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Home My WebLink AboutBLD2024-00624 Cover Deck - BLD Application - 5/20/2024 MASON COUNTY Permit No: 13Lb,-�Qa4—lnou24 COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center,Building,Planning MAY 2 () 2024 BUILDING PERMIT APPLICATION 5 V IArSkneet G is PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r NAME:RON GOUDREAU NAME:TERRY EVANS CONSTRUCTIO,LLC MAiL1NG ADDRESS:P.O.BOX 123 MAILING ADDRESS:P.O.BOX 1551 CITY:UNION STATE:WA 21P:98592 CTTY:SHELTON STATE:WA ZIP:98584 ram PHONE#1:206-949.6738 PHONE: CELL:360-490-0162 PHONE#2: B1v1AIL:tevansbuilder@hotmaii.com EMAIL: L&I REG#TERRYEC978KO EXP. 5/2 / 5 G) PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ NAME TERRYEwWS EMAIL tevansbuilder@hotmail.com MAILING ADDRESS P.O.BOX 1551 CITY SHELTON STATE WA ZIP98584 PHONE CELL isz PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)32232-75-901$3 ZONING R-R.S LEGAL DESCRIPTION(Abbreviated)TR 11-C OF SURV 5/59 TR 3 OF SP#1555 FIRE DISTRICT & SITE ADDRESS350 E UNION HEIGHTS DR CITYUNION DIRECTIONS TO SITE ADDRESS UP UNION HEIGHTS DRIVE.HOUSE IS ON RIGHT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑� SNOW LOAD::t psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check all that appiy): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION EI ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)RESIDENCE IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(whok aldg)❑e YES(Part(s1 ofBtdg)❑ N0 DESCRIBE WORKBUILD ROOF OVER EXISTING DECK SQUARE FOOTAGE:(proposed) 1ST FLOOR sq.fL 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK300 sq.fL STORAGE sq.ft. OTHER sq.ft. 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❑ NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ 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 pernit/applicalion becomes null 8 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. INACTMTY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) X 5 - Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED I DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Name RON GOUDREAU Parcel# 32232-75-90113 sLD# /-f_00(e -- 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: hqp//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) X 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/Agen ontractor circle one)Date: Page 2 of 2