 Cl) 0 ° m > > z Q 5'vm m v m Cl) o pmOvm � � Q O m cn � 0 m � � cn Q N c N N cfl m �. cn � c fD u, O o 0 v - . O 3 O O � — - N .< CD �' � � rrm " m v m a o � m Q � co of o m 'CD 0 CD 0 =m = o o m n M 0 p o ° m N O m-0 : < m M Cl) 0 O• m O = z W O O i t rr �• �• m to cn N �• m O cfl �, C � 0 O: S � � vQ = cn0 m � � NQ � 3 o' z `� o cN CL m o CD (a CD W � 03 3 0 cn O 0 0 = 3m - o v m � N � n v 3 o c c m O n� cn co �; v, — — m — -, cn O v .•. m � — `< � m � a0 -0 W - O s u>Cc -oCD �co - p � °- m o0ch m ov a 0 0 .=r m — -0 Cr O N � cn o QEr - O 3 w m Q o_ -o m m � Ica �. _ m << y 'p in o ° - 3 3 m CC' N m m p �. 'Cl ? S l< O- m o � � � =r— :3 CD 3 vm v a) — 7 — ._•r m :3 c m � o � a o v x �' o n D m �' 3 a � �. 0 � o _I a w ti ° o v v v, 3 cQ cQ O (�D m < (O O O N O =r . . r �, v) � m m � c cn -0 = a0 < .� v 9 : O Cl) m 0 0 m _. 0- m — 0 0 -. Q n (LSD 0 --0 � 3 0 v m or Q O m 3 0 o cnn�im3cnm �`< o c�i cn 3N N cCD n .« - m3 0orr m - � o �' - - v o rr � 3. m °' 0 cn 3 ° ovr �' m Cn Cy � :' cc m m m ° � 3cno0v ° c 3 Q 3cn -. x CD CL m o -iDv � - ° m QCD 3 � = =-0 m co a m o v v Q � -� - m � aCC m PL vn m � v � 0 N cn 0 O< m - a0i —� O• CCD m -0 3 m v m Q - - m �. m v can 3 - - - ov = CD 0 m cr cr v n C :3 CD = cnv � �_ ° cn 00 0 w : m 0 Q - m 0' <_ 0' � (3 Q c0 U) - Dom Co. � m o 6,03 v a c ,� 3 m > > m CL n 3 0 < o 0 � cn Q Q _ m N m N m W 0 0 cn cn `Z - � � 3 map -0 �' _: ° W 3' cn „ * � - Qm r* m Qm � co m m' v 3 cn cn m Q cn Cy CD � m0) c0 0 o wCD W W m m mWm cn cn - vm-0 a — in' : _'� nr N cD n 3 N ((D m m 7 O .r m �. — 7 -r iU 0 c0 cn 0 v EP 3 �_ 0 c0 0 (A nCD -� < O O .r - --a CLm _.Q_—. cn CD a_0 a C n o N m 0 m 0 C cnvO W m � v03 � m ° r CD CD m N � F)' m � * v 3 a a- 7 W i fn m - _ �-' S '-r O f`<n C N CD _.O-r N• `< m �' S 0 .r m O m �. cD m Co m 0 3 cn cn W N N N N N v v v o o ao -4 rn N O y :o Xo D X � o D D X WC� Xo D_ X� cn D_ X 33 X o >. a _5. 0 fOA CD 07 -0 -0 COD C O Y(D 0 ED m (Df� j m 0 p (mj 00 v c -' p 7 �r v p mQ m omZ m � (nm peCDp < O n O fD �< vcn r- N (Q C (mn N 0 N c � 3 3' n m _ w � � X ' =^m �' v 3 n � o � 0 0 o 0- CD o c0 '� -2 a1 � m — o O C_ - O m _ 3 rn QfD Q_ . co m o MZ c � . 3 N ,' gy m 3 (n 3 p � to(D 0 (n v 3 N �� 7 v -n � � m n CL ,. O N a = N O o 3 (D Q xv (D m m �v a Om � S me O 0 -n U) (n p o(D 0N (D r N(Q CT oo S?o o E c ar6' ti CD ' v m ao. m (p• � - Q c3i N v u,'o (a wvCL v 0 m `nCD � � Q. mCD N c � -0 0 v cn 0 r v a) CL cn 00) � 0 (Q C c o' (� 3 a <CD 3 =r n v n 0_ m ° 0 v 3 °' (Dr. CD m m _: Q- O v =r 0 l< � 3• n Q v 7 N 'O _ O m p m (D Q 3 (D c m y o 3 0 �' CD 3 :3 - -0 - w �' CA -0 0 .