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HomeMy WebLinkAboutBLD2023-01156 Pole Bldg - BLD Application - 9/26/2023 ~~` MASON COUNTY COMMUNITY SERVICES Permit No:ab op3-01 15-ft PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL _ E t 615 W.Alder Street,Shelton,WA 98584 ' ' Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone rJt? B iffalr.•(360)275-4467•Phone Elma:(360)482-5269 +��-1 2 E ;c`sL.r �� BUILDING PERMIT APPLICATION 515 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Timothy Rollman NAME:Town&Country Post Frame Buildings MAILING ADDRESS:871 E ALTA DR MAILING ADDRESS:16521 Highway 99,Suite C CITY:BELFAIR STATE:WA ZIP:98528 CITY:Lynnwood STATE:WA ZIP:98037 PHONE#1:360-265-8289 PHONE:425-743-1555 CELL:_N/A PHONE#2: EMAIL, :permitdept@permabilt.com EMAIL:tootall2470gmail.com L&I REG#TOWNCPF099LT EXP. 06 /30 /2025 PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑ NAME Town&Country Post Frame Buildings EMAIL permitdept@permabilt.com MAILING ADDRESS 16521 Highway 99,Suite C CITY Lynne STATE WA ZIP 98037 PHONE 425-743-1555 CELL N/A PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 122057800150 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TRACT 15 OF SURV 12/129 FIRE DISTRICT ram"'M,-,Regional Fire Authorky SITE ADDRESS 871 E ALTA DR CITY BELFAIR WA 98528 DIRECTIONS TO SITE ADDRESS see vicinity map IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Q SNOW LOAD:25 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: NEW E] ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Garage IS USE: PRIMARY(a SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[sJ of Bldg) ❑ NO ❑v DESCRIBE WORK 1320sgft Pole Building,no heat or plumbing SQUARE FOOTAGE: (proposed) 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 1320 sq.ft. Attached❑ Detached❑� CARPORT sq.ft. Attached❑ Detached❑ i MANU INFORMATION: *4 COPIES OF THE FLOO RED* MAKE MODEL YEAR LENGTH WIDTH BATHS SERIAL NUMBE 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❑ NO❑� EXISTING SQ.FT. EXISTING BEDROOMS 3 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 3 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180 clove nr if rnncfinefinn wnrrr is encnandarf fnr a narinri of 1 An clove Name Rollman 3arccl BLD# 122057800150 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 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. 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 30' X 44' = 1320 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 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) 1320 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 Stornmater 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. Digitaby signed by Town&Country Post Frame Buildings DN:cn-Town&Country Post Frame Buildings,o,ou,email-permits@permabiltzom.-US 09/20/202 3 X Date:2023.09.2014:11:00.07'00' Owner/Agen ontracto 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 Town & Country, A Division Of / ? .. �� •�•• E R MAa! LT 16521 Highway 99,Suite C•Lynnwood,WA 98037-3161 ease Check After Doing Site Plan! a Sept;c and drainfield � of size Draw North Arrow in Circle Puyallup:(253)840-9552•Chehalis:(360)996-7080 Property dimensions ❑�s Sewer lines M Elevation of property Administrative Headquarters:(425)743-1555 Existing buildings PI Setbacks of proposed&existing buildings ❑Bodies of water FAX:(425)742-4378 • 800-824-9552 913roposed building RMain road with name N Ioorplan Contractor's Lic.#:TOWNCPF099LT ❑ permabilt.com tacebook.com/permabilt Easements �O'�AAA� [�Access to proposed building � Slopes&Contours(5'increments) Building Proud'"' Job Name: Job Site Address:, 7 ! E A 1+C, ✓ Tax Account#: 1 ZZo r, 7 �� 0 O 150 Legal Description• r✓ f -o 11 ' L _ 330 r G � ; I L� , �J� 5�"ck ��( lQs 45 /Z'6' J fcPTIL r � w T N6W I-- „. r� Sl Zc= LE 1 I� ,/O L CA� . .U,�s DO NOT SIGN INCOMPLETE SITE PLAN! Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that Grid White-Customer Copy Plain White-Office Copy all utilities are shown on this drawing-ifi tFie oo►rect location. CUSTOMER SIGNATURE /r LEAD# G ©2012 Perma-B!It®Industries FR-34 10/2022 I Iltlll IIIII lIII II'I^(