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Home My WebLink AboutBLD2024-00204 SFR - BLD Application - 2/1/2024 Pe tin MASON COUNTY COMMUNI TY DEVELOPMENT FEB.01 .20 permit Assistance Center,9u'ildng,Planning BUILDING PERMIT APPLICATI0615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: A iC NAME: MAILING AD SS: MAILING ADDRESS: CTTY�4�i�_ �� TATE: ZIP: CITY: STATE: ZIP: PHONE: CELL: PHONE#2: O- Z EMAIL: EMAIL: ° .Cew L&I REG# EXP. P CONTA a a OWNER❑ CONTRAC EMAIL QTHER Ig NAME C 41 5 � It t 5V MAILING/ADDRESS a fC CITY o STATE leiA ZIPL� PHONE — CELL PARCEL INFORMATION: 7 t PARCEL NUMBER(12 Digit Number) q Z (.rZ q-1-13 LT(7O 13 ZONING LEGAL DESCRIPTION(Abbreviated) 105— ',4 ISTRICT J SITE ADDRESS f I W L b R it gw-kj CITY U A t`d it %,JASR DIRECTIONS TO SITE ADDRESS YY1 c-Q f _f1 U y +v wejh rl & K, G £ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO If SNOW LOAD:—%sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chentall drm appty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW)C ADDITION❑ ALTERCATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Corronerda/Bldg Erc) �L Z id.#LA,e—e IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan[s]ofBW$K NO❑ DESCRIBE WORK SOUARE FOOTAGE:(proposed) l - I ST FLOO sq.ft 2ND FLOOR sq.& `3RD FLOOR sq.ft BASEME�tNT sq.}f��D J'('l✓C V DECK sq.ft COVERED DECK S sq.& STORAGE sq.ft OTHER 8^ ,1 GARAGFf sq.& Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑ MANUFACTURED HOMIE INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROGW Lam, BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW)] EXISTING❑ PLUMBING IN STRUCTURE? YES'( NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NCI( EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS _ TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop wmrk 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 staxture(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if constriction work is suspended for a period of 180 days. PVSignWNER ON OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) ` ��•�� X 'l (Must be signed by the OWNER) Date .DEPAR NT REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT {7 t G Z'Z7 y PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING. PLANNING•FIRE MARSHAL RECEIVED Dd ot) 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us %B 01 2024 Phone Shelton:(360)427-9670 ext. 352• Fax: (360)427-779 Phone Belfair. (360)275-4467• Phone Elma:(360)4$�-,q% Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION• + . NAME: A NAME: MAILING A RESS: 1 .�.� MAILING ADDRESS: CITY: STATE: ZIP: q S6 f& CITY: STATE: ZIP: l`PHONE: q7&- PHONE: CELL: 2-'PHONE: C.> - EMAIL: EMAIL: e L&1 REG# EXP. /_/ PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number):_ Zonm . (6J ovs LEGAL DESCRIPTION (Abbreviated): 1 SITE ADDRESS: LtCITY I ah DIRECTIONS TO SITE ADDRESS: N O rl I'll C Veoaw� 4 0 q66 atl ZJ-r-a e-4- �CitrSl 'Pi re-zly pv\ Ld4 tx &20- C1� TYPE OFJOB: Cl NE ADD=ALT=REPAIR=OTHER=USE OF BUILDIN `n LOCATION OF FIXTURES/UNITS— 1ST FLOOR=2No FLOOR=BASEMENT=GkARAGE=] THE PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPGCK�Natural Gas=Ductless= Toilets Z Type of Unit No.of Units Fees Bathroom Sink Furnace —1 Bath Tubs Heat Pump 1 Showers Z Spot Vent Fan _ Water Heater Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks 4 Wood/Gas/Pellet Stove j Dishwasher I Kitchen Exhaust Hood Hose bibs A Dryer Vent Other Z Solar Panel Other —o 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 CONT ATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV L ATE THE APPLICATION. X E�� J)o , Sign lure of Owner Date D ENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT FI& Z3 Z PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 J8N S Name Parcel# Y Z 1 2 LI-7j` qQ O a 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 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 .7,6 X = TRq 6® X p = Measurements for buildings are taken at the Lio perimeter of the farthest projections(example: X = CS eaves/gutters) X = Driveways X = 7Z 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/V1lalks 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) 7 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 fu?gs that the information provided is accurate and employees of Mason County are granted access to the above- deor review and inspection as may X Owner/ ent/Contractor(circle one)Date: Ifrviou Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign throvided on page 2 of 2. Page 1 of 2 Name Parcel#44 Z 1 Z u— ! 'q 3 BLD# MX;2q _&)K4 Mason County _ Department of Community Development Slt t 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 reR1 tE& tF=ater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: bqp//www.co.mason.wa—us/code/commissioners/index.htin FEB Q 1 2C24 Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works a�p UUA'stormw tern Street (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 gThe relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed m r 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- describ prop for revie d inspection as may be required. X Owne Agent/ ontractor(circle one)Date: Page of 2 I G&NERAL REQUTREMENT3:BUILDI,NG ENVELOPE -- ------ BUILDING DATA • cwus°..•v!��x�4�w�ro'"`nx�ss`,,`.`�sucroe, exoY=� xw.x.e. fe.0 raK vert a Y•�`x'�r•�KtlM..ivic 6�M1ou.c�V Ss u°cif q�,aguL ^waS�� C�%� �f.:ageW°Mta, Q Nt:llMMa.n rM ,OIIMrCx1Y1. �n.LLfrl6�luile ar t.¢n�0..`0. bfKe°artn,uwncx a•uY�x aMOl N•,,, a>R#niTq,.:,Yxr.xe°axf .�„.0.Faul,ry.L IT} '.Vi[ x j �!a,°!l,teeP1 YB4i w r�w 2•�TD. .A o"ew,n w ��` 6c2 i Y `tlxM�I.wDM GH r,]"mow .- upr,aw ae.er e,rGmer r¢>/neYe.•rs., w;w:.]ou race. gy' ^„ E ian,."r .een n m �s�• M��,�.�wn�l..a_.,,.�x,r ��x�,�„n,,.,.�>w.�w.i�.,;,:.. �;:�,._..> a ° o > r?o QL.v aN E Y E cl st 'c C ,i 1' ~HI,ICY e!n as YW,wt H ax.. ' , Y4Lc IM vaoC Q N ; ,lyyy.. O V!,] .C J UCL U UMR 1 -PMMi LI`1S M T.AL L,Jl9h°R�GMD.YL `4 No clearing e (225' wetland buffer) _ _ ,s »ter a r we®xria xu.nx „xwr �u swrl,•.enwx awn rc.+.m N nmc lx.u.s ."'""Y"'>10-e'6 k SITE PLAN \�''� ora rawer enr�cr rx°rt! !° e 245' r I tk y3 EH APPROVED Rhonda Thompson 03/19/2024 LJ EH SetbacksA.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations r _ ,oe: ,s �.ss, C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area ZZ 44 � 3I' AI PLN SETBACKS Front(East):25' ------- -----------•------ N1 p � �• —_'_ sc' tie Sides.20' Rear:20' .all setbacks measured from the farthest I projection of the building SITE Pry "subject to EH setbacks