Loading...
HomeMy WebLinkAboutBLD2020-01242 Cover Deck - BLD Application - 10/19/2020 r1%VrJ_.A11 Vrr1\l.A11\ryi%lrlt%1xkyl\: 1.V1\1L%.IA%.1111A11\rV1%1Vlti1X"I : 07/��1O ,. NAME:Af&#0t4 AeAr#&4#VC- NAME: aL+LyJL az MAILING ADDRESS:'1(o/& ZV"t1 E1VE 1"6601 MAILING ADDRESS: CITY: S'elg to STATE: A/Ar ZIP: 9$/G6' CITY: -TRECEIAptu- PHONEE#1: z D ct q PHQNF, CELL: PHONE#2: ZD EE EMAIL: [.rah/eb�cr f i'rtaL.C' nt L&IFREG E . / / PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER Aider treet NAME ,0774E Le �T EMAII.bon /0&f /S ./nckG'eDpllk MAILING ADDRESS Y/o/G 2 Y6 /l!E 43 GO CITY occ.-iTex STA E /4" ZIP�0S PHONE MSe. C:e-11 CELL ZQ& ?q7 S-2-& G PARCEL INFORMATION: L /� PARCEL NUMBER(12 Digit Number) ZONING 0 Si h k- l 1 ak LEGAL DESCRIPTION(Ab is d) FIRE DIS CT SITE ADDRESS S"/q E O CITY AJb DIRECTIONS TO SITE ADDRESS %n /Gl e. r"I'S 7`�r►e 6 L`r1]� 4 f- y10 r:FY1 e►rL 6- -I QY one //5 dLnct af C)-4 qA tdLth S I Cc/id 1^t rMP IS THE PR03VCTWITEEIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX 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❑ ADDITION❑ ALTERAT,"IONX REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) ►res i( -d-V,— IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]ofBldg) ❑ NO ❑ DESCRIBE WORK CO Vey eZC C Q/,-/C- SOUARE FOOTAGE: (propose+existing) P«"' 1ST FLOOR sq.ft. 2ND.FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft_ DECK sq.ft COVERED DECK( sq.ft STORAGE sq.ft OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: /1//,q *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWERN' / NEW ❑ EXISTING PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NOX EXISTING SQ.FT. EXISTING BEDROOMS 3 PROPOSED BEDROOMS # 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 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&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 / l� l ZeD MASON COUNTY RECEIVED COMMUNITY SERVICE U I L D ING �� Building,Planning,Environmental Health,Community Health 0 C T 19 2020 Physical and Mailing Address: 615 WAlder St.,Bldg 8, Shelton, WA 98584 615 W. Alder Street Shelton Phone: (360)427-9670 ext 352 e- Fax (360)427-7798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:1302020 . 61;;;tg91 OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: MAILING ADDRE S: MAILING ADDRESS: CITY: STATE: ZIP: CITY: STATE: ZIP: 1st PHONE: PHONE: CELL: 2nd PHONE: EMAIL: EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): co 1-18 Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK:. NEW ALT REPAIR rOTHHEER'- - - USE OF BUILDING Ptc, — "" (:6 PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee) Tvoe of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) Furnace [E/G/LPG] Bathroom Sink(s) Heat Pump [E/G/LPG] Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) Spot Vent Fan Water Heater(s) [E/G/LPG] Propane Tank al.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) 1- Kitchen Sink(s) Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspect Qrl Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges 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 OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 1 D - lr-1 2.oZo Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building _ O Fire Marshal O Permit Tech (OTC permit only) Visit us on-lint: http-.,I/www.co.mason.wa.us/ccmmunity_dev/ . Rev:3/08/2017 PLANNING ��`--___.__ RE RECEIVED OCT 19 2020 '----Existing Path �`�� 615 W. Alder Street PLANNING: ALL SETBACKS ARE IV tEAS R �ROM THE FURTHEST - y PROJECTION OF THE BUIL IN Existing eck Existing House 5 s 40 5 Existing Driveway m Property Line APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL New Deck '4 I;yf __ Date 7 - , s jCLE LI2020 New Roof Over Existing Deck Pt � �� a 0 I YL� e7 Site Plan 5rale. 111 = 201 Site Address; 51 q E Poi ntes Dr V\1 Parcel #1211 q-55-001.78 SE.LBY DESIGN LTD � PE516N-OR: 1 Add-ess 51g E Pointers OrV4 � uG Page �021 Killeen PI 5w Port Orchard,Na 92367 L] {� �j October 9, 2D2Q �JG wAw.selbydeslgnitd.com 360-649-1826 UG Michael & Kaycee '`rysty� Shelton g85b4 Name �2Y r"�/ Parcel# /Z l l9— SS — U�9 /7 BLD# 0 a 2 —T Mason County RECEIVED partment of Community Development Sm 1 �Stormwater Management APPlication/Workshe �302W 2 ) 615 W. Alder Street 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. 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 = 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 = IQ�r O Vt /S77 If the total impervious area of the proposed site X = development is greater than 2000 square feet a 3o Small Parcel Stormwater Site Plan is Required r Total Impervious Surface Area (sum of all areas) ,c o C, If the Total Impervious Surface Area is LESS THAN 2000 Sguare 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 o for review andinssppecti n may be required. Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is EATER THAN 2000 S uare Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2