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HomeMy WebLinkAboutCOM2021-00053 - COM Application - 3/17/2021 MASON COUNTY COMMUNITY SERVICES Permit-No,.- Ut rq'��� —��U.`�,� PERMIT ASSISTANCE CENTER: •BUILDING.•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98.584 RECEIVED ' Phone Shelton:(360)427-9670 ext..352-Fax:(360)427-7798.Phone Belfair.(360)275-4467•Phone.Elma:(360)482-5269 BUILDING. PERMIT APPLICATION PROPERTY'OWNER INFORMATION: CONTRACTOR INFORMATI :er Street NAME: WA ST Parks C/O Larry Mallo NAME: MAILING ADDRESS: 1111 Israel Road SW,.PO Box 42650 MAILING ADDRESS: CITY:,,Olympia STATE:.W;i ZIP:.98504-2650 CITY:. STATE: ZIP: PHONE#1. 3.60-725-9758 PHONE: CELL: l PHONE#2: .._. .... EMAIL: EMAIL: Larry.MaUo' 0arks.wa:gov L&I REG'# :PRIMARY CONTACT: OWNER JN 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:.. s ILI " 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 .Elora DIRECTIONS.TO SITE ADDRESS Take Take Blvd out of.Shelton.itwill become W Cloquallum.RD.Take W Cloquallum RD!twill become W Satsop Cloquallum RD.Take W Satsop Cloquallum RD to Schafer State Park RD&take aright Take Schafer State.Paik RD 630 ft&take a,left onto the paved access RD,. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%:. YES❑ NON SNOW LOAD:30 ps>f IS PROPERTY WITHIN 200 FT'OF THE FOLLOWING: (check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑x POND❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ ;.TYPE OF WORK: NEW N A.DDITION❑ AILTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc). New Campground Comfort Station(Commercial Bldg) IS USE: PRIMARY[g SEASONAL❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS. IMP., . . HEATED STRUCTURE? YES.(Whole Bldg) ❑ YES (Part[s]of Bldg) ❑ NO N DESCRIBE WORK °n cUo_ n ofar ew campground enf,7sign and WosR SQUARE FOOTAGE:.(proposed) "= 1ST FLOOR.. 1 77 sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 ,:sq.ft. BASEMENT.. 0 sq.ft. DECK 0—sq.ft... COVERED DECK .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 SEWER❑ / New N/A Existing: PLUMBING IN STRUCTURE? YES ❑ NO ❑ If;yes,attach completed Water Adequacy Form PER METERMOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ.FT.. EXISTING BEDROOMS 0 PROPOSED BEDROOMS:: NIA TOTAL BEDROOMS a —_.__ OWNER acknowledges that submission of Inaccurate information may result-in a stop work order:or permit revocation.Acknowledge ment.of such'i's 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.permlYapplication becomes null&,void if work or authorized construction is not:commenced within'180 days or ifconstruction 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 APPLI.CA?tO>y. . �I80 DAYS OF MORE WILL CAUSE THE APPLICATION.TO BE EXPIRED. (MASON COUNTY CODE'14.08.42) X Signature of OWNER(Mustbe•sictned by*.the�) Dabr DEPARTMENTAL REVIEW 8"ROVED. 'DATE-. DENIED :DATE ' .. 'SAC$/NO.TES(CONDITIONS BUILDING.DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH " c MASON COUNTY COMMUNITY SERVICES PeirmiItNo �Y�l C►�� -Lid G 53 PERMIT ASSISTANCE CENTER: •BUILDING.•PLANNING*PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98.584 RECEIVED Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798.Phone. Beltair.•(360)275-4467•Phone'.Elma:(360)482-5269 BUILDING. PERMIT APPLICATION � 2��� tq�ii I r_ PROPERTY.OWNER INFORMATION: CONTRACTOR 1NFORMATio cer Sfre� NAME: `UVA ST Parks C/O Larry Mallo NAME:. MAILING ADDRESS: 1111 Israel Road SW,.PO.Box 42650 MAILING ADDRESS: CITy:.:Olympia._.. STATE'-.WA ZTP:98504-2650 CITY:. STATE:. ZIP: PHONE#1.: 3.60-725-9758 PHONE; CELL: 3 PHONE#2: EMAIL EMAIL:Larry.Mallo it parks.wa:gov L&I REG# 00. 