< 3. CD CD° 0 O m N O a, l< (n fl--0 O< cn N (CD ° Q = fD CD 0 -p -p m cr - m (Q Q y o =r-v' v c m (D v << v' CL i b 1• .b D) (ac = D r' 30 N � 3 a p to to Z7 p p m N to v 07 `< (D � � n� 3 � � O � � � 3' 30 m 3 aQ : (Q � 0 3 c 0 3 3 m m y v m y M j m N -0 CD c m 7 0 -0 Q v - C m v0 CD(� CD v, X y m Cr 0 D � m � - � o N N 0o v -0 0 (p p a< O v m 0 3 (n 3 �' m3 3 �< o a3 vv mN 3 w � � 0 3N. ) vm 03 m 02) � 0 v � rn 3m o l< � 0 -ate X � o o � coo. CD E cn CD—6 =3 � cr -0 3 m � 0Z 3 0 � m Cl) n - rQ. ,.. N. � ( < o -u0, Z c (mn Dc � � a o o,o p r►�i ' .. a Q`CD — _ 00 - v O o to `� (D c �' 3 a 3. 0 cn Q W (Q C � p 0 m �` m Q j C a � (n c (Dv Z 3 3 o x 3• �:- (D 3' m o (n (D (D Cl) 0 co to c ,,. . ., _ cQ o �, ° v co a -0 (n c N m 'roe°'.'_: 3 m(Q v c QL o Q m' Q o m cn s CL CD CD 0 D 0 n-a (DcQ o r F(n 0 3 Qo 0 w Z 0 m _ a 3 m a) 3 3 D O Q- v v Q D v v C. to (p to - v O 3 3 3 O - v W o 3 (D p m - N Q. _0 `< � w 0 n. n a N O- O p a O N O 0 (mn (o c o' (� o c m o CD o v (n 3 m CD O ,moo < 0 m o m Q cn v 1 m O 3' v _0 `< 3 Z `< Q- m o o 3 :3 `nCD m3 0 0 � g g o v 0 "< - o � 3 Kc D : 0 — m mCD � �' (D o - z � v m o `� (� 3 m N o �' 0 v : X o (� 2 0 3 < 0 � (Q ------o - - c 0 m C� o" - --c-� ---.___._ - m - 3 n 0 3 0 D o c 3 CD 0 Q 3 ? �, v 0 c 3 0• m m o =r W ° O CD — =r c v p O c Q+ m � vm - 3 -� m3 -h a 3 CD v3 — v � 0 p c _ � o v CD � �' (a CD � � m < s =r 3 m 0 r; {, y" W -0 (A 'G (� N O N O N N N N 3 Q Z cn N N Z c N c m w v _� - 0 ° a ODD X - r � � CD > � c o moo ; � � J(D � o = m ID =r o c -u A 0 > j vi �. <'' oov ° N r mC ca, - 3 o cu � �, N Q - p D � ' cfl _ � ° m p � D j o (n m 0 _ Q a, m0 =r mn Q. o � v O c < co n) N 3 �..;, M n m y N fD z� fD CD m z � � v ;� mQ- � m Hsu * x � N m 0- 3. O (� CO CL L2. Z � o c m a. B' � cv -„ mcnmv (a n m � -ter. O 7 Q N M Z co 3 2.,q N. cn a r« m C � cn � N cr c fD N tQ -0 N v � C 0 33. 0 m0 -� O = 0 ro -4 � `� 0 mm cn Cl, - v m m r Imo mz ° m Xcncn Q Z � ° < o � w� oo � o mD cCD 0CD y CD 3 r r- 0 to :3 ra3 3 m �' O � �; � �" yccnnM 0 nz (nv 0,3� r -n O N m O 0 0- Cl) �^ < O '—'� Vl O O D -n 3 CD !n fD 0 r 0 .. < O o 'voorCL cn mr N Q � � m 0 cn v z oo v 0 CD rn ° °i � v0 mm fl °cn' Ov o C) 03 o � < � n v N 0 o o DZccn CD'D 3 ZO m < 0 00 cn 0 CDto ZZ = m =• n O � 3 � Q v CD cQ QQ 3 DOCD co m 3 ° t cflCD 0 08 o O 0 -"% j o m � 0 3- m lD 0 CD (OD) O Z cn 00 -0 j a `2 � 3 v O — 3 O -q 0_ � � ► v `< 3 � � D ON o ° o T� cD D 3 3 to CD CD Z CD 3 o fn � ai - o o p to y ° cn cn m � N. O0 O� v N � _ (D c N n CD Q O O D D PL w v N O (D n 7G i- 3 Q v cD r _ cn -0 mo cn Cl) > 0 o Z cnCD 0 z Cl) N O CD =r O -n = 3 N j < O p O N Q o OZ .. o C < 3 cn o z3 v o = 0 zm ,< 3 0 !m m 3 o '3 Q O x 0 N O Q m0 cn m o ? � r�- v � -0 n -- v, m D � -< cn CD 6) 5o o - 0 o rD m � - 0 O 3 .