HomeMy WebLinkAboutBLD2023-00129 Storage - BLD Application - 1/31/2023 MASON COUNTY COMMUNITY SERVICES P a 1,E ')•L"x
PERMIT ASSISTANCE CENTER: 4
•BUILDING•PLANNING-PUBLIC HEALTH•FIRE MARSHAL
40 615 W.Alder Street,Shelton.WA 98584 J A N 31 2023
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfair.(360)275-4467•Phone E/ma.(3W)4825269 .....
615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: /CO/J eL ld -Sda R f)e NAME:
MAILING ADDRESS:/too f S1044 VAPIFY 4J MAILING ADDRESS:
CITY: A l l yjy STATE:UV R ZIP:g$sz 4 CITY: STATE: ZIP:
PHONE#1. 34 o Z.75" 611-3 PHONE: CELL:
PHONE#2: 3 o ;.45- 7179 EMAIL:
EMAII.:M.."C/r& J 4 ecxbl t,4c-M L&I REG# EXP.
PRIMARY CONTACT: OWNER 1 CONTRACTOR❑ OTHER❑
NAME orJA4LO fWA QC K EMAIL r'
MAILINGADDRESS i(QO 6 SKnDY trnN�r �-tj CITY�Ii 7J STATE + ZIP S'S z y
PHONE 3 G o 4 75-6 i a.3 CELL 3 G 0 A G 7
lG..+
PARCEL INFORMATION: �...
PARCEL NUMBER(12 Digit Number) /2 Z 0 rZ 6 D I s ZONING)LJ gd�4%„a *i Ir,4/O
LEGAL DESCRIPTION(Abbreviated*AlC -)*Qg IaAAr-T ri,K gto73 1S'11N� G:JlrFIRE DISTRICT S
SITE ADDRESS 14,0 MHA! YA1)�y" 1.0 CITY 1)yjJ
DIRECTIONS TO SITE ADDRESS r-OLVA, gt l�.t r� )LSi�t yjJ y rt D 1,4 D'�✓e 2oJA IUD Jh'(Ik-wx3
tgr_t t44 Oh 6144Dr ✓plies JLF) ..e}; AT 09.3 SR 3 - Z)"' Of R--9
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14•/: YES[] NO❑ SNOW LOAD:_psf M
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all Char apply): W
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 01 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bldg.Etc.)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS D NUMBER OF BATHROOMS O
HEATED STRUCTURE? YES(Whale Bldg)❑ YES(PartAj ojBldg)❑ NOA
DESCRIBE WORK
SUARE FOOTAGE:(proposed)
1ST FLOOR MOO sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.fL
DECK sq.ft. COVERED DECK sq.& STORAGE sq.fL OTHER sq.fL
GARAGE sq.fL 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❑
PLUMBING IN STRUCTURE? YES❑ NOX Ifyes,attach completed Water Adequacy Form
PEIUMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOI 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 properly
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 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 I ' ') Y 3
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
RE C E I V E D •-��� 2t,2-3 _cx)«��
JAN 31 2023
• DRAWING PERMISSIONS
Sharer Residence as Budding Site Plan 615 W. Alder Street The Owneran�°"neirrepeeenativemeyrevuelhiepl°°°
—-- --, by any means necessary(adding notes,detalk,etc.)In order to v I
-------- meal the building permit site plan etsMardNrequlremenb of the LI.I ' N
PROJECT INFORMATION VICINITY MAP funsdic applloable ion. L
Owner/Applicant: Ron Sharer N.T.B.
160 E Shady Valley Ln +l V
Allyn,WA 98524
360.275-6123 A _ W
Site Address: XXXX Shady Valley Ln Z
Aayn,WA 98524 '
Parcel M: 12208-52-08015 !' - i Q Z
Parcel Are°: 0.55 Acres(24,000 of) � �` ,-, i '
Zoning: Rural Residential 10 111 Ld
r
BUKDING SETBACKS
NOM: 25'
Sde: 20' i SCALE'. 1'•30' s 3
Rear: 20' ' I- :w 'r , a
is 30 so
SURVEY a SEPTIC NOTE
TM boundary and topographic survey Information depicted hart. J
was obtained from Mason County GIS Maps and Information 1DL HOME /
supplied by the Owner,The boundary and topographic
mformetlon was not officially surveyed by Teem Hughes
Engineering and Team Hughes Engineering assumes no hablllly in
the accuracy of thle Intortnetlon. '1w.O
FLOOD ZONE
The eub)ec,property Is not located In a mapped 800dplain or In PARCEL#
a designated flood hazard area. 122085207038 ii 33 is p EROSION a SEDIMENT CONTROL
/ `` 4I 4I 4I RI it
in addition to the required Beat Menagment Practices(BMPs),
the—".to,shall make every attempt to minimize lend � 200 00.
dlsNrDirg ac,Mllas property maintain Me Skips until Anal site
eleDNzaUon and provide additional BMPe as necessary to
minimize erosion and sedimentation It construction - 4R PARCEL#
EX RV COVE 1
STORMWATER RUNOFF EX.DRVEWAY 380 of ...-j 122085208015
Stommvater runoff from new Impervious surfaces ehe0 not be -- c 4,500 of 20 BSL
directly discharged onto neighboring properties without prior / -———————————'———
written permission. r -- -
UNDERGROUND UTILITES I 7i•� - f _ PROP.DRIVEWAY \�
/ 1 •125 of
Cel till before you rip W have your underground ublitim located. e
GENERAL SPECIFICATIONS
The work depicted herein shop be completed In eccondence with EX.SHED•100 of
the currant edition of both Meson County Standards and the I i I EX GARAGE (to be removed)
Washington State Department of Transportation Standard G ROOf AREA-700 of
SpeclOcatlons for Road,Bridge and Municipal Construction. ' e /' (to be removed) ' --_ _--- =
The Contractor Is responsible for providing all labor,materiels, I I �P ARREA-1�Oi.
E
toob,equipment,malsoortei supplies and Incidentals
9'required to complete all work shown on these drawings and to
obtain acceptance by Mason County and the Pfo)ed Owner. -\
q I \—PROP.ECOLOGY BLOCK N
_..._ uuunuuuuunnr•
Them drawings are Intended to be°complete depiction of Me is 1 I .__ -� WALL(A'kIPX MEWM) I
proposed work.Missing information or detaile of work that ere A< \ I I 5
necessary to carry out the Intent of these drawings area not
relieve the Contractor from performing the omitted work.
My proposed revision°of the work depicted In these drawings ' A• lI L—————— r— p BSL _———————— J C Ptp+8;ii
area be In writing and wel require acceptance from Mason - < a
County. 1 / '�O 3 oil
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200A0' V
d 1 y
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«8' 'g 22-53� N
D.
AW+E
Namelz�4)a 7 54.4 Q ER— Parcel# 121-O f S Z 080 1S 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 surfacez.
'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 `�O.(, X .30.6 = 127
}qG X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X NM . = /s-S
X AI�E = Length of drive begins at the right of way
X =
. Parking Areas X =
X = Any paved,gravel or packed area per definition
X _ above table
Patios/Walks X =
X = Any paved,gravel or packed area per definition
X _ above table
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) I ?)
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. 2
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 1 of 2
Name Parcel# 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:
http//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 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
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 Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
I