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Home My WebLink AboutBLD2021-01059 SFR - BLD Application - 7/8/2021 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED ^ Phone Shelton: �1(360)427-9670 ext 352•Fax.,(360)427-7798 Phone �f C E 1 1V E D Belfair.(360)275-4467•Phone Elma:(360)482-5269 / BUILDING PERMIT APPLICATION JUI 8 2021 PROPERTY OWNER INFORMATION• CONTRACTOR INFORMATION: 31,5 t n, NAME: J t NAME: �o V g v. A t e r Street MAILING AD S �( MAILING ADDRESS:2u 1 CITY: STATE: ZIP: 6 2 CITY: STATE: ZIP:_ PHONEACONTA r PHONE: ( CELL: PHONE EMAIL: �� - D/ytPS.Perms EMAIL: L&I REG#C��r! �GID EXP.LL/ (�/ PRIMAT- OWNER CONTRACTOR❑ 9THER NAME p MAILING ADDRESS C TYIL � STY gE ZIP� PHONE D CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) (=01)//( ZONING S LEGAL DESCRIPTION(Abbreviated) FIRE DIST/RICT � SITE ADDRESS CITY DIREC71ONS TO SITE ADDRESS IS THE PROJECT HIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO$$ SNOW LOAD:�sf 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 j' ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage,Commercial Bldg.Etc.) ) j`d0 Ql'LLP�f/' IS USE: PRIMARY❑ SEASONAL W NUMBER OF BED OOMS _ NUMBER OF BATHROOMS_2_,r, HEATED STRUCTURE? YES(Whole Bldg)NT YES(Part[s)ojB1dg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(propased) I ST FLOOR_JSR sq.fL 2ND FLOOR. rX _sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK2 II sq,ft. STORAGE sq.ft. OTHER_ sq.ft. GARAGE__44.�'sq.ft. Attached r Detached❑ CARPORT sq.ft. Attached❑ 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❑ SEWER / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES�( NO❑ Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO& EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS L_ 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 1 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 pernitlapplication becomes null 8 void if work or authorized construction is not commenced within 180 days or 9 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 Signature oVOWNE�si ned b the OWNER) / Yf L Date DEPARTMENTAL REVIEW APPROVED • `DATE, DENIED 7)ATE TAG$/IYOTES/CQNDITIONS,,;,? BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitNo:bIAUD-d16Sq PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St- Shelton, WA 98584 www.co.mason.wa.us R E C E 1 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 VED Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION 2021 OWNER INFORMATION: CONTRACTOR INFORMATION: "or Street NAME: NAME: /' MAILING DRE S: MAILING ADDRESS: CITY: STA E: (�P� ZIP: 7 ia CITY: �� S A E ZIP: I'PHO E: PHONE:_2 C3_ LYg /-gkq- CELL: 2°1 PHONE: 2,Z7 ENIAIL : EMAIL: L&I REG# Y EXP. PARCEL INFORMATION: / PARCEL NUMBER(12 Digit Number): _ Zoning: LEGAL DESCRIPTION(Abbreviated): rq SITE ADDRESS: c�. 7 CIT DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCAT ON OF FIXTURES/UNITS— I sT FLOOR 2"'D 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 3 Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Z Heat Pump I Showers 7 Spot Vent Fan Water Heater f Propane Tank Clothes Washer l Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood I Hose bibs Z 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 Signature of ner —ite DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT JTL PLANNING DEPARTMENT FIRE MARSHAL ALL SETBACKS Ep N FROM THEFl PROJECTION OF Ti '�,':,;NG 0 1 06q Scale 1" = 20' Line Bearing Length r Ll N 91°0'0"E 31 Buildable area Li N 1os°o'o"w s9 L3 N 15°0'0"W 28 L3 1 Pro ed Residence R3 L1 D 1 Future deck area ' 35 Gravel I Front porch with roof built by the builder I Driveway/ but the ground is Parking I I Stormwater unfinished \ I run-off path\ I p Dash line indicates a 2 ft. \ I outline(at the narrowest part) I from the building to allocate I for 16"eaves and 6"rain I gutter. PLANNING ` RECEIVED JUL 0 8 2021 Roads/driveway 6115�V.61der Street 10'existing outside property APPdriveway are not drawn MASON COUNTY DCD PLANNING , to scale r TO BE - ON SITE SITE PLANES SU BJ ECT TO A PROVAL CHANG _ __ _J By ____ IIIIIIIIII� II. 211' -2' 10'4" I6'2.5'1 50'9.3" 17 3' I 14' - A B C D ENVIRONMENTAL HEALTH mono@ " Scale 1" = 20' 1 Line Bearing Length Ll N 91`0'0"E 31 Buildable area L2 N los*o'o"Wl 59 L3 N 15'0'0"W 1 28 L3 1 Pro ed Residence 30 L1 p 1 Future deck area each ' g5 Gravel Front porch with roof Driveway/ i built by the builder I Parking I but the ground is I I Stormwater unfinished \ I run-off path \ I Dash line indicates a 2 ft. \ I outline(at the narrowest part) I from the building to allocate pPROV I for 16"eaves and 6"rain 1 gutter. su o 9 20 Wy ENVIROnMc TAL HEAL flp►SONc.OU L.'fC RECEIVED JUL 0 8 2021 Roads/driveway 615 W. Alder Street 10'existing y outside property driveway i are not drawn ' to scale a 211' -L -2' 6'2.5" " 10'4" I I 50'9.3" 17 3 I 14' A B C D Name Parcel# l2/�� 5-b—0 01 Z 7 BLD#07A —0Iq�q c� 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 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 = -2-0 IS 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) 2-01-( 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 \ Own Agent/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. RECEIVED Page I of JUL 0 8 2021 615 W. Alder Street Name c Parcel# W/E�—o p l u 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 Stonnwater 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.450 100 W PUBLIC WORKS DR 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.352 615 W ALDER 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- descri ed property for review and inspection as may be required. X Owne gent/Contractor(circle one)Date: Page 2 of 2