HomeMy WebLinkAboutBLD2021-00734 Patio Addition - BLD Application - 5/17/2021 � )N Coo't'T MASON COUNTY COMMUNITY SERVICES
PERMIT ASSISTANCE CENTER: Permit No: 1��( I-(')(�`7q
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL �_ �r+ a
615 W.Alder Street,Shelton,WA 98584 , C� E VL`_
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone MAY 17 2021
-— Belfair.(360)275-4467•Phone Elma:(360)482-5269 OUg
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gg1 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:_N�(� �Corie_ kaCKe,* NAME:
MAILING ADDRESS:q0 E_ mouA,diA view Drive- MAILING ADDRESS:
CITY: frlj)A STATE: WA- ZIP: je5iq CITY: STATE: ZIP:
PHONE#1. 'u6;o ql H PHONE: CELL:
PHONE#2:-'W 710 1165 EMAIL :
EMAIL:S+eJehacY,-++21eJ164 Mai 1,cols, L&I REG# EXP.
PRIMARY CONTACT: OWNER CONTRACTOR OTHER❑
NAME Srhako- fiaCiCe} EMAIL SteVe_haCee41 A
MAILING ADDRESS W E (Apilofia yjeQ CITY AllyA STATE WA- ZIP
PHONE 360 WC3 ql k)- CELL 6'ame-
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) -1�a 0—50 ,60 I3(c ZONING
LEGAL DESCRIPTION(Abbreviated) A - c=1 -13 G FIRE DISTRICT ftp,
SITE ADDRESS q0 &7JS+ (f�AAiA \t1eL,I ,�rtvz CITY { ltA,
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 140/6: YES[] NO)&
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❑ ADDITION14 ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)�
IS USE: PRIMARY10 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[,,]of Bldg) ❑ NO X
DESCRIBE WO eA 0 d cLim fo c_ 6,xz On *Ajo 5ider
SQUARE FOOTAGE: (propose+existing
1 ST FLOOR sq.ft. 2ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 53d 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 ❑ SEWERJ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES ❑ NO W_ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOX.. 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 tN project. The owner or legal
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SITE ADOREcJ�J
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STEVE 8 CORIE HACKETT
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ALLYN, WA 15524
THIS SITE PLAN IS DRAWN BA5ED ON PARCEL NUMBER
DATA SUPPLIED BY CLIENT AND WITHOUT
BENEFIT OF SURVEY OR TOPOGRAPHY 12220-50-00156
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ALL SE I BACKS ARE N1GASURED
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APPROVED
G I TE PLAN 1 �,'L Crj+UNTY DCD PLANNING
J l't g ,,�,.AM RECUIREI?TO BE ON SRE
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�� _ CHAf�Ol3S SUBJET TO APPROVAL' 1 - 20-O
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SITE ADOR
5TEVE $ CORIE HACKETT
I 40 E MOUNTAIN VIEW DR
ALLYN, WA Q8524
THIS SITE PLAN IS DRAWN BASED ON PARCEL NJ
MBM
DATA 5UPPLIE12 5Y CLIENT AND WITHOUT
BENEFIT OF SURVEY OR TOPOGRAPHY 12220-50-00136
Nameaep�kn } c lceit— Parcel# 1 13 fc BLD#,X ( ^()r)23q
Mason County RECEIVED
Department of Community Development MAY 17 J02
Small Parcel Stormwater Management Application/Worksheet (page o 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 = 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) �oZ�
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 review and inspection as may be required.
wner 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
Nam4iWh41 &L,�* Parcel# la a 5� r �3� 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:
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 SE
A).-[1 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. c
X Own Agent/Contractor(circle one)Date:
Page 2 of 2