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BLD2017-00253 sfr - BLD Permit / Conditions - 6/16/2017
g c � MASON COUNTY COMMUNITY SERVICES L fly ' 7 -0Z5 PERMIT ASSISTANCE CENTER: Permit No: < llV// •BUILDING•PLANNING•FIRE MARSHAL �9 615 W.Alder St-Shelton,WA 98584 RECEIVED F` Phone Shelton:(360)427-9670 ext.352 • Fax:(360)427-7798 Phone �qp list 's Belfair(360)275-4467• Phone Elme:(360)482-5269 1�1l1� 3 O ZU17 I L ' BUILDING PERMIT APPLICATION @r Str@8t PROPERTY OWNER INFORMATION: CONTRACTOR M INFOR /AnTI'ON: NAME:-1 ' dU,)L f e-t RJA J%0 NAME:-r&AA.A 14 014CsJ / (,l0[QJ.k, I`/ �i1�vw MAILING ADDRESS: III LQ I ; � D MAILING ADRESS:, ;�D ��" � SfJ CITY: 5kWyW STATE:t,t` Pr ZIP:q&59 CITY:0[ry iCL STATE:W A ZIP:QS, /Z PHONE#I(-'*C')) SS(o-&lDl 7 PHONE:' -3 - CELL: (300) 708'-yy7U PHONE#2: EMAIL: -I-hcLAt-b(0-DGIC1 C or- EMAIL: nQ O�0 QD(•CO iM L&I REG#�N'doar-ZZ EXP. I / of/�9 cQ��11LLee��CooONTACT PERSON: OWNER)< CONTRACTOR ElOTHER[]OTHER ty NAME: '�1r•V�. 0-6 0-�O(t-e MAILING ADDRESS: CITY: STATE: ZIP: PHONE: CELL: EMAIL: PARCEL INFORMATION: L1 G'A PARCEL NUMBER(12 Digit Number) q 2 001,2 3,q©O 9(o ZONING bu LEGAL DESCRIPTION(Abbreviated)CB ' 0 3Omy P'TN 06 N FIRE DISTRICT SITE ADDRESS ( 5 �i�4. (� CITY �Y.X..I�/r� D RECTIONS TO SITE ADDRESS Pr 1 O A-12 Lon IS THE PROJEC WITHIN 300 FT SLOPE(S)GREATER THAN 14%: YES[] NO,fK IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW AADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ K USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Ln ld I'Vl 0 0 IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)Lt7+ YES(Pgrt[s ofBlldg)❑ NO❑ DESCRIBE WORK N C buAlt S ' G7 p S (Valuation/Project Bid Amount�fs ( V OUARE FOOTAG IST FLOOR 1933 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK 80 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached* Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MODEL YEAR LENGTH WIDT B OOMS BATHS L OWNER ack ges 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 OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X m 1 7 Signat Y-91 OWNER( usfbe signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT lei PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS Intake:fi fanner: proved&Readv for Pick-Up: Visituson-line: http://www.c6.mason.wa.us/community_dev/ Rev.112712016 by JBN MERMON S OUNTY COMMUNITY SERVICES Permit No: 6L O) �4Q53 •BUILDING •PLANNING •FIRE MARSHAL C E I V E D 615 W.Alder St-Shelton,WA 98584 i' www.co.mason.wa.us t - Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 MAN 3 0 2017 Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 615 W.Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: AnD 1A.A 101 �� 0 NAME: � a i a,,t,tauo `,,ic, MAILING ADDRESS: J (3 MAILING ADR S—S: a3o.3 <l3o Set) CITY: STATE: ZIP: qX5N CITY: 0( ila__ STATE:iAJ 0- ZIP: 17 $IZ• I"PHONE:(J(00) 55(o - Zj(o(p-7 PHONE: -ySa CELL: 3W--70g -"4g70 2nd PHONE: EMAIL : COM EMAIL: VWvAo Oj;CLa Co CI.O L•Ct7✓h L&I REG#AOP, W4 fo Z. EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): U Z©©2- -013 D�9 to Zoning: fit. LEGAL DESCRIPTION(Abbreviated): Lo E (.o OC 5(Ltt P 1 c4 3©&`f P Z ti k) 13 13 6 SITE ADDRESS: 1,3 c L D '?i W CITY: DIRECTIONS TO SITE ADDRESS: 10 Pi u) • yihA SltQ la TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCA ION OF FIXTURES/UNITS X 1 ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:ElectricLPG Natural Gas Ductless— Toilets .2- Type of Unit No.of Units Fees Bathroom Sink 3 Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks �� Wood/Gas/Pellet 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 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 INVALIDATE THE APPLICATION. X 3�>/ -7 Signatu o wn r Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN 12QZ,S - ---1- 5L02orzw Plot Plan RECEIVED NAN 3 0 2017 Home Owner(s) Maurice Perigo Property Location: 135 West Pine Acres Way, Shelton, WA Tax Lot:42002-23-90094g W. Alder Street The information on this Plan has been provided and reviewed by the property owner who by signing below: 1) Acknowledges and Accepts full responsibility for its accuracy and completeness: 2) Is responsible to ensure that the improvements to the site take place in conformance with this plan: 3) Will establish all the corner irons,lot hies and code required setbacks required of this property,any change(s) to this plan must be pre-approved by the governmental agencies with jurisdiction,the mortgage lender, the contractor and documented. Owner Date Owner Date ed L /��� �TP � v Alb 40 ti 2`2 x 23 MCCUSE ����, � On v' ` Z)LA,�.Z . w 3 '3Z-oRGC)M ,- S- S T .....o........vw....� -—__ ....�,.,ws..�..__... 