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Home My WebLink AboutBLD2021-01225 SFR - BLD Application - 6/25/2021 MASON COUNTY COMMUNITY SERVICES Permit No:b"2d21 61. 5 PERMIT ASSISTANCE CENTER: BUILDING•PLANNING-PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352-Fax:(360)427-7798 Phone Belfair. (360)275-4467-Phone Elma:(360)482-5269 J U N 2 5 2021 :s{ `IWING PERMIT APPLICATION 615 W. Alder Street PROPE�RnT 2 FORMATION: CONTRACTOR INFORMATION:' NAME: 1'�a� 6 f'5 NAME: MAILING ADDRESS: y Z 0 fo 0, 1 MAILING ADDRESS: CITY:T c,v wti. STATE: LZ R ZIP: `fi� CITY: STATE: ZIP: PHONE#1: -a2- Q07 PHONE: CELL: PHONE#2: -6 - oust EMAIL : EMAIL: a o� .Gow, L&I REG# EXP. / /= PRIMARY CONTACT- OWNER N CONTRACTOR❑ OTHER❑ NAME rA L.,V, EMAIL MAILINg�jj ADI�RESS 1D L 1 CITY"Tgcorv�a. STATE Ld ZIP 6 PHONECa,'��_51,2;k2- `)l07-3 CELL 7s' ^ac�'31 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 1 A 119 -.61) -OM 10 _ZONING 'R]" -5 LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS ( I CITY '%�,LQ ;LM _ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO W SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW J ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc) Re' I d G.h 6<— IS USE: PRIMARY ❑ SEASONAL N NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(WholeBldg) N YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK n E:IA) )Fi2_ SOUARE FOOTAGE: (proposed) 1ST FLOOR It 01 sq. ft. 2ND FLOOR 7tY9 sq. ft. 3RD FLOOR s BASEMENT kk) /T sq. ft. DECK �a sq.ft. COVERED DECK sq. ft. STORAGE lg2 �j 3f{" OTHER sq. ft. 0 GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ (v MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL LENGTH Jc' DTH BEDROOMS BATHS SERIAL NUMBER U ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER® / NEW ❑ EXISTING PLUMBING IN STRUCTURE? YES N NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS oZ +n OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by V J 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 MASON COUNTY COMMUNITY SERVICES Permit NoJ616lu aa y PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 RECEIVED www.co.masonma.us Phone'-'$helton:(360)427-9670 ext. 352 • Fax: (360)427-7798 Phorielelfair.-(360)275-4467• Phone Elma:(360)482-5269 JUN 2 5 2021 ftO UMBING & MECHANICAL PERMIT APPLICAT4Q_Nw Alder Street OWNER`I&0R TI CONTRACTOR INFORMATION: NAME: rko,,A c S NAME: MAILIN ADDRESS: L(2-0 L , 1 S}-, MAILING ADDRESS: CITY: c O rvt STATE:_ZIP: �I O CITY: STATE: ZIP: 1"PHONE: 7 PHONE: CELL: 2nd PHONE: &Ts ' OQ 31 EMAIL : EMAIL: rvL r_5 091 o , c.o rn L&I REG# EXP. PARCEL INFORMATION: ! PARCEL NUMBER(12 Digit Number): J5'a ` DOO Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: (Q L ; 1e"r4 y CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW 4 ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric n LPG Natural Gas Ductless_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan 3 Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks ( Wood/Gas/Pellet Stove --e—' Dishwasher ( Kitchen Exhaust Hood Hose bibs Dryer Vent Other 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. 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 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 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 CONTINUATI (OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAY WILL INVALI PLICATION. sU b f Yl lr CU c� Lp/2-V-!��2-1 Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 )BN APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL 615 W. Alder St 5 s..-Pb�. n . �a ,SC IPTION OF TENS POINTE AS RECORDED IN VOLUME 8 OF PLATS, 51JOIj A / DS OF M kSON COUNTY,WASHINGTON. BEARING 1st Floor / i THE PI,kT OF HARTSTENE POINTE AS RECORDED IN VOL ��. f LOT 113 85,RECORDS OF MASON COUNTY,WASHINGTON. <�, �. SJQBQ C"2 �v� (N S2.46,50,, 122.911 I - ". N 82°5602"$122.5T j SIT/ ROCEDURES ACCOM I LISHED BY STANDARD FIELD TRAVERSE PROCEDURES '003A,3 TAL STATION. / 'S OR EDS THE MINIMUM SURVEY STANDARDS PRESCRIBED \ \ \ 1 �o \1p, Corn.mn L) rti C `N NIN G \ 1/19/2021 / ALL.SETBAbKS ARE MEAS�JRED r F*iOM T4k FUITT'iT PROJECTION 0 THE B&LDIN SHEET: r)TS i l � \ RECEIVED JUN 2 5 2021 615 W. Alder Street mp 54- -b -o :SC IPTION , - - ZZ OF HAPINT111NE POINTE AS RECORDED IN VOLUME 9 OF PLATS, DS OF N COUNTY,WASHINGTON. 1st Floor BV�RING p I THE P T OF HARTSTENE POINTE AS RECORDED IN VO R5,REC( S OF MASON COUNTY,WASHINGTON. ;," I � • SJQIg,4 C-2 ; ` S2°46,50"E 122.911 �;• 1r N 82°56�02"E 122.5 r VT/f ROCEDURES ACCO LISHED BY STANDARD FIELD TRAVERSE PROCEDURES 1003A,3 TAL STATION. C4 / S OR EDS THE MINIMUM SURVEY STANDARDS PRESCRIBED / -C-sAV / �I • �Icf2021 - o iaa S s \� MASON COUNIY ENVIWATAL HEALTH Cprn YYl ��- �,,e� RET / xL ur-r P-1 1 1 _ 1 \ � Name Nol S Parcel# �a " y�i� BLD# ZOZI- 0 I ota 5 Mason County -`-" apartment of Community Development Small Pa ormwater Management Application/Worksheet (page 1 of 2) Per Mason C de, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is made for res tal 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 impe %t es eeWt 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or stor a areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces w�iA slr �Mpede the natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. c ' 5 VV. Alder Street To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area ' All dimensions in feet Buildings (E) X a = L) X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways U X o b X = Length of drive begins at the right of way X = Parking Areas X = A X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = A 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) 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 acknowle ge that the information provided is accurate and employees of Mason County are granted access to the above- cri ed pro ty or r and inspection as may be required. X wl 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 Y>C�Ar-5 Parcel# \ `� 7 b -l�� C) 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