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HomeMy WebLinkAboutBLD2018-01149 SFR - BLD Application - 10/18/2018 P oN �oUNrF MASON COUNTY COMMUNITY SERVICES —a ►�' l I�-{�(PERMIT ASSISTANCE CENTER: Permit No: BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)42T•9670 ext.352•Fax:(360)427-7798 Phone Beffair.(380)275-4467•Phow Ekw.(360)482-5269 18 2018 /.Y$J L .,!f HUILDING PERMIT APPLICATION Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ( NAME: • fir u C I l f3� MAIL ADD S: MAILING ADDRESS: CITY: I i STATE: —ZIP: C1 ff.3 CITY:PArT"6re.14"ok STATE: W h ZIP: q Z PHONE#1: 34 0- 7 n t a PRONE: CELL: 0-3 L u- ao PROW#2: PMk :Joe 1'<teGl er am EMAIL: , Loon L&I REG# —� U EXP. / I 0 PPJMARI' -9NTACT: 4WNER,.Q �coNT 0R ;�'WR El NAME EMAi - n&kI`PCICf J MAILINGADDRESS CITY nl, STATE UJAIq I yfc3i.it PHONE So Me —�i CELL- _ _3 fjZO - 34p e- �4aa PARCEL INFORMATION: PARCEL NUMBER(I2'Digit Number) i A a l 77 — 0- ()00?3 ZONIN W LEGAL DESCRti WN(Abbreviated} G4RT®ISTR.. SITE ADDRESS L R o-n G4 r J e.a S T- CITY DIRECTIONS TOSTTEADI} 1 ! IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chechal/that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYM! OF°VWORK: NBW AI3I InoNN•❑ AS TERATION REPAM 0 .OTMR USE OF STRUCTURE(Reefdence,Garage,Commercial B/dg,Etc) F IS USE: PRIMARY'SEASSONAL E1 NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATEDSMUCTAW?A'YES~A45)5(, YES i(Perr[s]njBldg)❑ NI?•❑ DESCRIBE WORK _ Iv{iU) S F R SQUARE FOOTAGE:(propose+existing) 1ST FLOOR 00( sq.ft. 2ND FLOOR_sq.ft. 3RD FLOOR "®— sq.ft. BASEMENT_ sq.ft. DEO sq:.ft : COVEREPSDW-IUlj(&�L_sq,A._ STORAGE '10- sq.fL • OMER �(�sq:N. GARAGE lei S sq ft. Attached.v Ddached❑ CARPORT %ft, Attacked❑ Detached❑ MANUFACTURED HOME INFORMATION:- *4.COPIES&OF THE R.,OWtLAN_R:E D* MO REAR L TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER.SOURCE: SEPTIC,❑ -SEWER / NEW EXISTING❑ PLUA4$ING IN STRUCTURE? YES N( NO f] If yes,attack completed Water Adequacy Fom PERIMETERNOUNDATION DRAINS PROPOSED? YES VI' NO❑ EXISTING SQ.FT. EX19TI)4G BEDROOMS PIiOPOSEII 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.f 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 pennitfapplication 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 1 � COUNTY CODE 14.08.42) Q Q Ki E'er^�� 1eo r^, d by'he yew r Ignature.ofar`",' .,,., be signed a 0PMER) Data DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT •Z�-I PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH coD MASON COUNTY COMMUNITY SERVICES PermitNo-13(eA2ot8 •611 q PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 6f5 W. Alder St--Shelton,WA 98-584 p,E C r \ 0 .co.rrtasomwa.us R 1=l�C W txu Phone Shelton:(360)427-9670 ext. 352. Fax:(360)427-7798 40182018 Pinnre Beftft�(360)275-4467• Pha a Elrrra:(360)482=5269 OC_+ PLUMBING & MECHANICAL PERMIT APPLICATION 15 W. Alder Street O R INFORMATION: CONTRACTOR INFORMATION: N)VftE: j4 u,j r_('a,l rj NAME:C ` MAILING ADDRESS- MAILING ADDRFSS: CITY:&FOrCA4M STATE. q)k_ZIP: C1 CITY:P&S 0 }a►d1STATE- ZIP: 1�PHA: 3 btu_ 3 4 0 — `7�)_I<0 PHONE: CELL:.3 r2- 3 y b_-,),,t�! ZRd PHONATE: EM A L : _10C 14 r t r/ a,—Q a . cam► EMAIL: K wr'T C Cm'- Q d Z L oyn L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DigitNumber): 1017 — $b --c oo D 3 Zoning: LEGAL Dt-SCRIPTTON(Abbreviated): SITU AW)"S& FTql E CITY: A-11 2&tl, w A DIRECTION TEY SITE A DDRES& L � jd rd M9 h IS Q1 l TYPE OF JOB: NEW V ADD ALT REPAIR OTHER USE OF BUILDING S�- LOCA`FION OF FIX TDRES/i}i�#1T'S .IsT FLOOR 24`FLOOR BASEhMN-T GAkAG_E OVER PLUMBIIAM FDn-URES fSHOWNUM BERDF EACH) MECHANICAL'DNi1 T)Mc of Fixture No.o"Fi3-Upos . Fees Fucl Typc;Elcct>'ic LPG V .Natural Gas Ducticss_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink t-f Furnace Bath Tubs Heat Pump Showers Spot Vent.Fan Water Heater I Propane Tank Clothes Washer i Gas Outlets Kitchen Sinks. 