1 N t✓—L� held : n1 r v C �eK Name V Parcel# —2— /VV` 4 B L D# � '— (it12�� Mason County Department of Community Development BUILDING 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'. '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 perimeter of the farthest projections(example: X = 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) `,�c t 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 pro for review and inspection as may be required. / X Ow . /Agent/Contractor(circle one)Date: 3/, / 1 If the Total'Im'pervious 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 1955380 MASON CO WA otia�s�a0 ��m� ®�®o °�• �pp�$ B Ao E Z 2nQ i 9H as �1,4& P m 9 R BS� i�Ibe " 9 "off 0 h g [ '� � � jj=fig y ;A m m n e t-'e a c $ 9 n IN!., P m m /-dESW-WER y � ----. "�m � $ � � a $���• RR � IN � __ +IO1SI'If-E 22t9.92MEAs i= _• �`� � �"� � � �PonQ4�� g� y I Q ,Q 25'VE6ETA71vEI I^OLFt:ER u r21d,J] �9�7R� y bo 7 J.�► l A' am >S ��m A���� $ �� 4� • i 4 i i,'er,,\�, �h C�;,rc��2 � g� $gt��q s g� pm suo m ^i 3js r3xy� ja' fpag H 8 I I o°_m g Qom �o°ap " 1 l Ov:� pS � • rS N61 S10- � 5E 19 Cs�a�g• d{ � u ?� Isf.63zt as��s� a m ICJ Wy • g - z I • i _ r • 1 9pS s N 0,55•IO'E 16,.d8(REC) N OIS2'14'E 1b 31 H N Iss.40 A J / / �N•Oi Si'10'E It6.86 ?J16J k� i i ®o o ■o • :gym s Cu �0 3b A ig A25 3- I I I O E n cy m c �� I 1 6 ►�' n !Qa 'I� TIT I I I r� N�> q. [\ 9 }�-f • I _ tJAdJ v Fq ��r 6n t� �11,�2�1 I I I A , m i-0Ap� a1� 4 ,/T ` sar•--w tSf.el V �MM m i s 77-F I m 25 m a I z § o yg II I i i f � � l I 00 s WWI. Lj W PIN: GCRES W.4Y ® s T �- ------------------------------------------------- a r°�_ 9 UN r,wraa mus/ ��� i O i'+MOIAN A5W-W p Q 8 w _ Imi 7t �oD+ o v a i N '+m�5 � Da!•I' /� ~cm11rt�nZn0�' pm yy ° PD 7Ra�� A I o a Dq� � � wc)9 �pSra gZ amEm��4 O < �® 03� h lDD: p LrL� ;u A I> V� Z s ° r���� omi;�'Ec �b � Z '�_�• x� �s �d^•_... : 'n��� n g �� °�° O •r' a iil i— Z o Aga m :' D la v:l. w� amrm $mAA n y 0.° �T� _ tY 8D y m:I, mm z�n 09 "0 O g ��vm • MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 6 February 2017 Mason County Addresses Exempt Wells The Washington Supreme Court decision on Whatcom County v. Hirst, a Growth Management Act (GMA)case,has had a profound impact on the way many counties throughout the state address water resources.Under the Hirst decision, counties have the responsibility to make determinations of water availability for development permit approval and cannot defer to Ecology. While this decision affects all water withdrawal, it greatly affects the legal availability of water from Permit Exempt Wells.This handout explains the Mason County position on Hirst implementation. • At this time we are in compliance with the current comprehensive plan • The comp plan is being updated and that process will take another few months to complete • The legislature is working on legislative changes that will impact implementation of the decision and we're waiting to see how that will effect state wide policy • We're working with stakeholders to address current and future water use issues, and to match population growth with available water as required by Hirst. Through the comprehensive plan, we are updating forecasts for population growth,buildable lands,capital facilities and water use. We will use county-wide groundwater studies to estimate development's impact on streams that have instream flow regulations,and create county-wide solutions to mitigate for development's impacts on stream flows. • At this point in time,we are proceeding under our current policy as outlined in our current development code and our current comprehensive plan. However,we are currently engaged in the process of updating both our code and our comprehensive plan. The updated comprehensive plan and code may be more restrictive than the current plan and code,as required by the Hirst decision. Even if our current plan and code allow you to install an exempt well,we have no control over judicial interpretations of State law or how State law may affect your project; therefore,our willingness to permit your project or allow your exempt well is not a guarantee, promise, or warranty that you will have legal or actual access or right to water. We cannot promise, guarantee,or warranty that your permit will not be invalidated, or your exempt well prohibited,by a court or hearing board. Notwithstanding our issuance of a permit at the County level,you proceed at your own risk By signing this,I declare that I have read and understand the policy for Permit Exempt Wells in Mason County w en'a plying for an Application of Water Adequacy. Date: 3 Signature Parcel 00 2- 23 - co 1 (0 Public Health Community Development (Community Health/Environmental Health) (Permit Assistance Center/Building/Planning) 415 N.6th Street—Shelton,WA 98584 615 W.Alder Street—Shelton,WA 98584 Shelton:360-427-9670,Ext.400 Shelton:360-427-9670,Ext.352 Belfair:360-275-4467,Ext.400 Belfair:360-275-4467,Ext.352 Elma:360-482-5269,Ext.400 Elma:360-482-5269,Ext.352