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BLD2016-00177 sfr with garage - BLD Permit / Conditions - 3/24/2016
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DEPARTMENT OF COMMUNITY DEVELOPMENT r ' '] BUILDING•PLANNING•FIRE MARSHAL / WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 tas Mason County Bldg. III,426 West Cedar Street (360) t 275-4467 Belfair ext.352 RECEIVED �® PO Box 279, Shelton,WA 98584 (360 482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION Thor, L46A-,%Lt- MAR 1 12016 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder Street NAME: i� o `I' K I sie et,' NA E: /Y P Q a'Ps MAILING ADDRESS: 151 (,() -'Nk i W- MALING ADDRESS: 11 l 51E ck z,,} u /b 0 CITY:),5Klk C'1n STATE: �_OY'I ZIP: 985 CITY: yancouuf TATE: I.A>0- ZIP: c490 PHONE:(3f-OSS 1,-.3*7 CELL: PHONE 5 CELL: '7 -W EMAIL: f`rl O C C C EMAIL :+hoWeS 6) Q;r h ! . COm L&I REG# Zio Z EXP. 9 10/7 PARCEL INFORMATION: c PARCEL NUMBER(12 DIGIT NUMBER) 1 FIRE DISTRICT_ LEGAL DESCRIPTION(ABBREVIATED): Lo Siuq D(p 4 tT'TN c to ',;L ivo S i' Iab SITE ADDRESS ( -� 1 U�' ��F CITY f I a tor) DIRECTIONS TO SITE ADDRESS alOS4 toV ra IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NOX TYPE OF JOB: NEW ADDITION ❑�„ALTERATIO ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) ,*vk'` "u IS USE: PRIMARY SEASONAL❑ NUMBER OF BED OOMS NUMBER OF BATHROOMS DESCRIBE WORK iil �►✓\q "' '1 a SQUARE FOOTAGE: Ccn uwuck front r) 1 ST FLOOR 11(0(3q sq. ft. 2ND FLOOR sq.ft. 3RD F OOR sq.ft.' BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGEsq.ft. ���fffpppTHER sq.ft. GARAGE sq.ft. ATTACHED [ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MA UFACTU OME INF`_iOljd�GIATION: �4 OPIES OF THE FLOOR PLAN MA OODEL YEAR LENGTH ID H BEDROOMS BATHS SERIALRUMBE OWNER/BUILDER acknowledges 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 cons. ction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF IN RP 'I , � TY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x VV 1, ? A&Ito Signature of Applicant Date x JI 2�1 OWNER/ REPRESENTATIVE /CONTRACTOR Print N me (CIRCLE TO INDICATE) DEPARTMENTAL REVIkWO 1110111111111011 MM DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT �5L'/' PLANNING DEPARTMENT FIRE MARSHAL gox� caa� BUILD' G r,., rp MASON COUNTY PERMIT NO. 02 �/ DEPARTMENT OF COMMUNITY DEVELOPMENT -7 BUILDING•PLANNING•FIRE MARSHAL 001 WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 (� Mason Couny ext. 35 PO Box 79 tShBellton,WA 98584 ma t Cedar Street (360)482-5269 Elrext. 35 ECE 1 V/ D PLUMBING & MECHANICAL PERMIT APPLICATION MAR 1 12016 OWNER INFORMATION: CONTRACTOR INFORMATION: /I ff W. at NAME: KawiiuW 0 q- Kr sieq NAME: 0doa femw T N MAILING ADDRESS: I51 U-J tP j Vk I�G.a a a MAILING ADDRESS: 1/4 I f ROD CITY: Sht L%V\ STATE: U3 V _ZIP: CITY: VaVtCOLLO W STATE: c 3 H ZIP: 9 708 3 PHONE:C uo)5%-3(o(ol CELL: PHONE:L�(o0),'�S4-N523 CELL: (p0) -10 'gLA-70 EMAIL: rYAO R=!X' An C.-OL-co'\ EMAIL : -t-y ick es r mP coif) ��- L&I REG#Aq Jf?-kJ*2(p 2 IZ Z. EXP. /0 2011 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): H E00 2-2 3 9 Q 0 9 L. LEGAL DESCRIPTION(ABBREVIA TED): Lo+ Z Shcn-FP1 t*' MOLA TTN -;L N05 131/fS8' SITE ADDRESS: IA l,) -PP iy\k R01105 L,0v4,,) CITY: 'Stn,cl-N�oln DIRECTIONS TO SITE ADDRESS: W(AU 101 {-p lj,)Y-} M- 'P�u10" Rrnt• Ld. flkrn l et TYPE OF JOB NEW_)( ADD ALT REPAIR OTHER USE OF BUILDING UZ;dj-A-iL'Q., LOCATION OF FIXTURES/UNITS 2*ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump_ Toilets _2 Type of Unit No.of Units Fees Bathroom Sink °! Furnace I Bath Tubs Z Heatpump I Showers � Spot Vent Fan 3 Water Heater Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks Z Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hosebibs 2 Dryer Vent I Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges 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 OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X