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Home My WebLink AboutBLD2021-00695 SFR - BLD Application - 5/10/2021 MASON COUNTY COMMUNITY SERVICES Permit No: 2aZf 0 11a 5 PERMIT ASSISTANCE CENTER: BUILDING*PLANNING*PUBLIC HEALTH*FIRE MARSHAL 615 W.Alder Street,Shelton,WA 965M RECEIVE -7 Phone Shelton:(360)427-9670 axt.352•Fax:(360)427-7798 Phone BeMair.(360)275-4467-Phone Ekne:(360)462-5269 BUILDING PERMIT APPLICATION MAY 10 M'l PROPERTY OWNER INFORMATION: CONTRACTOR INFOIj�,�SM: Alder NAME: Isaiah&Rachel Wyckoff NAME:Adair Homes MAILING ADDRESS:2412 W 31st St MAILING ADDRESS:1311 SE Cardinal Ct Ste 100 CITY:Vancouver STATE: zjP:9wO CITY:Vancouver STATE:WA ZIP:98883 PHONE#1:360-356-2859 PHONE: 3603594520 CELL: PHONE#2: EMAIL:i robinsoneadakhomes.com EMAIL: wyckofiftmail.com L&I REG#ADAIRH*262RZ EXP. 01 /09)23 PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STAM I I IP PHONE CELL _ - PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12119-50-00118 ZONING Residential LEGAL DESCRIPTION(Abbreviated)21 N,1 W,Sec.19 Lot 118 FIRE DISTRICT 5 SITE ADDRESS 632 E Pointes Dr W CITY Shekon DIRECTIONS TO SITE ADDRESS See attached GOoyle Maps IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ Nw SNOW LOAD:25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ckeck all tkat apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWje ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Aeaidence,Garage,Commercial wig,Etc.) Residence IS USE: PRIMARY VSEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Wio/edldW YES(Part[,)ofjlMg)❑ NO❑ - ----n- - DESCRIBES-WORK-ow Construction single family residence -- --- - SOUARE FOOTAGE:(prorm,4 I ST FLOOR 2223 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.R. COVERED D)CK 105 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE487 sq.ft. Attache 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❑ EXISTINGV PLUMBING IN STRUCTURE? YES NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YEW NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 4 TOTAL BEDROOMS 4 OWNER acknowfedyes 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 f~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,krdudi V any easement holder or parties of interest regarding#tit project. The owner or legal representative,represents that the infrurrntfion provided is accurate and graft employees of Mason County access to the above described property and structure(:)for review and inspection. This permN/apptkrelion becomes null A void I work or authorized conskuclim is not commenced W"Nn 160 days or 9 construction work Is suspended for a period of 160 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS PERMITNPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.06,42) X ) �' �1 ✓� .�.� Sig of OWNER t be sinned b Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 4r-I& PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: M -A — a5 PERMIT ASSISTANCE CENTER: .BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W. Alder St- Shelton, WA 98584 www.co.mason.wa.us Phone Shelton: (360)427-9670 ext. 352• Fax: (360)427-7798 MAY ' • Phone Belfair.� (360)275-4467• Phone Elma:(360)482-5269 6' O 2�2� PLUMBING & MECHANICAL PERMIT APPLICATION adder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Isaiah & Rachel Wyckoff NAME: Adair Homes MAILING ADDRESS:2412 W 31st St MAILING ADDRESS:1311 SE Cardinal Ct Ste. 100 CITY:Vancouver STATEWA ZIP98660 CITY: Vancouver STATE: WA ZIP: 98683 1"PHONE: 360-356*-2859 PHONE: 360-3594520 CELL: 2"a PHONE: EMAIL : arobinson@adairhomes.com EMAIL: wyckofi@gmail.com L&I REG #1ADAIRH*262RZ EXP. 01 /09 /23 PARCEL INFORMATION: PARCEL NUMBER (12 Digit,Number): 1 21 1 9-50-001 1 8 Zoning: Residential LEGAL DESCRIPTION (Abbreviated):21 N, 1 W, Sec. 19 Lot 118 SITE ADDRESS:632 E Pointes Dr W CITY: Shelton DIRECTIONS TO SITE ADDRESS: See attached Google Maps IL P TYPE Ok JOB: NEW VF ADD ALT REPAIR OTHER USE OF BUILDING Residence LOCATION OF FIXTURES/UNITS- I ST FLOORV 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNkS 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 4 Furnace 1 Bath Tubs 2 Heat Pump 1 Showers 2 Spot Vent Fan L Water Heater 1 Propane Tank Clothes Washer 1 Gas Ou ets Kitchen Sinks 1 Woo as ellet Stove 1 Dishwasher 1 Kitchen xhaust Hood 1 Hose bibs 2 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 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 INV I TE HE AP CATION. X r,, l ign ure of Owrie Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT •/S%Z t PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN Name ISAIAH WYCKOFF Parcel# 12119-50-00118 BLDFS '` ►�� vT� 4 Mason County MAY 10 2021 Department of Community Development Small Parcel Stormwater Management Application/Work&ei(0ge:1,Qf(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 66.5 X 50 = 3325 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 6 X 23.5 = 141 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 30 X 8 = 240 10 X 8 = 120 Any paved, gravel or packed area per definition above table X = 144 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) 3970 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 ackn wledge that the information provided is accurate and employees of Mason County are granted access to the above- desc * d perty review and pection as may be required. Owner/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. Pagel of 2 tiamc ISAIAH WYCKOFF Parcel# 12119-50-00118 BLD#632 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: hgp//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) IW 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 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)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar 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- describe rop for review and inspection as may be required. X Owner gent/Contractor(circle one)Date:3/10/21 Page 2 of 2 1 1 oli .! j 'ij•:ij�:�I i L 5. • I 1 4.. + slop 1 � � 0 ! • I i I ' 1 I lyt- 4- RECLIVED' 4 MAY 110 202t 61 5W-. icier Stree r &6-2�0z cobg6 ofCK P FF G is MASON COU'N Y DCD PL , NNINC PLAL ; NG L. S17E PLAN'REOL IREO TO BE N SITE CHANGES SUBJECT TO APPq VAL r u f BY..._... _..... Date' _. PLANNING:: . ._. .. . _. - - AttS CIf3 Aft MI ASUREDr F QM THE F RTHEST PROJ CTION OF E BUILDING r � f 1�111 wMil• Drawir g: Project: Drawn: Notes: OW30I 4 OW�301S4 E' JNEIRLE Scale: Da e. iC Rev: � OM2 �•:*! 1" ��. 03 21/29 } CV 2256 auc L� (21kq- 5 ` 5 j !i1 1 ' i f TP I PIS IV II ' 1 n, i 1 I ' REC WED j MAY 110 2021 1 i; '615 �1-da-rll Strap f Bbck-2oZ..I-cO bq5 -� VII ONMEN i AL � HEALTH APP ROVED AN 09 2021 i > I .MASON COUNT ENVIRONMENTAL HEALTH RET ' ;Dr�wil g: Pro ject y Drawn: trotes: ;c5W30I '4 C) 0114 JMEIKLE I 1 , Z3,03 9330 Yi Scale: Da a �1.p ! Rev: 1 "$12 f 2 03 2 21 I 150