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Home My WebLink AboutBLD20174-01140 Duplex - BLD Application - 11/17/2017 I PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: D NAMEJ1i 1`. -) MAILIN AD SS: L MAILING ADDRESS: CITY: C� TATE. ZIP: 5 CITY: STATE: ZIP: PHONE#1: - - PHO CELL: PHONE#2: 1 E A im EMAIL: r L&I REG JIDEXP.I I /j CONTACT PERSON : OWNERK CONTRACTOR ❑ OTHER/BELOW ❑ NAME: MAILING ADDRESS: _ CITY: STATE: ZIP: PHONE: G: EMAIL y 17 20V PARCEL INFORMATION: 615 W. Alder Street PARCEL NUMBER(12 DIGIT NUMBER) A I ._, : �a {�ZONING I I LEGAL DESCRIPTIOMABBREVII� FI)),ST=r 1-7 - ') FIRE ISTRICT SITE ADDRESS O C OI� y`4Lt4� ' I► - � ¢STY N • DIRECTIONS QIi DDRESS O IS PROPERTY WITHIN 200 FT: (Check all that apply): +SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES❑ NO X% TYPE OF WORK: NEWV ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) c 6 D[ ( L IS USE: PRIMARY x SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS�� HEATED STRUCTURE? YES(Whole Bl%10 YES(Part[s]of Bldg) � NO ❑ K DESCRIBE WOR I(T SQUARE FOOTAGE: 1ST FLOOR ZI 40 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT_ sq. ft. DECK sq.ft. COVERED DECK 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 MADE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER 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 or owner's legal representative. 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 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) r x / y Sia ture of OWNER Datly �J/ ,1 r7r z7�i a�7 Q - PERMIT ASSISTANCE CENTER: rermit No:-B Id Zy 17-6 1 ILA •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 _ www.co.mason.wa.us RECEIVED tks� Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair.-(360)275-4467• Phone Elma:(360)482-5269 NOV 17 2017 PLUMBING & MECHANICAL PERMIT APPLICATdQI4y Alder Street OWNER INFORMATION: ' LD I CONTRACTOR INFORMATION: NAME: NAME: , IJ MALL G ADDRESS:` MAILING A DRESS: CITY: STA - ZIP: CITY: STATE: tj yj ZIP:_ 1 s'PHONE: - (} — PHONE: ICEL : 2nd PHONE: I3MAIL :TJ)fh(6P(-hiq Ann VA rD EMAIL: L&I REG# EXP. PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number): Qa —9 0q a Zoning: LEGAL DESCRIPTIWrexiated .OE9, ITAMI , SITE ADDRESS: Kmllt CITY: AMM DIRECTIONS TO SI DRESS: COT �1 TYP F JOB: _ NEW ADD ALT REPAIR OTHER USE OF BUILDING CL— LOCA ION OF FIXTURES/UN[TS—1 sT FLOOR 2ND FLOOR:BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS / Type of Fixture No.o Fixtures Fees Fuel Type:Electric LPG Natural Gas ✓ Ductless_ Toilets Type of Unit No. of Units Fees Bathroom Sink 10 Furnace Bath Tubs Heat Pump Showers 4 Spot Vent Fan ,: I�� Water Heater Propane Tank nG�77r&L ' Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs 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 PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X --Z 112/� SigrAfure of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT y7917 PLANNING DEPARTMENT FIRE MARSHAL RECEIVED PLANNING : . � D PLANNING NOV 2017 << 615 W. Alder Street FROV THE FURTHEST 9 - PROJECT N OF THE BUILDING ry P SCALE: 1"=40 FEET ,! m ro 0 20 40 �' 0 30 LOT 2 m 0.21 ACRES BASIS OF BEARING-A LOT 3 N861719 E ALONG CENTERLJ E OF PRIVATE ROAD N APPROVED w z 3 cn MASON COUNTY DCD PLANNING ��, SD i �' S11 E PLAN REQUIRED TO BE ON SITE N ,r j g ? C ANGES SUBJECTTO APPROV L w By I&IJ Date � W V%k 10.00 ��- LEGAL DESCRIPTION: p LOT 2 OF SHORT PLAT NO. 3065 P�1v _ W ASSESSORS PARCEL No. o cv n 12217-50-91392 41 a CURVE TABLE kcs 55` ALL M. WA. 98524 6 R L �P j go C1 1454'01' 270.00 70.21 A �� - iP 2-6nl Ile -131 o 2 - 6 vUL-. he _ A ! !6 uj .eo U)A, �. AL4b p-c Imo. BLA/ 11-25 DATE APPR tt r-cdc s� Re scL vices t_LC DIRECTOR OF COMMUNITY SERVICES DEPARTMENT �0. 