HomeMy WebLinkAboutBLD2020-01466 SFR, Garage - BLD Application - 12/7/2020 MASON COUNTY COMMUNITY SERVICES Permit No bld'2AW-0 1 q 1p(o
PERMIT ASSISTANCE CENTER: RECEIVED
BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 10/�aJ�p2P DEC 0 7 2020
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone /
Belfair.•(360)275-4467•Phone Elma:(360)482-5269
JJA% 615 W. Alder Street
UILDING PERMIT APPLICATION
PROPS OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: gSA- Con e -1-04V 0-45-rW NAME: SfEUG' Tt"-e,5eh mSTAonG- 'Otn'6 04-aio
MAILING ADDRESS: 0,-,qPlt;9 UE Jq,C MAILING ADDRESS: ) p� venue
CITY: 'RCn-mt, STATE: wA- ZIP: C56 CITY: r3Reme-&T-c>-\ STATE: W,fY ZIP: /O
PHONE#I: OO 06 3q3 �t3�S�8 13e 8H PHONE: 2,93-033-2 ZCELL: 9� - 6q/ -&W
PHONE#2: EMAIL : ST)n-45ef, (e) ,p si►�onU -Kom �m
EMAIL: Qten-�s 0-4.STIto lag mac- Cam L&I REG#14'A M5-riq B3a7 dt L. EXP. oS /o$ lug/
PRIMARY CONTACT: OWNER ❑ CONTRACTOR)( OTHER❑
NAME STGU ' J19rS (�onffl-4ZucTloy. EMAIL S9nSenC�y9RfI1�S7�RdnG—ht�5m�5 �C�m
MAILING ADDRESS a'>Dq 4V,6VAn WAY IyOf'*. CITY 4)y,90Rr\ STATE w9' ZIP 6002-
PHONE_9�L3- 033 - 33-S5 CELL (29J kuo
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 1 a llq .s o 00067 ZONING
LEGAL DESCRIPTION(Abbreviated) te7- 67 FIRE DISTRICT
SITE ADDRESS 3oL9 E Po Inl?,5 D810e-e' HAKSTIn4- 16LI-np CITY $hd-7bh
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S) GREATER THAN 14%: YES[] NOX SNOW LOAD: 9S psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW)L ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage, Commercial Bldg,Etc) S j DQ ►2�
IS USE: PRIMARY ❑ SEASONALA NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) X YES (Part[s],]'Bldg) ❑ NO ❑
DESCRIBE WORK &vtC-D A New e- 57 Horne w�G
SQUARE FOOTAGE: (proposed)
1ST FLOOR g 9Q�sq.ft. 2ND FLOOR `30 7/ sq. ft. 3RD FLOOR N0�q. ft. BASEMENT A/040- sq. ft.
Poa�el, ,
DECK //Gn�- sq.ft. COVERED I9K (o sq.ft. STORAGE -- sq.ft. OTHER sq. ft.
GARAGE 3 70 " sq. ft. Attached' Detached❑ CARPORT - sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER$ / NEW ❑ EXISTING K
PLUMBING IN STRUCTURE? YESK NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOK EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 3
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
'MASON COUNTY COMMUNITY SERVICES Permit No--3161WW- 01gW
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL RECEIVED
615 W. Alder St-Shelton, WA 98584
IFwww mason.wa.us DEC 0 7 2020
e elton:(360)427-9670 ext. 352• Fax: (360)427-7798
, elfair:(360)275-4467• Phone Elma:(360)482-5269
61.5 W. Alder Street
og
MBING & MECHANICAL PERMIT APPLICATION
OWNER FORMATION: CONTRACTOR INFORMATION:
NAME: -Bo- 22aLdZ 7y-n— S TirLa NAME: j/-�
MAILING ADDRESS: A/.L= MAILING ADDRESS: /
CITY: STATE: ZIP: w e CITY: �%eVer7oi\ STATE: t, fI ZIP:
Ist PHONE: c � J''!�3 -- PHONE:9,53--833 -3.35 CELL: �2,73--67/-6,M _
2nd PHONE: EMAIL : S,T s5��. �a >4M>�-/�a�6--ffo1AK,C®in
EMAIL:0,,on21,Les(2,9-
sTA,y /a-� r"14,z.�G�i7� L&I REG# mS7/113.2,,-)CL. EXP.gS
lll
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 006269 Zoning:
LEGAL DESCRIPTION(Abbreviated): Go j 6`7
SITE ADDRESS: 30,Y 0- pdtnTQ`5 PRr ve- t;- f4k7.-�In y�CITY: -9heL7y,,,
DIRECTIONS TO SITE ADDRESS: Iz/RnT er� �2a nT
TYPE OF JOB:
NEW_C ADD ALT REPAIR OTHER USE OF BUILDING 974 0- tl IkeS
LOCATION OF FIXTURES/UNITS- 1sT FLOOR_fX 2ND FLOOR__,)( BASEMENT GARAGE c OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric . LPGKNatural Gas Ductless_
Toilets -9 Type of Unit No. of Units Fees
Bathroom Sink q Furnace —1-041 .
Bath Tubs / Heat Pump /-e
Showers o`Z. Spot Vent Fan
Water Heater / Propane Tank /
Clothes Washer / Gas Ou ets -21T-15
Kitchen Sinks / Woo Ga ellet Stove /
Dishwasher / Kitchen Exhaust Hood
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 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
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL I IDATE THE APPLICATION.X !-7
,R—& L. C)
Signa re Owner . Date
DEPART E AL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Name Parcel#_ %`0j/q 'Sc 00067 BLD# &ZO' Q I y ULO
RECEIVED
BUILDING Mason County
Department of Community Development DEC 0 7 2020
Small Parcel Stormwater Management Application/Workstee! (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 surface2.
'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.
ZCommon 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)
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 X r
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) MIS—,
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.
Xy, pQ� Owner/Agen Contract circle one)Date: ti— 30 — ,?.OW
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
i
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
�q! P L A N N-1-N G-----. _ fir 9 ,19Gill
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/ --_ RECEIVED
� f 'LOT �8
---,DEC 0 7 2020
�
SCE SURVEYS ���1 � 615 w. Alde Street
REJ�`E.�E �a! � ( � ��
SEE THE PLAT OF HA,RSTENE POIRiTE AS &� r .
RECORDED IN VOLUME 8 OF PLATS PAGES ,�%o
/---- P LAN N I N G:
g f� ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
d ' � iFOU D #5 REBAH PR0GTI0N OF THE BUILDING
AIvCAP LS 2#237
LOT fig .55
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FU uN£> #5 REB r P_ O
�z ��
APPROVED
15.oz M) ' T 6? + I MASON COUNTY UCD PLANNING
�l SITE PLAN REOUIREO TO BE ON SITE
CHANGES SUBJECT TO APPROVAL
LOT 65
Q�'� � #f'•`Y� By
►'~ -i
15.0 P) 500-
LEGEIVD—
LO T 6 �' �p p) ;�"� u v 5 REBAR _
AND CAP LS 33123 YELLOW SET 5 IRON BAR w
CAP OHOLAIAN
��
5 / op / 0 = FOUND AS NOTED
' x• (R) = PLAT
FO UND #5 REBARW 7' ��) = MEASURED
AND CAP IS 28237 -- -
B = FOUND CONCRETE
- MONUMENT WITH BRAS;
" JU.i.Y, 2019
'ter - -
SCALE- .. P60
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