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HomeMy WebLinkAboutBLD2019-00995 Replace SFR - BLD Application - 9/5/2019 MASON COUNTY COMMUNITY SERVICES Permit No: Q - `P PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ^ 615 W.Alder Street,Shelton,WA 98584 ,F EC C rI VED Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone Beffair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION EjP .6 51019 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIAlder Stre t rjAA E:Michael&Sonja Fournier 11AME:Covai Homes MAILING ADDRESS:PO Box 2933 MAILING ADDRESS:2023 125th St.E. Cpry:Beffair STATE:WA ZIP:98528 CITY:Tacoma STATE:INA ZIP:9 PHONE#1:3W689-9992 PHONE:253-893-4446 CELL: PHONE#2:360-731-4281 EMAIL:jordan@oovalhomes.cDm EMAIL:mikensony4nier@yahoo.com L&I REG#COVALHL 894 EXP. 11/04 f 19 PRIMARY CONTACT: OWNER M CONTRACTOR❑ OTHER❑ NAME Michael Fournier EMAIL mikensony4niet®yahoo.com MAILING ADDRESS PO Box 2933 CITY Belfetr STATE WA ZIP 98528 PHONE CELL 360489-9982 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12205-78-90061 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR6-AOF SURV121129TR 1 OF SPA1894 R FIRE DISTRICT NMRFA SITE ADDRESS 120 E.Brazier Lane CITY Beffair DIRECTIONS TO SITE ADDRESS NEXT TO NORTH MASON HIGH SCHOOL ALTA DRIVE,TURN RIGHT AT RAILROAD TRESEL.GO UP ALTA DRIVE MAKE 90 DEGREE CURVE LEFT.FIRST RIGHT TURN,AT END OF ROAD ON LEFT. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ®Replacement USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Resdlence IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(WholeBldg)N YES(Pawls]ofBldg)❑ NO❑ DESCRIBE WORK New home replacement SQUARE FOOTAGE:(prop..d) I ST FLOOR 1812 sq.ft. 2ND FLOOR NIA sq.ft. 3RD FLOOR WA sq.ft. BASEMENT WA sq.ft. DECK 400 sq.ft. COVERED DECK WA sq.ft. STORAGE WA sq.ft. OTHER WA sq.ft. GARAGE 552 sq.ft. Attached® Detached❑ CARPORT WA 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® SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES© NO❑ If yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES® NO[] EXISTING SQ.FT. 1260 EXISTING BEDROOMS 3 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 permit/application becomes null E 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 APPLIC TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Signature of OWNER(Must be signed by the OWNER) ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:Z oago(Dgq5 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, W 5 �' � � www.co.mason.wa.us ,` RECEIVED Phone Shelton:(360)427-9670 ext.352• Yax:(360)¢ on Belfair. (360)275-4467• Phone Elma:(360)482-526T SEP Q 5 2019 PLUMBING & MECHANICAL PERMIT APPLICATIq% W. Alder INFORMATION: CONTRACTOR INFORMATION: NAME:Michael&Sonja Fournier NAME: Coval Homes MAILING ADDRESS:PO Box 2933 MAILING ADDRESS: 2023 125th St. E. CITY: Belfair STATE: WA ZIP:98528 CITY: Tacoma STATE: WA ZIP:985M I'PHONE: 360-689-9992 PHONE: 253-693-4446 CELL: 2"d PHONE: 360-731-4281 EMAIL : iordan(a)covalhomes.com EMAIL: mikensony4nier@yahoo.com L&I REG# COVALHL 894 EXP. 11/04 /19 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 12205-78-90061 Zoning: RR5 LEGAL DESCRIPTION(Abbreviated): TR6-AOF SURV 12/129TR 1 OF SP#1894 R SITE ADDRESS:I2oE& CITY:saw DIRECTIONS TO SITE,ADDRESS:NEXT TO NORTH MASON HIGH SCHOOL ALTA DRIVE,TURN RIGHT AT RAILROAD TRESEL.GO UP ALTA DRIVE MAKE 90 DEGREE CURVE LEFT.FIRST RIGHT TURN,AT END OF ROAD ON LEFT. TYPE OF JOB: NEW x ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1sT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_ Toilets 2 $18 Type of Unit No.of Units Fees Bathroom Sink .2 $18 Furnace 1 $19 Bath Tubs 1 $9 Heat Pump 1 $19 Showers 1 $9 Spot Vent Fan • 3 $0 Water Heater 1 $9 Propane Tank 0 $0 Clothes Washer $0 Gas Outlets 0 $0 Kitchen Sinks 1 $9 Wood/Gas/Pellet Stove 0 $0 Dishwasher 1 $9 Kitchen Exhaust Hood 1 $10 Hose bibs 2 $18 Dryer Vent 1 $10 Other 0 $0 Solar Panel 0 $0 Other 0 $0 Base Fee $25 Base Fee $30 TOTAL PLUMBING $t24 TOTAL MECHANICAL $88 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.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV�A/LJIDMTPLICATION. X Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN r. -D e1110 kA APPROVE • MASON COUNTY DCD PLANNING �'� SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPRO i -'.k ..� j B 1'1� Date ' �L1 r t PLANNING: + ` ALL S ?BACKS ARE MEASURED 'r0 THE FURTHEST r-1, R U I LD—---410 — t-n PLANNING RECEIVED SEP 0 5 2019 i Jc��R QJ 615 ,vv. Alder Street �1 '_! sfi '" ENVIRONMENTAL fin J ors ti� �r� 1 a .s gl.Dzo►�..oD IT HEALTH i1; ' fi RECEIVED Val s AUG 15 2016 .tea 615 W. Alder Street ,, rr► _c � r.. Ass-Add,4m*n:l as Qh A c� c, WOO TO BE KEPT IN THE up s PARCEL FILE 22bS-7 -goo(o� 1 ��'' 1 3aq� 60 � � Name Michael&Sonja Fournier Parcel# 12205-78-90061 BLD# 'Jlth/A 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 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 57L 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 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 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 propert300for revio 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 Name Michael&Sonja Fournier Parcel# 12205-78-90061 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 Stormx,ater 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 TIHS SITE A)MvThe 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 pro r review and inspection as may be required. Owner/Agent/Contractor(circle one)Date: Page 2 of 2