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Home My WebLink AboutBLD2020-01216 SFR - BLD Application - 10/12/2020 —uoiyn ciiveiuNc iv:00cMat0H-utUtS-40t1-yZ91-h62A8DECFA38 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHALra,1-) 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone T Belfair(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Kimberly McClure NAME: South Shore Construction MAILING ADDRESS: 50 E Baker Ct MAILING ADDRESS: PO BOX 963 CITY: Belfair STATE:WA ZIP:98528 CITY; Belfair STATE:WA ZIP: 98528 PHONE 41: 702-574-1171 PHONE: 3602750818 CELL: 3605091342 PHONE 42: EMAIL :southshore@q.com EMAIL:smiley_kmm@yahoo.com L&I REG#SOUTHSCO16NL EXP. 02 /10 /2022 PRIMARY CONTACT: OWNER❑ CONTRACTOR\/ OTHER❑ NAME EMAIL MAILING ADDRESS CITY S ZIP PHONE CELL RIMD PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12207-75-00120 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR 12 OF SURVEY 5/94-96 FIRE DISTRICT SITE ADDRESS 50 E Baker Ct CITY Belfair DIRECTIONS TO SITE ADDRESS Head east on E Johns Prairie Rd toward E Millwright Rd 1.4 mi Turn left onto WA-3 7.7 mi Take E Trails Rd to WA-106 E (6.9 mi)Turn left onto Mason Benson Rd E 2.5 mi,Turn right onto E Trails Rd 4.4 mi,Turn right onto WA-106 E 4 min, Drive to E Alderwood 0.8 mi),Turn right onto E Alderwood Rd 0.2 mi,Turn right to stay on E Alderwood Rd,0.4 mi,Merge onto E Alderwood Rd,destination on left S THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES ' NO ❑ SNOW LOAD:Z5psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND V SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEWV ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg) LK YES (PartjsJofBldg) ❑ NO❑ DESCRIBE WORK Install new MH for residential use SQUARE FOOTAGE: (proposed) 1ST FLOOR 1960 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK 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 Fleetwood MODEL Eagle 28704S yEAR 2020 LENGTH 70 WIDTH 28 BEDROOMS 3 BATHS 2 SERIAL NUMBER N/A ENVIRONMENTAL HEALTH: &, U --00o'.J. SEWAGE/SEWER SOURCE: SEPTIC V SEWER ❑ / NEW V EXISTING❑ PLUMBING IN STRUCTURE? YES IV NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[S/ EXISTING SQ. FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 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 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 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 Docusignedby: COUNTY CODE 14.08.42) 9/30/2020 Signature of OWNER(Must be signed by the OWNER) Date `DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH F LA •ACKS E MEg9URED TH RTHEST ION F HE BUILDING a I �bFR - 5za2s a D -.4 J 2 EXIST, G oo•R� -�WELL KIMBERLY MCCLURE SLOPE BAKER CT SHELTON, WA 69,W PARCEL: 12207-75-00120 848.15 BAK CT 1 PLOT PLAN 60' EA EMENT SCALE 1"=70' EXISTING DRIVEWAY 4'A8� LANDING q ,;' .;,- - q�. q leg RECEIVED PR 28,PRX7tY Exlsiwc 81. 24u4- 24' GARAGE 4W' O C T 12 2020 4 LANDING PROP D 615 W. Alder Street RESER DF foo - rLsrcK PLANNING 125' 11' MA8014 c:f k%J.N,rY !DCD PI ANIINQ 11, serk I�I,�AIk 4 ,,.u:i�E�TO bE o0o lisp CHAN Es s<J&! Y to WETLANDS Name M�, ' Parcel# 1 Z�� 75 _o Zx) BLD# I L/V Mason County Department of Community Development OCT 12 2020 Small Parcel Stormwater Management Application/Works1li06(12gglh 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 surface2. '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 70 X 28 = 1960 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 = 1960 development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) 1960 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 i rmation provided is accurate and employees of Mason County are granted access to the above- describe rope for revi and iii5pection as may be required. X Owner/Age t/Contractor(c cle one)Date: 10/9/20 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