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Home My WebLink AboutBLD2019-00528 MFG Home - BLD Permit / Conditions - 5/21/2019 r °pia MASON COUNTY COMMUNITY SERVICES 2�Permit N0: U l _ 5ze PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 - -y Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elms:(360)482-5269 MM4 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NA NAME: Oy t MAIL�IGNAMREMAILING ADDRESS: CITY: ZIP: CITY: STAT ZIP: PHO #1: PHONE: - ELL: PHONE#2: EMS EMAIL: L&I REG LEXP. PREVIARY CONTACT' OWNER❑ CONTRACTOR THER r� NAME EMAIL 00•Coyvt MAILING ADDRESS CITY STATE ZIP- PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) I L AV 3 ZONING LEGAL DESCRIPTION(AbbreviatetiF1' Nr I ! j� o .�C� FI DIST CT SITE ADDRESS V CITY DIRECTIONS TO SITE ADDRESS cSal 121VI 1 / IS THE PROJECT WTHI IN 00 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO M11 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❑ ADDITION❑ ALLT�ERATION❑ REPAIR❑ OTHER USE OF STRUCTURE(R 'mce,Garage,Commercial Bldg,Etc.) ,I-yi AVI CA 1 IS USE: PRIMARY SEASONAL❑ ER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldg) YES(Part(')of Bldg)❑ NO❑ DESCRIBE WORK �Al�rt!� �'L�I�Fk s� tP-SSG SQUARE FOOTAGE:(propose+existing) 1ST FLOOR. W sq.ft. 2ND FLOOR sq.& 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 WIDTH BEDROOM NUMBER S MODEL (-Ed�O�I�Yl�L20 l�I LENGTH �!V ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC V SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES Re,`, NO❑ If yes,attach com eted Water Adequacy Form PERRVIETER/FOUNDATION DRAINS PROPOSED? -YES❑ NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 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 permittapplication becomes null 8 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 �'✓/ gnature of OWNER Mus be sin the OWNER) Date DE6ATMENTAL REVIEW PROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT E PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Lei PLOT PLAN ze)A PATRICK AND JOAN MAHONEY SCALE 1"=60' N PARCEL 12205-79-90053 now ,5 n 0— rve IX n wJe !f i43r a � 4� 1 C � l O w 2 i o m m � co 0, n N p J` { OO U7 l U 2m a o W rf ST � s4'24 6,b Driveway 5 n ! E MUST COMPLY WITH oodhomes.com f ERMITtONDITIONS CHANGES THESE PLANS MUST ESE VM- HAS" SUBMIT CHANGES FOR APPROV;0 ON THE JOB SITE ,a-o FOR INSPECTION OFT TOWER DORMER r---S. K OPT WDW OPI S.G.D T� O � � I �iN U UQWOLiC OI�SEDaR_aAOI rO suMe�a I#I 2" `Gx3 IO v B�I�III#IIIIIIIIH + 2 1r-2"x12' �IIIIIII1 IIIIIII1 OR 1IIIIIII 1IIIIIII 1I1IIII �p "•-.,.:_..' t:-DA OrI11IIII-r'h�r•�TIIIlIlIII O7IIIlIIIII W--_-_-_-_7II1III111_I1II111I-----7I1I1III1 T1I1IIII1-,IIII1'�I LIJ --M11I1IIII AT1I1IIII S-1T -E-R> 10'2 BATH �-4 LU ,(QNII COPY _-------- i ARCHWAY _ __ M __________ NGROOMLIVING ROOM 7RYWaES OFT.iREYCEILING iREYCEIUNG -IT-----rr-----rr-1 7 1.4 UTILITY 4 orr A 0., `0'R _ ___ - mlMAS 40 73TER0BED X13ROOM KITCHEN L Ib11 1 1 I 1 I YYY^ � NAU5 i/-�L �/-J1 {E N X35 "51E Ok k PC,, A CL05ET I_ LL_____U______U_J L_LL-----U !_LL-----U-----_U_J I a5 i FAMILYROOM rt (4!9p 4'0VI.J OPT WALL OPT ARCHWAY OPT WALL 1I i WALK IN aoser I r I I r +• + f r -F++r+ -1-i I I 5HIRf65KIRT i.4 DORMER . BEDROOM#4 RETREAT ....L ....; :: 13'-70"XB'-4" PORCH PORCH 15'-10"X 6'0 MODEL 40704G `� 4 Bedroom 3 Bath • .2,620 Square Feet ' Yrcaftwt 96 .ti*'ke60vasAw u0sta arm of fy 0.1w pf'Aze+-s'rl .F wir.-O kw'ya-v x Raw OW ow IMMMftiu*ao*W Tsyi b ixiPj I LLUSTRATM S MAY gl00W t3P'TlC NAL VFATURES.,*A 4*rinabon carttwwd ttn+ rr%4 vwy dram to actual tome we buld,(Nmentcm are'wyr.r+'&taowm Mid*k"e*2"ements are!raor,ei,.,Waa wall rr e. ," wM,ft uo"t°rra the(Vft(to rt>.Ai.fj OW"44 Ohy .-V pvt rrrst *e{lxt 74.im Val. C414m,lrwlena*s SwAclvws feahays mid r1 o"c PSAISO a 4K*° pr"a lOW Ox spocr'tc 040ernatson alts+•s A ov tome yw tefad � ' cl CHANGES SUBMIT CHANGES FOR APPR()vAI PRIOR TO PERFORMING WORK APPROVED MASON BUILDING INSPECTOR THESE PLANS MUST BE ON THE JOB SITE CHANGES SUBJECT TO APPROVAL FOR INSPECTION 1 L DATE S..1((� i=ILE CopyDoeumen;s attached to approved lns•Site Plan S Plan revi_Y-c e w checklio. c5S Engineering. Y La eral Vertical_ Numhor of pages MUST MEET ALL CURRENT +6rp4t4 WASHINGTON STATE CODES 1� // � Name Parcel#J �J-r19 -- 1,+ 66>� BLD# 2.6 1---1 -Co 628 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" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A)4 The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in thei ntirety 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.1 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- desc •bedlyoperty f, vi and inspection as may be required. r X Owner/Agent/ ontractor( •rcle one)Date: 61,z ` Pa 2of2 f Name Parcel# BLD# 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 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. 'Common 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. 11 Surface Type Length X Width = �A-/rea *All dimensions in feet Buildings X = ZO 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- descri edpprIperty f ew an inspection as may be required. Owner/Age Contractor(ci le one)Date: �1?4201ci If t Total Im a vious Surf a Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2