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Home My WebLink AboutBLD2022-00995 SFR - BLD Application - 8/1/2022 MASON COUNTY COMMUNITY SERVICES PermitR y 1 PERWT ASSISTANCE CENTER: r •MOLDMAG•PLANNING-PUBUC HEALTH.F114E MARSHAL VC l 615 W.Alder Street,Shekm WA SSW Ph"SIMltar:(360)427,9670 ext 352.Far.CAW27-7798 Phone A U G 0 1 2022 Bellab.'(360)275-4467-Phone Ana:(36D)4V-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME1—yI/1(,l(t-—�e'--y6S NAME:T WC f•pcm e �U;wl d e(S MAILING ADDRESS:yl7l 301-Rue S MAILING ADDRESS:_P6 t'z;6y I l 7(e CITY:S /? STATE:Wjj ZIP: $1 CTTY:&: (J'c1^a/J STATE:�J}`ZIP: '6 5 6 6 PHONE#1: 5-7$`) PHONE: 566-5c--V-Z-L9oCELL: 3Lp-6,Z1- 0i 8(o PHONE i)2: EMAIL: t l jn a rinr S(In[ Cvv�G'l c:r✓►. EMAIL: i_o SZ i. I.&I REG# EXP. _/[5/� PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ C NAME—/ _YWtjt— S�vio5 EMAIL�� SU � 7,_Q. LGt� C: MAILINGADDRESS 2-7Z10 -;6'�' twt S- CITY S-e�--rtLc— STATE y;_ZIP�$t / PHONE ZLXr✓-SG! -C;')K CELI ZC/o-� -S1$-1famm PARCEL INFORMATION- 0 PARCELNUMBER(12 DigitNumber) (ZZ C5-7--7 5- cl W Z Z• ZONING �7/� LEGAL DESCRIPTION(Abbreviated) 9 &F S k R Z33d FrN'r(Z-ZS`K/yFME DISTRICT 15 Z SITE ADDRESS � G {t{{�erlllQoQ�1 CITYjel ��L� DIRECTIONS TO SITE ADDRESS— u; (6(o n G IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:' IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ctent a9 that apptv): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND �YEIT AND❑ SEASONAL RUNOFF❑ STREA.M TYPE OF WORK: NEW Pr ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n USE OF STRUCTURE(xrxidrnrt Gartgr,Commeeia!8&Ig EtrJ T�PS:d ��l��i IS USE: PRIMARY JRP SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS HEATED STRUCTURE? YES~e BkW❑ YES(Parg l f8 NO❑ DESCRTBE WORK j7�J�c( S p� SQUARE FOOTAGE- 1 I ST FLOOR j l 0 1 Sq,fL 2ND FLOOR sq.fL 3RD FLOOR ' sq.ft. BASEMENT ' sq,fL DECK sq.fL COVERED DECK_f_'g sq.IL STORAGE ✓cL sq.ff_ OTHER sq-fL GARAGE — sq.IL Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ (MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED; MAKE MODEL YEAR LENGTH WIDTH BEDROOMS B S NUMBER ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW W EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ !f yes,attach completed Water Adequacy Form PERIMEfERNOUNDATION DRAINS PROPOSED? YES❑ N9Ef EXISTING SQ.FT. EXISTING BEDROOMS _ PROPOSED BEDROOMS 3 TOTAL BEDROOMS OWNER acknowledges that suGmission of Inaccurate information may result in a shop work order or permit revocabon Adinowledgernent osedofhone by sigralue brJarr�1 declare time 1 am ties owner and I furtfrer declare tlrat 1 am entitled to receive this pemrt and to do the work as prgrosed.l have ahlained permission from all the necessary parties,including any easement holder or parries of interest regarding tlia pmjecL The owner or legal lepies rrtaAive,"WrOseris Out the mfOrmation provided is a=xWe and grards employees of Mason County access to ties above described property and shuckae(s)for review and inspection.TNs perniWappicadon becomes nu13 void If work or authormed construcbm's not commenced within 180 days or if oorrstr xbm work is suspended for a pedod of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.0L42) X � '-7'3l-ZGZ� srgrtature of OWNIR(Must be slaned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICOND1TIONS BUILDING DEPARTMENT IDGL ((.GZIL PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: ago 22.�0�i�r Cl PERMIT ASSISTANCE CENTER: ;l •BUILDING •PLANNING -FIRE MARSHAL RECEIVED } 615 W.Alder St-Shelton, WA 98584 t + www.co.mason.wa_us "9 , s � Phone Shelton:(360)427-9670 ext.352- Fax:(360)427-7798 AUG 01 2022 Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: -!LyMP-q'L:-M E is' MAILING ADDRESS:Z72-& 10—ilve S. MAILING ADDRESS: k7b [(Z-ic CITY:S-ex�L STATE: l V K ZIP:`$I q4 CITY:,F(--ft-0CG'1_-c..d STATE: 6 � ZIP:Cj5S j!�& l a PHONE: -Ck)-O ra-7�I PHONE: 6&C-50(e Z 4� b CELL:',6o-C.Zt- a(Sf6 2nd PHONE: Z-C-10 - c3 S(( EMAIL :t j t-I'jA czvtes L vw r� Q : c EMAIL: 4 C"t.zk-,s 2�-' n C n^4L(- c EXP_ Z-/1S/� PARCEL INFORMATION: PARCELNUMBER(12 Digit Number): Zoning. Ce5c&94Nfte LEGAL DESCRIPTION(Abbreviated):ly< v> ;,F 5 F-VO TC Z G S/9-(-`i C SITE ADDRESS: (-,q-q L I,(cf e r I j�Lc)A F-tt COS: DIRECTIONS TO SITE ADDRESS: f;r-c>vo l.(w y I L✓� .f1'r r tw-k, G ttQt'?'