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BLD2021-00235 SFR - BLD Application - 2/17/2021
MASON COUNTY COMMUNITY SERVICES Permit No: �(11 �WL�t/�J PERMIT ASSISTANCE CENTER: -BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL k' 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax.(360)427-7798 Phone BeBair.(360)275-4467•Phone Elma:(360)482-5269 C • / BUILDING PERMIT APPLICATION 1 t � CU/i PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: JCYE� h_ � NAME: T i s . '�f»Ce,o (411-,, 4,, NAME: !/.�0 I MAILING ADDRESS:a(`-4,,, dlT�sn,✓Lfc/J^s= MAILING ADDRESS: CITY f n 1Z,11,ec l STATE ZIP:; CITY: STATE: ZIP: PHONE#1: ,Se;f) 9e Z cyfa r, PHONE: CELL: PHONE#2: 76<9 3YO EMAIL: EMAIL: L&I REG# E)CP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME Tp t (,Ja P o.t EMAIL r,)4�� r�o.✓ g,s•c�if 47 , MAILING ADDRESS 7 cTA S=gam C c /�o- FarCITY�iA.�C�le'cJ STATE C--.�I' ZIP 9 :5 PHONE Ct G CELL --9-0 .4YO 'yi SS` Dtf PARCEL INFORMATION: 43Did PARCEL NUMBER(12 Digit Number) J,Q Qf p7J- erg('Q r ZONING IZ S— LEGAL DESCRIPTION(Abbreviated) 6;f--,0,9 x74:J FIRE DISTRICT SITE ADDRESS Y AVE .4C,2l1z4 &dr CITY DIRECTIONS TO SITE ADDRESS_OV c✓ creme16 //du 7D 73P 4C e.>r ;•d IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESEr NO❑ SNOW LOAD: 31 Dsf 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 P"'ADDITION❑ ALTERATION❑ REPAIR❑ OTHER [IUSE OF STRUCTURE(Residence,Garage,Comnwrcial Bldg,Etc.) /n_T/o IS USE: PRIMARY�SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)Oe YES(PartAl of Bldg)❑ NO❑ DESCRIBE WORK G3t, fitla+ a� . D��fi /r�S�clY..iL C.3 9r/. �tdf �O/ccp SQUARE FOOTAGE:(proposed) 1ST FLOOR sq.ft 2ND FLOOR — sq.ft. 3RD FLOOR sq.fL BASEMENT — sq.ft. DECK sq.fL COVERED DECK sq. STORAGE sq.ft. O 7 sq.ft. GARAGE sq.ft Attached Detached❑ CARPORT sq.ft Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: 54) —0013JO SEWAGE/SEWER SOURCE: SEPTIC B' SEWER❑ / NEW[7� E TING❑ PLUMBING IN STRUCTURE? YES[[9- NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ 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.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 8 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) Signature of OWNER(Must be signed by the OWNER I Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitNo:01&?6Z -Q)Z35 PERMIT ASSISTANCE CENTER.- ,BUILDING •PLANNING •FIRE MARSHAL R E C E/V i 615 W. Alder St-Shelton, WA 98584 SD www.co.mason.wa.us FEB ?011 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair. (360)275-4467• Phone Elma: (360)482-5269 615 W Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATIO NAME: .Toti.. Ti4Ce Gt�olo��Q/1 NAME: MAILING ADDRESS /J� MAILING ADDRESS: CITY• STATE:W,4 ZIP:9&r X CITY: STATE: ZIP: Is'PHONE.' 360 9/2 2 9/667 PHONE: CELL: 2°d PHONE: 3&0 3Y0 V 2 95 EMAIL : EMAIL: J c� o i�Q i1 e� c �rQ�/,�,�i L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 102a(9 S —al- 900 7�_Zoning. S LEGAL DESCRIPTION(Abbreviated):L<7;Q 9c98 Tit) O GJ SITE ADDRESS: y� / e 4e�� C^) CITY: DI ECTIONS TO SITE ADDRESS: PA'A) 4,9 D D f Li, TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR k/ 2NDFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No. of Figures Fees Fuel Type:Electric e LPG Natural Gas Ductless_ Toilets a Type of Unit No. of Units Fees 3 Bathroom Sink Furnace Bath Tubs / Heat Pump Showers Spot Vent Fan Water Heater / Propane Tank Clothes Washer / tlets �z / Kitchen Sinks oo s/Pellet Stove I / Dishwasher n 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. 1 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 INVALIDATE THE APPLICATION. x C'2 ignature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT g-S=2I PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN Name ! ct Parcel# /,` ' G,S-2/- 7tj BLD,4 2�0ZI `dl�t3 REGE Mason County 11 2Q2� Department of Community Development �. 11 1 1 S>I>�a�ll Parcel water Management A lication[Worlsheet (page 1 of 2) 61 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 imggrvious 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 rhis Tabfie Surface Type Length X Width = Area All dimensions in feet Buildings X = G; X = - Measurements for buildings are taken at the perimeter of the farthest projections (example: . r 4 X !' - eaves/gutters) X = Driveways © X ;. = 0 X = Length of drive begins at the right of way X = Parking Areas X = 6S X �- = 1 /���� Any paved, gravel or packed area per definition < �/.