1 W.ciodicMA,eud StQve;:� Dishwasher i Kitchen Exhaust Hood Hose bibs Z Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PI;UNMINIS TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is -13y sigMture.below.I declare#hat.]am-1he owner,ownersleg.M rePreseritafwe.or .ceritract©r.1 4ui•3her dedare that lam-eritille9 to receive#ft permitand to do-the-work assproposed. I have obtained permission frpm,all the necessary parties.including,any•easement-hol der,or parties,of interest regarding this project.The owner or authorized agent represents.that throe 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL IN�IDATETHATION. it) O• I.Z�4 t ?E S( n ure of Owner y Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/C.ONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT VIRE MARSHAL Visituson-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN PLANNING � NOV 1s201 vo L 1� 615 W. Alder Street ,o',ae,,a PLANNING: ALL ETBACKS ARE MEASURED ROM THE FURTHEST PRE CTION OF THE BUILDING O ?7 5A ? L iu � Q QZL tr (V Q Q 4 O Q 5A v o OO o� IX o,m i C0i,-jz � U L � TOPOGRAPHY PROFILE: __- -s i�� N i s iope, +- QVVL- gJ1 iowCU-Js 7'Ne toy c,1 51 Q Q e U _ t,\ ev"&n A 116wtel, L*•,� U-) Direct Scale, I royal: fbrofflceuse Building Permitnumb-er: H9 "_ 2.40/ Building: Owner/Applicant: Joe- yxer,aer Date of Planning: application: Env. Health: i Parcel Number: �����"S l)� C�(91�`�3 t �Name)c2e- -��t �4 L Parcel# 1,'3 17 J 0 00093 BLD#�(g —D 1149 Mason County R C I V LJ Depa�>lrtmewt of eomnmmity Development UGf� `— Smalt Parcel Stormwater Management Application/Worksheet (page �j 8 2018 615 W. Alder Street 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 CountwDI ' e• htt�pllwww.co.mason.wa—us/code/commissionersriindex.htm R Please follow the links to"Title 14,"Chapter 14:48:5tormwater Management". BUILNG 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 ter be used a plan.will need to be submitted to Public Works for approval_ A design by a registered professional maybe required Sr 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 theinentirety AND the system-will be located as.nest to adversely affect arty 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.985 84 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 consu It 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 Bore 1-666,;Shelton WA 98584 Physical: 426°war 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"ason County are granted access to the above- desenh-ed prop .__ fur review inspection as inay be.required.. X Owner/Agent/Contractor(circle one)Date: /0— 1 Page 2 of Name ii,&t t���� Parcel# 1 a2 1 7 — SQ— Qaoa 3 BLD# Mason County Department of Comrla4>t>pity Development Small Parcel Stolr'mwater Management Application/Workshect (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 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including constmetion,installation or expansion.ofa building or offer structure;andlor replacement of impervious surface That is not part of routine mai tenance activity,and Jatad diskttrbirrg activities associated with str_umral or impervious redevelopment. =Cornrnun impervious s.urfams.inulude,but are not;iimited 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 LesVth, X Width, _ Area *All dimensions in feet Buildings so X X Measurements for buildings are,taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways S �$ X X = Length of drive begins at the right of way X = Parlcina:Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X NT = a,.S h r X = Any paved, graver 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. Rased Upon the infnrmatinn ytu have provided:a 5ftnmwutrrr:'Sisr:Plan AS NOT rriyalred fr►.r this development acti�✓ity- 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 pro erty for revie and inspection as may be required. t� �/ Owner/Agent/Contractor(circle one)Date: f 6— I F_—a o 1 a If the al Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page l of 2 MASON COUNTY PUBLIC WORKS ewer J Water Permit Permit No. Date Owner �V� Contractor .6 (�41 M& Job Description v � ' Job Location Inspected By Approved for Cover Date Remarks Applicant Must Call , Utilities & Waste Management �-' Issued By For Required Inspection 360-427-9670 Post this card in a conspicuous place Ext. 652 at Front of Premises