HomeMy WebLinkAboutBLD2021-00524 SFR/Garage - BLD Application - 4/12/2021 MASON COUNTY COMMUNITY SERVICES Permit N 52- 4
PERMIT ASSISTANCE CENTER:
•BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone APR 12 2021
Be/fair.(360)275-4467-Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: oN I e,6y1-1 NAME:
MAILIt4Q ADDRESS:4 V/ Ske.1 jiy . o lg-h MAILING ADDRESS:
CITY: Ifan STATE:_VA- ZIP: 8 CITY: STATE: ZIP:
PHONE#1: Co— 90 -G30;L PHONE: CELL:
PHONE#2' EMAIL:
QEMAIL:0Q yDn d hoo cayel.h of L&I REG# EXP.
PRIMARY CONTACT: OWNER(( CONTRACTOR❑ OTHER❑
NAME G✓CIO Utz cI EMAIL
ta_ra MAILINGADDRESS E 2 5460cn�/ o,.V i CITY C f- wk STATE ZIP
PHONE 360-490-�j 503- CELL 60- CITY
d
PARCEL INFORMATION: // ( i, q
PARCEL NUMBER(12 Digit Number) �i 0 J�Y `7 dG�� ZWsG
LEGAL DESCRIPTION(Abbreviated) L a F L # ro r�N AFIRE DI RICT 16
SITE ADDREss—&191 W 5h el N G Oolt' CITY SGI��fvh
DIRECTIONS TO SITE ADDRESS &l S h Skolkn ^/$to t'Och� y ✓ t/�
Y�11 l ey NO- N
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO gJ SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): I
as
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLANDI SEASONAL RUNOFF STREAM❑
*� TYPE OF WORK: NEW ff ADDITION❑ ALTERATION❑ RE FAIR ] OTHER M10 O
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) I wR S(We N c G Cr,(/r ►^L7 e,
IS USE: PRIMARY)q SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? Y£u{�iKoleBid ' NO❑
DESCRIBE WORK : GihtO N ei Ulid etzl
SQUARE FOOTAGE:(proposed)
1ST FLOOR sq.ft. 2ND FLOOR 3 sq.ft. 3RD FLOOR N.ft. BASEMENT sq.ft.
DECK NA sq.ft. COVERED DECK 3 70- sq.ft. STORAGE i Sa sq,ft. OTHER sq.ft.
GARAGE—k70_N.ft. Attach,dg Detached❑ CARPORT _sq.ft. Attached❑ Detached❑
MA OF CTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MA MODEL YEAR LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING r
PLUMBING IN STRUCTURE? YES X NO❑ /jyes,attach completed Water Adequacy Form
PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NOV EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 penmit/appllcation 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. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
f/COUNTY CODE 14.08.42)
x L c���/z.�/ �i.�L�G�/ ��a ALoa
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No 2o2 j -
PERMIT ASSISTANCE CENTER: RE-GENLU
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton,WA 98584
www.co.mason.wa.us APR 12 2021
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
B� Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: crr00 '`3 16c,61 NAME: 7 nJJ,V *r
MAILING ADDRESS: 6 MAILING ADDRESS:
CITY: Sh el'izH STATE: Vlf ZIP: q8S gzl CITY: STATE: ZIP:
Is'PHONE: 360— Z(gO`S 30.-�- PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL: aQ ro#bLa) haJ Cal-+1,nef L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Zoning:17�f �q�GNU Zoning: 1-17 6I k ny Lcld5
LEGAL DESCRIPTION(Abbreviated): PC(_a OE P 0—08 S
SITE ADDRESS: Q W sbelfe /44'0 f lac-)r I-d, CITY: on
DIRECTIONS TO SITE AD SS: e',c kdeSf !9 he, tlacw- r �6-
TYPE OF JOB:
NEW K ADD ALT REPAIR OTHER USE OF BUILDING_?ri y)1aVy I��H eNCe
LOCATION OF FIXTURES/UNITS—1sT FLOOR_2NoFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtu Fees Fuel Type:Electric X LPG Natural Gas Ductless X
Toilets `oZ Type of Unit No.o� Fees
Bathroom Sink ve Furnace
Bath Tubs .Of Heat Pump
Showers �2 ✓� Spot Vent Fan Vol
Water Heater �l ✓� Propane Tank
Clothes Washer I��/ $t�cen
tlets D
Kitchen Sinks ✓ as/Pellet Stove
Dishwasher Exhaust Hood
Hose bibs Dryer Vent
Oth:- IAuh 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 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 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
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
i
Aarm Bueckel `f,FO
Arc-el# y2017— yz- qop�o N
('03$1 w %klfoh-MAflock Rd
Scgl e *1"` 60, rrow Septic Designs
171 E. Vuecrest Or
30 40 q0 120 Union, WA 98592
(360) 898-2255
AI R 12 2021
615 W. Alder Stre
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PLANN
o-V3 "lom MAR 2 5 201
0 S►1fi loam to H2.0
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a ►a.5o �c�.5.
PLANNING:
ALL SETBACK'S ARE MEASURED v,
FROM THE FURTHEST can
PROJECTION OF THE BUILDING i�3►d2b2, { bD52�
E X 15 nj 15�Ly_+u 9E5
9
5EP+l� ► �a
weld
�(0) 3X50 r�5e�'vQ.
-�-r�v�c.ln loGa��ah
e
�G you'Slope- < �CL to'M;V%�mt,I
-Cromn m-w ka A5C
1111x1 +� aYA;�f,ctd eM���O`v
FTrra►��r .
A ()V
MASON C:- J ; i l i i; 1 PLANNING rl\
SITE C'!_A. rZ;:c7'i•. E') i U :3E�ON SITE
BY
;�l�l
communication line — ,'� • '
P Aerial power easment " , y
propane tank --- - -- - -- ,�*-w
■
= course sand � 45 feet from
and gravel for Green house 30
` Downs outs well '• Under ground power
infiltration b feet from well easement for parcel #
NOW17
420174200050
j 1 inch per 20 feet
n
'
Old house & decks to s
- •; .. _ -�' - -�
Drain feild reserve area be removed - • -
�_ power pole
Y
� V
with meter
_ _ .. 25' from well
i _ _ ► � � proposed building k T
Fence ' z^
• - - proposed build 12-15
zm feet from well
T _ _ Drain field runs under -
- �' s deck of temp living
{ Septic tank 80 feet -,
• Barn 145 feet quarters and is 110' �
from well 15 18 feet
from well 1 long ■ . AlVi ,t:
_ r from septic & drain
field
propane tank
Deck •
Ali _ temp
v0106. - = trailer
wood shed
._ ..-° '4 w ,.., � ♦ �M � y s' `fin-
♦ •. . f At
i
Fence
' * — -
.� Shelton Matlock Rd - --
1 •
T 1
Proposed build 245 259 - - -_
= course sand feet from drainage Existing driveway is 10' wide
w
and gravel for & Roughly 580' to propose
�. Down spouts build with large loop for turn `
infiltration
around and parking
'
- f
k - 217 -- 1 -
881
w # land
= ---
.0
Fence �
, -----
, 4 run off
r
. Well direction
roughly 4%
` {I 'Fence seasonal drainage ditch north facing
lik
slope
proposed new house M Well power pole
25' from well
In red outline over old -_
f house. 12'-15' to well • - .i
• '1 H CI r TL , RC1 prop Ij e 120' to
, - - Drain field 0 .� prop
e build
-'
reserve area ,existing septic
Barn -- 15-18 from
Trailer for build
temporary housing
' from well
s
s