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HomeMy WebLinkAboutCOM2021-00054 - COM Application - 3/17/2021 MASON COUNTY COMMUNITY SERVICES Permit No: �,"��'Jl �-Cfa<� PERMIT ASSISTANCE CENTER: '' •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL • 615 W.Alder Street,Shelton,WA 98584 ' tom, Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phonel Belfair. (360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION ,� PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ore t NAME: WA ST Parks C/O Larry Mallo NAME: MAILING ADDRESS: 1111 Israel Road SW,PO Box 42650 MATTING ADDRESS: CITY: Olympia STATE: WA ZIP:98504-2650 CITY: STATE: ZIP: PHONE#1: 360-725-9758 PHONE: CELL: PHONE#2: EMAIL : EMAIL: Lairy.Mallo@,parks.wa.gov L&I REG# EXP. PRIMARY CONTACT: OWNER N CONTRACTOR❑ OTHER❑ NAME Larry Mallo EMAIL Larry.Mallo@parks.wa.gov MAILING ADDRESS 1111 Israel Road SW,PO Box 42650 CITY Olympia STATE WA ZIP 98504-2650 PHONE 360-725-9758 CELL 360-515-6761 ( , PARCEL INFORMATION: Lmo w L. PARCEL NUMBER(12 Digit Number) 61929-30-60020 ZONING RR10 LEGAL DESCRIPTION(Abbreviated) TR2 FIRE DISTRICT 11 SITE ADDRESS 1365 Schafer Park Road,Elma,WA 98541 CITY Elma DIRECTIONS TO SITE ADDRESS Take Lake Blvd out of Shelton it will become W Cloquallum RD.Take W Cloquallum RD it will become W Satsop Cloquallum RD.Take W Satsop Cloquallum RD to Schafer State Park RD&take a right.Take.Schafer State Park RD 630 ft&take a left onto the paved access RD. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑X SNOW LOAD:30 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK 0 POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc New Campground Comfort Station(Commercial Bldg) IS USE: PRIMARY❑3 SEASONAL ❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS 8 HEATED STRUCTURE? YES (Whole Bldg) X YES (Part[,]of Bldg) ❑ NO ❑ DESCRIBE WORK Construction of a new comfort station to serve the relocated campground. SQUARE FOOTAGE: (proposed) 1ST FLOOR 704 sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft. DECK 0_sq.ft. COVERED DECK 579 sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft. GARAGE 0 sq.ft. Attached❑ Detached❑ CARPORT 0 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 x❑ SEWER❑ / New X Existing PLUMBING IN STRUCTURE? YES N NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[N EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS NIA TOTAL BEDROOMS 0 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 PE MIT APPLICATION O 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X 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 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL • 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 • Phone Be/fair.-(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION gtder stre OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Larry Mallo NAME: MAILING ADDRESS:1111 Israel RD SW PO Box 42650 MAILING ADDRESS: CITY: Olympia STATE: WA ZIP:98504-2650 CITY: STATE: ZIP: I'PHONE: 360-725-9758 PHONE: CELL: 2nd PHONE: EMAIL EMAIL: larry.mallo@parks.wa.gov L&I REG# PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 61929-30-60020 Zoning: RR10 LEGAL DESCRIPTION(Abbreviated): TR2 SITE ADDRESS: 1365 Schafer Park Road, Elma, WA 98541 CITY: Elma DIRECTIONS TO SITE ADDRESS:Take Lake Blvd out of Shelton it will become W Cloquallum RD. Take W Cloquallum RD it will become W Satsop Cloquallum RD. Take W Satsop Cloquallum RD to Schafer State Park RD & take a right. Take Schafer State Park RD 630 ft&take a right onto the paved access RD. TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING Commercial LOCATION OF FIXTURES/UNITS—IST FLOOR X 2ND FLOOR N/A BASEMENT N/A GARAGE N/A OTHER PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric X LPG X Natural Gas Ductless_ Toilets 5 $45.00 Type of Unit No. of Units Fees Bathroom Sink 5 $45.00 Furnace Bath Tubs Heat Pump Showers 3 $27.00 Spot Vent Fan Water Heater 2 $18.00 Propane Tank 1 $14.00 Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other(Hydronic) 1 $19.00 Base Fee $90.00 Base Fee $50.00 TOTAL PLUMBING $225.00 TOTAL MECHANICAL $83.00 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 PE MIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV IDATE THE A LI ION. X SignatLffe of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1B N MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ,*�+ 615 W.Alder Street,Shelton,WA 98584 "'111 e Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair.