The URL can be used to link to this page

Home My WebLink AboutBLD2020-01116 sfr - BLD Permit / Conditions - 9/28/2020 MASON COUNTY COMMUNITY SERVICES Permit No:-a1d 26W'D 1 1 1 lQ PERMIT ASSISTANCE CENTER: -BUILDING-PLANNING-PUBLIC HEALTH•FIREMARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone SheKon(360)427-9670 ext 352•Fax:(360)427-7798 Phone Belfalr(360)275-4467•Phone Elma:(360)482-5269 S E P 0 2 2020 BUILDING PERMIT APPLICAT ON PROPERTY OWNER.INFORMATION: CONTRAnCTO INFORMA Alder Street NAME: G ift� dq�C Y GI��.. NAME: ✓` AAro� 0 a ZMAILING AD RESS: 1 i - l ` MAILING ADD SS: 2 0� p! A �c CITY: t/� A STATE: ZIPS �eS CITY: G� 47 STATE: ZII': cl 4 PHONE#1: ' 2s �I-63 PHONE:26 U- D C LL: (,U- G- 3L PHONE#2: EMAIL ' L c k t Gtk ■ EMAIL: ►'A�t f G.. �r(c,� c�'I t :C�'!1 L&I REG# I13 / 1 ■I� PRIMA Y CONTACT: OWNER❑ CONTRACTOR OTHER �' i NAME ? civ EMAIL C7 Gu^Ca 1 �(tAC�iV,1,F�1.Gi'-1 t.�, �' Z MAILINGADDRESS 2uM' `+I1z D^ C tv CITY u b ST EIIJA k9yP t.P01611 /Y� PHONE �a L CELL .5 ��/ PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) tj ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS - - W 1� CITY JRZtA DIRECTIONS O SITE ADDRESS I fA r a2 1,kr% I,A o f t f cr t' t }(ct .Y )t vSK SI IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: Y S❑ NO SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkanthatapply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SIASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW.r• ADDITION❑ ALTERATION❑ RE ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc) IS USE: PRIMARY SEASONA) .� NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES M%oleBldg) YES(Partfa)ofBldg)❑ NO❑ DESCRIBE WORK Plej&jC (W 1101y6 SQUARE FOOTAGE:(proposed) f(�� //,, 1ST FLOOR sq.ft. 2ND FLOOR J�sq.ft. 3RD FLOOR V sq.ft. BASEMENT 0 sq.ft. DECK sq.ft. COVERED DECK V sq.ft. STORAGE 0 sq.& OTHER sq.ft. GARAGE_sq.ft. Attached❑ Detached❑ CARPORT C' sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES F THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERI NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES / NO❑ Ifyes,attach c 9 wpleted Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO EXISTING SQ.FT. EXISTING BEDROOMS ® PROPOSED BEDROOMS TOTAL BEDROOMS Z OWNER ac naMedges that submission of inaccurate information may result in a stop work order �it rmit 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 INnit and to do the work as proposed.I have obtained permission from all the necessary parties,Including any easement holder or parties of in 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&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PRO F CONT NU TION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS P M A PLI AT N OF 180 DAYS OF MORE WILL CAUSE THE AP ICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X ignature of PWINM(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT EG -Z�IZa PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No. 6111 (-P PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us SEP 0 2 2020 e Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 CQ)).I&e Belfair. (360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street MBING & MECHANICAL PERMIT APPLICATION OWNER TION: CONTRACTOR INFORMATION: NAME a r� 'c �cv- NAME:AAdy� �()L'ar MAIL DRESS: 1163 t 130- W :56 MAILING ADDRESS: good W Skel bn 'V v Od CITY: I?�r�Fon STATE: W ZIP:q o�g CITY: `3Kgi 611 STATE: A ZIP: 5g V PHONE: �{2 5 -G 3 7,3 PHONE: 360-�1 Z 7-qV CELL: afro-- 410 `U3 Z 4 2nd PHONE: EMAIL : �e��C�nsi✓�e�ttf�l rn�.I car`-� EMAIL: d-a a-�a , MC cxiane p—.� i .G�^1 L&I REG# r\ �1 EXP. 1131 /�21 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): q Zo c $,5o c oC) 6 G Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: C 0 �^J Lc- i� Sk CITY: ke( � DIRECTIONS TO SITE ADDRESS: /pl /444#^f�,(A- Le4rwJo ��Arir�0 Rd Oa,r Pn r.,.i (,�;n..f ,M�,.,,17. oN r S �o Le Pr'';aw Sf Q; .lc<<+•.J Lo)- 0..' $s,�t- TYPE OE JOB: NEW 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 LPG Natural Gas ct ess Toilets 7- Type of Unit No.of Units ees Bathroom Sink 2 Furnace 'li s Bath Tubs Heat Pump --�� Showers i Spot Vent Fan �3 Water Heater I Propane Tank Clothes Washer Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher i Kitchen Exhaust Hood / Hose bibs Z Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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,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 CONT)IqJATION OFTH!p PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL 17 A DAT T E PLICATION. x � D Zo" lgnature ner Date f DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING.DEPARTMENT bEe-- Za PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBI�f q� 7 1 i1 13T M1 N 3 �� 3 ✓ V _ 60' QZ Greve! drivewayr, 60° 28 49' , , 10 I z 00 � z71.1D o FN 90 o I O V• Cp V 52' �r N tn co m T m O v D C) omC/) z CL z ..� B UZ < p Na sm � r Z � , xCP i1 _ N 7- ;['.Gin - 0 2 m a N _ o � z � z � � OY 0 6. �p /m� QJ ON �23 Fri C) C m m a p n C o �, o p M _ c W CD o oz (u D N r � Z m Z C) Name A&dqra Parcel# YZ ?.5oay(-'66 BLD#RgC' D Mason County SEP 0 2 2020 Ill"i nL Mirtment of Community Development i S er Management Application/Works1li6fi(gioWof 4reet 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:'. '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 40 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways Z X = 720 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 4 = Z 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) 6F( 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. AcknowIe ent of such is b ignature below.I declare that I am the owner,owner's legal representative,or the contractor.I further ac o led that the' nnation provided is accurate and employees of Mason County are granted access to the above- descri pro a or/revie d inspection as may be required. X +✓ Owner/Agen C�ctorcle one)Date: �f 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. Pagel of 2 Name AJ,,,-ei �iCfcr/1,ne. Parcel# '7 ZbLDV bOOr-'O 66 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 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: httn//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 WAS 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*A 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 Owner/Agent/Contractor(circle one)Date: Page 2 of 2