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HomeMy WebLinkAboutBLD2021-00599 SFR - BLD Application - 4/26/2021 • MASON COUNTY COMMUNITY SERVICES Permit No:lj161 ;D.A -x!M PERMIT ASSISTANCE CENTER: RECEIVED 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 APR 2 6 2021 iwy Belfair:(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY.OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: K.4:�Q—:N f R!r--A 1.&2-- NAME:_N`141 NS7— l4i MAILING ADDRESS: 01 MAILING ADDRESS: /13pG- Ifs2 Nil AVU CITY:50f i -rt� /J STATE: (AL, ZIP: CITY:P10,A Lip.'-j STAT : W4 ZIP: PHONE#1:��ON,;2-7: — /a [ PHONEiZ; yg I,qR CELL: PHONE#2: ` — EMAIL :f2r to ttr,( b4er•E -, CZwf EMAIL: &I REG# CG !n l N PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME ( ` �1 g EMAIL 111C-A<P 'q SOC'7►tA,+-V—rL T MAILING ADDRESS '?i9 '( > ,+!5T- Z/J� ''f —life, CITY612kPI 3li STATE C.A r ZIP PHONE S6©67 7-7-1 2 fj R CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) o;2_1 cJ S-a o�63 3 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 4 D PEA t V!t4gv-) V tnft'�,. —CITY 5�E.-r-VAy DIRECTIONS TO SITE ADDRESS "r 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 that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW 10 X ADDITION❑ ALTERATION❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY/M SEASONAL❑ NUMBER OF BEDROOMS ! NUMBER OF BATHROOMS 4 HEATED STRUCTURE? YES(Whole Bldg)J& YES(Part[s1 of Bldg) X NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) ISTFLOOR-215 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. GARAGES 2j y+sq.ft. Attached A 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 SEWER❑ / NEW ❑ EXISTING PLUMBING IN STRUCTURE? YES NO ❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES'W 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 MASON COUNTY COMMUNITY SERVICES Permit No&61 Zal-( �M PERMIT ASSISTANCE CENTER: BUILDING =PLANNING %FIRE MARSHAL RECEIVED 615 W. Alder St- Shelton, WA 98584 www.co.mason.wa.us APR 2 6 2021 hone Shelton:(360)427-9670 ext. 352• Fax: (360)427-7798 4;v Phone Belfair:(360)275-4467• Phone Elma: (360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION O NFORMATION: CONTRACTOR INFORMATION: NAME`. NAME: L �r-u� MAILING ADDRESS: 3© r S E P-f� 7T�-lr( MAILING ADDRESS: ' Q> 60t,p CITY..5 W,L-r o tJ STATE: LLA . ZIP: CITY: STATE: 4&4$y ZIP: l"PHONE: 34,0 — A -- 11 6 PHONE-g66:-agi-5- tyq 7 CELL. 2"d PHONE: 6 0 T 'T Cr? EMAIL . �: u,p�sC (,0 tg6d LX,.,F S. Ce,, EMAIL: 14q 4 A�g ELF S&V 6 MMr L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 2 8 t S' Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: q O a5 r uzr�e— 2 CITY: �q 8� DIRECTIONS TO SITE ADDRESS: 1 TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCA ION OF FIXTURES/UNITS— 1 sT FLOOR _2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric f�LPG Natural Gas Ductless Toilets Type of Unit No.of Units Fees Bathroom Sink _�, / Furnace Bath Tubs 'r ✓ Heat Pump Showers '{ f Spot Vent Fan Water Heater Propane Tank Clothes Washer i 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 INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDA E THE APPLICATION. L�/ -7 Signature wn ate DEPARTMEN REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 1S N NameAAL(ALACParcel# ,3 20 2 I - 55 - &a o a5 5" l Mason County A R 2 6 2021 V artment of Community Developmen Small Parcel Stor ater Management Application/ Y6A0.1*Vd4p f 2) Per Mason e,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for res 1 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 Buildin s&j 1-0 X Carew& yuy.SI :O X o _O = Measurements for buildings are taken at the PL/ri Him4E d X 1�a► = perimeter of the farthest projections (example: eaves/gutters) Driveways 5! o" X t_py X = Length of drive begins at the right of way Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks I I- el X 6 -o = 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) I CJ 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 operty for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 0 If the Total /pervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Pagel of 2 •.^ ti Name Parcel# 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 Stornswater 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.450 100 W PUBLIC WORKS DR 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. 352 615 W ALDER 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. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 RECEIVED APR 2 6 2021 0 )t-- _ 24_0t� c� _ -- ANK z _ NNINC: - �F ALL SETBA. KS ARE MEAS(JRED FR M T — PROJECTiC,1 �, Tr,E f311�! ��NG �ttnr► _— i a - ROVE MASON COU TY DCD PLANNING 511 E PLAN RE U RED TO BE ON SITE CHANGES S BJECT TO APPROVAL BY Date --' --- 7' V 1 Ew e rt :"ff&-`z ra-,%/ k•1 9` ��'c � _' i ' f t'l RECEIVED APR 26 2021 o NVIRONMENTAL I I F -: --- 615 W. Aldedf9tmot!r F, s 32' 0+' r; J. 05019VA 17' IN c