I� VX Signih re of Applicant Date X Owner/Owners Representative/Contractor P 'nt Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL NIXING Name y p Parcel# LA fL OO Z 2 39 0 0 9 2 BLD# jo QI -7 7 Mason County 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 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 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 9-0 X (p 12.00 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 = Any paved, gravel or packed area per definition above table X = Patios/Walks X = W. = Any paved, gravel or packed area per definition above table X = Others X = L+�U�t2Gt X _ p 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) ` 3 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. X ° Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the informatiionprovided on page 2 of 2. Page 1 of 2 �� Q Name l"laVA i U ?J ki D Parcel# 4IL00 1 ��9 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 affec any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitte i to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on th s,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)-427-96 0 EXT. 352 Mail: P 0 Box 1666, She ton WA 98584 Physical: 426 W Cedar St, 1,helton WA 98584 A condition will be added to the building permit that states,in par,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 info ation 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 pro erty for rev and inspection as may be required. I l X r� ''� Owne Agent/Contractor(circle one)Date: 3` t G ` Page 2 of 2 1965380 MASON CO WA i hW16 ilia Hit wilint Imq, a°3a��3a���o�� � ua tiN(.Ir.r E�sfr Essz e0 ea'e N 0�15N2'2{■'E III l 111�9�.91Ii I1'u-T__E w//s:i.;R,1b—ID�"rO s�s....e.J`.te,,a"�_;..—•,-'�(--��'�—�,1`{�r12ai 3],a 5":a Wa a==b�Zm $�miA) ���i66IiiFFjFF�$pg �� $�$�� lo����b p"AAqyt� +sA����t��I•��yq Ryai� I OI35-10' J0.3] REC 15VE3ETA rIVE $gb o�� yOZ JU _— �� YPrn lit ppm >vu m>� qq a a R g r 8 I I 19 }z�p!ap� P00� ` C� y ` N015510-E 1...i BJ I.� I __ \•, - --Vi��+B g�S $ ,!@ {aaT '•I N of •1 E Is..eJ �i �' Q 9yi�P e"��uA{,� o�g� p4 • �I ■ (� I'S ;h1,�3 . a' N Ot 11'10'E 16t.fi8(REC) N OISYI{'f IBQ�I ��• �T _® % �? i OA �t_. W k I i II i ®oNp ■o • :gm a _ i WO '"/�$g _ y A }^°��°r zg� �i Ss91 I i � n norR An�. S I I m• ��` "$ Ss m � .. �w 4 0- 3 I '= I � �� •� � 9g 1 I ! r c �� /l• I � I `\ s 0I'6s10'w {rass w PINS aces w,ar. a _ _ ------------------------------- W ------------f---- MERIDIAN d59td'FD VJ p 7t Q * ° n = : Z�mn3Dm7Q� Qvng 4ul��ry��m�rfi v A IQ u �{ a O A 0: �{CDD� m3 pm D N hffl > r Itt�^ Y C 3 n (p n � , o O 8 —t A_m�-mar r � o� •'"m D�r ®� ®a \I � IP � F'd� r 3'''Jg� xmi Ox � � �, � 2gcn�p�P�A�� N eg•¢(P Pma � o �:i �g0 W� mr R� yn— J y O m,i min m Sa _jj 21 'i O 1> PLANNL 3, CIO/ 7 Plot Plan Il][onzie© v11�r(s) / ��f"�( 1 p%!"4G° �r i yyypy��1'l �'ro�liorty Location: 1�� ��: �yYt&— t Tax Lot 40100,f�.n -129-- 610olig BAR I L 2016 The information on this Plan has been provided and reviewed by t o prop crty owner who by sigai ngbelow: 1) Acknowledges andAccopts full responsibility foritsaccuracy ndcompleteness:2) Is responsible to ensure that-the improvements to the site take lace in co ��gnformance with this plan: 615 y Y. Aider Street 3) Will establish all the corner irons,lot linos and eoderequired setbacks required ofthis property,any changes) to this plan must be pre-approved by the governmental agenci s with jurisdiction,the mortgage louder, the contractor and documented. � Date Owner . Owner Date qqp„• 4" IMF PLAN ARE _T, REVISION f IVED _\/'� - y DATE i i i o sa Hous -�W `��,,� 1 a 1614 sQ F`v IS° � r LL 20 x zo AoRCR Rood (p { ® ,.V A°�..s 1V ,, rY -.Sri <L ..P i`a E D p f' C t ((] ci e 6 'o S APPROVE ixec � MASMi GGUj\ 6 5,,1 DCD PLANNING SITE PLAN RE QUA REED TO BE ON SITE S ; JU' 6A CHANGES SUBJECT TO APPROVAL t . 29r ABA Cgwr) ,61 �./ 2D'A a`�,�+, B)i 441 --- Cate � / �..1 V