-« " CD < m -0 �. O z � `<D Xm ? j o z n D0 o -- - Q z � -o o o OL < (a m G� Z m -u p < � (D F 3 m � y m - m cQ =3 3ov0 O nM = D m Q ---- m m .__ __.__*._o oc 0 o v _._. CD cn can -00 m o C N n O N m m �. 0' co o CONCRETE MECHANICAL MANUFACTURED HOME � NAil G� c Date By k `:., FobtingaslSetbacks Gas Piping FZltona: b ,. '` Irftdor Date By Interior-Date By bate By : Z = o . w Exterior Date By Exterior-Date B Set-up >; Point toad r Isolated Footings INSULATION late By < BCC J SLAB INSULATION Date By Data By FIRE,DEPARTMENT Foundation Walla Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS . , . PLUMBING Vault D t By yr Date B y OTHER Groundwork Attic Date By Cate By Type Date By .,� D.W.V DRYWALL "Gyps. Ink Brace Wall Date By W Date By Date 8y FINAL INSPECTION p v Water Line Fire Separation N m I Date By Date By data By O Pass or Request Inspect. o `= Type of Insp. Fail date _ date Done By Cclmmert#~ w ell- cc CD Cn 0 �2s z `i�tl s l l D k "o y a CD Sv cn (D O V C MITT MAP, 8s!60 14A TJr --- N- 1�C E I`�E EAGLE MOUNTAIN D l Q "ING OCT 16 2013 PLANK-- --- --------P� r y OQ COLLINS --- ---- ~ co LAKE �F 615 W. Alder Streei COLLINS! PL y MOUNTAIN VIEW PLC o O SUNDOWN D \ i LANDING�pNUV �ELFAIR L '. ANNING, DIRECTIO"S TO SITE--; © , le,9Lti0% '` ALL SETBA S ARE-MEASURED y s ! p ,z, iz FROM T !~U.RTHEST I EZ�' PROJECTirn E BUILDING i Bedroom residence= dD G.P.D Cp.i.^,ary) G.P.D. Creserve) b ES .3fs0 Q.P.D./S.F. r� !ST Creserve) DRAINFIELb. r s / 2. BENCHMARK EL. = 100' ASSUKcD Tat' or` 1$SE����� ; COUNTY D Cv PLA .1 ! ti� 3. //Sb GAL. CONCRETE SEPTIC TANK.&e:k/s,77NG� r,�..IN +/ L�7 ,� ,�, SITE PLAN RE G Jl a• 'se.ave v��•ti-=-��a AR.£0�AL �. � QU'1RED TO f'L Olv�' L I� SUBJECT TO APP �i;E �} BY ROYAL �f _Z-/LS7�lGL C.i�9TTc2�,zvp�c Date 6. 6" PVC ASTM 3034 TIGHTLINS. J c3) ✓�� \ '/ // MIN. SLOPE = 2% 7. d" PVC CLEANOUT, 8' 'WATERLINE. MUST BE LOCATED MIN.10' I�� JAL �FtG tiE.vT f iG Tr,F' Pf(OM ALL SEPTIC SYSTEM COMPONENTS. OWNER: DESCRIPTION' ADVANCED ENGINEERING' F LEGAL DESCR _ JOB NUMBER! l vip GYIJ�A/ `S: T:23 R- Z T.P_# z233�- o-may to-S=lam 128 N. River Street 3/ - Montesano, WA 98563 S2 -5- Al. ,v-��,�� Ore DATE ZIA\N 360-249-8447 Toni-9 lvi9 98yo 6 COL'1/1/S �.�c vv, z r.�z 6 y SCALE: L' �`O SHT'/ of RECEIVED O OCT 16 2018 615 W.Alder Street Ix PLANS'JNG a. rA 60 Exx'k 7 M .5 2, EBL- iog PUL C3 q'J 7-111 Ap kv� U-0 31 -4 Co Oan F6>r 3- 0 c7v U o? tip. d. k -T r Z.2 dL I (l, �ov� `^ o{vim05 7:7 1J r Y' Name Parcel# 22 331 -,-J—- _W BLD# Mason County RFc Department of Community Development �� c Small Parcel Stormwater Management Application/Worksheet (page 1 of '� CO o, Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building pplikAj ,s made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2. 