HomeMy WebLinkAboutBLD2023-00542 Bedroom, Garage - BLD Application - 5/15/2023 MASON COUNTY COMMUNITY SERVICES Permit No:,?) C,! Z?J ' j54
PERMIT ASSISTANCE CENTER:
ISO•BUILDING'PLANNING-PUBLIC HEALTH-FIRE
615 W.Alder Street Shelton,WA 9 584 ARSHAL RECEIVE D
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfalr.(360)275-4467•Phone Elma:(360)482-5269
MAY 15 2023
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFoi e r street
NAME:Brian Lentz NAME:
MAILING ADDRESS:71 E Westlake Drive N MAILING ADDRESS:
CITY:Allyn STATE:WA ZIP:98524 CITY: STATE: ZIP:
PHONE 41:360-265-1366 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:brian_s_lentz@msn.com L&I REG# ENP.
r
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER[] v
NAME SAME AS OWNER INFO EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
t PARCEL NUMBER(12 Digit Number) 122195000068 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 71 E WESTLAKE DRIVE N CITYALLYN
DIRECTIONS TO SITE ADDRESS FROM SHELTON,N ON HWY 3 TO ALLYN,L AT E LAKELAND DR,L ON E LAKESHORE DR,
L AT STOP SIGN ON WESTLAKE DR S,PROJECT ON THE LEFT
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑• SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION E] ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)RESIDENCE
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parr(s)ofBldg) r❑ NO❑
DESCRIBE WORKCONVERTING GARAGE TO BEDROOM,BUILDING NEW ATTACHED GARAGE
SQUARE FOOTAGE:(proposed)
I ST FLOOR-A q lD sq.ft. 2ND FLOOR N/A sq.ft. 3RD FLOOR N/A sq.ft. BASEMENT N/A sq.ft.
DECKN/A sq.ft. COVERED DECK105 sq.ft. STORAGE N/A sq.ft. OTHERN/A sq.ft.
GARAGE520 sq.ft. Attached I] Detached❑ CARPORTNIA sq.ft. Attached❑ Detached❑
MANUFACTURE TION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL EAR LENGTH
TH BEDROOMS BATHS SERIAL
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER I] / NEW❑ EXISTING E]
PLUMBING IN STRUCTURE? YES E] NO❑ Ifyes,attach completed Water Adequacy Form
PERIWTER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.1225
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 4
OWNER acknowledges that submission of Inaocurate 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 pernitlapplication becomes null 8 void if work or authorized construction is not commenced within 180
days or If constriction 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 APP4CATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X C�—/./V`� 41-t-
COUNTY CODE 14.08.42)
05-15-23
Signature of OWNER(Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED' .'DATE ..DENIED. DATE TAGS/NOTES/CO,
BUILDING DEPARTMENT WEL $ZS23
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No"blel;Za2 clo 5g4';�
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair. (360)275-4467• Phone E/ma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: t I "it NAME:
MAILING A15DRESS: IfMAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
I"PHONE: PHONE: CELL:
2"d PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 91 Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
• LOCATION OF FIXTURES/UNITS—IsT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=.PC=Natural Gas=Ductless
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers = Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT bF—C isas"a3
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1 BN
B o54A
R-1 P Residential Platted District
Front yard-20 feet.
Side yard-5 feet
Rear yard-Original construction and elevated decks 20 feet.175 EH APPROVED SIC�M.A
Rhonda Thompson 06/21/2023 DRAFTING&orSfQr+
SERVICES.LLC
OLYNPV4 von
170 PROPOSED ADDRION MAU 5373
DOWN TO \ 400 SF Public sewer and water '""0M'9.00.".
SP BLOCK /• - -
\ 165
/ ♦ \\ �w `\� 160
155
Y
/ T� 150 �
145
/ fY 445 S 1 W III
DOWNSPOU/TO
SPLASH
W v v W v J Its W f Y ' 0
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(E)U-SHAPED
CRAV_'L DRIVEWAY .♦` J v W W WY W "/ ,,/ 140 r
�y \ v��V\ W •. �v v W Y W w / .. V J
05/22/2023 COMMUNERYSEWER SEPTIC T�K TO
SYSTEI/ `7 \\ W Y
W V' W W W W
MDC
APPROVED or
,1. q— MDC
MASON COUNTY DCD PLANNING \. W ,; Y Y j " AS SHOWN
/ da: 3/17/2023
MRRUEQY,AICP �J' /
Digitally
Scott Ruedy signed
by Scott
Ruedy
SITE PLAN PARCEL NO:12219-50-00068 22055
V=10'ON 24x36 1"=20'ON 11x17 zn«Lrwma.:
CALL BEFORE YOU DIG AO.0
(800) 424-5555 2 m 6
t
Name L 4e� ? Parcel# a I 1 - 50 - 00()Lo BLD# '2_0 Z:j-60i 4 Z
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 surface2.
'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 = 2 Measurements for buildings are taken at the
_ perimeter of the farthest projections(example:X
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
Patios/Walks X =
X = Any paved, gravel or packed area per definition
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) 1 OZy
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 rr iegX w and inspection as may be required. /
L/� Owner/Agent/Contractor(circle one)Date: U�` ( � (_ -2
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
t
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:
httpHwww.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