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HomeMy WebLinkAboutBLD2017-00521 Revised SFR - BLD Application - 10/20/2017 IG`,T".. OCR I 4 er S .4 fquest to Revise Approved Plans Permit Ab'er�.� BLD/COM Zr)f? - boSZ 1 Name TER-►Ri E �iyD��Soey Parcel Number i Z io li�, - 7 i5- - Doc) "7Q Phone Number daytime (a o "7 31 - Z/Z 3 Project Address f Zb ST-IZETrJ+ 15 TZQ V. Mailing Address ?o , 3UX ZS-Z R Ev/mow , Uv,4. 9 � At lUh , wry. 955z-4- Please provide a complete, detailed description of the proposed revisions to the approved plans: M&' -C A-Mkt,c S 61.(xAP-E o 1= /mot v i Ly G 5 IP -C� (ASS `�l t►v►�I� v�a j�I,x Tzi/ram 5 (' vn) o- t4 3600 -- 7/ 0 4Z/f D6aC 41W0 1. COS, • Are two sets of the revised plans or addendum indicating the changes included? /Yes ❑ No • Are the approved construction plans included? ox i es ❑ No The RED stamped "site" approved construction plans must be included. • Are the revisions clearly and accurately identified on the plans or addendum? g Yes ❑ No • Does the plan contain an engineer's or architects lateral or vertical analysis? 21fes ❑ No If Yes, Has the engineer or architect approved this revision? 2�'Yes ❑ No Is a stamped and signed approval included with this request? 2(Yes ❑ No No structural chances to a "designed" plan will be approved without the written consent of the engineer and/or architect of record.) • Does the proposed revision modify the footprint or location of the structure? 101"Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? 2-Yes ❑ No Additional Information: Applicant's signature Date: 7 Received by. Date: �� ,q OFFICIAL USE ONLY QGVd, S Initials Department Date of Date Reviewers Original Valuation: $ for Review Received Assigned Approved Approval Reviewer Additional Valuation: $ Building Sq.Ft. x$ $ U 6 � L lt'Z Z-1 J-)Z- Sq.Ft. x$ $ Planning t'1 l i �/i � [AFT fjo ICAM h 1 Total New Valuation $ Public t Q B 1 h� S N� Additional Fees: . �y Health Frye-Me,ahet Additional Planning Dept. $ Additional Plan Review $ talk Additional Building Permit $ aqy,, Additional Plumbing $ Additional Mechanical $ Additional Conditions/Comments: Additional E. H.Dept. $ ed 0M.5 Other $ Total Amount Due: $ MASON COUNTY COMMUNITY SERVICES 6W ZO'-7 ��52/ PERMIT ASSISTANCE CENTER: Permit No: V J ® QI •BUILDING •PLANNING e FIRE MARSHAL RECEIVED Vv _ 615 W.Alder St-Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352 • Fax:(360)427-7798 Phone U� o 2017 j- BefPair.(360)275-4467. Phone Elma:(360)482-5269 J B U ' L BUILDING PERMIT APPLICATION 615 W, der street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 1wivag- aN NAME: ZCGf On 5 0-ttc- ov MAILINGI ADDRESS: _©. 0 Z MAILING��ArD��DR�ESS: oV oX 32 CITY: STATE: WA- ZIP: 8SZ4 CITY:4 eA-P tr l EI.tJ STATE:(n ZIP: 8 PHONE#1: -731 - Z I L 3 PHONE:3(�O-Z7"/Z7CELL: - /b Z PHONE#2: EMAIL:_rta Z a.--K &-a rnA .C C01% EMAIL: L&I REG# Z.ECH CC *AllJ11NE)P.P2/S/A CONTACT PERSON : OWNER❑ CONTRACTOR)' OTHER[] NAME: 10IU -Zec# MAILING ADDRESS: V0 00)( ¢32 CITY: L-t,ffW STATE:LOA ZIP:9$ PHONE: CELL: 3 a-7/0-4211 EMAIL: d l PARCEL INFORMATION: Pow: O n 8. PARCEL NUMBER(12 Digit Number) /Z 108- 7$- 0007 0 ZONING 4OC S LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 1 a Q l%STP—'rL N 15l A-n1D Zy. w. CITY (7 QA#ey I arl y DIRECTIONS TO SITE ADDRESS TO 2 D EuC a-2-T RD T C. S AE-r c►-4 ISLAND QD Ala, IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOX IS PROPERTY WITHIN 200 FT: (Chwkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND$SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW P�, ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) �U t IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS__ NUMBER OF BATHROOMS 2.5 HEATED STRUCTURE? YES(Whole Bldg)x YES(Part[s]of Bldg)❑ NO❑ DESC E WORK 6 irr ( t7 4e 5.F. ZEsI OTC c, W S F- G pr ACE (Valuation/Project Bid Amount:S ) SOUARE FOOTAGE: IST FLOOR 14T(* sq.ft. 2ND FLOOR 22Z sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft. DECK O sq.ft. COVERED DECK O sq.ft. STORAGE o sq.ft. OTHER_ 0 sq.ft. GARAGE 3S - sq.ft. Attached Detached❑ CARPORT 0 sq.ft. Attached❑ Detached❑ RED HOME INFORMATION: *4 COPIES OF THE FLOOR P MAKE YEAR LENGTH BEDROOMS BATHS S 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. PROOF9F.e0XTrRrJATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS APPLICATIOY OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 21 �-- Signature MWN R(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 6-27-r) PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS n e: Tanner: b PProved&Readv for Pick-Up: Visit us on-line: http://www.cO ason.wa.us/community_dev/ Rev.1272016 by JBN MASON COUNTY COMMUNITY SERVICES Permit No: VW 7" �VJ`" / PERMIT ASSISTANCE CENTER: E •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 352 • Fax.