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Home My WebLink AboutBLD2020-00625 SFR - BLD Application - 6/19/2020 MASON COUNTY COMMUNITY SERVICES Permit No PERMIT ASSISTANCE CENTER: -BUILDING.PLANNING-PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 985M Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7796 Phone60 U N 19 2020 Belfair.(360)275-"67•Phone Elms:(360)4B2-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 0 'e" NAME: D w'A 4-Debb,e. H--(5c n NAME: -Z MAILING ADDRESS:_301 g K i�1 8'n s 7 MAILING ADDRESS: CITY: F! C,-wi5f STATE:W ZIP: 9 6S CITY: STATE: ZIP: PHONE#I: 3(,0 9 Ci`1159 PHONE: CELL: PHONE#2: 360 9 i Q 1916) EMAIL: EMAIL: . C£.M L&I REG# EXP. =wtri --- -:, PRIMARY CONTACT: OWNER CONTRACTOR❑ THER❑ NAME L �, i PIR 15C r7 EMAIL /�nr 1,5 cc,J✓1 MAILING ADDRESS 3C I M K 1`i8 CITY\j=(Ux -uJ'?.I^ STATE S&LI-1 ZIP C1 RGa 9 to PHONE CELL_2[L 9L1 1 2 S PARCEL INFORMATION: PARCEL NUMBER(12 Digit Numbcr) ) 1)9-ij 3 -C)DO ZONING Rv 1 LEGAL DESCRIPTION(Abbreviated)[A tt f t,5je(1C= PN L; # 4 L�T I FIRE DISTRICT ! SITE ADDRESS I_a3+ CITY S 1 e _DIRECTIONS TO SITE ADDRESS C fws br; . 'te (`1 ' 1 Ian e ' i h ccC. ^fTF1 is 1Cn A Dc cl c A ' m t c qorl IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:^psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check all that apply): SALTWATER LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWW ADDITION❑ ALTERATION❑ REPAIR ElOTHER ElUSE OF STRUCTURE(Residence.Garage,Commercial Bldg.Etc.) T l�@ S i A, n e-- IS USE: PRIMARY', SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]ofBldg).P' NO❑ DESCRIBE WORK e- t C , Ci-,0 S; e n � SQUARE FOOTAGE:(proposed) 1ST FLOOR sq.ft. 2ND FLOOR 1 S sq.ft. 3RD FLOOR sq.ft. BASEMENT 7 85 sq.ft. DECK 9LL sq.ft. COVERED DECK)�ic� sq.R STORAGE sq.ft. OTHER sq.& GARAGE �N.ft. Attached X 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❑ Ifyes,attach completed Water Adequacy Form PERIM[ETERTOUNDATION 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 permit revocation.Admowledgement of such is by signature below.I declare that 1 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 permit/application becomes null 8 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 P MIT AP (CATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) J �u b mL .e-c X !�1 `� /q J?() 3t 0 nature dF OWN (Must be signed by the OWNER) —I Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Perrivt No:'B I(A 21bZ0-L1UDa5 PERMIT ASSISTANCE CENTER: •BUILDING v PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 RECEIVED www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair(360)275-4467• Phone Elma:(360)482-5269 JUN 19 2020 "-PLUMBING & MECHANICAL PERMIT APPLICATION 1 4. Alder Street OWNER INFORMATION: CONTRACTOR INFORMATION- NAME: Dq,,,D dEtisc,Q NAME: 1 MAILING ADDRESS:3e iS N iE 68"'' S i MAILING ADDRESS: / CITY:'VA or,a u u STATE:WA CITY: STATE: ZIP: I"PHONE: PHONE: CELL: 2nd PHONE: ' ) C= i " I,) 1 EMAIL: EMAIL: r �n e rt.SC yt �"_�,�;na I.. Cu�`rl L&I REG# EXP. PARCEL INFORMATION: pp PARCEL NUMBER(12 Digit Number): `j 3 - Q D 0� ) Zoning. LEGAL DESCRIPTION(Abbreviated: SITE ADDRESS: Ll t),g Lct5I- ( c. .,te5 Pr E T ITY:,5 t119LTbAJ DIRECTIONS TO SITE ADDRESS:Cr-i* 1% ,dl to ajT��c 161q, r iv L lv j "lunc) Hclit r3 cne }FC; te- cia--r at s I TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS-IsT 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 Ductless_ Toilets ? Type of Unit No.of Units Fees Bathroom Sink -:9- Furnace 1 Bath Tubs -t- Z Heat Pump _ I Showers 1 Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer t Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher t Kitchen Exhaust Hood Hose bibs _ Dryer Vent l 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. bflVlL.N e C� X ' S�`��tj ��(`� �-Iq-Zo2rJ gnature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J -7 9.'= 1 J PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN 12 r' IOU 401 03 411 413 419 421 42 �/ 4Z 420' '�•urn � ..... __ 4 42 436 438 440 �~y 444 \ 42b 483� 442 430 32 �455 56 541 { \ d 45 `� 454 64 68 MNG "I".-•- 72� 76 RECEIVED JUN 19 2020 615 W. Alder Street \ setback INNING: Y' A L S B CKS ARE MEASURED F � THE FURTHEST PR J TI N OF THE BUILDING Rs' ' AP ROVED ] = ap i MASOry COU TY DCD PLANNING SITE PLAN REO IRED TO BE ON SITE CHA GES SUBJECT TO APPROVAL By //iy _ Date 36� �` � •'..'��.X�..-.J...M.-ram. �,�..�._...�,...:.,,..�. .a _� r �1 SPACES _ UNITS Name avid H eAL o✓1 Parcel# 53 -OODa BLD# KLULIVtu BUILDINq) Mason artment of Community ty e Development p ty p 1UN 19 2020 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: httn//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 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- desc bed prop for review and inspection as may be required. X (�Agent/Contractor(circic one)Date: &ZO?0Page 2 of 2