•(360)275-4467•Phone Elma:(360)482-5269 p1�qq If•ftj I BUILDING PERMIT APPLICATION 61S VV A 01 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: y "tr00 NAME. WA ST Parks C/O Larry Mallo NAME: MAILING ADDRESS: 1111 Israel Road SW,PO Box 42650 MAILING ADDRESS: CITY: Olympia STATE: WA ZIP:98504-2650 CITY: STATE: ZIP: PHONE#1: 360-725-9758 PHONE: CELL: PHONE#2: EMAIL : EMAIL: Lany.Mallo a parks.wa.gov L&I REG# EXP. PRIMARY CONTACT: OWNER N CONTRACTOR❑ OTHER❑ NAME Larry Mallo EMAIL Larry.Mallo@parks.wa.gov MAILING ADDRESS 1111 Israel Road SW,PO Box 42650 CITY Olympia STATE WA ZIP 98504-2650 PHONE 360-725-9758 CELL 360-515-6761 PARCEL INFORMATION: T.ANTsMG PARCEL NUMBER(12 Digit Number) 61929-30-60020 ZONING RR10 LEGAL DESCRIPTION(Abbreviated) TR2 FIRE DISTRICT 11 SITE ADDRESS 1365 Schafer Park Road,Elma,WA 98541 CITY Elma DIRECTIONS TO SITE ADDRESS Take Lake Blvd out of Shelton it will become W Cloquallum RD.Take W Cloquallum RD it will become W Satsop Cloquallum RD.Take W Satsop Cloquallum RD to Schafer State Park RD&take a right.Take.Schafer State Park RD 630 ft&take a left onto the paved access RD. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO N SNOW LOAD:30 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) New Campground Comfort Station(Commercial Bldg) IS USE: PRIMARY[9 SEASONAL❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS 8 HEATED STRUCTURE? YES(hole Bldg) P9 YES(Part[sj of Bldg) ❑ NO ❑ DESCRIBE WORK Construction of a new comfort station to serve the relocated campground. SQUARE FOOTAGE: (proposed) 1ST FLOOR 704 sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft. DECK 0_sq.ft. COVERED DECK 579 sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft. GARAGE 0 sq.ft. Attached❑ Detached❑ CARPORT 0 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 X❑ SEWER❑ / New X Existing PLUMBING IN STRUCTURE? YES ® NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[N EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS N/A 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 PE MIT APPLICATION 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X 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 �� CAD NO.PN6(CUDE-PR0.ECTCODE-YEAR-RIfNAUE c .. _ APPROVED PARK BOUNDARY Z 6-15 W, Aldel" SIi-oefi MASONr�rU:`.`..f, a , PL ANNING - SITE PLAN REQ.'!-f � "k,) BE ON SITE ... CHANG S SUt.i( :_;f i U APPROVAL By N � us �`',`` \�`c / PARK z BOUNDARY �cnoN er cetE DESIGNED JR 06 01 17 DRAWN JR 06 24 17 :' _ PARCEL BOUNDARY _ CHECKED(FIELD) SATSUP ' I / ' f KREK�cm HDnTs. l f EAST 4.19'TO,6/ER 587 TO'RNER G / 5001 ituuvLR �� 124'TO STORMENGINEER.' P R "- ®• �_ i �:>a�_.�'- % PROJECT COUN GHT OF W DRAINAGE PATH oN �- 4© f II I g WASBINGTON PARK BOUNDARY - r' ;, , 'm ®._•� --` =o-_- �'• ` STATE o/1291.27' p` -. - - , _ �„ �' = PARKS i ? a�OI �' : — i -�,r! ' PARCEL µ --------- — -- BOUNDARY AND /j RECREATION ; COMMISSION LoI;t ,•' ' r` ' P 'AJ?PROXIMATE %` �� I;4, `.9 % fl! (,, ',i PQ ='• i LOCATION OF EXISTING ` 46T COUNTY x.-• ��� ` CULVERTS RIGHT OFWAY i'`n. •:�i- M LIN SCRAPER STATE ' • � 0_ I �r1 "� :, p p 39'TO COUNTY_OW ^", � s PARK" - i� i 740'COU {o L ' ��jb _ yj RIGHT OF WAY 041-hu t-owt)f o `RIGHT OF WAY TO COUNTY Nw paAnC Qa'asp GHT OF WAY 6kM2-1-0cggq ; NEW PARKA cEss CRIfICAI AREA LEGEND RELOCATE ;NEW PARK ACCESS , _ --_r CAMP-GROUND (n - PROPOSED FOR DEMOLITION&REPLACEMENT ROOD PIANO 1290.95'/ .' - n t. ---------- 8, 2.25' ,/ - 'PARK BOUNDARY ,'• --_ .. SLOPES>SSts OVERALL j SITE PLAN "AREA OBTAINED FROM MASON COUNTY GIS MAP "BASED ON COUNTOURS FORM MASON COUNTY GLS MAP PARCEL INFORMATION i SCALE j W. 1365 SCHAFER PARK ROAD ELMA WA."98541 - SEC-29 T1 9R 06W SHEET 1 OF 2 0' 120' 24W j ��ASON COUNTY TAX PARCEL NUMBER 61929-30-60020 PARKS FILES