HomeMy WebLinkAboutBLD2023-00524 SFR - BLD Application - 5/11/2023 Permit No:
MASON COUNTY
10 COMMUNITY DEVELOPMENT MAY 11 2023
�Wzr Permit Assistance Center,Building,Planning
615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Gage Bailey NAME:Hiline Homes
MAILING ADDRESS:7271 W Shelton Matlock Rd. MAILING ADDRESS:
CITY:Shelton STATE:Wa ZIP:98584 CITY: STATE: ZIP: _
PHONE#1:360-463-9294 PHONE: CELL:
PHONE#2:380-701-7884 EMAIL:
EMAIL: L&I REG# ENP.
PRIMARY CONTACT: OWNER I] CONTRACTOR❑ OTHER❑
NAME Gage Bailey EMAIL ggbailey73@gmail.com
MAILING ADDRESS 7271 W Shelton Matlock Rd CITY she'm STATE WA ZIP98584
PHONE CELL 3W4e3s294
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)520045100005 ZONING Rural 5 Acres M
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT MCFD#12 W
SITE ADDRESS331)W Nahwatzel Beach Dr CITY Shelton
DIRECTIONS TO SITE ADDRESS rrom Shelton head West on Shea-m 5ock Rd for 12.5 mlee tun right on Nahwatzel Beach or continue down road for.3 mfles the property
will be on the right hand side
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[] SNOW LOAD:35 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS d NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(noleBldg)g, YES(Pan[.)ofBldgl)< NO❑
DESCRIBE WORK New construction
SQUARE FOOTAGE:(proposed)
1 ST FLOOR875 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft
DECK sq.ft COVERED DECK72 sq.ft. STORAGE sq.ft OTHER sq.ft.
GARAGE384 sq.ft Attached 0 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 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES❑+ NO❑ If yes,attach completed Water Adequacy Forth
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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 1 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 permitlapplication 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)
X
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No: 7
MASON COUNTY
COMMUNITY DEVELOPMENT
C Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Gage Bailey NAME:Hiline Homes
MAILING ADDRESS:7271 w Shelton Matlock Rd MAILING ADDRESS:
CITY:Shelton STATE:wA ZIP:98584 CITY: STATE: ZIP:
Is`PHONE:360-463-9294 PHONE: CELL:
2na PHONE: EMAIL :
EMEu,. L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):520045100005 Zoning:Residential 5 acres
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS:330 w Nawatzel Beach or CITYshelton
DIRECTIONS TO SITE ADDRESS:
Head West on Shelton Matlock rd for 12.5 miles turn right on Nawatzel Beach drive continue for .3
miles the property is located on the right hand side
TYPE OF JOB:
NEW[—V —)ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—I ST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
• PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.ofFixtures Fees Fuel Type:Electric�I✓ .PCZQNatural GassODuctless�
Toilets 1 Type of Unit No.of Units Fees
Bathroom Sink 2/ Furnace
Bath Tubs 1/ Heat Pump 1
Showers Spot Vent Fan
Water Heater IPropane Tank
Clothes Washer ? Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher ---�— Kitchen Exhaust Hood
Hose bibs z/ � Dryer Vent
Other ? c�11 L�• Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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.1 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 PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
PLN Approved
05/16/2023
Mason Count Community Development
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Gavin Scouten ,
All Changes Subject to Approval
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Planning Setbacks __
Front: 25' �� � �-�-o
o a f s
Sides: 10' (10% lot width @ build location) Ic
'
Rear: 20'
all setbacks measured from the farthest �" � EH Setbacks
projection of the building A; Draainfield/Rsrve requires 10'setback from footing/foundations
t B. Septic tanks requires 5'setback from all footing/foundations
* C.)No foundalion/Perimeter Drains within 30ft,downgradienl of
subject Jo EH setbac S Drainfield/Reserve area
j 16 '�/J��V J D.)No Cut Bank(s)(greater than 5fl and over 45 degrees)within
`^-' ✓/ 5011,down gradient of DrainfiekVReserve area
✓ EH APPROVED
YO �} ` f µ Rhonda Thompson 06/22/2023
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NameG6AP-, —bf Parcel# ,/2 o4 - BLD# �U773- Qb
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 surface2.
'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 X =
48 X 32 = 1536 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 =
16 X 24 = 384 Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
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) 1920
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 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:
bgp//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
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 may be required.
X Owner/Agent/Contractor(circle one)Date:
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