1 :PRIMARY CONTACT: OWNER X CONTRACTOR❑ OTHER❑ Lar Mallo Lar Mallo@ arks.wa ov NAME. rY . EMAIL fY� P •g 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:_ PARCEL NUMBER(12.Digit Number) 61929-30-60020 Z l`ll G 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.itwill 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 aright.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 © SNOW LOAD:30 psff IS PROPERTY WITHIN200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑x POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK:. NEW® ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,.Comniercial)3ldg,Etc.) N'-'� e"m Pl r0vAJ t Al-r y! S i 0 R 4�Kros< IS USE: PRIMARY[3 SEASOONAI.❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS. 1 A . . HEATED STRUCTURE? YES.(Whole Bldg) ❑ YES(Part[sj of Bldg) ❑ NO DESCRIBE WORK Construction of a new campground entry sign and kiosk.. :.SQUARE FOOTAGE:.(proposed) I ST FLOOR... 1.87 sq,ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT.. ,0 sq.ft. DECK 0_.,,sq.ft... COVERED DECK Sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft. GARBAGE 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 SEWER❑ / New N/A Existing: PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRiUNS PROPOSED? YES❑ NONEXISTING SQ.FT.. EXISTING BEDROOMS, 0 PROPOSED BEDROOMS.: N/A TOTAL-BEDROOMS. U OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of suchas 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 ali 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.permitlapplication becomes*null&'void if work or authorized construction is not:commenced within 1.80. days or if construction work Is.suspended fora period of 180 days. PROOF OF CONTINUATION.OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION: INACTIVITY OF THIS PERMIT:APPLICATION' . -180 DAYS OF MORE WILL CAUSE THE APPLICATION.TO BE EXPIRED: (MASON COUNTY CODE 14.08.42) Signature of OWNER(Musfbe signed bwthei OWNER) Dgto DEPARTMENTAL REVIEW APPI2C+Y D. )D TE. DENIED :DATE J. TAGS/NOTES(CONDITIONS BUIL,I.7ING..DEPAR']`MENT` PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH CAD NO.PAWMDE4MCTCWE-YW-RUNANE ii RECEIVED APPPOV D n� -J �^ 3 PLANNING gpA�y q 7 ry9 � MASON COUP' I ', G I PLANNING PARK BOUNDARY MAR 1 / 2021 a Sl ',_.::. .T 14, BE ON SITE Z SITE PLAN SL'-., '?r7 ' APPROVAL �,� I Sl-� pan, 615 W. Alder Street 2 us Do o /B -_• `� / PARK Z \ti BOUNDARY ACT10N BY DAiE DESiGNm JR 06 01 17 DRAYIN JR 06 24 17 PARCEL BOUNDARY CHECKED(FIELD) p,TSOP CHECKED HDQTS. / S \' Ns / 4,19'TO,RIVER i ; 1 587'TO'RIVER / - rnh RNER - �iSTORM-' _ - _ __,_ , 124'TO Q �` � ® ® �_ ,i -. _ ,� � / PROJECT ENtlNEEit GHT OF VIF I j DRAINAGE PATH r WASBINGTON PARK BOUNDARY 1 �j I { rr:• -- _ J _ STATE _ > ° PARKS Y�''+i� -b _ `i- ..tom i.: `, - rsr.::... -- - -- -- / . • .. PARCEL BOUNDARY AND RECREATION CONWSSION f P�"APPROXIMATE LOCATION j �i OF EXISTING 46T COUNTY CULVERTS RIGHT OF WAY I ' -. .r' •;�_. Y: M� SCRAPER STATE ell I, G ..- SECTiONLiN P� `Py 39'TOcouNTY r 5men,``� PARK 740'C�OU { j�%' �y ;, ��jb RIGHT OF WAY ( +711L1 f o ''RIGHT OF WAY " 298'TOCOUNIYPu t1C lab, GHT OF WAY Pjk51o21-ocRyq CRITICAL AREA LEGEND RELOCATE NEW PARK AC ESS -- --------� :NEWPARKACCESS - CAMPGROUND , 1 f, , /; U{ 1' :. - EXISTING CONCREl1=RESERVOIR FLOOD PLAN* i -- PROPOSED FOR DEMOLITION&REPLACEMENT / 1290.95 / �' /r ----------- 'PAW_- BOUNDARY - _-' sLOPFs>Is** OVERALL SITE PLAN *AREA OBTAINED FROM MASON COUNTY GLS MAP **BASED ON COUNTOURS FORM MASON COUNTY GLS MAP PARCEL INFORMATION SCALE W. 1365 SCHAFER PARK ROAD ELMA WA 98541 SEC-29 T1 9R 06w SHEET 1 OF 2 °' 12W Zoo' ASON COUNTY TAX PARCEL NUMBER. 61929-30-60020 PARKS F1LE