6"V. '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 30 X Z 0 X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Driveways X = 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 = 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) _720 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- Wtheotal for review and inspection as may be required. Owner/Agent/Contractor(circle one)Date: ervious Surface Area 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 for 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 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) 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 450 100 W.Public Works Dr 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 400 415 N.6th St—Bldg#8 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 oN Got".`` MASON COUNTY COMMUNITY SERVICES V -61135 �A `; PERMIT ASSISTANCE CENTER: Permit No: —3'2 •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 CEI 1/E f, '0 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone LL„.!J 1 ' Belfair(360)275-4467•Phone Elma:(360)482-5269 OCT 16 ZO1r3 BUILDING PERMIT APPLICATION 615 W.Alde r Stm PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: v.rd C', © = 1 NAME: Fmn „n rn (OY15)� LL C. MAILING ADDRESS: iR e-G% WO p&AILING ADDRE p -,,�Yjp CITY: "rib " STATE: w^ ZIP: '3 6 8 1 CITY:LaCt STATEW A ZIP: Ci legoiQ PHONE#1:C 3 y S2©—l S" PHONE: CELL: t PHONE#2: EMAIL : m EMAIL: L&I REG# F t c, EXP.g /SW2p PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHER❑ NAME_—mec azze EMAIL ra-KL n77 LL MAILING ADDRESS o Rois S� CITYLAu•L STAT ZIP qRM_ PHONE 3(10"7`l L-ga3y CELL PARCEL INFORMATION• F-i u i i n! PARCEL NUMBER(12 Digit Number) ZZ 33 I So mpu`{ ZONING _a LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 91 1V f_ Cr ay,- &w PL CITY IGt6.34fG DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 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 ADDITION❑ AL//TERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) (fi(krrjj tL 7 Zo 47F IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[,,]of Bldg) ❑ NO DESCRIBE WORK c v� "l 7� FT SQUARE FOOTAGE: (propose+existing) IST 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 7ZO 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 Q� If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOg 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 I am the owner and I further declare that 1 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 8 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 D 1 , Signature of OWNER(Mustle signed by the OW ER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT e- �0-23•� PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH