HomeMy WebLinkAboutBLD2021-01189 SFR - BLD Application - 7/28/2021 MASON COUNTY COMMUNITY SERVICES Permit No: �Ir/2Oal Jd �V
PERMIT ASSISTANCE CENTER. f
f -BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL
1 •./ 1 615 W.Alder Street,Shelton,WA 98584 c
•111111111 ,l Phone Sheton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone
Belfair:(360)275-4467-Phone Elms:(360)48P-5269 `` ;,h i
t z � r,,,i I VVV �WJi
BUILDING PERMIT APPLICATI� V 2 8 2b-�1
PROPERTY OWNER INFORMATION: CONTRAC D�I et
NAME:N/mr t-VOMC 71 rb eJ��% LU— NAME: tt� C011- iU dk.U-(-
MAILING ADDRESSA� ,! C,S - ►NA MAILING ADDRESS:1,111,0is 1•C &6
CITY:TaA&*ylar STATE:W Jiiir ZIP:6t CITY:TotncV-Ck— STATE: ZIP:kMwLt
PHONE#I:a53- 44711 PHONE. -00- CELL:
PHONE#2:et 3- O— EMAIL: t11 kA-s i G(a1 p/1s&SC1conS u
EMAIL:IC t�S�+^ Y+ V-+k c�tc..�ui.L L&I REG# o8S Gl. k- EXP.O�/loc.2
60
PRIMARY CONTACT: OWNER; CONTRACTOR❑ OTHER❑ I t-
NAME N EMAILX�1n K+ SY•4"C-ftUs•
MAILINGADDRESS IM5 CG t: t II&L _CITy 7_&A4rA.-_ ST E,+, ZIP K
PHONER53— 'Ut It�� CELLt2tS.��t�70'
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Ietll q—5�— 1ty604.Z ZONING S
LEGAkL DESCRIPTION(Abbreviated) � FIRE DISTRICT S
SITE ADDRESS USS a �L 1=pr• CITY a6S
I DIREC IONS TO SITE ADDRESS n C
Is+_ ok kk-c—
IS THE PROJECT NAITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX SNOR''LOAD:_.psf
IS PROPERTY N1ITIHN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAN4❑
TYPE OF WORK: NEW14 ADDITION❑ A�LT—EcRAT,_ION E] REPAIR❑ OTHER El
USE OF STRUCTURE(Residence,Garage,CommeraialBldg,Etc.)F \�1,r-'r—
IS USE: PRL\.LNRY❑ SEASONAL , NUMBER OF BEDROOMS 61 NUMBER OF BATHROOMS
HEATED STRUCTURE? VES(R'hole Bldg) (S(Part[r)gfBldg)❑ NO p
DESCRIBE WORK ��1 V1tW !t— L}JKIL �G 'n
SQUARE FOOTAGE: tp.•apased)
IST FLOOR_&VA_sq.ft. 21,11)FLOOR sq.fG 3RD FLOOR sq.ft BASENIENT -- sq.ft.
DECK 3b4 sq,fL COVERED DECK sq.fl. 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*
NLVKE ►ti G— MODEL YEAR LENGTH
\WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE.%SE\1-ER SOURCE: SEPTIC❑ SEWERY / NEW EXISTING❑
PLUN-IBING IN STRUCTURE? YES� NO❑ Ifyes,attach completed II'crterAdequncv Form
PERLMETERTOUNDATION DRAINS PROPOSED? YES❑ NOZ EXISTING SQ,FT.
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 permNapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work Is suspended for a period of I BO days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT IC TION OF 18P DAYS MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X OLD,/
'gnature of OWNER(Must be signed by the ER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BL71T ING DEPARTMENT �J jLTwin(
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES PermitNo:�L��-Q//o?
< PERMIT ASSISTANCE CENTER: !