(��ctc� (Zc {-� �xSt L4r veS TYPE OF JOB: NEW=ADD=ALT=REPAIRD OTHER USE OF BUILDING LOCATf6N OF FIXTURES/UNITS—1"T FLOORQ 2"FLOORM BASEMENT P�T]GARAGE=OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS TMLc of Fixture No.of Fixtures Fees Fuel Type:Electric[9O]LPGQPtatural Gaj=]Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace i Bath Tubs ,Z Heat Pump Showers 5 Spot Vent Fan Water Heater I Propane Tank Clothes Washer O a Kitchen Sinks Wocehellet Stove hDishwasher Kite �xaust Hood Hose bibs ,�_ Dryer Vent 4 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 i� 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 permitlapplication 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. Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT tL PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN r ' I Ground Snow Load; 28 4 Ultimata Dnljn _ 110 MPH 3 SECOND OUST Wind 9pe jdAMPH1. 88 t Topographic Effects: NONE Special Wind Region . NONE iI Wind Sorne Debris Zone NO «.r..y. Selemic Dealgn Categogi 02 Soil Beadn Load: 1,500 LeS,ASSUMED Sub ecl to Dema From; Weathering MODERATE Frost Lineh: 12INCHES i Termite: SLIGHT TO MODERATE ��, WIntar n Tem rofuro: 22 DEG,F I Ice BhIaM Underlayrnerd NO � R ulroment j Flood Hazards: CALL FOR INFORMATION _�Y Alr Freezing Indaz: 170 ! F IPA �" p Mean Annual Tempereturo:_ _ 81 DEG.F i \� �Id 202 2 -Ob�-t cl 5 °,�a`J" NLwWt41 i -� OWNER: Mr Mrs JACOBS Address:644 E Alderwood Rd,Belfalr � a� Land Info: Lot acres total 1.1700 �_ t .Structure: I —_---N•r. N i Lower level=1713 j Main Level=1848 total sq ft=3361 Deck total=668 I Structures Total sq ft=4,027 ------------- --------- ---------- ------------- F '�!l,OLLD DMIN/IryD !D.TO aTMaNM DATE: �I 9/3/2021 'I 172.61 avaw,wr L sl,b�i�tis ALDERYVOOD RD SMEET; SITEPLAN V-20' roL n L" 2 Z 11 R eMser24KM SCALE: cal Ground BnowLaed:— ~w�2s w _ _ and specifications lftoutlinedproject jctin the attached recommendations eco hn enndations I0, �r I assessment.All applicable recommendations and specifications UlGmole Dee n 110 MPH 3 6ECOND GUST wind speed(MPH): 85 shall be applied to the development on this site. Any deviation Q Topographic Effects: NONE — requires stamped written approval from the registered design i Spocial Wind Regan NONE _ professional responsible for the report and may require special - Wind-Borne-Debris Zone No ..... =�. inspection by same. Structures and/or land modifications j Seismic Design Category: 52 (grading,cuts,fills,etc.)required in the geotechnical assessment, Soil Bearing Load: 1,500 LBS.ASSUMED Subject to Damage From; i. may require a separate permit. -� _ Weathering MODERATE Frost Line Depth: 12 INCHES Termite: SLIGHT TO MODERATE 1 Winter Dosign Temperature: 22 DEG.F - Q-� W.27 L)i O Ice Shield Underleyment �~— NO —_ �� ii r- R uiroment: i >- c ' Flood Hazards: CALL FOR INFORMATION I RR5 Zoning 6.�Y'� LL a AlrFrooxinglndex: 170 �' i Mean Annuli Tam retYre: 51 DEG.F Front Yard Setback.25'. -,�. - i Side&Rear Yard Setbacks.Residential dwelling T z w a .__ and accessory structures is 20'. b.,A 202 G C of 2 'W—1 t OR approviedhADVt if not more than 100'wide NCAI C" I(02' OWNER: Mr Mrs JACOBS Address:644 E Alderwood Rd,Belfair `\\ v»wra b Land Info: I Lot acres total 1.1700 i~_^ � ;�� ,,�•;K t i Structure: -^M� I Lower level=1713 Main Level= 1648 f�Fnops.dResidence TANKs' Stotal sq ft=3361 08/15/2022 .��i...M1xfn•'w' MI W Deck total=666 Structures Total sq ft=4,027 APPROVED I SON COUNTY DCD PLANNING i t 5(207f RUEDY,Afcp Digitally signed i soona„aay by Scott __F—�--_ ewNnao EH APPROVED Reedy Drain := � 09/23/2022 fields *� EH SETBACKS s, F A)Drainfield/Reserve requires 10'setback from footing/foundations DAIE; B)Septic tank(s)requires 5'setback from all footing/foundations �— j C)No foundation/perimeter drains within 30'down-gradient of drainfield a/sng2i reserve area 1 12.81' D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' 00 CAHMCNT down-gradient of drainfield/reserve area _ ( ALDERWOOD RD ' I SHEET: I 9"PLAN Vw&V Put OF raw 2 Z11 i Name JAco b5 Parcel#1 r]S a- BLD#� �1 klV` Mason County AUG 0 2022 Department of Community Development Small Parcel Stormwater Management Application/Work iSt\(pagg, 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: httpHwww.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 Name Parcel# 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'. '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. 'Common 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 ETotalpervious 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