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Home My WebLink AboutBLD2017-00291 MFG Home - BLD Application - 4/12/2017 eou MASON COUNTY COMMUNITY SERVICES Permit No: SIJW I7�GQ 2 q 1 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 Phone Shelton:(360)427-9670 axt 352 • Fax:(360)427-7798 Phone Belfair.(360)275-4467• Phone Efma:(360)482-5269 , BUILDING PERMIT APPLICATION APR 1 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: CS f f 1. NAME: jd` e@ MAILIN ADDIR,,F."c—S: 6 �X (?ICi MAIL G DRESS: r,Str CITYA'�'�Q,I�ter 1 S PATE:Wft_ CITY. S XTOL t PHONE rrl: !�j/(�)� rj-(� (`6 PHO 0 CELL: PHONE#2: EMAIL: O EMAIL: L&I REG# EXP.67 /�/ CONTACT PERSON: OWNER❑ CONTRACTOR 'O�THEER❑ NAME: MAILING ADDRESS: 1?►))L C1 Q7 ? CITY: STATE: ZIP: PHONE ( n g S,tMACELL:Z C(?j0q-j2 EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 55 '01 ZONING_/ LEGAL DESCRIPTION(Abbreviated)r C r F DISi CT SITE ADDRESS CITY, DIRECTIONS TO SITE ADDRESS .DIN%j IS THE PROJECT WITHIN 300 FT OF SLOPE(s)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT: (checkauthatapply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW'ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) �' ,d IS USE: PRIMARYNKSEASONAL❑ ER OF BEDROOMS NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg�) n YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK (Valuation/Project Bid Amount:$_ 1J 06� ) SQUARE FOOTAGE: rZ�Q 1ST FLOOR .ft. 6 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 WA INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE 1/��CCV V A MODEL kt �i YEAR LENGTH r.J UG WIDTH /ir 11 BEDROOMS_ �/ BATHS SERIAL NUMBER NIA 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 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%68.42) X 31 �Zb 11 Signature OFOWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS Intake. lanner: m pproved&Ready for Pick-Up: Visit us on-line: http://www.co.mason.wa.us/community_dev/ Ray 127r2016by J8N op MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No: •BUILDING•PLANNING•FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 pti Phone Shelton:(360)427-9670 ext.352 • Fax:(360)427-7798 Phone (�+ "��I Beltair.(360)275-4467• Phone Elma:(360)482-5269 Vf tY BUILDING PERMIT APPLICATION AP �2 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: I Y) CS f f 1. _ NAME: MAILIN ADD MAIL G DRESS: /der Street CITY: ' ' 1 S p'ATE: _L rr:(G��k`�� CITY. S ATE: PHONE rr1: ! T(?- Z'1.165 (�' PHO :' 0 CEL PHONE#2: EMAIL: O EMAIL: L&I REG# e- EXP.�/f CONTACT PERSON: OWNER❑ CONTRACTOR OTHER❑ NAME: 4Z1A1"lrAMAILING ADDRESS: CITY: STATE: ZIP: PHONE:2(001'IC,t CELL:2 , EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ' ZONING LEGAL DESCRIPTION(Abbreviated) Q r F DISTRICT SITE ADDRESS CITY DIRECTIONS TO SITE ADDRESS rMill LG IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 Fir: r&ckagrhatappty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWJ4,1"ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) Q�5'k d'ei IS USE: PRIMARYI�KSEASONAL❑ MBER OF BEDROOMS NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)j S(Part[s]o`fBIdg)ElNO❑ DESCRIBE WORK lk\ C� t k ° 2 _ (Valuation/Project Bid A..t:s J i 0 6 1 SOUARE FOOTAGE: I