HomeMy WebLinkAboutBLD2022-00416 - BLD Application - 3/3/2022 MASON COUNTY COMMUNITY SERVICES Permit No:� IC�ZOZZ—d����/
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 REC r'
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone r D
CQ7104440Belfair:(360)275-4467•Phone Elma:(360)482-5269 MAR
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BUILDING PERMIT APPLICATION 69� �3 ��'�2?
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: treet
NAME: Patrick Ford NAME:
MAILING ADDRESS: 110 E Mason Ave. MAILING ADDRESS:
CITY:Union STATE:WA ZIP:98592 CITY: STATE: ZIP:
PHONE#1:559-906-9064 PHONE: CELL: l
PHONE 42: EMAIL :
EMAIL: L&I REG,# EXP.
PRIMARY CONTACT: OWNER ❑ CONTRACTOR ❑ OTHER❑
NAME Patrick Ford EMAIL
MAILING ADDRESS 110E Mason Ave. CITY Union STATE WA ZIP 98592
PHONE 559-906-9064 CELL
PARCEL INFORMATION:
UILUING-
PARCEL NUMBER(12 Digit Number) 32232-50-10302 ZONING RR2.5
LEGAL DESCRIPTION(Abbreviated) Union HC Land&Improv.Co.Blk.103,Lots 37&38 FIRE DISTRICT 6
SITE ADDRESS 110 E Mason Ave. CITY Union
DIRECTIONS TO SITE ADDRESS Take Brockdale Rd.north to McCreavy.Follow McCreavy Rd.to Dalby Rd.,go RIGHT on Dalby to 106.At 106,go
LEFT to Orre Nobles Rd.Oust past Robin Hood).Take a Left.Follow Orre Nobles Rd.to Mason Ave.,go RIGHT.110 is second house on the LEFT.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Q SNOW LOAD:25 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 ❑ ALTERATION ❑o REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY Q SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES (Whole Bldg) ❑� YES(Part[,]of Bldg) ❑ NO ❑
DESCRIBE WORK Enclose existing carport with walls&insulation,add a restroom.Add a wheelchair ramp and wheelchair deck.
SQUARE FOOTAGE: (proposed)
1 ST FLOOR 516 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK 141 sq. ft. COVERED DECK 42 sq. ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE sq. ft. 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&OUNDATION 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 a0d 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 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
COUNTY CODE 14.08.42)
X 3 3 as
Stature f OWNER (Must be signed by the OWNER) Date
DEPARYMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: Wk22 —01
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL RECEIVED
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us MAR 0 3 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 2o22
Phone Be/fair.•(360)275-4467• Phone Elma:(360)482-5269
615 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Patrick Ford NAME:
MAILING ADDRESS:110 E Mason Ave. MAILING ADDRESS:
CITY:union STATE:wA ZIP:98592 CITY: STATE: ZIP:
I$I PHONE:559-905-9064 PHONE: CELL:
2Dd PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):3223250-10302 Zoning:RR2.5
LEGAL DESCRIPTION(Abbreviated):union He Land&imp co Bik 103,Lots 37&38
SITE;ADDRESS:110 E Mason Ave. CITY:union
DIRECTIONS TO SITE ADDRESS:
Follow Br,ckdale Rd.North to McCreay.Follow McCreary Rd.to Dalby Rd.,take a Right.Follow Dalby Rd.to Hwy 106.take a L
wLeh.Folio v 106 shortly to One Nobles Rd Oust past Robin Hood).Take a Leh.Follow Orre Nobles Rd.to Masan Ave,take Right. 4110Mason Ave is second house on he left. ' G U Is
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS—I ST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of,Fixture No.of Fixtures Fees Fuel Type:Electric=PGONatural Gas=Ductless0✓
Toilets 1 Type of Unit No.of Units Fees
Bathroom Sink 1 Furnace
Bath Tubs Heat Pump
Showers 1 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 Oe�F—ee
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 I VALIDAT APPLICATION.
X ,A � - � -aa
ignature O er Date
DEP TMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 1BN
--?)Id 2oZZ - 00,41(o
ADJOINING PARCEL EH APPROVED
ALSLS O
O OWNED BY
RESIDENT
Rhonda Thompson 05/27/2022
r—
I I EH Setbacks ,
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations ,
C.)No foundation/Perimeter Drains within 30ft,downgradient of 1
———————————————————
i Drainfield.'Reserve area
I I D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
— 50ft,down gradient of Drainfield/Reserve area
I
CONFIRM EXIST.HIGH I EXIST.
PRESSURE LINE PATH I RESIDENCE
x I I
UNDER CARPORT 4
ABANDON IF CONFIRMED
AP
PROX.EXIST.
SEPTIC TAWS
PER ECORDS I I i - I I I r———————
--
NEW LIVING SPACE I LIVING I I 11 1
IN EXIST.CARPORT ���-• 4 .__
AREA - WITHIN EXIST.
I SPADE i"" --- -•-
1 1 1
I I __ I I
ROOFLINE/FOOTPRINT I CON V E R I 1 L---- ---- I
NEW HIGH PRESSURE I i SION IL------------
1
LINE TO BE INSTALLED I I I I I
AROUND CARPORT IF L
L ----------
EXISTING LINE IS L— ————— —————
ABANDONED ———————
NEW WHEELCHAIR APPROX.EXIST. NEW DEDICATED
RAMP 4 DECK GLENDON SEPTIC AREA FOR
$IO-FILTER PER RESERVE
EXISTING MASON AVE. M.C. RECORDS DRAINFIELD
DRIVEWAY AI
TO REMAIN
PARGEL NO.: 32232-50-10302
LEGAL DESCRIPTION: UNION HOOD CANAL LAND d IMP
CO 5LK 103, LOTS 31 E 35
SITE ADDRESS: 110 E MASON AVE SITE PLAN
UNION, WA 98592
SCALE: P = 20'-0"
NORTH
Name Patrick Ford Parcel# 32232-50-10302 BLD# `'
Mason County MAR 0 3 20??
BUILDINGDepartment of Community DevelopmeA15 W. Alder St;
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 2.
'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 = 141 SF 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
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.
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 prope o review and inspection as may be required.
X OOwner/Agent/Contractor(circle one)Date:3-3-2022
If thuotal Im /rvious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Pagel of 2
Trish Woolett
From: Trish Woolett
Sent: Tuesday,April 26, 2022 11:27 AM
To: Len Williams
Subject: BLD2022-00416/Carport conversion
J.B.,
I hope this email finds you well. I have reviewed the documents for permitting the conversion of the carport to living space for Patrick Ford at 110 E Mason Ave,
Union.
I have identified the following deficiencies:
1. The concrete slab to be covered by 6 mil plastic overlapped by 6".
2. The floor system must be vented. Show method, location and calculation.
3. Must supply continuous footing, Provide details. If a slab is intended engineering is required.
4. Shearwall are required provide location, size and type must be shown and detailed.
5. Deck footings, calculation and plan detail seem to not be concurrent.The calculations appear to indicate 18"x18"x8" plan pages indicates smaller footing
size. Please address.
If you have any question please let me know.
Tricia Woolett
Building Inspector-Plan Review
tw@masoncountywa.gov
(360)427-9670 ext.281
PLEASE NOTE: MASON COUNTY HAS A NEW WEB ADDRESS: WWW.MASON 0OUNTYWA.GOV
CHANGING EMAIL ADDRESSES ALSO.
MY NEW ADDRESS:TW@MASONCOUNTYWA.GOV
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