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Home My WebLink AboutBLD2021-00189 Deck - BLD Application - 12/17/2020 MASON COUNTY COMMUNITY SERVICES Permit No: a PERMIT ASSISTANCE CENTER: Ery[a i b j I z1/712o2( •BUILDING-PLANNING-PUBLIC HEAL Tli.FIRE MARSHAL 5115 W,Alder Street,Shelton,WA 98554 Ph-4 Shelton.'(360)427.9610 ext.352-Fox:p80)427.7798 Phone Bedfafrr(380)2764407°Pion Ehna:(3W)482-6269 BUILDING PERMIT APPLICATION PROPERTY 0-AN ER INFORMATION CONTRACTOR INFORMATION: 7S �' �J 2070 NAME: r / ` /t�� ,/� ris!� 4AMIs:R/IIIonS LIAJI Yh -L4,16� �n-y C MAILING A ESS: s MAILI G A )ItI,SS:r7-]Av �a CITYSTATE: IP: CITY: �PHONE#1: � .• 8' fl�L1(r' s�rA"rt.:.��-rIP: tr PHONE#2 EMAIL: _. T EMAIL L&I RE( A OWNER❑ CONTRACTOR 5, HE j j '✓ ' NAME EMAIL h-- Z$��. I_ MAILING ADDRE CITY STATE Z11 PHONE — CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) '.5�.OG, ZONING I CI LEGAL DESCRIPTION A FIRE DISTRIC f bbrevlatcd SITE ADDRESS � crrY D1REC33QNS TO SIT ADDRES k , IS THE PROJECT WIT IN 3 OF 3LOPE(S)GREATER THAN 14%: YES[] NO { IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (chr*ail that appty): N. SALTWATER[] LAKE❑ R1VER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM[]L TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ►13� j USE OF STRUCTURE(Raldrsee.Oamsr,Commemkd Bids,&w) . 3.r IS USE: PRIMARY❑ SEASONAL NO-" NUMBER OF BEDROOMS NUMBER OF BATHROOMS N. F:a# HEATED STRUCTURE? YES("oleB1dj) YES(Partli)oJBhW❑ NO❑ DESCRIBE WORK SOUARE FOOTAGE:(Proposoo I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK.ft COVERED DECK sq.ft. STORAGE sq.R. OTHER sq.ft. ' ° = ft. Attached[] Demehed❑ CARPORT sq.ft. Attached❑ Detached❑ .GARAGE sq. ❑ $' :MANUFACTURED HOME INFORMATION: "4 COPIES OF THE FLOOR PLAN REQUIRED* AKE MODEL YEAR LENGTH r Y1rjDTH — BEDROOMS_ BATHS SERIALNUMBER <i F�yV[RON MEN TAL HEALT--H +;%I� � SEWER / NEW❑ EXISTING❑ r SIVirGFJSEWER SOURCE: SEPTIC❑ C,FY R[ IPIQ IN STRUCTURE? YES[] NO ijyer.attach completed Wafer Adequacy Form E)Z/FOUNDATION DRAINS PROPOSED? YES❑ NO[] 6X1STiNG SQ.FT. EXISTING BEDROOMS_T_ PROPOSED BEDROOMS TOTAL BEDROOMS 01YNER edcnowkdges that sulxnisslon of Inaccurate Inform may result h a Hop work order pemdt revocation.Adcnowledgamant d such Is by below,1,declare that I mi the owner and I further declare that I am andded to receive this penNt and to do the work ae proposed.I hew kOm all the necessary Parties.Including any eesemerd holder or perms of Interest regarding tt>bs Protect The owns d l 60 rope fit' that the Information Provided b accurate and grants employees Of Mason County soceae b the above described property ytspactbn.This permnlappilu tlon becomes ra&vdd d work or auttndzed constru c6m is not cortmenced within 180 ended for a parted of 160 days. pN OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS F 180 DAY OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON i COUNTY CODE 14,08A2) Date (/ i b R I f.y., A`p i ED DATE DENIED DATE TAGSINOTES/CONDITIONS ROV u � I i i p __�.. ri -- - (1+3) Cr^f t 5 C(1 r DEC 17 2021 RUILOING 615 W. A,der Street f � . RECEI ED DEC 1 020 615 W. e r tree t ALL s LANNI�►�. -pR®, if CT101 y OF RTHESTREG / �Q APPROVED -- BCD PLANNING MASON Ci�U.� i x ,- �.} SITE PLAN-1REJ7t. '.E ' 10 BE ON SI'CE CHANG Slj��.i�_.,-4 1 J APPROVAL - - _ - By --- — Dmitee 1 Name Parcel# �.((% 50 —�V/ BLD# 2021 "00Y7 /Q Mason County Ck I Is Community Development 6�s �Fc, Small Parcel ltormMwarr n ement A lication/Worksheet (page l of 2 PP �P g ) I-P 1 e Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is S!r made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'. eeP '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 X _ X = 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 = X = Any paved, gravel or packed area per definition above table X = Patios/Walks 3 X Li Z X O = Zip Any paved, gravel or packed area per definition Z 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) 41($0 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 m 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 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: httpHwww.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 Name Parccl ft lz. V `V B UI L D 'UG Mason County went of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stortnrvater Site Plan IS Required for this development activity. C 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 we ,�t:'A I ,Treet �Q hmp/w•ww.eo.mason wa--uc/code/commissionerslindex htm 1/ Picasc 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 he installed in their entirety AND no part of the sormwater system adversely affects any septic sy stem(sec 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 Lou. 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 Storns Drainage on Small Lots, The Small Parcel Storrmvater 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/d rain field system you may need to contact Mason County Division of Environmental Health to ensure that the Stormwater system w ill 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 I Icalth can be reached at: Phony(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 pan,that all conditions the storttwater site plan will be met prior to a request for final inspection of the building pennit. Owner/Builder/Agent Acknowledges that submission of inaccurate infonnation 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 the contractor.I funhcr acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- describe propeny for review and inspection as may be required. X _Owner/Agent/C ntrac r(circle one)Date: Page?of 2 M