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Home My WebLink AboutBLD2018-00652 Ag Bldg - BLD Application - 6/20/2018 r wpm I�INJVI\ �.VVI\1 i �.VI�II�IVI\ll i JGRYi\rGJ PERMIT ASSISTANCE CENTER: Permit No: la •BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone RECEIVED I8SI � ' WING 467•Phone E/ma:(360)482-5269 J111 O 2018 BUILDING PERMIT APPLICATION ra15 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: tN-• (,41WWA Ce, MQst NAME: MAILING ADDRESS: SL11 140 K b►W Sir MAILING ADDRESS: CITY:V6110Vttb STATE: LbA ZIP:ReWCe CITY: STATE: ZIP: PHONE#1: 20Go• PHONE: CELL: PHONE#2: • m 1 EMAIL : EMAIL: j&wtA,6-tf , c A b •GO1" L&I REG# EXP. PRIMARY CONTACT: OWNER X CONTRACTOR❑ OTHE ❑ NAME Du. Lei AIMIA.C! 11a� EMAIL u M 0I•Gd1M MAILING ADDRESS--6-2u 14**UAV64AF CITYf%pF UPA.PEM, STATE UUA ZI 51* PHONE CELL 61q PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) Z O$� )bd�q O ZONING 'J LEGAL DESCRIPTION(Abbreviated) fR a Cg0V•� (Ot 15 S 271 1 FIRE DISTRICT -3 SITE ADDRESS SS(• 06 1 $twf� 61nmd VC .S. CITY W4A, DIRECTIONS TO SITE ADDRESS eec jgn!'W Na d2L4 h4e, GoAt QAAd or, 9.LIP t&4 k c4a d 1:51aNd lC'cb►cl G 6 E sUlAd Kpa4 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 14 IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ PONDX WETLAND 0, SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW.N ADDITION ❑ ALTERATION ❑ REP"AIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)�4—q * IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS'U• HEATED STRUCTURE? YES(Whole Bldg)* YES1(Partfs]of Bldg) ] NO X DESCRIBE WORK [,ON�'NCW+—' CX � &V tMf&V s (W&jP� eAnvag SQUARE FOOTAGE: (propose+existing 1ST FLOORe _sq.ft. 2ND FLOOR _sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE — sq.ft. OTHER sq.ft. GARAGE 011 sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MA%H__ MODEL YEAR LENGTH BEDROOMS BATHS ,n ENVIRONMENTAL HEALTH: n6n C* c�\ SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW❑ EXISTING❑ MOIAf_, PLUMBING IN STRUCTURE? YES [] NOD( If yes, attach completed Water Adequacy Form r Q � PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO)? EXISTING SQ.FT. D Vo EXISTING BEDROOMS b - PROPOSED BEDROOMS O ' 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 V 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180 #1854 Q� VVV116I I rVrn-w��a1 JL9%VavLJ PERMIT ASSISTANCE CENTER: Permit No:'6 1 10• (�[�^ll is .BUILDING•PLANNING •PUBLIC HEALTH.FIRE MARSHAL ( 615 W.Alder Street,Shelton,WA 98584 P�N N I N G RECEIVED Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 ho Belfair.(360)275-4467•Phone Elma:(360)482-5269 JUN Z 0 2018 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: t,.- L&L%ye"ae-, MO*� NAME: MAILING ADDRESS: 9 It 140 K &ye MAILING ADDRESS: CITY:J�t,,JLewUG STATE: VA ZIP:ReWfe CITY: STATE: ZIP: PHONE#1: 20(0• PHONE: CELL: PHONE#2: ,Z • m t EMAIL : EMAIL: le,WtAS:� Q, A 01 1 .Gown. L&I REG# EXP. PRIMARY CONTACT: OWNER X CONTRACTOR❑ OTHE ❑ NAME �p,i�{, _ l,a6 EMAIL G A D�•Gdl►rk MAILING ADDRESS 021d 14�0#UAcV6 Gir CITY80tLwue, STATE UW ZI CID(Q PHONE .'fib$ •C '�•Oro�� CELL PARCEL INFORMATION: G PARCEL NUMBER(12 Digit Number) k Z 1 O$d' z,)OOI'1 O ZONING "J LEGAL DESCRIPTION(Abbreviated) fX&C GZOV'� (C& 15 S 271 FIRE DISTRICT' v� SITE ADDRESS SS 1• goes& Sbto•+-GL 6h u d $& .S. CITY(LMW-U&l5tA-' DIRECTIONS TO SITE ADDRESS_ / ,[,� V A ft c 5p(k 401M Orr 9t ta4 Lg-e�D IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IR IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND, WETLAND 05 SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEWA ADDITION ❑ ALTERATION ❑ REP"AIR❑ OTHER ❑ USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc) t M4 �ytlCl IAGI " IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS ' NUMBER OF BATHROOMS'Q • HEATED STRUCTURE? YES(Whole Bldg)* "Y"E"S�(Pa��rrf"sJ""of Bld"�g)"E]. NO X "� DESCRIBE WORK (,bV1�a"N(A&+' O)l L� fi V tVV6Zf&V CIM.P�^e,,1�u.¢a yt6?PaG SQUARE FOOTAGE: (propose+existing _ 1ST FLOG& _sq.ft. 2ND FLOOR_ _sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE — sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* 7TH__ BEDROOMS BATHS ,n ENVIRONMENTAL HEALTH: non E v SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW❑ EXISTING❑ MOW., (� PLUMBING IN STRUCTURE? YES ❑ NO Of If yes, attach completed Water Adequacy Form Q PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOIR EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS C7 ' 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. 1 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 Name f Parcel# Soo ll a BLD# 8 U ' LP' ,N G` Mason County JUN 2 0 2018 epar ment of Community Development Small Parcel Stormwater Management Application/Worksh q%"l 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 surfacez. '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 2 J = (.4- X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways i d X to Loo X = Length of drive begins at the right of way X = Parking Areas Z'O X SD = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition 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) 1014 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 knowledge that the information provided is accurate and employees of Mason County are granted access to the above- descri p ope r revie inspection as may be required. r / r X A O er/Agent/ ontractor(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: http//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: Page 2 of 2 RECEIVED JUN202018 615 W. Alder Street PLANNING •' �� PLANNING . APPROVED \ ALL SETBACKS ARE MEASURED well location �P �lT FROM THE FURTHEST MASON COUNTY DCD PLANNING ,l/ PROJECTION OF THE BUILDING SITE PLAN REQUIRED TO BE ON SITE •' xl, •� --- --- CHANGES SUBJECT TO APPR VA By 1 tj 428.12' o S 890 56' 48" W •• CO O� •' \ / • / 34' x 35' O' tractor shed �`L �AY 100' well / /' ♦o �y , • radiusco _ :vineyard • 00 � O ..r: 1. ed a of pond (wetlan % �• N 890 56' 48" E 632.16' Proposed Tractor Shed N Tax Lot ID No.: 121084300190 Site Plan Luciella Vinyar s Address: 581 East Stretch Island Road South 581 E. Stretch Island Road S. Scale: 1 =50 Grapeview, WA P Gra eview, WA 31d 2-016 - CIO LQ5a