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Home My WebLink AboutBLD2023-01455 SFR - BLD Application - 12/4/2023 Permit No- W 2va;, o W6-'; MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:KQ,A 2n h 011 n J A g+r l ck t Y1 NAME: MAILING ADDRESS;l 10 6 'bn 'it ) MAILING ADDRESS: CITY: I A imj STATE: %1A IP: Q�j 59*I CIT STATE: ZIP:_ PHONE# : SOS-N07-5 7yS PHO CELL: PHONE#2: E EMAIL 5NK TRtckt/n/Ci'6 MAtt. CorA El G EXP. PRIMARY CONTACT: OWNER 10 CONTRACAH& OTHER NAME In f1f MAIL N L MAILING ADDRESS at 1 STATE WA ZIP9X �5� PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 7,216 1. 7 59 Q 1 3 I ZONING Q QS LEGAL DESCRIPTION(Abbreviated)Loft 1 of J% FIRE DISTRICT SITE ADDRESS 1C C CITY DIRECTIONS TO SITE ADDRESS ,t 1 ,t IS THE PROJECT WITHIN 300 FT OF S (S)GREATER THAN 14°/ YES[] NO® SNOW LOADy�psf IS PROPERTY WITHIN 200 FT OF THE OLL ING: (Check a!!that ap y): SALTWATER❑ LAKE❑ RIVER/C ❑ POND❑ WETLA ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDI I ❑ ILTERAI;ON REPAIR❑ OTHER ❑ USE OF STRUCTURE Re nce,Ga e,Co a!Bldg,Etc.)IS USE: PRIMAR S ONA NUMBES � NUMBER OF BATHROOMSHEATEDSTRUCTU ? YES OFholeBld YES(PartO❑ DESCRIBE WORK SOUARE FOOTAGE: FOOTA G E: Posed) OISTFLOOR_18( t_sq.ft. 2N R V FLOOR sq.ft. BASEMENT sq.ft. DECK sqr ft.*COVERED DECK ORAGE sq.ft. OTHER sq.ft. GARAGE L sq.ft. Attached)[ DetaRPORT sq.ft. Attached❑ Detached❑ MANUFAC URED HOME INFOR *4 COPIES OF THE FLOOR PLAN REQUIRE MAKE -MO pAR LE TH BEDROOMS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEWJ, EXISTING❑ PLUMBING IN STRUCTURE? YES'®' NO❑ /Jyes,attach'completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YESX NOD 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.1 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 permit/application 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 COUNTY CODE 14.08.42) x / 3 Signature of O sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: ;) :� -o14 5,5 Il MASON COUNTY k COMMUNITY DEVELOPMENT IV- W Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Key) nC a' NAME: MAILING ADDRESS:3►oE _Pa\6% Qd it?F 1 MAILING ADDRESS: CITY: Urn i 0,r\ STATE:\,/,ZIP: q,95]p CITY: STATE: ZIP: I"PHONE: So3-Lt 0 J-5 7 yS' PHONE: CELL: 2°d PHONE: 5-o3 - C1,0-S30y EMAIL : EMAIL:.`NK,5rRiey i,/ 0 (,aM,4 tL , GoM L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): I p b?SS n l3 f Zoning: (� S LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS:_ 1 3 �Sg 4tc.,u ieul pc• CITY: n , O DIRECTIONS TO SITE ADDRESS Mc.9a it Jy +0 lAn;o n I tAr-n on4v (,Ln i orb tZ%de tarn 'r:�►� �n� av►e�J , f4t omens w�anuauy , tip k+c �P OR h�11 . 3� d�ivt or> c'0 TYPE OF JOB: NEW®ADD=ALT=REPAIR=OTHER=USE OF BUILDING 6Zegi de n Ct LOCATION OF FIXTURES/UNITS— 1 ST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPCJNatural Gas=Ductless= Toilets fir— Type of Unit No.of UnitsFees Bathroom Sink > Furnace Bath Tubs Heat Pump _T7� Showers 2 Spot Vent Fan _44 _ Water Heater I Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs !i 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 PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1 BN ,fl R uUIW M �U01 BU �SC*� deg OOS �asoan�i _ j Faso de�, S v aWasb� L TANK DETAIL-NO SCALE NOTES: ,.....�..\ -RESTRICTIVE LAYER BELOW 38' �N f -NO WELLS WITHIN 100'OF GRAINFIELD RISERS TO SURFACE REOUWED OVER ALL TANK LIDS E SKYVIEW DR — SOIL LOGS -- - — - 1) VERY GRAVELLY SANDY LOAM 0.30' TILL '' —40F.ZUJILITYJAGGESSEA3EMENT-. - 2) VERY GRAVELLY SANDY LOAM 0-38' TILL t anwacw rxesc Lw 3) VERY GRAVELLY SHAY LOAM 0.38' w tames TILL vnawu EXISTING DRIVE ---F-ROPOSED-3-BORM-RES __— ` _______ PROPOSED STUSO T/CLEANOUT TANK(IN. L.109.5/OUT.EL.-109.2) PROPOSED 6000AL�L0UTB6SING T K(FLOUT EL-107.5-CENTER OF TANN 'KAs s aW NA a 410 I. —.,yla Caw 4/13/23 -— FLOUT TANK DETAILS NO SCALE _ 2 PVCTfGitrtlNE(Scr144). SCALE-1'=30'-0' — --____-- VALVE BOX(IE.-102.8 '--_ �yy7qqq 1 AOA4 J.NUN16R 24 THIS IS NOT A SURVEY: RBM IS GROUND EL. T.H.i(R =100.0) SITE FEATURES.TOPOGRAPHY.ELEVATIONS AND BENCHMARKS ARE BASED ON ASSUMED DATUM PROVIDED BY THE OW ENER AND COUNTY PLANNING RECORDS AND ARE INTENDED ONLY FOR THE REVIEW AND CONSTRUCTION OF THE PROPOSED SEPTIC SYSTEM DESIGN.JIM HUNTER 3 ASSOCIATES RECOMMENDS THAT A LICENSED PROFESSIONAL LAND SURVEYOR ALWAYS BE USED TO SET CORNER. ESTABLISH LOT LINES.DETERWNE ELEVATIONS AND TOPOGRAPHY AND/OR PROVIDE A LEGAL SITE PLAN. A FEE MAY BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION 8 RECORD DRAWING E UNION RIDGE RD TO A RIGHT ON SKYVIEW TO SITE JIM HUNTER AND ASSOCIATES THE LEFT AT THE SIGN. PO.BCX167OLY'NA98507 7S3.1226 FWIFAfIocrRlwNollY�lw DESIGNER-ADAM HUNTER SEPTIC SYSTEM DESIGN