ST FLOOR`y 12,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❑ MANUFAAjC�TUR�E1De HOME INFORMATIONNt: n, *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE �/�ttt`w OVA MODEL U"� li� YEAR LENGTH J(e WIDTH /r��11 BEDROOMS BATHS_SERIAL NUMBER A 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 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) Oil X i � I Z Signature I OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS lIntakeMdetanner. rn lmroved&Ready for Pick-Un: Visit us on-line: http://www.co.mason.wa.us/communit)(Aev/ Rev 1127l2016by JBN RECEIVED E HAMMOND PL APR 12 2017 50' 615 W.Alder Street 0 e EXISTING DRIVEWAY O Q" n PL G 3 GV�N " i r--F--27.000-- PROMPOSED H. Y ' df 56.0®o A N I NG: AIL SET CKS RE MEASURED PRO THE uRTHEST PLOT PLAN 5' L.P.RoJECTIO OFT E GUILDING BLOOM CARRINGTON T r-----30'--------- 40 E HAMMOND PLACE I — 30' SHELTON, WA 98584 - 32021-55-02028 L_ 30' SCALE 1"=20' EXISTING D.F APPPJVED o N MASON COU vT.Y ICO P AN ING SITE PLAN REQUI?ED TO 3EILN—SItE CHANGES S��i.LCT TO APPROVA By — D to 128' - 11510coI Gozq RECEIVED APR 12 20117 f-- 15 —1 E HAMMOND PL 615 W. Alder Street m 50' 3 EXISTING =DRIVEWAY '- :O Q �G �,�` 1 �Q�� ENVIRONMENTAL i r N N P HEALTH 27.000 -- PROPOSED • M.H. If'J 56.000 PLOT PLAN 5' T� BLOOM CARRINGTON T 30' v`J 40 E HAMMOND PLACE 30' SHELTON, WA 98584 -------------- 32021-55-02028 L___ 30' v SCALE V=20' EXISTING D.F N o N 128' — G N e WAVERLY CHEST V� tMUST�A�V HOMES.�m T ALL C RRENT WASHINGTON STAT CODES On:*DIY. f ! I T {I f 1 I i j 1f (� I ' rlr i CttiSLf,' ` 'it1 UnLIlY rZ "1 KITCFlEN ' 1 S\1 MA5TE DEVROOM -i2`•r•s73•rY �! i :� I��i �t rxrtn• ...�' ' I I�`—' Ix.v+n +� AREA 1 texts OP 0. -- ip�: 1 1 ++ f 1 1 il; IJiili it�l ' __ ` ruhlcicrn.urr, -�! ` Ili'I(j+' r 7.F'O' tta p i �L r FI MUS K I ''f 0 PEN j``. a 1JVINGRC)i)Ad �� i �1!i III.' 1 i 6Ef)900M#Z bArH;,#2. Il•..�,•xrs'.0- srtxw.t SUBMIT Cr K MODEL 28482L Future Homes of Bremerton ( ,"? , �8,— t edroorn Ba; Feet 3450 HWY 16 W Bremerton 'Gorst), WA 98312 p. 360-479-4663 f. 360-479-4630 RECEIVED �\ e. FutureBremertonL aot.com eefW00>d APR H .,a �rOMESs�w 615 W. Alder Street BUILDING THESE PLANS IvfUST BE ON THE JOB SITE FOR INSPECTION �r7 FILE REVIEWED FOR COPY CODE COMPLIANCE !,-cements utca"i 4o approved plans: MASON COUNTY Site plan:_ B ILDING DEPART ENT Plan revietir L re�' iJ :, LES Engine-7 :f� y Lwt?rwl Vsr}° L Date SUFMIT C-I ,NGFS Fiil APPROVAL PRIOR TO PL!2I ORNIING WORK THESE PLANS MUST BE ON THE JOB SITE FOR INSPECTION. MUST MEET ALL CURRENT WASHINGTON S-rATE CODES MASON COUNTY PLANNING INTAKE CHECKLIST Planner Assigned: Grace (GBM) ell (KJM) Ron (REB) Permit #: 9 f� 261`�-6p2�I Date: 11Z, � Owners Name: Ca-012-4 n '�- _ l�lOd►vLJ Project: QttA) ror i<fo Commercial project?: yes no Sit lan: PTL ANNMG North Arrow r11�! P operty Dimensions: 110 ' x 12 .b Irregular Shape yes no Streets and Driveways shown d Frontage Name: E f�0-m wL -k-L o Existing Structures Shown with setbacks and use. Surface water(streams,ponds, shoreline, wetlands,natural/historic drainage,defined drainage) �IWhtified Topography (slopes) ❑ Minimum Structure Setbacks (direction/setback): F: / / 2S ' R: S / Zo Sl L J / /�� S2 l Ullity