/ s„ ' . •BUILDING .PLANNING .FIRE MARSHAL RECEIVED
615 W.Alder St- Shelton,WA 98584
www.co.mason.wams JUL 2 8 20B U I L,® I N GI
:. Phone Shelton:(360)427-9670 ext. 352• Fax: (360)427-7798
Phone Belfair. (360)275-4467• Phone Elme:(360)482-5
2M 5 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR� C �INFORMATION: 1 ► i
NAME: C c (?eke U.L-
NAM
MAILING ADDRESS: kk .S uk MAILING ADDRESS:UtdS Sk WLk
CITYTo t-oA-A. STATE:GS ZIP:q ku CITY:1-6-r-ow-A- STATE:WA-- ZIP:q&tttL4
I'PHONE: &%%- t:CQL- U-7al PHONE:o1S'3- e')O- CELL:QS3- 4x-412
2nd PHONE:cZS3- yo-W I EMAIL :b�c- 0L"e-
rckbtf a vt.
EMAIL:1Lt1& & °I?- L&I REG# P2tll C.L IL EXP. p / Ia- n23
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): JZWCJ-!Z- OChC 4QL Zoning:
LEGAL DESCRIPTION (Abbnmated): kc.IL a-
SITE ADDRESS: 4SI E C4k-r%cam -um-1L Dr CITY: e-0rcA :J `l
DIRECTIONS TO SITE ADDRESS: U QIA, M-414 L a-b CSllt�a -csi
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING V&-L& ,,& t-6*WC--
LOCATI N OF FIXTURES/UNITS—1sT FLOOR 2NDFLOOR BASEMENT_ -GARAGE_ —OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNgS
Type of Fixture No.of Fixtures Fees Fuel Type:Electrie_eK LPG Natural Gas Ductless
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs 7 Heat Pump
Showers eZ Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs 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. 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 panties,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 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 CONTItJUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL IN LIDATE THE APP CATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Name No�� arc�l�#� q 53 " h p_� BLD# O Lea 6 2 l—6 1I&I
Mason County BUILDING
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:
httv//wNN,w.co.mason.wa—us/c-ode/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
Publig 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) V The relevant details from:t ianaging 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
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. 352
615 W ALDER 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-
de,cribed fo revie� and inspecAon as may be required.
X `' gent/Contractor(circle one)Date: IOz� /
Owner/
Page 2 of 2
E
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=.
'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 X = 1 k5
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X = 1
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 Storrrwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 3 '
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 p perty for review and in ection as may be required. I
X Owner/Agent/Contractor(circle one)Date: a2� l
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
Small Parcel Stormwater Site Plan
Written Description
Your Home Properties LLC, Kerstin Cobb &Stephanie Prosser(Owners)
Mason County Tax Parcel No. 12119-53-00042
The site is located on the very North end of Hartstene Island in the Hartstene Point community
on a 90' diameter circle lot.The lot itself is forested and sits between 3 other lots which have
already been built on. The site slopes northerly away from the road. The slope on the property
is moderate (15-40%). Overall, 4 trees towards the center of the lot along with brush will be
cleared. Trees and other native vegetation along the Perimeter will be left intact. The driveway
will lead north from the road to the house towards the center of the lot. The driveway will be
approximately 72 feet by 26 feet(1,872 square feet) of impervious surfaces, and the house with
1,156 square feet.The total proposed impervious surface is 3,028 square feet, which fall within
the limits for Small Parcel Drainage Review.
All stormwater flows will be dispersed through vegetation. To avoid saturation soils near the
foundation of the house, roof runoff will be directed towards vegetated flow paths via
downspouts extensions. There is a sewer system integrated for the circular lots of this
community. Any runoff from the driveway can flow along both sides of the building in a north
direction.
In order to prevent erosion and trap sediments within the project site, the following Best
Management Practices (BMP's) will be used approximately as shown on the Erosion and
Sediment Control (ESC) plan:
- Clearing limits will be marked with ribbons on ground /trees
- The driveway will be constructed and graveled immediately. Dispersion trenches shall
be placed according to flow control requirements. Areas accepting sheet flow from the
driveway and parking area (that are not being left in native vegetation) will be seeded
and mulched.
- Water will not be allowed to point discharge onto slopes. A rock-lined ditch will
intercept and direct water from the steeper portion of the driveway down to the
dispersal trench at the bottom of the slope.
- Silt fencing will be placed at the lower edge of clearing of the slopes.
- A rocked construction entrance will be placed at the end of the driveway.
- Mulch will be spread over all cleared areas of the site when they are not being worked.
Mulch will consist of air-dried straw and chipped site vegetation.
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