FOR - KEN STRICKLIN SITE ADOR- 131 E SKYVIE V DR LEGAL- LOT 1 OF SP#1069 /OF2 TIN 321067590131 S�F f a Name KPH C t Parcel# 3 ,210 4-7sl n 131 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 = , 11 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 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.1 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 1 . Name hen � 5 kwAA g& Parcel# 3 a 3 I BLD#r JA,2D71�' 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: http//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)lei—rentirety The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in 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. / wrie Agent/Contractor(circle one)Date: / ,2lq a 3 Page 2 of 2 WAT - MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning 415 N 611 Street, Bldg 8, Shelton WA 98584, Shelton: (360)427-9670 ext 400 Belfair: (360)275-4467 ext 400 •:• Elma: (360)482-5269 ext 400 FAX(360)427-7787 Application for Determination of Water Adequacy Instructions 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water connection utilized. 3. Submit completed application,with any required attachments for review. 4. An approved building site plan must accompany this application. Part 1: Applicant/ Parcel Identification Name on Applicant:Mien of��ndw �ii`►G�C1►i� Date: K�aq�,3 Mailing Address:310 E,Dn W.�?SI Unj,),A_WA q85g1 Phone: g03-y10-7-S-)H 5' Parcel Number: 3,'t I 0 to 75 9 C) 1 3 ) Type of Water System Reason for Application ❑ Public/Community Water System (2 or more ❑ Building permit connections) ❑ Division of land.- 0 Individual water source (one connection), #of Parcels? SPL ❑ Well ❑ Boundary line adjustment ❑ Spring/surface water ❑ Other(explain) ❑ Other(explain) ❑ Replacement or Remodel (please indicate name If you have more than one residence connected of water system below if applicable—no to this well, check the Public/Community Water signature required) System box. Part 2: Water Connection Information Complete the section appropriate for the type of water connection being evaluated: Public Water System Name of Water System: t Lr Water Facility Inventory(WFI) Number: (write "none"for two-party) ❑ 1 am the manager of this water system. The water system has been approved for services. There are presently connection(s) in use. This will be the connection. 1�4 I am the manager of this system. This connection will be to upgrade or change the use of an existing connection on this system (i.e.:recreational to full time). Please indicate on the following line the nature of this change: 1n(e • n IaP�U� This water system is able and willing to provide water to this (these) connection(s)without exceeding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manage - Date (,qkl/X=:5 This form may be scanned and available for public view at www.co.mason.wa.us. J:\FH Forms\Drinking Water Revised 1/25/2018 Individual Water Well ❑ Water well report (attached to application). Depth ft. ❑ Well capacity Test(attached to application) gpm gpd. The well driller often performs well capacity tests at the time the well is constructed. Results from these tests are noted on the water well report. Results from these tests will be accepted. If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. ❑ Satisfactory bacteriological test(attach to application). Water Resource Inventory Area (WRIA) Development within which WRIA http://gis.co.mason.wa.us/planning 140 1 50 160 22= Water use or limitation recorded................................... N/A F-1 Yes_Q Well Drilled ............................................................... Date Individual Spring/Surface Water ❑ WDOE permit (attach to application) ❑ Method of disinfection ❑ 1 have reason to believe that this water source can provide at least 800 gallons per day, and/or provides water at a rate of 2 gallons per minute based on the following observations. Author of Statement Date Relationship to Applicant Part 3: Mason County Community Services Evaluation (staff use only) Satisfactory Determination: This determination does not address adequacy of the distribution system, guarantee an adequate supply of water indefinitely in the future, or guarantee compliance with all applicable WDOE water resource regulations. Recommended approval indicates requirements of Sanitary Code,Title 6, Chapter 6.68.040-Determination of Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter 36.70A RCW. Unsatisfactory Determination: Applicant's water supply does not appear adequate to meet the needs of its intended use for the following reason(s). Y Reviewer's Signatures: Environ. Health: Date CSD Director: Date 2°f'