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Home My WebLink AboutBLD2017-00367 SFR - BLD Application - 5/1/2017 oN cot: MASON COUNTY COMMUNITY SERVICES �P9 ^T� PERMIT ASSISTANCE CENTER: Permit No: •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W. Alder St - Shelton, WA 98584 Phone Shelton:(360)427-9670 ext. 352 • Fax:(360)427-7798 Phone t,Y<� Belfair:(360)275-4467• Phone Elma:(360)482-5269 MAY 01 2017 BUILDING BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: V r NAME: r 62 MAIL AD R�SS: IZ t /l a 'F. MAIL G ADDRE S: ZI-3 C0 CITY:VGZt(�1/?ec STATE: Wf ZIP: CITY: i f tG_ STATE: W ZIP: PHONE#I: PHONE: -Pd -/9y CELL: PHONE#2:.Z0T- _ - 5i-- J' EMAIL : a( 1-11 s.Cet-n EMAIL:Q/1V1Jf''7 g0%L'R L&I REG# EXP. /ZL W CONTACT PERSON : OWNER ❑ CONTRACTOR V OTHER❑ NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: CELL: EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) /a 957 ZONING LEGAL DESCRIPTION(AbWeviated) ,( - P ///Y/i #W 10 FIRE DISTRICT SITE ADDRESS l 707 O,( CITY (SA&AC^_ D CTIONS TO SITE ADDRESS e4 /`,-/U) Ct t �' ,(;t 60 ,e 1�OJ'1 �. /-SJ�7 dl,,bfi&7 Co Ne* cal IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YE> NO ❑ IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER 0 LAKE ❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW Er ADDITION ❑ AL ERATION❑ REPAIR❑ OTHER ❑___ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) J/06/q rz f IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS ER OF BATHROOMS_v� HEATED STRUCTURE?� fYES(Whole Bldg) Ft K YES (Part[s]of Bldg) ❑ NO ElDESCRIBE WORK Hilt'" S Ee Q 1' (Valuation I) roject Bid Amount: $ 9 SOUAR FOOTAGE• 1ST FLOOR /4_1Z sq. ft. 2ND FLOOR ' /y sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq.ft. ARAGE_ sq.ft. Attache CARPORT sq. ft. Attached❑ Detached❑ e MANUFACTURED HOME INFORMATIOt 7 4 S OF THE FLOOR PLAN REQUIRED* ft� MODEL YEAR GTH WID BEDROOMS ATHS SERIAL NUMBER 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) ign u OWNER(Must be signed by the OWNER) Date DEPARTMENYAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 'Z 7 PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS lIntak Tanner: ( pproved&Readv for Pick-Up: (�Ep 2017- 000 Z 3 -f;r &nrov See : 6W 2017-00,i&e Visit us on-line: http://www.co.mason.wa.us/community_dev/,,_ oD9-wl I—ao'+2 Rev. 112712016 by JBN �P�pN Cot, MASON COUNTY COMMUNITY SERVICES Permit No: WZd 7'C��JI� PERMIT ASSISTANCE CENTER: ' .BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 ��'�� www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 tRSJ Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 MAY 0 1 2017 D U I L D I N GUMBING & MECHANICAL PERMIT APPLICATINO W.Alder Street OWNE INFO ATION: CONTRACTOR INFORMATION: NAME: t,4011, n! NAME: r S MAIL MAILIV,G A DRESS: /,t ! lem✓14 MAILING ADD SS: CITY: KX&n<i STATE: ff ZIP: Wq&I CITY• :q CLL'! STATE: ZIP: 513 I s1 PHONE: GY- 70-- PHONE D- Q -!Fy CELL:,- -6 - 8 2°a PHONE: 3-15-4? EMAIL: 10f&117&4 le ydelh,11niS6CA EMAIL: 01, (lem L&I REG# EXP. 1.4-1 /P PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): is/i 9 Zoning: _U� LEGAL DESCRIPTION(Abbreviated)-. Ct6 c5 de Ot/I SITE ADDRESS: "7til�' �- I : 0J1� D CTI S T SITE ��SS: l ' 0�7 r�/! Gn i Q C(ZN�I/1C/1 tC i TYPE OF JOB: c NEW ADD ALT REPAIR OTHER U OF BUILDING v Fe LOCATION OF FIXTURES/UNITS— 1ST FLOO�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— asDuctless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace .,^'J Bath Tubs Heat Pump 5 Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets, Kitchen Sinks Woo as ellet Stove Dishwasher 1 Kitchen Exhaust Hood Hose bibs 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 INVALID THE APPLICATION. X (5-- I— ) /-7 Signat a of wrier Date DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT l?-/ PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN �r9;�Qt plar� r'eiv`d: L3L,U 003(o s PLANNING RECEIVED A -rat o o< k LP 2 0) -7- 003�t? MAY 01 2017 o sah� ,�T'o4 fury 615 W.Alder Street lilt O— L VW jjAr 4- OZE W/T � pe 'ParedE w -0 1 13; K �h�� JCIe(d "e�,.� tJ�AOvve6t W-l' C2 fG CJ L Q ��Q� ��oSlMQw �''°' '"!�syh cwp-�,7-0001-tz < � � � v lei r1S 3 APPROVED _ n � {' Jee�- -is-zoo 7 MASON COUNTY DCO PLANNING �" �i YT SITE PLAN RE LII-;E� TO BE ON SITE CHANGES S 3' �:.T TO APPROVAL By— 11�r----- D_to baO purhpW��I c(� p ro Per+j i; ►e sE i�4 ks PLA' OT RLVISI DflR R VDRECEW9 - S't (aVh -DOSzar '-1_J0 0o - 2- MAY 15 2017 DATE 5-1 ��. teat+�, Deg w. 4 _ � 3 - 615 W. Alder Sheet PLAN N I N G. ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING Name Parcel# / [�1/�� ✓ / �QOyy BLD# 20I7— "7 Mason County v03&�? 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: httpHwww.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) VSE 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 400 415 N.6th St—Bldg#8 lower level Shelton.WA 985" 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 furthe'r"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 reVired. X Owne Agent/Contractor(circle one)Date: Page 2 of 2 Nam �` Parcel# I —5 OO BLD# 7017— 003 7 Mason County *190) �-Jo 3 dig LD I NCDepartment 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 surface2. '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 X zo 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 JCw 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 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. Page 1 of 2