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Home My WebLink AboutBLD2019-01211 Cancelled Garage - BLD Application - 10/24/2019 ..coahh MASON COUNTY COMMUNITY SERVICES PERMITASSISTANCECENTER. Permit No: V� •BUILDING-PLANNING•PUBLIC HEALTH-FIRE MARSHAL R 615 W.Alder Street,Shelton,WA 985M Phone SheBon(360)427-9670 ext 352•Fax:(350)427--7798 Phone BeHatr.(360)275.4467•Phone Elrna_(360)4825269 V BUILDING PERMIT APPLICATION 6 OCj 2 �O PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:) wvt NAME: G k 1�Itrk' C1/" i 4SI clhj !`�r Str MAILING ADDRESS: MAIL G ADDRESS O n C�t CITY:G� I/1`r�✓ STATE: ZIP:I CITY I �P•� STATE: ZIP: YrL( PI-IoNE#I:? r3- Y PHONE v - 7a JLC L: PHONE#2: EMAIL• o SoH we- & a k4awreO EMAIL:_y_e Co A-- L&I G# ( V EXP- r PRIMARY CONTACT: _ OWNER❑ CONTRA Rom' OTHER❑ NAME �/ E - c� �U d� MAILINGADD SS Sdr. CI ram-- STATE ZIP PHONE v" CELL — G!� PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) `ZONING LEGAL DESCRIPTION(Abbreviated) I' Ile FIRE DISTRICT SITE ADDRESS 2 f6 ^ Dyt,e CITY rl�W DIRECTI S TO WE ADDRESS ✓i L•' — d Opt IS THE PROJECT M;rrlUfq 300 FT OF S E(S)GR TER TIIA 14%: YES" NO IS PROPERTY WITHIN 200 FI'OF TIM WIN check hat appfy): SALTWATER LAKE❑ RIVE E ❑ ND AND SEASONA R O ❑V❑ TYPE OF WORK: AD I ❑ PkRATION❑ AIR❑ ❑ USE STR CTURE{ idencY, go. mmercia Lraf l.► _ _____ IS U : PRIMARY EASON N ER OF BEDROOMS NUiv R OF BATI4ROOMS _ HEA FD STRUCTURE? S 011,.1.Bldg) S(P—fv-fade)ElNO DES BE WORK l u"ka SOARE ROOTAGE:(I tie+2Xt N IST FL OR_ sq.ft- 2N • OOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.R. DECK sq.fL COVYkED DECK sq.ft. STORAGE sq.R OTHER sq.R GARAGE sq.'t ached❑ Detached❑ CARPORT _,____sq.ft. Attached❑ Detached❑ MA�IiJFACT D HOME INFORMATION: n4 COPIES OF THE FLOOR PLAN RE,QU RED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS _SERIAL NUMBER ENVIRONMENTAL HEALTH:— SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ I NEW❑ EXISTINGT PLUMBING IN STRUCTURE? YES❑ NO G�' Ijyes,attach completed Water Adequacy Fonn PERIMETER/FOUNDATION DRAINS PROPOSED? /� YESIn NO[] EXISTING SQ.FT. MOSTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges thatsubmission of inaccurate information may result in a stop work order or permit revocation_Acknowledgement of such is by signature below.I declare that 1 am the owner and 1 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 of 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 18¢DAYS OF MORE IL CAUSE THE APPLICATION TO BE EXPIRED.(MASON ',_'��7� �./ ,. • ilG- E 14.08.42) � x gnat of OWNER(Must be signed by the OWNER ^T— late DEPAIVI'MENTAL.REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTNIENT GL ZrZ lg PLANNING DEPARTMENT I-IRE MARSHAL PUBLIC HEAV11i THIS 51TE PLAN IS DRAWN BASED ON LAG DATA SUPPLIED BY CLIENT AND WITHOUT BENEFIT OF SURVEY OR TOPOGRAPHY _:.i.:::. .:::. ::.::: . .:.:: BRADLEY 4 CYNTHIA WORTHINGTON-WHITE 250 E OKENEK RD of GRAPEVIEW, WA 98546 I #12108-24-0050 N° Id zo1c/- G1Z1l RECEIVED OCT 242019 PROPosED 615 W. Alder Street •5' - � GARAGE a �S 90 PL Al, SETBACKS ARE FROM THE FiJR7HEST RED PROJECTION OF THE SUILDiNG --_, EXTG. DECK 5FR APPROVED 0040 '.MASON COUNTY DCD PLANNIIN SITE PLAN RIEOUIRED TO BE ON SITE CHAto.GES SUBJET TO APPROVAL K Ry A14- 2�1.16' 51 TE FLAN 11' = 20'-01' RFC U41 q--2Z1l /�F O Name W00Ah 'UWLParcel# BLD# Wt.? Mason County q'Cler Department of Community Development treet 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 Completoa This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X a L4 = 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 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). _72c/ 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. Acknowledgem 4 of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further ackno a ge that the information provided is accurate and employees of Mason County are granted access to the above- described pr a for review din ection as m euiired. X /Owner/Agent/Contractor(circle one)Date: U 1 If the TojAmpervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the info ation 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 14.4 8 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: httl)Hwww.co.mason.wa—us/code/commissioners/index.htin 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 400 415 N. 6th St— Bldg#8 lower level 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