and Drainage Easements: yes no (if yes enter condition #5022) A /Other Easements e-Aeee res: propane+ank Fleat pump_ OR s site plan show landings at-a exits ? �0�) ,dVariance applied for: es Cn ) Parkin s aces allotted:PP Y g p I ion OIF nee e a con 1 n -)-- dard Planning conditions: 45019 and 9700 Are there any impediments (dogs/gates) that may restrict access to your site? yes Ono If yes, do we need ? yes no s site clearly marked? Address ill be posted when address assigned) Name Other: ZONING UGA'S ALLYN/BELFAIR/SHELTON Rural LAND DESIGNATIONS GC PF R-I R-1P RC I AGRICULTURAL POS FR R-2 R-1R RC 2 RR 5 LTCFL BI GC-CI R-3 RI RC 3 RR 10 IN-HOLDING HC LTA R-5 RT RMF RR 20 TRIBAL T MU R-10 RT/RTC RNR MHP BP VC RAC NR Critical Areas: (streams, ' nds, shoreline, wetlands &steep slopes) Shoreline Designation: N/A ❑ Urban ❑ Rural ❑ Conservancy ❑ Natural Water Body: SEPA: yes no unkn Flood Plain: ye no u Map # Aquifer Recharge: yes no unknown Map# Tads/Cases: ' I/ RLC/SPI: Jvl A 6 year Reforestation: yes no DDR/GRD: Eagle Nest Tag: ye no GEO/SEP/SHX: OTHER Parcel Tags?: yes no Name Cae,01 t'1G' Y\at06 qJ Parcel#3Z61 l BLD# 0 €' r Mason County RECEIVED IJ� f��` 3- epartmentof 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 ti Agi 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. 'Common 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. r To Calculate lnitpervfous Surfaces, Please Complete This Table Surface Type Length X Width Area All dimensions in feet Buildings (Q X X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = 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) 1 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 t the ormation provided is accurate and employees of Mason County are granted access to the above- des ribed pr perty fo revi nspection as may be required. ioll� Owner/Ag =actorcle one)Date: G/7 If otal 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 Name C64,f-4 h +t91'\-- TJ 1 ooyvi "') Permit Number: MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FEE CALCULATION O- - Valuation - - Occupancy Type Square Footage Valuation Total Valuation Amount (sq. ft. x valuation) Residence /Addition /Basement $112.65 $ Garage /Storage $44.63 $ Unfinished Basement $15.00 $ Deck $14.34 $ Carport/Covered Deck $20.38 $ Other $ TOTAL VALUATION $ 2toC , 2 S _ , 1 is a Estimated Plan Review Fee: $ Planning Dept. Review Fee [$205,$330,$70]: $ 20s 00 GEO - Geo-technical Review Fee [$255.00]: $ P R 1 C Addressing Fee [$173.50]: $APR Fire Access & Grade Review Fee [$73.00]: $ Environmental Health Review Fee [$210, $105]: $ Z (0015 W. v D Alder Stre,�i, Other: $ , w ZS TOTAL DUE WHEN PERMIT IS SUBMITTED: $ lv The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees, and plumbing permit fees will be calculated during plan review. The balance of all other fees will be collected when permit is issued. ESTIMATED BUILDING PERMIT FEES Building Permit Fee (ICC, Table 1 — Building Valuation Data) $ Z(Q l Z S Estimated Mechanical Fees (U.M.C., Table 1-A) $ Estimated Plumbing Fees (U.P.C. ,Table 1-1) $ State Fee: $ Azr— Other: $ Estimated Building Permit Fees WHEN PERMIT IS READY for pickup: $ 2io v 2 GRAND TOTAL $OI4 3 Ss