Loading...
HomeMy WebLinkAboutBLD2021-00224 SFR - BLD Application - 2/16/2021 MASON COUNTY COMMUNITY SERVICES Permit No i` an PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W Alder Street,Shelton,WA 98584 FEB 16 2021 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfaf.(360)275-4467•Phone Edna:(360)4825269 BUILDING PERMIT APPLICATION 615 W. Alder Street ROPERTY OWNERINFORMATION: CONTRA OR INFORMATIO NAME: f L NAME: Q hl 1n S MAIL G ADD S: MAIL ADD S:I / e• iQ CITY: STATE: ZIP:9B136 CITY: s i; STATE: 09ZDf. 9��1 PHONE#1: .2p S"$O PHONE: > CELL: PHONE#2: EMAIL: EMAIL: at . H L&I # P I PRIMARY CO CT: owNrat CONTRACTOR❑ oTHER❑ NAME kSC� EMAIL MAILING ADDRESS 'S' 1A y( l._ CITY SPATE ZIP PHONE a6 !V 52�•- >S' O CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) /;Z 119 —Sd— 600 SS ZONING _ LEGAL DESCRIPTION(Abbrev*d)/o7-58 Allgni-Laxe euve Vol.S Plp, s F1�p crM1u/� SITE ADDRESS 3 IS' . eo.ATe. D1�. E. CITY SA e 7 0,, W-4. 4g5. Y DIRECTIONS TO SITE ADDRESS IS THE PROJECT WMHN 300 FT OF SLOPES)GREATER THAN 14"/6: YES❑ NO K SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check d1 dr gFiy): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW I, ADDITION❑ ALTEI " O1. REPAIR❑ OTHER ❑ USE OF STRUCTURE(Re5uk=4 Garage,CoamwrciolB/dg,Erc) ���JJCC__SS j P/LZ _ IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOM,_,NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whc1eBldg)X YES(P s]ofBldg)❑ NO❑ DESCRIBE WORK�Q i�l Orl S t�TQ SQUARE FOOTAGE:(pryaosed) 1ST FLOOR 63! sq.ft. 2ND FLOOR 7 0 sq.fL 3RD FLOOR sq.R BASEMENT sq.R DECK sq.& COVERED DECK aQ>O sq.fL STORAGE sq-ft. OTHER sq.& GARAGE sq.A Attached❑ Detached❑ CARPORT PSCE sq.fL Attached Dq 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❑ SEWER / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES M, NO❑ Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES® NO[] EXISTING SQ.Fr. EXISTING BEDROOMS © PROPOSED BEDROOMS 3 TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Admov&dgement of such is by signature below.I declare that I am the owner and I further declare that 1 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 infomration provided is accurate and grants employees of Mason County access to the above described property and structure(,)for rg✓ieward inspection.This petmil/application bec9rnes null&void if work Or autrnriZed construction 5 not CPRMmenCBQ within 1$0 days or if construction mrk is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT ICATION 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON 71 COUNTY CODE 1412) t2igriature of OVVAER Must besfahed by the MER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J 7L 'ZCr,& PLANNING DEPARMIENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitNo: �� �- Cb2z�{ PERMIT ASSISTANCE CENTER: DING .PLANNING .FIRE MARSHAL RECEIVED � .Alder St-Shelton, WA 98584 .co.mason.wa.us FEB 16 2021 Phone Shelton:(360)427-9670 ext. 352• Fax.(360)427-7798 Phone Beitair. (360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER I O TI N: CONTRACTOR INFORMATION: NAME: eArI NAME: MAIL G AD RESS: . S.l'. MAILING ADDRESS: CITY: rn,-tfi�e STATE: LJA ZIP: Q$/3fi CITY: STATE: ZIP: Is'PHONE: 02o 6 !/S'aI- >S'B o PHONE: CELL: 2na PHONE: EMAIL: EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 02 ^5'0 ^ 000 Zoning: LEGAL DESCRIPTION(Abbrevi red): r 8 r .t o ✓.;.a-r . a J la-t SITE ADDRESS: 3 I S �. !o 1?s 'dQ. Lo_ CITY: S TpA DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: QQ r NEW_ X ADD ALT REPAIR OTHER USE OF BUILDING / e-c►LA t'%L I LOCATION OF FIXTURES/UNITS—IST FLOOR_ 2NDFLOOR_X,, BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS / Tvae of Fixture No.of Fixtures Fees Fuel Type:Electric LPGXNatural Gas Ductless 1/ Toilets a Tyne of Unit No.of Units Fees Bathroom Sink v2 Furnace Bath Tubs .Pl Heat Pump Showers 1 Spot Vent Fan a3 Water Heater 1 Propane Tank 1 Clothes Washer A Gas O� Kitchen Sinks 1L Woo ellet Stove I — Dishwasher J- Kitchen Exhaust Hood 1 Hose bibs Dryer Vent 1 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 CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDA HE APP CA ON. x -)6 0 ) Si ure of O ner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J-' L L4-?A. PLANNING DEPARTMENT FIRF,MARSHAL Name Parcel# lo11 11 —$b —00p'SE) BLD# �j Q Mason County FEB 16 2021 nn IX-D Department of Community Development S haI Parcel Stormwater Management Application/Workslf'kf W664qjf4yeet Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment`,with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site.the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include.but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open.uncovered retention/detention facilities shall not be considered as imperious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area All dimensions in feet Buildings e-2 8 X 3$ _ / O b q X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 3 S X X = Length of drive begins at the right of way X = Parking Areas o2.6 X 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) / bg4y 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 Stornnvater 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 acknowled a that the information provided is accurate and employees of Mason County are granted access to the above- described pro for review inspection as may be required. X gent/Contractor(circle one)Date: cb2 ner/ If the Wal Impervi us 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 _ — — - RECEIVED FEB 16 2021 5 \ 615 W. Alder Street 0 ' 3$. PROPOSED DECK \ \ PLANNING PLANNING. ��' ALL SETBACKS ARE MEASURED � \ RTHEST p fl PROPOSED FROM THE FU CABIN l PROPOSED 1� PRO ECTION OF THE BUILDING CAR-PORT I C]I z I UN I KN UN 5 I APPROVED IC4 I MASON COUNTY DCD PLANNING '4 I CAI t PROPOSE SITE PLAN REQUIRED TO BE ON SITE 'o CHANGES SUBJECT TO APPROVAL \ / o COVERED ENTRY / N DY- tt �I Date \ PROPOSED COVERED PORCH / kL \ \-/PROPOSED GRAVEL / /'K DRIVE/PARKING QP1, IVv- 1E (A �40 IN / I Ii O N COT 511� ovWIM wo - - - - \ RECEIVED FEB 16 2021 i \ 615 W. Alder Street a PROPOSED DECK ENVIRONMENTAL HEALTH � i \ z� < � / zz PROPOSED \ CABIN PROPOSED CAR-PORT \ I z I - - - - - 5 1C4 / 17' - - - APPROVED I PROPOSE '°g' FEB 2 4 2021 0 COVERED ENTRY MASON COUNTY ENVIRONMENTAL HEALTH \ / RET \ \ PROPOSED / \ COVERED PORCH sb SN / .zzaz s \ / PROPOSED GRAVEL DRIVE/PARKING / o 1v`�9LL M 1°=io -o IL- -----