HomeMy WebLinkAboutBLD2018-00033 Garage - BLD Application - 1/2/2018 CO MASON COUNTY COrVIMUNITY SERVICES Permit No:"6- 1 2 0 f g "iL3
PERMITASSISTANCECENTER: Recv'd.-
615 W.Alder St-Shelton, WA gg584*FIRE MARSHAL RECEIVED
- Phone:360-427-9670 ext. 352 Fax:360-427-7798 f i:�AN 0 2 20i8
lrtst http://www.co.mason.wa.us/communitMIJ I LD I N G
615 W. Alder Street
BUILDING PERMIT APPLICATION 0C9,c�J7-6 y
PROPERTY OWNER INFORMATION:*L0
/ CONTRACTOR INFORMATION: /,qe4✓G �91PS
NAME: /���'r7�I l fI0RLL � NAME:
MAILING ADD SS: 0. OJCMAILING ADDRES CITY:Aay v STATE:/ 4 CITY: S \ E: ZIP:
PHONE#1: o - 2-7 5 - 3 90-1 PHONE: CELL:
PHONE#2: - 4 ' d g EMAIL
EMAIL: g o-, Ur AJ G'1 R 1-- . CO M L&I REG# EXP.
CONTACT PERSON : OWNER R CONTRACTOR ❑ OTHER/BELOW El
=L NAME: 1elh �� �/�v1ZC'E/v CLE� MA /
ING ADDRESS: ?0 2>0 ( 614-
CITY: L A) STATE: Wzq ZIP: Z PHONE:- 0-2 CELL: Tolb3
EMAIL: /4 O -&Qd Cf 12L (A.��A) L O M
PARCEL INFORMATION: �
PARCEL NUMBER(12 DIGIT NUMBER) l2 2 f 7S 000 l, ZONING "A
LEGAL DESCRIPTI (ABBREVIATED) f-.AlQ tA-0 ✓[Lt+6- l3 FIRE DISTRICT
SITE ADDRESS 0 E, (f2Z Y /C C�, CITY AJ
DIRECTIONS TO SITE ADDRESS Srs>A 7-0 OLP /Z3Nl't 04 7U/liti'L
IS PROPERTY WITHIN 200 FT: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES❑ NO X
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 2�7 CG
IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) ❑ NO 0
DESCRIBE WORK NE h) U/J 4Z74C P31 G 4466- CnNS'NOCZIOIV
SQUARE FOOTAGE: 67/�- m E
1ST FLOOR'�Z 000 sq.ft. 2ND FLOOR 600 sq.ft. 3RD FLOOR sq.ft. BASEMENT_ sq.ft.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft.
,-')GARAGE,ZG OU sq.ft. ATTACHED ❑ DETACHED [N CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
FMA =URED HOME IN TION: *4 COP O FLOOR PLAN RE D
MODEL YEAR LENG ROO S BA SERIAL NUMBE
Sz,-T-) - -q,
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 1 am the owner or owner's legal representative. 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 permittapplication becomes null &void if
wnrk nr ni ithnri7art rnnctn jrtinn is not nnmmanrari within 1 Rn riauc nr if rnnctn intinn wnrk is ci icnanriPH fnr a narind of
BUILDING
Name Parcel# �aai� J { — 0� ��j BLD#
Mason County JAN 0 2 2018
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (pAtt- \(df&)der Stree
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:
hi!pHwww.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 ITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)Z- 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
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 400
415 N. 6th St—Bldg#8 lower level
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 i ormation provided is accurate and employees of Mason County are granted access to the above-
described prope for vi n ection as may be required. pp
X Owner/Agent/Contractor(circle one)Date: 2 0 C�
Page 2 of 2
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.
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 X
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 =
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
2 Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area(sum of all areas) Z ��
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 1 of 2
7 `CEIVEiJ
RAY 1 12018
+► Alder Street
210.48_
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PLA PLOT VISION
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PLANNING
1 PLANNING :
:'ALL SETBACKS ARE MEASURED
1 EXTG. SFR s FROM THE FURTHEST I
PROJECTION OF THE BUILDING
1
� 1 "DECEIVED
MAY 1 1291
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SITEPLAN RF-QUIRE
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THIS SITE PLAN IS DRAWN BASED ON � t _
PARCEL NUMBER
DATA SUPPLIED BY CLIENT AND WITHOUT Q !ZD S-IG�-� � . 12217-51-00015
BENEFIT OF SURVEY OR TOPOGRAPHY