13oK z264 DECLARA71ON OF BOUNDARY LINE ADJUSTMENT G,y aIG�rtr wA 13 8 33 2 �\ RECORDED UNDER AF NO. 2036003 NOTE: BOUNDARY LINE ADJUSTMENT DOES NOT CONVEY 717LE SCALE: 1'-30 FEET 0 15 30 60 /r \ BASS OF BEARING I \\\ ASSUMED N6617'29'E ALONG CENTERLINE OF PRIVATE ROAD LEGAL DESCRIPTION: LOTS 2&J OF SHORT PUT NO.3085 2 ASSESS 0-9 39ORS NDs P11 12217-50-9I393 �cN ROP/ 30 r RP/ C4 S 883B'18'E Cb ASSESSORS PARCEL NO..1221 7-50-9139J C / C3 52.60 L4 REFERENCE SURVEYS / C2 o 9JLAKEU NLL NO AGE NO 11,VOLUME 10 OF PLATS,PACES NEW LINE _ rn 2) SHORT PUT NO..3055,VIA.4 OF SHORT PUTS PAGE 12 7. M ' 'v AUDITORS FILE NO.19833DO BY TREVOR S.LANGTREE / 1 u, P2 '� r UA95 OF BEARING \ N Z ASSUMED NORTH 661729'EAST ALONG THE CENTERLINE OF THE u• P3 PRIVATE ROAD AS SHOWN ON MASON COUNTY SHORT PLATV NO. \ NW LOT 3 1 3m V P1 w SNORT PLAT NO.3065 1 ;V % 0 LEGAL DESGRIPTIDN.' \ I / ' N LOT 2 I � LOTS 2 AND 3 OF SHORT PUT NO..JO85 AS REcOoiiEv 28,2017 UNDER AUDITORS FILE NO..1983300 AN ` / C �, SHORT PLAT NO.3085 ^' � C5/ 'NOTE, Q PORTION OF LOT IJ9 OF LAKELAND WLLAGf NO.-"AS RE AD, PARCEL 4 IS A PRIVATE R0. �] W VOLUME 10 OF PUTS PAGE$7,Rf S` MA Ty. . EASEMENT FOR INGRESS WAS INGTON. m -_ l� EGRESS AND URLITTES. ASSESSORS PARCEL NO 1 - 91J92 / LOT i SHORT PLAT NO.3085 (NOT PART OF BLA) 30 N 66h AP NO.12217-50-91.79E Pt L 0 ACRES=1 SO FT, 61,2A -j QR, RESULTANT ➢1=➢1-P3+PI-0.25 ACRES Aw S0.FT. AP NO.1221 7-5 0-913 91 P2-O26 ACRES '11,302 SO.FT. RESULTANT P2-P2+pi-P4=O26 ACRES=114JI SO..FT P3= 1938 0.05 ACRES= SD.FT. PI-QO4 ACRES=19J8 SO FT. LEGEND CURVE TABLE SET K'REBCAR AND PusnC CAP LINE TABLE a R L ZED. CI 30:T4'5J' 27000 14411 CALCULATED PDsmav LINE BEARING DISTANCE C2 143401' 270.00 7021 NoY� LI N68'17'28 Id18 C3 JSS57' 270.00 1837 q FOUND%-REBAR AND PLASTIC CAP- LZ 17.00 Q'E7 'BCE #5789. LJ 42.65 C4 15001' 270.00 7078 L4 71.00 C5 661P14' 50.00 5785 e • AUDITOR'S CERTI�FIC�ATE AGATE LAND SURVEYING, PLLC FILED FOR tEccRO us27 OAYOFy�2017 SURVEYOR"S CERTIFICATE ��.BECyT BOUNDARY LINE ADJUSTMENT FOR pROFESSONAI LAND SURVEYOR CO„"= p• E�IPMENT&PROCEDURE&PROCEDURE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR UNDER Mr o ��r�A a T_ CEDARLAND FOREST RESOURCES LLC 2680 E.AGATE RD.-P.O.BOX 246 aT Y.W MLUYE y`I C SURE EY6 PACE PI; DIRECTION W COWGWANCE MIN THE REQ wBWT S a ff Sur VEr (D„u— ¢;rn m u 5 I COWIEETW AW WIN N�n* RECC RONC ACT AT THE REQUEST OF - os p IN THE SHELTON WA 98584- J60 426-4172 N^-'= AT THE REDUEST a 90NEr G LraHrar R. fRSE ACCURACY M¢TS OR CKEEDs RiO-T DRAW BY DATE 12/13/2017 JOB N0.3920 PREO"STANDARDS STATED W WAc A, ZA8tv00'4 ACal10R JJ2-I.TD-O➢o CEDARWV FOREST RE.SOLKES LLC LN OF"WR,2017 `'Jy Rhrsrcav a NEi/4 SWi/4 MJB SCSCALEI INCHINCH= 30' T:• 1 OF 1 CBECKED AUOTCWS—NOND, B lY O CERBFlCAIE N0 ZB237 ONAL LpN99 E SEC 17 T22N, RI W W.M. BY r'm 3920_CM-BLA-Revision.OWG L�O�q� Nam Parcel# I � , BL-z id 2C 1�" & 1,4 � Mason County B 1 I L D I N G 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 devvel"rge grtiy � rr 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 CoWYAJ62017 http//www.co.mason.wa-us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". 615 W. Alder Street 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 6Xeir 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 accurst and employees of Mason County are granted access to the above- described property for review and in as ma equired. / X - Owner/Agent/Contractor(circle one)Date: Page 2 of Name Parcel# ,= ,q CQ 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 Table Surface Type Length X Width = Area *All dimensions in feet Buildings If 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 = Parkinq Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks 5 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) 3� 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 iiL-�pection as may be re / X wne /Agent/Contractor(circle one)Date: / //i 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 North Mason School District 71 E Campus Dr. Belfair, WA 98528 Receipt #: 80804 clerk: Buck Manual #: Terminal : 1 2/16/2018 10:07 AM MISC MISC Miscellaneous, Customer f Qty Item Price 1 2900 1938.00 CPF Mitigation Fees CedarlandHomesLot2Parc1122175091392Di V11 1 2900 1938.00 CPF Mitigation Fees CedarlandHomesLot3Parc122175091393Div 11 Subtotal 3876.00 Tax 0.00 Total 3876.00 Check 1938.00 1241 Check 1938.00 1242 Change Due 0.00 MASON COUNTY It Sewer ❑ Water Permit Permit No. CM660 DateAlOttOwner� .- Contractor _ ` Job Description Job Location 9AD E. d& Inspection By Approved for Cover Date Remarks Applicant Must Call Utilities & Waste Management ISSU For Required Inspection 360-427-9670 Ext. 652 Post this card in a conspicuous place at Front of Premises