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BLD2020-00311 Duplex C1, C2 - BLD Application - 3/19/2020
MASON COUNTY COMMUNITY SERVICES Permit No: 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 ^ /� Belfair.(360)275-4467•Phone Elma:(360)482-5269 'y�` P BUILDING PERMIT APPLICATION PROPERTY OWNE14 INFORMATION: CONTRACTOR INFORMATION: NAME: Jr-ew NAME: 0t'"�� R E C E I V D MAILING,ADDRESS: 0 N D f- a S MAILING ADDRESS: CITY: I( STATE:L,./q ZIP: 7&S'2y CITY: STATE: ZIP: PHONE#I: 2As G PHONE: CELL: MQ PHONE#2: a S 2 EMAIL: EMAIL: L&I REG# treet PRIMARY CONTACT: OWNS CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: All PARCEL NUMBER(12 Digit Number) ZZ l 7 I ZONING LEGAL DESCRIPTION r(Abbreviated) r t,I- a 1 1�} — c7 FIRE/DISTRICT $ SITE ADDRESSJP D lar 14 c cA� dk CITY DIRECTIONS TO SITE ADDRESS 1b P,-- t u r rA ?5 14a t-t P_ i'7 P_ f4 ( 4.` �- �7� 42 rr Lee wG!z ®�^ -t T- 5 r'ti ©A /c�-� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOK SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all rhaiapply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWX ADDITION❑ ALTERATION❑ j REPAIR❑ OTHER El!USE OF STRUCTURE(Residence,Garage.Commercial Bldg Erc.) LJ e TL IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOLIS NUM ER OF BATHROOMS t HEATED STRUCTURE? YES(Wpole l ]P) YES(parrtsl o/Bldg)El /NO Ell '�j�-� ,- (Z.,%y DESCRIBE WORK L r'� 1 =+/ —L i r�IC 4.tit = ( ✓'mot I 'T �✓tJ LI�` i� SQUARE %�FOOTAGE:(p..posed) nELJ UPLA—V 'P )um/ I ST FLOOtU61) sq.ft. 2ND FLOORsq.ft. 3RD FLOOR �sq.ft. BASEMENT le"", sq.ft. ?DECK (+/ sq.ft. COVERED DECKS sq.ft. STORAGE / sq.ft. OTHER /sq.ft. GARAGE '6 t' sq.ft. Attached Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMA ION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER / NEW>C EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ lfyes,attach completed Water-Adequacy Form PERIMETERIFOUNDATION 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 and inspection. This permittapplication 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 C TINUATICAOF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT PL CA N 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X r __� Si ai of O NE (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:- PERMIT ASSISTANCE CENTER: •BUILDING a PLANNING .FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 RECEIVED www.co.mason.wa.us # Phone Shelton. =77(360)427-9670 ext. 352• Fax:.(360)42 9 MAR 19 2020 Phone Belfair: (360)275-4467• Phone Elma: (360)482-5269 PLUMBING & MECHANICAL PERMIT APPLIC&TIION/. Alder Street OWNER IN RMATI CONTRACTOR INFORMATION: NAME: r2w NAME: y wfir- MAILING ADDRESS: MAILING ADDRESS: CITY: ✓. STATE:Czi(4 ZIP: o3 2 d' CITY: STATE: ZIP: I s'PHON C.e '3 S-7 G PHONE: CELL: 2°d PHONE: .c> O S5 ` -Z__ EMAIL : EMAIL:1- 4 L_ _ L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): ZZ,'L / 7 V 3 2 7 Zoning: LEGAL DESCRIPTION(Abbreviated): ' C L � !- -7 —/o SITE ADDRESS: X xx ck K 4,,.c_(-1, CITY: ,L DIRECTIONS TO SITE ADDRESS: V, f' T o e >'% �� r k1�_ f a r� FugC 41 4e [1Z EfT TYPE OF JOB: nn NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS-IST FLOOR Y__ 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric,/ LPG Natural Gas Ductless Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Z, Heat Pump Z Showers Spot Vent Fan Water Heater Z, Propane Tank Clothes Washer Gas Outlets Kitchen Sinks 2 Wood/Gas/Pellet Stove Dishwasher �2y/ Kitchen Exhaust Hood Z- Hose bibs Dryer Vent 'Z= Other T 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 CONTINUA N FTHIS PE IT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALI TE T r P AT ON. x i , �3 IG. SigrFature of O ne Date DEPARTMENTAL IiEVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT I L_ y � PLANNING DEPARTMENT FIRE MARSHAL Rev:1/2//2016 JBN RECEIVED 14f it -Qs-Ozz 1 PLANNING MAR 19 2020 hZA-�, V M U'l'V 615 W. Alder Street vrV,°� T)9 3 1x SaIAO tea) C Zqz VIE a .tool i RECEIVED 3 +. MAR 19 2020 _ ::::. . . . . . . . . . 615 W. Alder Street �P �� / __ PLANNING �o :::: : : . , -0�.03, J' Z-k +" NEW DUPLEX _ •• PLANNING: ALL SETBACKS ARE MEASURED G� �'� FROM THE FURTHEST \ �\ / PROJECTION OF THE BUILDING APPROVED \NNE bD� I 6\ / I �Ak SON COUNTY DCD PLAN ' ) \ �!� ZOZD - I SITE PLAN REQUIRED TO 6E ON S \ ` U n t..+ !�U CH ES U8„jET TO APPROVAL'�� All By dor '000,�z Jr \ �, 51TE PLAN \ . �00 � Am / V n PARCEL NUMBER THIS SITE PLAN 15 DRAWN BASED ON DATA SUPPLIED BY GLIENT AND WITHOUT BENEFIT OF SURVEY OR TOPOGRAPHY Name (,Q,J Parcel#�as 1-1. 50_Iq 15q BLD# �� `�3 BUILDIN' G 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) 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 aff� ARticlthis,or any other,parcel. You may also wish to consult with the septic design professional in Ott ArMason County Division of Environmental Health can be reached at: Phone:(360)-427-9670 EXT. 352 MAR 19 2020 Mail: P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 61 5 W. Alder Street 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. Acknowledgeme of suc is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further rck dg th information provided is accurate and employees of Mason County are granted access to the above- describp revi w and inspection as may be required. X Owner/Agent/Contractor(circle one)Dab : C ?.v Page 2of2 _ " 19 • .-a2-0 Name Parcel# 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 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. ZCommon 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 l ' Surface Type Length X Width Area ` All dimensions in feet Buildings j ` X 6 -7 _ X tl = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = i� �` eaves/gutters) X = Driveways r% it 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 v 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 . `'Small Parcel Stormwater Site Plan is Require 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 ack J,nowledge that the information provided is accurate and employees of Mason County are granted access to the above- described nfr Iview and inspection as may be required. / X Owner/Agent/Contractor(circle one)Date: 3 (� Z 0 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 ] of 2