Loading...
HomeMy WebLinkAboutBLD2020-00957 Shop - BLD Application - 8/25/2020 co MASON COUNTY COMMUNITY SERVICES permit No:�t1(Ci ' (�� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 Ider Street,Shelton,WA 98584 Phone 0e1A&N>-9670 ext. 352•Fax:(360)427-7798 Phone 1854 )275-4467•Phone Elma:(360)482-5269 AUG 2 5 2020 BUILDING PERMIT APPLICAT101*15 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: I wl �dT �t iA NAME: 0WlR2 !� MAILING ADDRESS: Qn R,,, i MAILING ADDRESS: CITY:,;eja—r- STATE: r t ZIP:Jj6-5:26 CITY: STATE: ZIP: PHONE#1: t,a j5C)l _ PHONE: CELL: PHONE#2: _;2,7- EMAIL EMAIL: ; L&I REG# EXP. PRIMARY CONTACT: OWNER[A CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) „,p� —'7 �—�D((� ZONING P,k5 LEGAL DESCRIPTION(Abbreviated).PI oP, Nj- t i W L of 14 SUr- ;t E DISTRICT 2 SITE ADDRESS 70 CITY goJ� r- DIRECTIONS TO SI E ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO ❑ 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 N ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etta Gc rouae, IS USE: PRIMARY% SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]ofBldy) ❑ NO DESCRIBE WORK SQUARE FOOTAGE: (propose+zcisting) I ST FLOOR sq.ft. 2ND FLOOR_sq. ft. 3RD FLOOR U sq. ft. BASEMENT U sq. ft. DECKS sq. ft. COVERED DECK 0 sq.ft. STORAGE d sq. ft. OTHER_r sq. ft. GARAGE_sq. ft. Attached❑ Detached>5. CARPORT Q sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL Ih YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ❑ EXISTING PLUMBING IN STRUCTURE? YES ❑ NO)!, If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NON EXISTING SQ.FT. t� EXISTING BEDROOMS b PROPOSED BEDROOMS© TOTAL BEDROOMS 71 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 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 or legal _rn fir%_ n --) — EM I IM ME MEIN■NIN■ ■■■■■■■■■■■■■■■■■■■■■■ EME■MEM ■■■■■■■■■EMISSION■■■■■■ ■■■■■■■ M■■■■■■■ ■■■NONE■■ ■■ ■■■■■■■■■■■■ M■ ■■■■■■ M■ ■■ ■■■■■■■SEE■■ ■■■M■MEE■■ ■MI■■■ ■■■■■IMEMMEMMISIMME ■■NM■M■■E■■MM■ ■■■ ■■■■■■■■ ■■■■■■■■■■ ■ ■■■ MM■NEM■■MM■IN■N■MEIN■E ■ ■■■ ■ONE■■ ■■ ■■■■■■■■■■■MEN ME MINE MINE■■ ■ ■■■■■■■■■■■MINE �M■MN■■NIM■MMN ■■■■N■EININ r MINE ONE NM Jbaw" ■■101MN■ E MNM MNN■M ■■MIN ■■■ INM . . 4 ■■MEM■M■■MIN■ ■ ME RMMMMMMMIMMMM INN■ ■ �MMM■M■■MMM ■■ ■■■IN■NNN■M ■INN■ V ■EMI ■loo. . l■■ ■ , , * - lsaLp r9■mN ■ME■■ ■MIN LHOMME MEN �W■■�►. � aNNN � ■■ EM■■ ■NNE MEMO■► sMN■ ■■MIN■■■ ONE■ ■■■ � ■NNE `y u■ M N . MENNE■ SOME man SEEN _ , .. :►.j , - , � _ ����� ■■■■EMI E ��EN■., to . ■ __ ■ ■ MIN �� �r Mom!�,■■■ ■EMI ' i .-.MINRW C ■MIN!�Wi�!� ►JET. Name, rfA4_ L Parcel# Q 37 - 7S O 00td BLD#o-AboZO - MG 5 Mason County department of Community Development tormwater Management ApPlication/Worksheet (page 1 of 2 )B� cI Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever r a buiilding application is made for residential development,or redevelopment', with more than 2,000 square feet of impwvj l rft- 'Redevelopment means,on an already developed site,the creation or addition of impervious surfZe t deve_1Qpnq& including construction,installation or expansion of a building or other structure,and/or replacem t e 's{ s 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. 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 = 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 = -- = Any paved, gravel or packed area per definition X —_ above table X = Others X = X If the total impervious area of the proposed site X = development is greater than 2000 square feet a II. to In is Required Surface Ar LA i t' 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 Storm water 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 acc to and a yees of Mason County are granted access to the above- described property for A 'lnd inspectio y b quire X_ wner/Agent/Contractor(circle one)Date: i rvi us S ace Vea GREATER THAN 2000 Square Feet, please read,acknowledge and sign if the TotaA�pe the information provide on page 2 of 2. Page 1 of 2 p Name -AIV% Parcel# ► 21 h - 7 —cx> 10 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 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 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 property for review and inspection as may be required. X Owner/Agent/Contractor(circle one) Date: Page 2 of 2