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Home My WebLink AboutBLD2020-00983 Cancelled Greenouse - BLD Application - 12/1/2021 • MASON COUNTY COMMUNITY SERVICES Permit No: 2Z2,n PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 AUG 2 8 2020 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAMWARESS!. NAME: MAILMAILING ADDRESS: CITY: STATE: ZIP: CITY: S TE: ZIP: PHON9 5 PHONE: CELL: PHONE# : EMAIL - EMAIL: &I # EXP. PRIMARY CONT CT:_ OWNER❑ CONTRACTO OTHER❑ NAME EM MAILING ADDRESS CI STATE ZIP PHONE CELL IL VA PARCEL INFORMATION: -� PARCEL NUMBER(12 Digit Number) <� (1 - G LEGAL DESCRIPTION(Abbreviated) TRICT c�-- SITE ADDRESS o C ' r^ ITY TIONS TO SITE AD RESS IS T PROJEC WITHIN 300 FVTFOkOWING: S)GREATER TH 1 ° YES❑ NO SNOW LOAD: psf j IS PROPERTY THIN 200 FT F (Check all th apply): SALTWATER❑ LAKE❑ RI POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WO NEW AD ITION❑ ATTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCT esidence, Garage, mmercial Bldg,Etc.)- IS USE: PRIMARY ❑ ❑ NUMBER OF EDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]4 . ofBld� NO ❑ DESCRIBE WORK L 1 SQUARE FOOTAGE: (proposed) Y 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT q. ft. DECK sq.ft. COVERED DECK s .ft. STORAGE sq. ft. OTHER sq.ft. GAJ- 6 L sq.ft. Attached❑ Detached[I.} CARPORT sq.ft. Attached❑ Detached❑ �J MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* M MODEL 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 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&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) x . ' << I1 ��U bl pt 8'2�'a'�OZy Signature of OWNER(Must be signed bmlhe OWN ) Date DEPARTMENTAL REVIEW APPROV D DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ' MASON COUNTY COMMUNITY SERVICES Permit No: 1 PERMIT ASSISTANCE CENTER. •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352- Fax:(360)427-7798 / Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION _ OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: H-A &7d.S ,, 1 NAME: MAILING A DRESS: .0 , boy, (r MAILING ADDRE 131 ;G t„�{�_ -� t CITY: ter" STATE: Wa ZIP:�,�a� CITY: STATE:\,)4 ZIP: 1s`PHONE: Go 75 — S t3 S PHONE:,!(,�a-75 q,27 CELL: 2na PHONE: EMAIL : EMAIL: f o 'f' �o ' h o �,�, r !'�o.rn L&I REG#(,n► ,��y 1T_EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: D -e i c- CITY: B el Fa,r DIRECTIONS TO SITE ADDRESS: Yjah 4e., ¢ a .-, ' ei loI'azi ; o du TYPE OF JOB: /� )" NEW ADD ALT REPAIR OTHER USE OF BUILDING Green bO S e } ` LOCATION OF FI5dURES/UNITS— In FLOOR 2NDFLOOR BASEMENT GARAGE OTHER 1 N5)D1-r PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas.$uctless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace _ Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen 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. 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTMTY OF THIS PERMIT APPLICATION OF 180 DAYS INVALIDATE THE APPLICATION. Signature of Ow 0i r Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL // ,r s Name ��n �D S i�r'1 Parcel#f.�?2 Os 7 f?0 00 SD RE Qepartment Mason County of Community Development 2 8 2020 %lull)Parcel Stormwater Management APPlicatiop/Worksheet (page 1 of 2 ) Per Mason County Code,Title 14,Chapter 14.48 a stonnwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surfacez. '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 _ C Measurements for buildings are taken at the oJyu X _ perimeter of the farthest projections(example: eaves/gutters) X y 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 X _ above table 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) l If the Total Impervious Surface ea is LES THAN 2000 San a Beet,ple se read,acknowledge and sign below. Based Upon the information you hav