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HomeMy WebLinkAboutBLD2023-01250 Breezeway - BLD Application - 10/16/2023 MASON COUNTY Permit No: 0/0-60 COMMUNITY DEVELOPMENT E C E I` EW Permit Assistance Center,Building,Planning OCT 16 2023 BUILDING PERMIT APPLICATION r Strut PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Donald Kind NAME:TBD MAILING ADDRESS:1607 Bonney Ave MAILING ADDRESS: CITY:Sumner STATE:WA Z1P:98390 CITY: STATE: ZIP: PHONE#1:253.224.2329 PHONE: CELL: PHONE#2: EMAIL: EMAIL:don.kincl@gmaii.com L$I REG# EXP. / / PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME D-K-c' EMAIL don.kincl@gmail.com MAILING ADDRESS 1607 Bonney Ave CITY s-- STATE WA ZIP98390 PHONE 253224232e CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12119-50-00145 ZONING LEGAL DESCRIPTION(Abbreviated)91-Undeveloped-Land FIRE DISTRICT SITE ADDRESS 640 E PITCAIRN PI,SHELTON 98584 CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:-gk-psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check aB that apply): SALTWATER❑ LAKE❑ R1VER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Gamge,Commercial Bldg,E/c)Garage h IS USE: PRIMARY 114 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(&holeBldgl❑ YES(Pa ls(ojBldg)❑ NO❑� DESCRIBE WORK Detached Single Car Garage and Breezeway SQUARE FOOTAGE:rprvposrd) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.fR BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGES sq.ft. Attached❑ Detached© CAaporI'0 sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: * COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER Q / NEW EXISTING PLUMBING IN STRUCTURE? YES❑ NO V yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. EXISTING BEDROOMS==Jar 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 d void it 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 PER COUNTY CODE 14.08.42) PPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON X /0 /k z� Signature of OWNER(Must be s'tqned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/COND..ITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit Nod) -01(9-SO COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning OCT 1 U Li 21. BUILDING PERMIT APPLICATION I r Stre5: PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: I NAME:Donald Kind NAME:TBD MAILING ADDRESS:1607 Bonney Ave MAILING ADDRESS: CITy:Sumner STATE:WA ZIP:98390 CITY: STATE: ZIP: PHONE#1:253.224.2329 PHONE: CELL: PHONE#2: EMAIL: EMAIL:don.kincl@gmail.com LR.I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME D°Klwl EMAIL don.kincl@gmail.com MAILING ADDRESS 1607 Bonney Ave CITY s`°'°'°' STATE WA ZIP98390 PHONE 22224292 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12119-50-00145 ZONING LEGAL DESCRIPTION(Abbreviated)91-Undeveloped-Land FIRE DISTRICT SITE ADDRESS 640 E PITCAIRN Pl,SHELTON 98584 CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:1 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thatappty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Rnidenre.Gamge Commadat Btdg,E a)Garage IS USE: PRIMARY 14 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS r HEATED STRUCTURE? YES(jvhoieStdg)❑ YES(Parrls/ofBtdg)❑ NO Q DESCRIBE WORK Detached Single Car Garage and Breezeway • SOUARE FOOTAGE:(p,nposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.IL BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGES sq.ft. Attached❑ Detached© Rim CA;wBTtI"_ 40 sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: * COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER Q / NEW El EXISTING EI PLUMBING IN STRUCTURE? YES❑ NO E] Yyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOE] 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.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.1 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 stntcture(s)for review and inspection. This permit/application becomes null d void if work or authorized construction is not commenced within 180 days or 9 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 ZPERPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 46 Z3 Signature of OW ER(Must be 4;,d 2bythe OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS: BUILDING DEPARTMENT PLANNING DEPARTMENT S 10 FIRE MARSHAL PUBLIC HEALTH s Name Li Parcel# 121.!-50-00/46 BLD# ?!0q 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'. '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 = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: 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 B d 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) 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 inspe ion as may be required. Owner/Agent/Contractor(circle one)Date: /© 1o`t- 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 Name Parcel# BLD# 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) 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.352 615 W ALDER 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- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2