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Home My WebLink AboutBLD2018-01303 GARAGE - BLD Application - 1/28/2019 _Co MASON COUNTY COMMUNITY SERVIC PERMIT ASSISTANCE CENTER: Permit No: •BUILDING*PLANNING.PUBLIC HEALTH.FIRE MARSHAL �q y •� y � 1 i.� E K ....,:.... ... 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Ph(t a 1834 Belfaic(360)275-4467•Phone Elma:(360)482-5269 DEC 2018 s 615 W. Alder BUILDING PE RMIT APP ICATIO N PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: t NAME: t—V NAME: j ? G MAILING ADDRESS: /-�p/ MAILIN ADDRESS: CITY: STATE: it ZIP: L� CITY: STATE: ZIP: PHONE#1: �� 4f97--�� PHONE• � CELL: PHONE#2: /,,-0-2-5 /I �, EMAIL EMAIL: L&I REG it EXP. PRIMARY CONTACT: t OWNER'' ' CONTRACTOR OTHER❑ NAME ,, EMAI MAILING ADDRESS mil` �> lJ�j, >�1� CITY STATE C�Jlf ZIP Ct< PHONE_ L�h�� 1�_ CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) - ` ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT I(D SITE ADDRESS Lf�fC 1.2�' CITY � ��f DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14 YES❑ NO X IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall thatap ): SALTWATER V LAKP4 RIVER/CREEK PONDX WETLAN F SEASONAL RUNOFF X STREAM K TYPE OF WORK: NEW �f, ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ r USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc. IS USE: QR9 ^�� R* -SEAAgpAC—E NUMBER OF BEDROOMS NUMBER OF BATHROOMS C) HEATED STRUCTURE? YES(Whole Bldg) ❑ YES (Part(sj of Bldg) [I N DESCRIBE WORK SOUARE FOOTAGE• (propose+existing) IST FLOORr sq.ft. 2ND FLOOR ----�q. 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. Attack—detached MANUFA *4 COPIES OF THE FLOOR PLAN RE,QUIR]'ED XIDTH E MODEL EAR LENGTH BEDROOMS BATHS STE BER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER O / EW EXISTING❑ PLUMBING IN STRUCTURE? YES ❑ NO fV If ves, at ach completed Water.Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES EXISTING SQ.FT. EXISTING BEDROOMS AA PROPOSED BEDROOMS ` TOTAL BEDROOMS r OWNER acknowledges that submission of inaccurate information may result in a stop work der or permit revocation.Acknowledgement of such is by signature below. 1 declare that I am the owner and I further declare that 1 am entitled to rece Ye this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or partie f interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees o Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if w r 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 ME S OF INSPECTION. INACTIVITY OF THIS PERMIT APPVqATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON 1 COUNTY CODE 14.08.42) Signature of OW ER—(Must be signed by the OWNER),--" Date DEPARTMENTAL REVIEW APPROVED DATE DENIE DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT _2-Se- ri PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Name 1 r 1 Parcel# �&y8'33_ 1O BLD#_Jd I S-G � ".'` Mason County 3 Department of Community Development r 0 6 �aa 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: httpHwww.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 F (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 thntirety 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 450 100 W. Public Works Dr 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 400 415 N.6th St— Bldg#8 lower level 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 property for review �and inspection as may be required. X C 1 C�°1 L- '? Owner/Agent/Contractor(circle one)Date: i�- "�0 1 J, Page 2 of 2lC� 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 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. 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 perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways !G X X Length of drive begins at the right of way X = Parking Areas X = Any paved, gravel or packed area per definition above table X = Patios/Walks IvA X — X Any paved, gravel or packed area per definition above table X Others 1v A, 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) `3 > 7-7 If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please ad,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT require this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work o er or permit r vocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or e contract .I further acknowledge that the information provided is accurate and employees of Mason County are granted access the abo e- describ�pro �Abr reviewpAd inspection as may be required. X �, — Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is ZATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 i iVWX C ! 0, t i kA i 4-1 coCOk i cn Oj rn r- o CD CL �✓ c