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Home My WebLink AboutBLD2017-01199 SFR - BLD Application - 12/8/2017 MASON COUNTY COMMUNITY SERVICES 3 21()I -01 ! / 1 PERMIT ASSISTANCE CENTER: Permit No: _r BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL E 615 W.Alder Street,Shelton,WA 98584 Phone Shelton.,(360)427-9670 ext.352•Fax:(360)427-7798 Phone �E/V E ) Beffair.(360)275-4467•Phone Elma:(360)482-5269 DECJ BUILDING PERMIT APPLICATION C �8 201� PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: •A/de Street NAME: &.,1 IV,(• NAME: s.,rho MAIT 4G ADDLES :1 ► MAILING ADDRESS: CITY: Or'� 1�0,. STATE: ZIP: CITY: STATE: ZIP: PHONE#1: 1bD%3t4 2111 PHONE: CELL: PHONE#2: EMAIL.:_ milliA EMAIL: trt f L&I REG# PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 1?',�046-15 1 - ( boD';> ZONING LEGAL DESCRIPTION(Abbreviate FIRE DISTRICT SITE ADDRESSTg(� F l.A,l\,A I CITY ll DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkau that applv): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW K ADDITION❑ ALTE�RApTION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc fT lC IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg), YES(part[V oj8ldg)'�( NO❑ DESCRIBE WORK t c�f ge SOUARE FOOTAGE:(propose+exsa g) 1 ST FLOOR)4?2 sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.& DECK sq.fL COVERED DECK_/;C sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 1—'%4 sq.R Anached yDetached❑ 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: 5 J 7U 1-1 So SEWAGE/SEWER SOURCE: SEPTIC[g SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERRAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO?r EXISTING SQ.FT. EXISTING BEDROOMS O PROPOSED BEDROOMS_ 4 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 permitlapplication 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 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 aoar►t ign-lure of OWNER(Mu be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT Z--1 49 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES 13 f d2())7- d j pc4 ♦° PERMIT ASSISTANCE CENTER: Permit No: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 www.co.mason.wams ISM Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 D C��D Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 (�C PLUMBING & MECHANICAL PERMIT APPLICATIONDEC 0 8 1017 OWNER INFORMATION: CONTRACTOR INFORMA"IM-w NAME: 21 dNE Gi ` 1,',1 rrs 1'At. NAME: Sa A j er StMet MAILING ADQRE$S:rip �ox 1Q9y MAILING ADDRESS: CITY�u} Q,f� eraa STATE:—ZIP:_gC61�h CITY: STATE: ZIP: I'PHONE: 3&0`6Ili 2311 PHONE: CELL: 2°d PHONE: EMAIL : EMAIL:� .A L&I REG# EXP.oy � ——— PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 11) .� - �'"1- Ub�Q� Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: rho 1E . Ca J i-."1 CITY: mlsj„' DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 ST FLOOR 2ND FLOOR ./ BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductlesse/ Toilets "3 Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs �gv" Heat Pump Showers Spot Vent Fan _4_ Water Heater I f ieute c Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks I WoodAoPellet Stove I N 4+Lk9J �{0� Dishwasher 1 Kitchen Exhaust Hood 1 •) Hose bibs a Dryer Vent _Other rl 51"ks 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. 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 permittapplication 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 INVALIDATE THE APPLICATION. x Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 2•t2-tg PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 AN (� 7 ;��-7 Name�1;or�Qe.