provided a Sto water Site Plan I OT 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 ovbink f -ld nOwngent/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. Pagel of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management ApplicationlWorksheet (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 P-I i�Check Meer Doing Site Plan: eptic and drainfleld of size Dmw North Arrow in C'srcle i ��t1® rty dimanEtons r tlnes famdon of property twHdinga cks of proposed A ends N buklings ❑Boded of water ++9 Upreposed twldngF,:Jlunroad with name 0 kwrplan D Easements !!s Access to proposed buHkWQ WfSlopas&Contours(5'Inuaments) - IJob Name:14•"'` t 1"'•c[.#£P ST L1 e 1 Job Site Address: q��— E I&gA2 i t 9. LAmv, 1 Lao Descriplim: tSEi� �,c f� VJ A 10.0 /Aokr-s PLANNING �u►� o�ir 'To Flow lot o c.'t S- F «�.,�, RECEIVED PLANNING: V. ALL SETBACKS ARE MEASURED AUG 2 8 2020 FROM THE FURTHEST C�ru U 5E PROJECTION OF THE BUILDiNG 615 W. Alder Street + �~-• APPROVED • 'F NII:9 N COUNTY QCD PLANNING •� SCTE LAB! REQUIRED TO BE ON -jL +" CH GES SUIBJET TO APPROati) /'kL 6 ' d e s 4(5 001, NF6/- Septic Tank Pump & Service Report IS THIS SERVICE FORA [I Residential ❑ Motel/Hotel ❑ Food Service Restaurant RESIDENTIAL PROPERTY ❑ RV Park ❑ Youth Camp ❑ Other SALE: ❑ YES 0 NO ❑ Campground ❑ Mobile Home Park Space# Property Owner . . . � Phone ` f Business Name (if applicable) Mailing Address city State Zip Site Address (' i(a Z \ l 1.c1 City � ti Tax Parcel# — — SEPTIC TANK Tank Size: ' Gal # of Compartments: Tank Construction: ❑ Manufactured ❑Homemade Tank Material: ❑Metal ❑Wood ❑Concrete ❑Fiberglass ❑ Other Effluent Level ❑High ❑ Normal ❑ Low Tank Condition: ❑ Satisfactory ❑Needs Repair Tank Pumped: ❑Yes ❑ No Were repairs made to the tank? ❑ Yes ❑ No If yes, please explain: BAFFLES Inlet Baffle Condition: ❑ Satisfactory ❑ Needs Repair Outlet Baffle Condition: ❑ Satisfactory ❑ Needs Repair Center Baffle Condition: ❑ Satisfactory ❑ Needs Repair Effluent Filter Cleaned? p Yes ❑ NO ❑ Not Applicable Were repairs made to the baffles? ❑ Yes ❑ NO If yes, which one(s): PUMP OR SURGE TANK ❑ Yes ❑ No If yes, Tank Size: Gallons Were repairs made to the pump or surge tank? ❑Yes ❑ No If yes, please explain: SEPTAGE (by compartment): 1st Comp. Scum: ' I 0 2nd Comp. Scum: 3rd Comp. Scum: P/T Scum: 1st Comp. Sludge: (!? 2nd Comp. Sludge: 3rd Comp. Sludge: P/T Sludge: Total Gallons Pumped Disposal Facility: ❑ Biorecycle ❑ Other: General Comments: tt6 s t1c li-)aS\! 'la Certified Pumper Signature_ ` �� 1 na .�^ � Printed Name Company Name il-Z r-�4 1 Date of Service Recommended Next Pumping Date Findings and determinations of this inspection reflect conditions as they existed on the day the tank(s)were serviced. No claim is made by this company, either expressed or implied, concerning success or failure of the septic system. All Pumper reports are required to be submitted to Mason County via the Carmody website within 30 days by the certified professional. A copy of this report must be given to Homeowner/Customer by the certified professional. Mason County Public Health - Onsite • 415 N. 6th Street • Building 8 Shelton, WA 98584 • (360) 427-9670 ext. 400 Revised 5/23/2016 D.S.B. SERVICES LLC W 11�VO I C E P.O McKennaa,,W WA355 A 98558 SHIP TO SOLD TO L. �— t--L) ADDRESS ADDRESS O I CITY,STATE,'ZIP f CITY STATE,ZIP I CUSTOMER ORDER NO. SOLD TERMS D .� Ve- ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT /��rwtcv ZUL A4w • I ,1 Gt.�r I see-,04 a I S n -7 S I w G Z Z- tj f I _ i f A4W T-467 4021 . _ t..inaPJA :L_ - i I SOLD TO ShIPT0 ADDRESS t ADDRESS U' OX-, U CITY,STATE,ZIR l CITT,STATE,ZIP ,t CUSTOMER ORDER NO. SOLD BY TERMS O.G.E DATE DESCRIPTION PRICE UNIT AMOUNT I ORDERED SHIPPED i CJ; �a � � � U •G <<-1 P g 14 U� I 09-15