+a,�/"� _ems, ,s0 above table ,..1 f!V/ v X Patios/Walks X = X �, o Any paved, gravel or packed area per definition above table ? X c r'' _ 1,46 Others X = X = ff 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) 1 .3. //z If the Total Impervious Surface Area is LESS THAN 2000 Suuare Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwuter 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 rev' and inspecti n as may be required. Owne Xgent/Contractor(circle one)Date: " 4 If the Total Impervious Surface Area is GREATER TILkN 2000 Souare 1Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name L()e4-r'kCL4 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: http//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'1 TIAL BELOW TQ INDICATE THE STO'RMWATER M"NAGEIoig.ENT PLAN FOR li'BIS SITE A) g; % The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in tAeir 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- described proTerty for eve-and inspection as may be required. X L e e i` Own gent/Contractor(circle one)Date:�Ci)ZAeofW) Page 2 of 2 SMALL PARCELSTORMWATER SITE PLAN WRITTEN DISCRIPTION John &Tracey Wardean Mason County Tax Parcel No. 12205-21-90074 The site is located south of Belfair outside of the UGA on a 1.01-acre lot on NE Alder Creek Lane. Lot dimensions are 134.16 feet across the front and back with side lines of 329.40 feet. The lot includes a 30 foot right of way easement at the front, from approximately the center line of Alder Creek Lane. The lot slopes slightly up (2%) from the road to approximately 1/3 of the lot depth (100 feet). The lot levels out for approximately 30 feet then slopes down (10%) for approximately 75 feet. The final approximately 124 feet of the lot is relatively flat with less than 1% slope toward the back of the lot. The majority of the lot will be cleared. A 10 to 20- foot buffer of trees and vegetation at the rear of the lot will remain. A 12-foot-wide 1% clean gravel driveway will traverse the northern side of the lot maintaining a 10 to 20-foot margin from the northern property line and extending 270 feet from Alder Creek Lane to the flat area at the rear of the property then turning toward the south and a 50'x 36' parking area. The total driveway and parking areas will envelope 6140 ft2.The house (2,072 ft2) and detached separate garage/shop (1,728 ft2) total 3,800 ft.The total proposed impervious surface is 8,264 square feet, which falls within the limits for Small Parcel Drainage Review. All stormwater flows will be dispersed through vegetation. To avoid saturating soils near the foundation of the house and shop, roof runoff will be directed to vegetated flow paths via downspout extensions. An onsite septic system is proposed and approved. All small parcel drainage facilities will be directed away from the septic drain field. The front portion of the driveway is relatively flat. Therefore, runoff from this portion can be allowed to sheet flow to the north toward the vegetated margin and toward the front of the property and roadside drainage. The back portion of the drive way is sloped toward the rear. Runoff from this portion will sheet flow into the vegetated area on the relatively flat area at the rear of the property. In order to prevent erosion and trap sediments within the project site. The following Best Management Practices will be used approximately as shown on the Erosion and Sediment Control (ESC) plan. - The driveway has been constructed and graveled. Areas accepting sheet flow have been seeded and mulched when not being worked. - Water will not be allowed to point discharge onto slopes. - Cleared areas of the site when they are not being worked will be seeded and mulched. Mulch will consist of air-dried straw and chipped site vegetation. 1 EROSION and SEDIMENT CONTROL (ESC) PLAN lu - T t 3�l,•c, � ;- r r � . f �L[St cfScdre.�i --i--r- L - � G10 �s� RESIDENTIAL SITE IMPROVEMENT PLAN tog aAfv n ( � �C �c25e:wfa'A7' Ir i •�A I Hitt �f i Lt/ ��y�fT df �PA�� � o I s c�,,►� t�.tncr�,.a� �--� 0 eLf � Sti�P R32krri ids l,"J 515'1:;3¢• 3 ra x 5�% I�N fst i�f1 fit, j {Jcr���t►Y�;r V . 3 N ' - f . t (yam// ��F� .raa+cvt ®( aYli1MM T1�OYY� �. I� �J�� !1 RECEIVE© 3r' • 4 . ' 1 � .-FEB..',.I 7 r -A Idot- Street` �... O t r A Af,f, Rl,Al 11tr1 . .��t, � 3°� a AflA� � ., 35 2�' t. �• ����f.���g�. , N NO Ai t r : $U At.L`5f�'BKgsAl ` a • G.�r.• : . MEA FR4.M..T :F{JlRTHE$T, .,_ ... -4--.` aw► ► ' t01ECT10N Of THE BU.� r .r � � ►�� 1 y ...a .. .. ,. ` ` ING ` f • HA t�SET TO AP7N �}V4 C _ • _.. d. , .. . ._ f 3 gin.....3n-..-..r..... 4 ., _ ; ....f•_,.,+. ...y,...,. L„ ' .�._,.... ! ... +., ,....'-Z �i ,... 4 TOPOGRAPHY PROFILE: v -. . At Direction: Scale:,, Approval: for office use Building Permit number: Building: ,+ f .-. g: Owner/Applicant: zre411d�d�'t�et�>� Date of Planning: l o��"�'���/ ,^ ���7� application: Env. Health: Parcel Number: I Mecca ` o