� � :� �� w( • Parcel# ►��-Sl- Q�oflOa BLD# 6�d[� BUILDING Mason County FcF Department of Community Development O /� Small Parcel Stormwater Management Application/Worksheet (pa of Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building applicat made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2. tr@@t '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. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings y X S 2 = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X ( = 5q 0 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 property for review 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 I of 2 ' Name 70nte 7 I rf I,n t • Parcel# 1,2 a 0�6- '3 1-ObO* 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 SffE ArJ6_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 WA 98584 If this development has,or will have,a septic/drainfleld 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 property for review and inspection as may be required. X 4 �,/31 . V;ti�rt�, �� Owner/ n ntractor(circle one)Date: Page 2 of 2 200.00' 5' DRAINAGE EASEMENT 10 '-------------------------------------------------- ¢ ----------------------------------Z i c I I I PUMP TANK i t B E LW O O D L N I ! j PANEL j w i I � i 000 i Z 1 - Q I Q L I O I ANNN w a i ATU C/o I RECEIVED 6� 2 RASH TANK m ! w gw I 4 70' N I � - 8 2011 HEAD MANIF�LD 45 4� 4�' 4� PROPOSED o g DEC 4- BR SFR M U 5'! 1 J 615 W.Alder Street ', 1`�00�hESEIRVE i Q 1 DR�INFI�LD (t\L B)'\ ;ALL SETBACKS ARE 0 ' LU 42 ,, ; ', � Q � `� � D Q FROM THE FURTHEST Z ! I SLr I p U�HEST ; PROJECTION 4 F TH E R r- Q z O � ! ,PR M Y DRA FIELDI , 1 �` ! BU�Lb r J Oit 2 1 X PRES U',RE;BE 1 l 11' w a I b I W (n O O I �� E'cR AER I > C L-- --------� ------ LW-W --iN W ! W O .- ------------- ---------------- ---------------------------------- O Uj Uj 5' DRAINAGE EASEMENT Y� J 200.00 a Z) w U) VICINITY MAP � °`_ 00 Q z w �gGi•t�_ ' y� az V g C7 Z d Q ��. 0 LU 2 U) C) Lawrence 1 8Purdum Q co PROJECT DESCRIPION: LICENSED'DESIGNER m CHURCH CONSTRUCT NEW 4—BR SFR WITH PRETREATMENT/PRESSURE BED OSS. _ t EXPIRES 2/25/2019 J 0 SOIL LOG INFORMATION 2/7/17: w m SL 1: TYPE 3 / 0.8/GAL/FT2/DAY H 3 w" SITE PLAN 0.-6": DK BRN SANDY LOAM SCALE 1 "= 20' ,`' ,e 6"-30"+: GRAVELLY COARSE SAND ��t�.. WATER TABLE AT 23" MC PUBLIC i-E: LTH SL2: TYPE 3 / 0.8/GAL/FT2/DAY E CAR DIWu,CT 0:- 7": DK BRN SANDY LOAM l� 0 0 20 30 40+ 50' SEP 1 3 2017 7"-29"+: GRAVELLY COARSE SAND W/ SCATTERED COBBLES WATER TABLE AT 27" SITE PROPERTY OWNER NOTE: 6 SL3: TYPE 3 Carefully review ALL aspects of this septic / 0.8/GAL/FT2/DAY design.ANY costs Incurred due to changes to 0"-2": DISTURBED SOIL this design after submission to MCHD and Dev. Eng. 2:- 15": REDDISH-BRN SANDY LOAM are the sole responsibility of the property owner. 15""—33"+: GRAVELLY COARSE SAND W/ SCATTERED COBBLES WATER TABLE AT 25" LEGEND WATER TABLE AT 27" CLIENT: PIONEER BUILDERS A = solL LOG (360) 874- 2311 THE NOTE DIRT PROPERTY INFORMATION: ; CONDITIONS ON SITE ATITHE TIME OF SYAL ISISTEM 10 STALLATTITHEION PN: 12208- 51- 06002 (LOT 56) AM THIS IS NOT A SURVEY. ALL PROPERTY LINES/BOUNDARIES SITE ADDRESS: XX E CARDINAL CT *APjV1 HAVE BEEN DEMONSTRATED BY THE PROPERTY OWNER/AGENT. SEPTIC DESIGN, L L C SUBMITTAL OF THIS SEPTIC DESIGN TO MCHD IS NOT A GUARANTEE OF APPROVAL DRAWN: LP, 14 AUG 2017 PAGE 1 OF 3 PO Box 801,Gig Harbor,WA98335 253.509.9922