HomeMy WebLinkAboutBLD2022-00411 SFR - BLD Application - 3/31/2022 MASON COUNTY COMhSUNITY SERVICES Permit No:
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4 PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 985M
• Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone
Belfair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 6
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NAME:Edward L.Boogaerts NAME:Owner/Contractor �s V
MAILING ADDRESS:1160 E Rasor Rd,Betfair,WA 98528-5025 MAILING ADDRESS:
CITY:Belfair STATE:WA ZIP:98528 CITY: STATE: ZIP: Str
PHONE#1:206-617-4527 PHONE: CELL: eet
PHONE#2:360-275-0323 EMAIL:
EMAIL:Buego@aol.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑
NAME Edward L Boopaerts EMAIL Buego@aol.com R1 I LD W Na
MAILING ADDRESS 1160 E Rasor Rd CITY Belfair STATE WA ZIP
PHONE 360-275-0323 CELL 20M17-4527
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122072190062 ZONING R5
LEGAL DESCRIPTION(Abbreviated) LOT:2 OF SP#687 PTN N1/2 S1/2 NE NW S 9/101 FIRE DISTRICT North Mason
SITE ADDRESS 1162 E Rasor Rd,Belfair,WA 98528-5025 CITY
DIRECTIONS TO SITE ADDRESS E Alderwood Rd off of WA 106,1.5 miles to E Rasor Rd,turn left,0.5 miles,house on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ 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 E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,F.tc)New Single-Family Residence
IS USE: PRIMARY EI SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Parefs)ojBldg)❑ NO❑
DESCRIBE WORK New 771 square foot tiny home
SOUARE FOOTAGE:(proposed)
1ST FLOOR771 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 576 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ I,fyes,attach completed Water Adequacy Form
PERM ETER/FOUNDATION DRAINS PROPOSED? YES EI NO[] EXISTING SQ.Fr.
EXISTING BEDROOMS PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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.1 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 F WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT A ION 80 A S 4 MORE WILL C U E THE APPLICATION TO BE EXPIRED.(MASON
CO NTY CO .08.42)
Si6fature of OWN si ned b W E f Date
DEPARTMENTAL REVIEW APPRONIE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT DEG A•!y2
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: I U w— ON I
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584 RECEIVE O
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair: (360)275-4467• Phone E/ma: (360)482-5269 AR 3 1n22
PLUMBING & MECHANICAL PERMIT APPLICAT16W W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMAT
NAME:Edward L.Boogaerts NAME:Owner/Contractor
MAILING ADDRESS:1160 E Rasor Rd MAILING ADDRESS:
CITY:Belfair STATE:WA ZIP:98528 CITY: STATE: ZIP:
I"PHONE:206-617-4527 PHONE: CELL:
2°d PHONE:360-275-0323 EMAIL :
EMAIL:Buego@aol.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number :122072190062 Zoning:R5
LEGAL DESCRIPTION(Abbreviated):LOT:2 OF SP#687 PTN N1/2 S1/2 NE NW S 9/101
SITE ADDRESS:1162 E Rasor Rd,Belfair,WA 98528-5025 CITY:Belfair
DIRECTIONS TO SITE ADDRESS:
E Alderwood Rd off of WA 106, 1.5 miles to E Rasor Rd, turn left, 0.5 miles, house on the left.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Single Family Residence
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2—FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=PG=Natural Gas=Ductless=
Toilets 1 Tyne of Unit No.of Units Fees
Bathroom Sink 1 Furnace
Bath Tubs 1 Heat Pump 1
Showers 1 Spot Vent Fan 3
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent 1
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 Efts PERMIT IS BY MEANS OF I ECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVACI E TH APP
tit/lam
gnature Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT )'Ec G•/yZz
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
RECEIVED
Name fiF,6 )—I arcel# /2Z Q 7-2 1 p C0&` BLD# MAR 3 1 2022
Mason County 615 W. Alder Street
r Department of Community Development
mall Parcel Stormwater Management A lication/Worksheet (page 1 of 2
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rom—
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.
ZCommon 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 30 _
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 = 5
X = Any paved, gravel or packed area per definition
X _ above table
Patios/V1lalks 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,
(surrt 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 suc by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further ackn dge t in n provided is rate and employees of Mason County are granted access to the above-
describ ro rty r re d i as y e u' ed.
Owner/Agent/Contractor(circle one)Date: f
5k/ 262;7_,_
If the Total Impervious Surface a ZsGREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
40 . , py� an
Name � .� " �r arcel# ��Z.Z� ��"�(/�((�� 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"
PLEA INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)4t-'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.
OwnerBuilder/ ent A owledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledg a of. c is si attire below.I dec a that I am the owner,owner's legal representative,or the contractor.I
further ac dga-th th i rm ion provided c rate and employees of Mason County are granted access to the above-
descr*e e for ev'e d' ec ' as ma b wired. 2 r
Owner/Agent/Contractor(circle one)Date: �✓ �1 L �
Page 2 of 2
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Mean Annual Temperature: 51 DEG. F
Plot Plan View
DATE:
2/15/2022
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