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Home My WebLink AboutBLD2021-00487 SFR - BLD Application - 4/5/2021 MASON COUNTY COMMUNITY SERVICES Permit Nohlg5t 2-b2('6D'�" 8r PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 99584 Ira Phone Shelton:(360)427-9670 ext.352•Fax:(360)27-7798 Phone ^ 0 0 Belfair:(360)275-4467•Phone Elma: 360 825 K 269 BUILDING PERMIT APPLICATION 15 11,81 A Irip Street R TY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:N.�� 1 r * ZaNV\ NAME: COV O& O L 6t-5 MAILING ADDRESS:I m l.n Apo 201 MAILING ADDRESS: ZOZS IZT" ST CITY:5AW&4?- STATE:WA, ZIP: 4S383 CITY:' 0-rpWV-& STATE: \0A ZIP: gB44S PHONE#1: qIb'964v-Z0Z4 PHONE: - Z-IM CELL: PHONE#2: EMAIL Corm EMAIL: CAZ �a�ltroc.� � L&I REG#CWM-W..AJ &D EXP. 11 /!�/ZI PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER IC NAME EMAIL whSb��C�eCJ.S�\A�w�M•cc'M MAILING ADDRESS P 0• o CITY Suvtnr�f STATE W_ZIP as3a� PHONE — S CELL PARCEL INFORMATION: y � PARCEL NUMBER(12 Digit Number) `S -Q/W 3\ ZONING LEGAL DESCRIPTION(Abbreviated)T%S -N SwtV t,k TRH oli-5'?*?A07 FIRE DISTRICT J` SITE ADDRESS CITY &A \! DIRECTIONS TO SITE ADDRESS 4i &A E ci, W N\Ag-(' SC kowwf& 0 0 '�To lee. A-1 lam' Ex�k (),n\o A Tv r)o\Zk nn Pirg-5Th, Oo WA-3UfOv p E 13or�'r.Ru,.ca, 0AVo Wk-302, on �e\e-Vk IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVEWCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF M STREAMIK TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR El OTHER El USE OF STRUCTURE(Residence,Garagq Commercial Bldg,Etc.) '�ctUI!' IS USE: PRIMARY M SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS Z•S HEATED STRUCTURE? YES(Whole Bldg)® YES(Partfs]ojBldg)❑ NO❑ DESCRIBE WORK (!O/►g}fWG c. NCw ZZS'I S F 5;y�o11� �ww:w\w1► K�S'�JwQ,rncQ, SQUARE FOOTAGE:(proposed) 1ST FLOOR2ZS1 sq.ft 2ND FLOOR sq.ft. 3RD FLOOR sq.fL BASEMENT sq.ft. DECK sq.R. COVERED DECK ZN 2 sq.ft STORAGE sq.& OTHER sq.& GARAGE 7 4 sq.R 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 PC SEWER❑ / NEW D( EXISTING❑ PLUMBING IN STRUCTURE? YES Er NO❑ If yes,attach completed WaterAdequacy Form PERIIvIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.Fr. EXISTING BEDROOMS PROPOSED BEDROOMS LA TOTAL BEDROOMS LA 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 COUNT--�z Y CODE 14.08.42) / �7 W the OWNER Date EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 0-/0-2,l PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY RECEIVED COMMUNITY SERVICES Building,Planning mental Health Community Health APR 0 5 2021 " a Physical and Mailing A Alder St.,Bldg 8,Shelton, WA 98584 615 W. Alder Street Shelton Phone ) M ext 352 :• Fax (360)427-7798 PU G & MECHANICAL PERMIT APPLICATION Permit#: OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: G-11`11h esn'A(�6t,1F— NAME: WwFS -- MAILING ADDRESS: \ tZ 1'NrtC .tJ IA-K AILING ADDRESS: ?�JZ3 1Z S E CITY: Sits 10 STATE: 1� ZIP:O S3 CITY: - Tt��(OA STATE: v� ZIP: Gi gt-t 15t PHONE: —7-O PHONE: 3(�Z) -GV Z--15�ELL: 2"d PHONE: Zic o EMAIL: �y C0�Ak-110fvlr-S Cc`" EMAIL: L&I REG# CL)y PV14L-S'l El PO EXP. 1N l L-1l Z\ PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): I ZZ I Cam ' q U)31 Zoning: LEGAL DESCRIPTION (Abbreviated): -T(L; c�.k `SQILO 0k + '710'fi SITE ADDRESS: bt CITY: ]G51.J1FPy(L DIRECTIONS TO SITE ADDRESS: ffr00 TYPE OF JOB/WORK: NEW ADp ALT REPAIR OTHER USE OF BUILDING PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(notee) Type of Fixture No. of Fixturat Fuel Type Fees Type of Unit No. of Unit4 Fuel Type Fees Toilet(s) Furnace I ✓/ [E/G/LPG] Bathroom Sink(s) Heat Pump 1 [E/G/LPG] Bath Tub(s) o Ductless H.P. �� [E/G/LPG] Shower(s) 27Spot Vent Fan d/ Water Heater(s) 1 +/ LLLL[E/G/LPG] Propane Tank ��- Sw al.] Clothes Washer(s) Z L y [E/G/LPG] Gas Outlet(s) ° Kitchen Sink(s) Heat Stove ieGl LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) 2 Dryer Vent •/ Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges 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 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 IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. .7 X rgnature. pp()lic� Date X�6��I i t 0 - w-—e t� Owner/Owners Representative/Contractor Print Name (Circle one) LDEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS Building Fire Marshal Permit Tech (OTC permit only) visit us on-line: ttp://www co.mason.wa.us/communit)(_dev/ Rev:3/08/2017 Name z a V'«1►nC, r . Parcel# t 221(4 ` ` UO M BLD# Mason County APR 0 5 2021 epartment of Community Development Sma tormwater Management Application/Works Based Upon a 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: hip//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- des cri p for re an n as mWoKe required. X Owner/Agent/Contractor(circle one)Date: Z. I P/e2of2 Name z o vv_ cxct Q Parcel# I Z21 5 - QQ0 31 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 = M X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X 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 = VAL 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) O If the Total Impervious Surface Area is LESS THAN 2000 Sguare 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 Sguare Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2