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HomeMy WebLinkAboutBLD2019-00084 BLD2019-00078 Reconstruction - BLD Application - 1/29/2019 MASON COUNTY COMMUNITY SERVICES Permit No: � �-7b PERMIT ASSISTANCE CENTER: j3 2���/!-Co CI •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street Shelton,WA 98584 Phone Shelton: 670 ext •Fax:(360)427-7796 Phone Befair(360)2754467•Phone Elora:(360)462-5269 BUILDING BUILDING PERMIT APPLICATION PROPERTY OW(�NERI AL-, CONTRACTOR INFORMATION: NAME: t i(YI.'i" Yap l'! /"lam r j NAME: MAILING ADDRESS:t©oS 0 is N L:� ►10 5 fi --9 MAILING ADDRESS: CITY:be-Al ZY u d STATE:W ZIP: `f CITY: STATE: ZIP: Ile PHONE#1: 20(a Sb—e7�7•�{o PHONE: CELL: �/ PHONE#2: Z,0 EMAIL: EMAIL: 1 T' :c ^ L&I REG# EXP. / / J� PRIMARY CONTACT: OWNER P CONTRACTOR❑ OTHER NAME EMAIL MAILING ADDRESS I C�Tf ��" STATE ZIP sJ� PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 121 08 'a 2' 000(0 U ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS :1,0 i<,01(!4 '12 �i � CITY(Ana d 1 ") DIRECTIONS TO SITE ADDRESS IS TILE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Y-' IS PROPERTY WLTHIN 200 FT OF THE FOLLOWING: (Check all ft,apply): SALTWATER LAKE❑ RIVER/CREEK V POND❑ WE LAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ /ALTERATION❑ REPAIR❑ OTHER ❑ r 1 JL USE OF STRUCTURE(Residence.Garage.Commercial Bldg. Lik G W!/ t IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS HEATED STRUC v YES�(Whoolle�Bld�gl YES(Partls]olB1dg} N� i DESCRIBE WORK Mcbo /�� 5+PrG(Cw e!5 - - SQUARE FOOTAGE: (propase-ezrame I ST FLOOR�f�_sq.8. 2ND FLOOR N.& 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.ft. COVERED DECK sq.fL STORAGE N.ft. OTHER (-70—sq.ft. Ld l GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFAC TION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MODEL LENGTH XTH—BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: n SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ AG❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or pemtit revocation.Admowledgement of such is by I 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,inducting 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 permit/application becomes null&void if work or authorized construction is not commenced within 180 days or•d construction work is suspended for a period of I So days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X r A 1 1:2 of Signature of just be sigay b the OWNER DatEf DEPARTMENTAL REVIEW APPROVED D TE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT ! PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:6(Ta1q-C) C)tH PERMIT ASSISTANCE CENTER: ry"i .BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton,WA 98584 / www.co.mason.wa.us f /.I 4 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 �ry Phone Belfair.-(360)275-4467• Phone Elma:(360)482-5269 ��,,, LUMBIN G & MECHANICAL PERMIT APPLICATIOMRt�f ''•A�d� ATION• , CONTRACTOR INFORMATION: NAME: NAME: MAILING ADDRESS: 10 30L0 d`' V - MAILING ADDRESS: CITY: �t to V t� S'i ATE: Z CITY: STATE: ZIP: 151 PHONE: -26(o- to S-0- O?1* I PHONE: CELL: 2°d PHONE: --C0SD 1-6 EMAIL EMAIL:-�-`i an -O-k 1 01 -11' C �'IfA� L&1 REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):17 I OPT - 010� ., d�f`Df� Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: `Z O o CITY.��tp�y DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1sT FLOOR 2`VD 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 Ductless_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer G tlets Kitchen Sinks Woo as/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent 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 INVALIDATE THE APPLICATION. , X i ignature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN r w` 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: lm,, Z$; Z-0 I Permit No.: Name: Ti uv1 Gird �4r�/ Mailing Address: lO'2�0(,, U C 1� 5k P- (P Parcel Number: 1 2- LO 8 ZZ- - c?00 fo o Site Address: 0 8 , �� C-1 r-g g:5�b Request due to: 0 Medical Hardship 0 Fire Damage 'Other Explanation of Hardship: �i ��Gv2. o -,A,Lra 11' GO i4 1� ��t 0,1 Q `>t i/1 Gt-6 f7 o S l7 i YJ e Y ti_ lei y', 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 structure on the above nam-ed property. Signature Owner/Agent: ��- _/ OFFICIAL USE ONLY Request: A lApproved ❑Denied Date: Request denied for the following reasons: -/ kb11 1 Signature: Director of Community Services 1. i Tim Murphy From: timandpatti1977 <timandpatti1977@gmail.com> Sent; Monday,January 28, 2019 10:49 PM To: TimandPatti@comcast.net Subject: Fwd: Kicking off Michael Murphy's Oregon Build Sent from my Verizon, Samsung Galaxy smartphone -------- Original message -------- 0 �� �� From: barefoot treehouses<barefoottreehouses@gmail.com> T � S Date: 1/28/19 10:04 PM (GMT-08:00) c�� ,5 �►-� To: Patti Murphy<timandpatti I 977@gmail.com> 1 Subject: Fwd: Kicking off Michael Murphy's Oregon Build ---------- Forwarded message --------- ►�o - � f ' From: Jennifer Jordon <iordoniennifer0k2mail.com> `�Date: Mon, Jan 28, 2019, 1:17 PM Subject: Kicking off Michael Murphy's on Build +� To: Christine Johnson<cjohnsonnourhousemedia.com>, Jennifer Howe<'howe!a�.ourhousemedia.com>, barefoot treehouses<barefoottreehousesnQmail.com> Hey Michael, Wanted to get an email thread going,we are excited about the plans being approved from the engineer and congrats as the network has officially green-lit your episode! ��; l s �-z a-- , r. FYI, Jen Howe (our fabulous Line producer)will be sending over some start paperwork. rw i Y-n Christine Johnson (our lovely Show runner) and I will figure out a time to have a call with you to go over creative content and approach for filming the build. We can schedule that once you have the permit and we're ready to schedule the first shoot. Thanks much and let us know if any questions, Jennifer Jordon 720-436-6026 i • MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD - Building,Planning,Environmental Health Cornnwnity Heath 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd Phone:(360)427-9670 Ext.352♦ Fax:(360)427-7798 Fee: $300.00 No fee if w/other permits FDPO Development Permit Application Applicant: Contractor: PN� M LAW�m 1 • Mailing Address: Mailing Address: [D2CoWC IL41" ,S+ Prl, City, State, Zip City, State, Zip Phone: (2jZa _ Phone: ( ) Email. Email: Parcel Number: Property Address: I understand I am making application for a permit to develop in a designated flood hazard area. The undersigned agrees that all such work shall be done in accordance with the requirements of the County Flood Damage Prevention Ordinance, building codes and all other applicable Local, State and Federal regulations. This application does not create liability on the art of the County or any officer or employee thereof for any flood damage that results from reliance'on thi5a o strative decision made lawfully thereunder. G Applicants Signature: Date: h-1112 Official Use: - A. Description of Work (complete for all work): 1. Proposed Development Description: ❑ New building/Addition ❑ Manufactured home ❑ Fill/grade X Other: ❑ Commercial (see section D) ❑ Remodel/repair to existing building (see section C) 2. The parcel has been identified in the following Flood Hazard Area: ❑ A �AE ❑ AO ❑ VE 3. Are any other Federal, State or local permits required? Must attach copies of permits. ❑ Yes N�L No If yes, list type: 4. Is the proposed development in an identified floodway? []Yes X No 5. If yes to #4, a No Rise Certification must be attached. ❑ Yes ❑ No B. Complete for New Structures and Building Sites: 1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor. Must attach a copy of certificate. 2. Base Flood Elevation at the building site: feet NAVD 88 3. Required lowest floor elevation (including basement floor): feet NAVD88 4. In flood hazard areas without a base flood elevation (BFE), what is the highest adjacent Grade? (HAG) Structure must be a minimum of two (2) feet above the HAG. The required finish floor height is C. Complete for Alterations, Additions, or Improvements to Existing Structures: ******(See attached Substantial Improvement & Substantial Repair)*""*'`"* 1. What is the estimated market value of the existing structure? $ 2. What is the cost/valuation of the proposed construction? $ Percentage 3. If the cost or valuation of the proposed construction equals or exceeds 50 percent of the market value of the structure, then the substantial improvement/repair provisions shall apply. Is the proposed work a substantial repair/improvement ❑ Yes ❑ No D. Complete for Non-Residential Floodproofed Construction: 1. Type of floodproofing method: 2. The required floodproofing elevation is: feet NAVD88 3. Floodproofing certification by a registered engineer is attached: ❑ Yes ❑ No E. Complete for Subdivisions and Planned Unit Developments: 1. Will the subdivision or other development contain 50 lots or 5 acres? ❑ Yes ❑ No 2. If yes, does the plat or proposal clearly identify base flood elevations? ❑ Yes ❑ No 3. Are the 100 Year Floodplain and Floodway delineated on the site plan? El Yes ❑ No Administrative 1. APPROVED: DENIED: statement attached ,S 2. Elevation Certificate attached: ❑ Yes No 3. As-built lowest floor elevation: feet NAVD88 6 Comments/Conditions: Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes Mason County WA GIS Web Map qw E t RAFEVIE'r L..t'iF [I ,tis3. .41 c s E K�._jNEKRD i I 62-2000 0 .A 2/28/2019 2:51:37 PM 1:766 0 35 70 140 ft 13 County Boundary AE F—r—T`—r---r�—�y—� r=r 0 10 20 40 m Site Address (Zoom into 1:5,000) AE FLOODWAY ❑ Tax Parcels(Zoom in to 1:30,000) AO Esri, HERE, Garmin, © OpenStreetMap contributors, and the GIS user FEMA FIRM Map community, Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, OPEN WATER CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User . Community A • VE Mason County WA GIS Web Map Application Richard Diaz I Earthstar Geographics I Esri,HERE,Garmin I Google Maps Page 1 of 1 Google Maps replacement structure _. g ' .. i OWN _ e a ti. �f I .r ,.—.--� ; -. � ` � 1. a �s• 4 , Imagery©2019 Google,Map data©2019 Google 50 ft https://www.google.com/maps/place/70+Okonek+Rd/@47.3269864;122.8397059,127m/d... 2/28/2019 Name '- Parcel# 12, © �� ZZ ' 000&0 BLD# 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. 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 stonr►water.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 � � � _ �C' X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Drivewa s 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 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 caner gent/Contractor(circle one)Date: 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 toot 70 Okonek Rd RECEIVED Grapeview, WA 98546 &U, j JAN 2 9 2019 228�9� 615 W.Alder Street T�11g L►nE cb Lh2. I` J LA ZO t - o 0 ; off PLANNING: _ ~ , I LL SETBACKS ARE MEASURED FROM THE FURTHEST `0 ` i ROJECTION OF THE BUILDING _ f �163 feet j Slickf e-ge 7 PLANNING 15 12 zCs IAPPROVED I ASON COUNTY DCD PLANNING \ d, I SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPRO AL 30 ff `� *. _-. _ Date 2 /_ n _ 13 Z� 1 i