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Home My WebLink AboutBLD2021-00293 MFG Home - BLD Application - 3/1/2021 40 MASON COUNTY COMMUNITY SERVICES Permit No: L2 _D 20_.1 - na.93 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARK EC E I l E i) S 615 W.Alder Street,Shelton,WA 98584 V � p� Phone Shelton:(360)4 5-4 670 ext.352•Fax:(360)427-7798 Pho��A R 0 12021 LBA R B L®B■ W t Bellair:(360)275-0467•Phone Elms:(360)482-5269 I�iJi �' V BUILDING PERMIT APW410TIMer Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 11// NAME: Bigler.. 8&ry`y F C'r dy NAME:' �trn h Igo (-e. Ie.- 1<irktkJ i1 KOv"s LL-G MAILINQ D S; MAILING ADDRESS: Co 1 S`,E. I iL., CITY: ICear- STATE: W A ZIP: R Zq CITY:.1'te I+o n STATE:W P: 9 g 58 PHONE#1: 50 - ZZr 1 PHONE L CELL: 7 Q - 3 to PHONE#2: 504 q 1 q - l 1 53 EMAIL: 3 e,5 .Kai Sit' 0 L._I Csti h O^C. cov✓r EMAII: {Di Jcl er- -16 G C2 "VISrt .c0 cut L&I REG# 77'00 EXP. PRIMARY CONTACT: OWNER'X CONTRACTOR❑ OTHER❑ NAME Isa r . t.✓ EMAIL i Ier- (o c- OC w,,s . Co rn b v MAILING DDR S I It-7owe a CITY i'�etzr STATE W4 ZIP 440L9� PHONE J Vf 17Y(o 22.r1 CELL o R 1 R PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) M207 50 — 000 10 ZONING it�S LEGAL DESCRIPTION(Abbreviated) La Kew a o nl P(c.i- M TRS 10- I( FIRE DISTRICT } STd E ADDRESS S20 1= t C�KC �a.�,�c CITY D e,( TCaf DIRECTIONS TO SITE ADDRESS Prom fn ilow WA-3 50,Jf tr -fz, t e urrn WAA I o„ E Ll 2," Ra Lit,,-, 'fa 32C F- LoK. A•e.c/ ors rya 1+1- IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 19 SNOW LOAD: ��nsf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check atl that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW;( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER fl USE OF STRUCTURE(Residence,Garage.Commercial Bldg.Erc.)_J �'al IS USE: PRIMARY❑ SEASONAL I? NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS 2- HEATED STRUCTURE? YES(Whole Bldg)A YES(Part[,)orBrr/d¢)❑ NO❑ L DESCRIBE WORK 1 rt5fw l(c.�io�n of VI"A) iMTS kz yr�t o ff ea 5-h v�s to 1 SQUARE FOOTAGE:(propa,ed) 1ST FLOOR 13%'1 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. Cirei, ; GARAGE ft. Attached Detached CARPORT �1• ❑ ❑ sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Ki+ " t9 OV"Vt (S MODEL P1'-e- U S•r 7909' YEAR 2021 LENGTH 52` WIDTH 2L $,• BEDROOMS 2— BATHS 2- SERIAL NUMBER u.4-,l- ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC�5 SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES1 J NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER(FOUNDATION DRAINS PROPOSED? YES❑ NOV EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS L TOTAL BEDROOMS 2 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 properly and structure(s)for review and inspection. This pernit/applicafion 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) Signature of ER(Must Me signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT (_' rg r Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH t a -i� g.en+� .. - ..t.3�1sr...-.... Mrtf�t�sy�ak4a=aw,4•�1i .y�y""'a"�s--�`.;�.,��;s,,.:.....w,V"ss ram` , -.e •'' �+s „r� ........ yi !' � "�n 1.. Me $011 ^�V a AMNUFACtURED HOME PLAN REVIEW sPt(jFjC#T . .vv Nuer Street_' UN111� ATftyNi saw Loa ,3Lb � . MA V �3: —3width Ail is rriat arin.37t"bero,at requited. �r r W tart e r*paclfYt ton �r�te ta�a� Apr"N CFR 3211L Not prate. . Pla Olm wide mftrme sdow. cued FOP m'sdat �� M!IIl '►+�d rt1wowNp > rr Ir�aringo td3l +aasloraer Is _..:. cows a e; C? AN 'P A?.2.g.I/HUD fit part 32 S : FOUNDATION, offPOP —m� ;. #� Pie .9 a cortumous camate Iig tr mm) ANCHORlNW �d►rDitHts� �' - i �. kd For raw ufft tlo lrta ao omed unft � r ��I CFIt pft 4 The undersign ad I heroby � 4t► +�� rwow �0� o�Io d 44t � rip . tr- e - Dito ..,Nf , 00a3 RE"EI !«--r...>,..:.. ».... -•�.,. ,•., .._,,.....} ..,. .i., .�.,:. .....,; _. .u.a...�m,. E D `A/ "//jam. ... y i,..._..,.!'d........,3„.,- ....... _. ,. .. ....-n., + } 'f ` y k •'. t 5 � + ` � 3 ING—- {rr` Ilk I iEl ' AC?K R M E OUILDING .,{_..... ;. �.�....,, .........}.. ..�.,....,.y ,f...... -..- ...-..fit .. _... 4. .. ., .�. ,... .. _.. P. RE TO as, CHAN } 1 t 3 , r t i , � 3 i I. 1 z 4 G�a e ` �iLy crcd , , . i y r t " s ..,.Y ., ....i_ �,..,,-r.�...�,.».G...,., ....w3, ...�._ � �' ....y 4 .. _,.1,.........b .,t.-„ t . .S.r ,y.•,_.....+ 1. t i i t � r �• � » -el 0 r-7n N,` e ` i ys•r m Lto ci j sr off ►�R , r w y • J Name 0XV- 31 � Parcel# 12207- b O OD06( '/ LBL-b#ao 0`1kn@9 r ` 1A 11-- Mason County MAR 0 1 20; Department of Community Development Small Parcel Stormwater Management Application/Worksheet 61 ge 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 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 �� X X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Drivewa s X = Length of drive begins at the right of way 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 signatyre below.I declare that I am the owner,owner's legal representative,or the contractor. I further acknowledge that the informatibn is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owne Agent/Contractor(circle one)Date: / X/ 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 r ► Lg Parcel# I ZZ0 7-5-0-00 00 l Q 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 Storntivater 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: ht!p//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/drainficld 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. 1 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