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HomeMy WebLinkAboutBLD2023-00987 SFR - BLD Application - 8/21/2023 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING-PLANNING-PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 AUG 21 2023 - Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Beltair.(360)275-4467•Phone Elma:(360)482-5269 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 1', NAME: MAMIN DRESS: MAILING ADDRESS: CITY: 1 f STATE:W&ZIP: qA CITY: STATE: ZIP: PHONE#I: O 1 — PHONE: CELL: -» PHONE#2: EMAIL: A ,( EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER K CONTRACTOR❑j OTHER❑ Hz NAME _ n e .ulw EMAIL'l'ir. ly,4C M Q Z 1./ 'e--s-$-I MAILING ADDRESS CITYq�r STATE J,14 ZIP Qe �.r PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) —7 r-�©O d ZONING K R,5— WON LEGAL DESCRIPTION(Abbreviated) kI IJ! i DIS T SITE ADDRESS C: CITY ` DIRECTIO TO SITE ADDRESS .� IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YESK NO❑ SNOW LOAD,�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]& ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Elc <91CA U IS USE: PRIMARY& SEASONAL❑ NUMBER OF BEDROOMS— NUMBER OF BATHROOMS !1 J HEATED STRUCTURE? YES(WhoteBldg)0 YES(Parv[s)ofBl-dfg)'❑ NO❑ :2—' DESCRIBE WORK C'+�3 �p � c F+✓I�T7 N GC ZoJI SQUARE FOOTAGE:(proposed) I ST FLOOR 66 sq.ft. sq.ft. 3RD FLOOR_4[k sq.ft. BASEMENT4q.ft DECK sq.ft. COVERED DECK_sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE___S76sq.ft. Attached% Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION:tjk *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC Jg SEWER❑ / NEW❑ EXISTING Ig PLUMBING IN STRUCTURE? YES' NO❑ Ifyes,attach completed Water Adequacy Form PERIMETERTOUNDATION DRAINS PROPOSED? YES❑ N015 EXISTING SQ.FF. EXISTING BEDROOMS PROPOSED BEDROOMS�` TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a slop 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 peril 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&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 THIV ERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICAT ON OF 180 D S OF WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON OUNTY CODE 14.08.42) X ` Sign! of O NE ust be si ned b the OWNER) —Date- �� DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT EG Z?- PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: A�)-O O PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING .FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton, WA 98584 www.co.rnason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 AUG 2 1 2023 Phone Beltair. (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPI-k&%Wder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: r. NAME: MAILING AUDRESS: �� max'47 22 MAILING ADDRESS: CITY: STATE:�i1A ZIP: CITY: STATE: ZIP: 1"PH : 7,/p 'pig �? PHONE: CELL: 2°d PHONE: o EMAIL : EMAIL: Lpi,�t L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):. DS'— 75= �3d© C'3 Zoning:�,r LEGAL DESCRIPTION(Abbreviated): f o+ 5 t&.r SITE ADDRESS: -70 , CITY: DIRECTIONS TO SITE ADDRESS: -ku„ . i A� �c- � LrP_cL- �t e- �o A ss !::,I fbk1 TYPE OF JOB: NEW„[E�ADD=ALTF-7771 REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 ST FLOOR©2ND FLOOR=BASEMENT,®GARAGED OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric®LPG[ Natural Gas=Ductless0 Toilets Type of Unit No.of Units Fees Bathroom Sink 5 Furnace Bath Tubs a Heat Pump 1 Showers Spot Vent Fan _ Water Heater Propane Tank Clothes Washer Kitchen Sinks _ oo Gas ellet Stove _ Dishwasher � e aust Hood Hose bibs Dryer Vent 2 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. I 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 OF IS PERMIT IS BY M OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE T APPLICATION X Signa f Owne / Date DEPART ENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT JCL '7-Z7 Z3 PLANNING DEPARTMENT FIRE MARSHAL Rev 1/27/2016 1BN The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report. All RR5 zoning applicable recommendations and specifications shall be applied Front Yard Setback. 25'. to the development on this site. Any deviation requires stamped Side& Rear Yard Setbacks. Residential dwelling written approval from the registered design professional and accessory structures is 20'. responsible for the report and may require special inspection by OR 10%width of lot if not more than 100'wide same. Structures and/or land modifications (grading, cuts, fills, OR approved ADV etc.) required in the geotechnical report, may require a separate permit. The geotechnical report shall remain attached to the - - approved building plans. 09/18/2023 EH Setbacks A.) Drainfield/Reserve requires 10'setback from iooting/toundations APPROVED B.)Septic tank(s)requires 5'setback from all footing/foundations MASON COUNTY DCD PLANNING C.)No foundation/Perimeter Drains within 30ft,downgradient of Senn �uE�v,AieP Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Draintield/Reserve area I _ I � Dic itall o icott Ruedy sig. d EH APPROVED by Scot Rhonda Thompson 10/25/2023 Ru wdy 7, ) 17 t I E bM U I � 0 1 b Jj I _ i at TOPOGRAPHY PROFILE: z ' 5 j vNC t5e:f br-c,�-- neW �{'�r Direction: Scale: Approval: for office use Building Permit number ��=C -� 7 = �� 1 Building: ----�'i Owner/Applicant: j l rn ` Planning:1.n 0-5 Q —�' Date of application: Env. Health: Parcel Number( I a;X('�.`J-• 7 k �� j D Ptinted from Mason County DW l � Name Parcel# 7 TAyQ 16 BLD# 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 2. '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 = 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) 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 inspection as may be required. X Owner/Agent/Contractor(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 Name:7V 1✓l l;nG Parcel# BLD# ?,OZ3-0098� 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" PLE SE 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 inspection may b quired. X Owner/Agent/Contractor(circle on Date: Pa e2of2 SKETCH Or' PROPERTY SET UT IN ATTACHED ORDER To assist Iniocating the premises. 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