HomeMy WebLinkAboutCOM2020-00025 Shelter, Toilets 2 parcels - COM Application - 2/18/2020 MASON COUNTY COMMUNITY SERVICES Permit No: Gb"'? Z02Z-66026
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfair:(360)275-4467•Phone Elma:(360)482-5269 BUILDING
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: •
NAME: nZ1 bF �i'1S�'R 1IIf1W 14I�u NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY:�?AMVIV,1N STATE: WA, Z CITY: STATE: ZIP:
PHONE#I:_ PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: ��IIJ at •G�fh L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR . OT E
NAME , ({� EMAILOopr�� � .rylY)
MAILINGADDRESS CITY 1* STATE WA ZIP 01-
PHONE CELL
PARCEL INFORMATION: y�
PARCEL NUMBER(12 Digit Number) J oQ(� — �j --(�2 ZONING t�• rj
LEGAL DESCRIPTION(Abbreviated)'05 1 N1�S A;ryyl�t FIRE DISTRICT
SITE ADDRESS 66Fj'L �tS� �J�F�VJ Ldb 1�b .9 CITY G1P V
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD: psf
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 X ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,, �(�}•1�Li 5 ,
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
.HEATED STRUCTURE? YES(Whole Bldg) YES(Part[sl of Bldg) ❑ NO ❑
DESCRIBE WORIr
SOUARE FOOTAGE,rp O 1j
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OT14ER r bO sq.ft51
GARAGE sq.ft. Attached❑ Detached❑ CARPORT 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❑ FEB 19 2020
PLUMBING IN STRUCTURE? YES J� NO❑ If yes, attach completed Water Ade u F
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT. Alder Str et
EXISTING BEDROOMS '� PROPOSED BEDROOMS _ TOTAL BEDROOMS _
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&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 TINUATI N OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
�R IT APP Al I F 180 DAY$ OF MORE WILL CAUSE THE APPLICATION TO E EXPIRED. (MASON
COUNTY CODE 14.08.42)
X
S nature of NER(Must be si4ned by the OWNER) D to
FB
NTAL REVIEW APPROVED DATE DENIED. DATE AGS/NOTES/CONDITIONS
EPARTMENT ,
DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
PLANNING i 'S ;4�_ ?,wtt, Z ?erryti&S cwqwu _-0002(,,z poe-cd& I
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COP OF W K� _
�''-o• ONSTRUCT 'ICNIC
' SCOPE OF WORK 2 SHELTER\
ONSTRUCT RESTROOM b i 1 L�,L`�.4.
0
oc nF WORK In•NOTES FOR PAVIN• 18R 0. AVENUE.
4 K
ine I0.6 " I PICNIC AREA I t / Z ARCHITECTS
1. NEW ASPHALT PAVING _ --- 4`l'- 4'-Cl
1.1 BASE COURSE:6'OF1-114'CRUSHED ROCK
I PLLC
COMPACTED TO 75% J ry t,
1.2 TOP COURSE 2'OF SW(-)CRUSHED SURFACING PER L
WDOT STANDARD SPECIFICATION 9-03.9(3) q - z 601 St.Helens
1.3 ASPHALT:3'UFT OF HOT MIXED ASPHALT(HMA)PER - CCESSIBLE STALL _ O
WSDOT STANDARD SPECIFICATON 504 - T ■■■))■■ t 1 a O Tacoma,Washington 98402
- rr� 46 / O Phone:(253)922-4168
IA IF THE EXISTING PAVEMENT 0 TO BE USED - a
THE 3•LIFT PER NOTE 2.31S TO BE FLUSH WITH •-'1
THE EXISTING PAVING , � � I ... - .- - _- / CI
EL31�0'H• I - I ~
2. THE EXISTING PAVEMENT MAY REMAIN UPON EVALUATION - I _ / Project Tl!a
- - -
ANEW DETERMINATION
NTOPOFRPERNOTE BLE AS A BASE FOR \�- - I -- - - t `
- Z
W.
2.1 CONTRACTOR TO SUBMIT THE EVALUATION FOR /SHORELINESTABILITATION /
REVIEW AND APPROVAL BY THE OWNER AND -- j�( LAND
THEARCHITECT Z{'i I / _ /REFERENCE#:INWS-2 18-16 PORT OF
3. EXISTING PAVING / (SHADEDAREA)-- - w GRAPEVIEW
3.1 .PREPARE EXISTING PAVED SURFACES PER ,
WSDOT STANDARD SPECIFICATION 5.04.3(4) �� b ` PICNIC AREA / -PLYATACK COAT PER _ / PHASE 3 -SITE
,3 �WSDOT STANDARD SPECIFICATION 504.3(4) rya i5 �)� CONCRETE
U DEVELOPMENT
]] INSTALL AN ENGINEERED PAVING FABRIC b �[\ / - EXISTING O
(PETROMAT OR EQUAL)OVER THE ENTIRE , BULKHEAD ♦ O
.. - .. ..
- EXISTING PAVING.EXTRA PAVING FABRIC MAY LAP
ONTO NEW ALIFT V R HMA LIFT
EEXIS
3.4 INSTALLASHAL LIFT OVER THE EXISTING AND
-e\\\\ e�"`C`\\•-�,�\\C�.`l�NEW ASPHALT - --_. - ' i• \\���--\\\\\\�\\ ���\r\C.ra.i U PO Box X 3
r 7 T FACEOFFFD I — Grapevlew,WA 98546
SCOPE OF WORK I11
4,
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EXI&TI NK TMKANCTA SITE PLAN -
• 6 PUMPTANKANO RE110VE
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BACKRLL WITH COMPACTED FILL - �
r - N IEUFTS AT 95%COMPACTION
,�p ► IX CONSTRUCTION
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b - < Submit dale: 2/19I40209:46:42AM
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Rev# Rev Date Des p n
l/T/lj/lj/lT j�J /777777T711T1JTl 777J , 4i'-- '
- - RECENTLY INSTALLED
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TRANSFORMER VAULT RECENTLY INSTALLED - .` .fir•' l' lu
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SANITARY SEWER VAULT � - ! ._ af
P' SCOPE OF WORK I41
REPAVE GRISWOLD AVE - .:• {-"
- • - - SEE PAVING NOTES
APPROVES , p 4, - RECEIVED
PLANNING to J
COON/ T �D P�NNIN ) � WORK PACKAGE I m
PAVE GRIS— W- O A F 238s
WE ft"REQUOtED TO ICI=ON SI ALL SETBACKS ARE MEASURED '/,� FEB 19 2020 `- : o RE CIS ECp
8U ETTQIAP?IZOVAI FROM THE FURTHFST
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hington
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