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Home My WebLink AboutBLD2018-00986 Garage, Carport - BLD Application - 9/10/2018 MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 ' f RECEIVED Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-77�ibri JG Belfair. (360)275-4467•Phone Elms:(360)482-5269 c L B.fA L' 10 2018 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: . NAME: 5 I eQ= 1J i C A NAME: ,d&- t ►l MAILING ADDRESS:__?.o,-'Oa Aj 9 I- MAILING ADDRESS; P,o, I'?.".)X CITY: ,r,ari,F? -V t 2t U5TATE: W N , ZiP: L CITY: )M A,,a k(ti 3? ,�O,STATE: �ZII':� PHONE#1� PHONE: 36r, "7& /3 CELL: PHONE#2: EMAIL: GG EMAIL: L&I REG# ( ra L EXP. 1A 1 PRIMARY CONTACT: OWNER ❑ CONTRACTOR I OTHER❑ NAME V) R �it ky g B� EMAIL 'AR .IrZ i Pa C.&'v MAILING ADDRESS_ . e),ifJ x' 'd -� c^ �}a f CITY/J A,L—L�.�rs-e t�t6�TATE LIP �`' PHONE 36,12 "ev- -'Z,� ! CELL 340 e-)�,ci�r PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ?�( 8'- a�f— d 0000 ZONING LEGAL DESCRIPTION(Abb'reviated) U) 1 L S-' e,>F GoVr,4,,�.? B 2_3y4 ly*IidbISTRICT SITE ADDRESS 3 R2 Gy�.1;6 pQ,"j CITY QRA eAr u i igZ) DIREC!TIONS//TO SITE DRESS s A IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER W LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW❑ - ADDITION❑ ALTERATION❑ (REPAIR❑ OTHER)C :E'r Le �etwk A< CJ2 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) a{� 14 f"lam LP )4 IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole ldg) El YES(Part(sl of Bldg) ❑ NO`[ , DESCRIBE WORK 2 i io ';:'� F-,t>I i SQUARE FOOTAGE: (propose+existing) 1ST FLOOR 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►f sq.ft. Attached®. Detached❑ CARPORT _sq.ft. Attached[4 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`a SEWER❑ / NEW❑ EXISTING �. PLUMBING IN STRUCTURE? YES ❑ NO`A Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NW EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 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.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 days or if construction work Is suspended for a period of 180 days. PROOF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE I APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) x Signature nOnWNFR (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW. APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT _ /a y PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Shelton (360)427-9670 ext.352 DEPARTMENT OF COMMUNITY SERVICES Belfair(360)275-4467 Mason County Bldg. 8, 615 W. Alder Street Elma (360)482-5269 ' Shelton, WA 98584 www.co.mason.wa.us REQUEST FOR BUILDING PERMIT EXPEDITION Date: V/d Permit No.:':�)mo.51)01 Name: SEP 17 2018 < T Mailing Address:-P. 0 i,o a 615 W.Alder Street Parcel Number:��_1 1.qk - � Site Address: CIF 6 Request due to: ❑ Medical Hardship 'Fire Damage ❑Other Explanation of Hardship: �� a Must include supporting documents.This may be a letter from a doctor, insurance claim report, report of fire damage from appropriate fire district representative or other relevant documentation. I (WE) understand the intention of this form to determine and document justification for expedition of a building permit to alter or reconstruct a tr ctur on he above named property. Signature Owner/Agent: OFFICIAL USE ONLY Request: ❑Approved ❑Denied Date: Request denied for the following reasons: Signature: Director of Community Services Name-- Parcel#' C I AIL 15 Mason County G Department of Community Development Small Parcel Stormwater Management Application/Worksheet (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. '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 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) 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,u missi�n of inaccurate information may result in a stop work order or permit revocation. Acknowledget nt of such is by signature below_I�declare that I am the owner,owner's legal representative,or the contractor.I further acknowdge that the infor?ie'ection vie is accurate and employees of Mason County are ranted access to the above- desc ibed pro rty for rgui@w and as a required. ? X !)2� Owne Agen C tracto (circle one)Date: J 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 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 98594 If this development has,or will have,a septic/d ra infield 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 I • .. .j . . ._. : •-� . ♦~•. •� � . . . . • �� .�• .�w.�w..........g1.W. 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