(360)427-7798 Phone 2011 rsu Belfair(360)275-4467• Phone Elma:(360)482-5269 J BUILDING PERMIT APPLICATION 615 W. A der Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ® NAME: %~ NAME: Zc(, .o n 5TEu.c-TI i7rV MA.ILIN ADDRESS: C). 90Y ZS-7-111ff MAILINGADDRESS: PPO, 0' 2 CITY: STATE: RI A?- ZIP 4 CITY:G&PEY/et J STATE:LAj4 ZIP: PHONE#I: 1 '�60 -73 f - Z i ?3 PHONE:3(,0-Z7 S- fZKELL: - /b Z PHONE#2: EMAIL: rip z PC K C-a mat C.0►+1 EMAIL: L&I REG# ZEGt J Cr-'*84LAJ MEXP.pj/pg/ t$ CONTACTPERSON: OWNER[I CONTRACTORS' OTHER❑ ri NAME: 00 Z e-r-f1 MAILING ADDRESS: / PC, 30X 4 3zav CITY: ii A-VIC-W STATE:UjA PHONE: CELL: 3(d-70-421t EMAIL: d l PARCEL INFORMATION: Q I\ S. PARCEL NUMBER(12 Digit Number) ZONING 4Z 5 LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT_ SITE ADDRESS -•- - ST2 cr C-H I SC AT10 ZV. 0, CITY 6 PA Wy I E..J DIRECTIONS TO SITE ADDRESS -TD 6 PA-p 2 FLLr E-L>T 90, T O S F� 1 SI AIJ D ® AJ o. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ N09 IS PROPERTY WITHIN 200 FT: (Checkall dwappy): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND 19,SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ;5, ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 12 E51(>ey LE IS USE: PRIMARYK SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS 2.,5 HEATED STRUCTURE? YES(Whole Bldg)A YES(Part[,]of Bldg)❑ NO❑ DESCRIBE WORK CDh-,` cti ,-,hOn, n y-- 1 �7 4B S,1=, e5I DI vxC,5-, lrlJ S,F- G AIAA-GE (Valuation/Project Bid Amount:$ ) SQUARE FOOTAGE: 1ST FLOOR 14s(P sq.ft. 2ND FLOOR 29z sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft. DECK O sq.ft. COVERED DECK O sq.ft. STORAGE tD sq.ft. OTHER O sq.ft. GARAGE 3SZ sq.ft. Attached X Detached❑ CARPORT 0 sq.ft. Attached❑ Detached❑ RED HOME INFORMATION: *4 COPIES OF THE FLOOR PL MAKE _ w YEAR LENGTH WVDTR"'—BEDROOMS BATHS SE 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 994KMTMATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS —FqgAPPLICATIO OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Zl G�1L+ -' S �- Signature OW R(Must be signed by the OWNER) Date —_ _DEPARTMENTALREVIEW -APPROVED--.-DAT _ DENIED _DATE__TAGS/NOTES/CONDITIONS- --- BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS n e: lanner: 6 pproved&Ready for Pick-Up: Visit us on-line: http://www.co ason.wa.us/community_dev/ Rev.12720166y JBN Name TE2Q4Ei1DM$D/t1 Parcel# /Z!0$ —7S- OD>y 70 BLD# � Mason County 13 U 'L D'N G Department of Community Development 1Y 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 surface 2. '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. 'Common 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 68 X 2.8 = z 4 2.4 X = D Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 600 X D = o X = Length of drive begins at the right of way X = Parking Areas Ip X 0 = I 0 X = Any paved, gravel or packed area per definition above table X = Patios/Walks 0 X q = 20 X _ Any paved, gravel or packed area per definition Z — 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) 6� 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,acknow �ig® the information provided on page 2 of 2. R ►++ Page I of 2 2017 s Name -T-tV-Je{E AM Oee.Sa#J Parcel# 17- 10 8-7 S O O o 70 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: httn//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 th it The 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 Owne Agent/ ntractor(circle one)Date: & --6 4- 17 Page 2 of 2 ;>,L*A/ L 2 01-7- oo S 2 APPROVED e�5pn� erg, PLANNING MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHA GES SUBJECT TO APP V L RECEIVED By -�I Date F 0 s 2017 791 ,'70 615 W. Alder Street err i-r*x). �trTz�ca -• r 0 od0.2 Apf p1ne s� �4-- gZyd P'"P �2d 50 5uP- „m WO I , � y- . i 900, gc N Se4-�,4 0�5 Y QI �� _ 7P� s� ' zol " /� a p a, LANNING: '..: �.� ALL SETBACKS ARE MEASURED N�4 , FROM THE FURTHEST ,f, I PROJECTION OF THE BUILDING -re'ev.t AA1 D&vs I �aec.EC )Z10$- 76' — oD07 7`6 A AJ I