HomeMy WebLinkAboutBLD2017-01079 SFR - BLD Application - 10/31/2017 aofl you MASON COUNTY COMMUNITY SERVICES n
PERMIT ASSISTANCE CENTER: Permit No:�%!512�17• 010 -79
•BUILDING•PLANNING•PUBLIC HEALTH•91RE 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 E/ma: 360 482 5269
( ) 1 t a
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: �?�-�.l ;'� �t NAME:
MAILIN A DRESS: , MAILING ADDRESS:
CITY: ti STATE: 6,14 ZIP: CITY: STATE: ZIP:
PHONE# : G Y3 Z-..Cu > 4 PHONE: CELL:
PHONE# : �� / j EMAIL :
EMAIL: 1. r L&I REG# EXP.
PRIMARY CONTACT: OWNS CONTRACTOR❑ OTHER
NAME % ra� rEi/i/..) EMAIL /t�"J/ t
MAILING DDRESS o 1I>O x G;z C TY //�..� E ZIP b�
PHONE � 6 t(3 (G s CEL t el >Z 20II
PARCEL INFORMATION: 615 W. Alder b"t
PARCEL NUMBER(12 Digit Number) /22 -LO 5e ��, CO`� ZONING
LEGAL DESCRIPTION(Abbreviated) '19fl y 1 FIRE DISTRICT 5
SITE ADDRESS O 9 3 /e c(L i.v2. S`% CITY
DIRECTIONS TO SITE ADDRESS w cv ct%` w a �7 �-�lc e
SJc/-C�' -Iv St'ye
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NQ;g'
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.k, ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
'USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) - 5 t C(-re -�-L sL
IS USE: PRIMARY O�LSEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS-2-
HEATED STRUCTURE? YES (Whole Bldejg, YES (Part sI of Bldg) ElNO ❑
DESCRIBE WORKO�-✓ �. �.5 C,� -�, .: �•? � u,.��
SQUARE FOOTAGE: (propose+existing)
1 ST FLOOR_sq. ft. 2ND FLOOR 1Q
S� sq. ft. 3RD FLOOR_ sq.ft. BASEMENT sq. ft.
DECK t'4 sq. ft. COVERED DECK > L 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 UHZED*
MAKE MODEL H
W TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER / NEW❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES)4 NO ❑ If yes, attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO-&, EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 2j TOTAL BEDROOMS `3
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 APPLICATIO OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X / 9//if 7
Signature of/OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DAT DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY
COMMUNITY SERVICESRECEIVED
Building,Planning,Environmental Health,Community Health OCT 312017 BUILDING
Physical and Mailing Address: 615 W Alder St.,Bldg 8, Shelton, WA 98 �5 W. Alder Street
Shelton Phone: (360)427-9670 ext 352 4• Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:'BItIM-7• blD 09
OWNER INFORMATIOW, CONTRACTOR INFORMATION:
NAME: Q r NAME: a w,�1��2
MAILING ADDRESS: Q U3 0,- / 0957
MAILING ADDRESS:
CITY: % STATWO - ZIP: "�L CITY: STATE: ZIP:
1st PHONE: E U 'Z 5 PHONE: CELL:
2nd PHONE: Lo 01 5Z EMAIL:
EMAIL: VAL 4 6- . L L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): I Z Z 2 5 U [j 75 0 04� Zoning: JZ Z
LEGAL DESCRIPTION (Abbreviated): G-o ,r zy j3 L k 53 1_/y r.,
SITE ADDRESS: X x CITY:
DIRECTIONS TO SITE ADDRESS: �[/w!J -3 '7'V (-V,--(,-- Ty fa
TYPE OF JOB/WORK: NEW >e,— ADD ALT _ REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS )(Electric in-wall heaters(no tee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) Furnace [E/G/LPG]
Bathroom Sink(s) Heat Pump /LPG]
Bath Tub(s) & Ductless H.P. [E /LPG]
Shower(s) Spot Vent Fan
Water Heater(s) G/LPG] Propane Tank r a[.]
Clothes Washer(s) / [E/G/LPG] Gas Outlet(s)
Kitchen Sink(s) / Heat Stove [E/G/LPG/W]
Dishwasher(s) / Kitchen Exhaust Hood
Hose bib(s) L Dryer Vent
Other ----��' �1A-!' � Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges 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 representai:.e,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 necessal; parties,including any easement holder or parties of interest regarding this
project.The owner or authorized agent represents that the information prow' ed is accurate and grants employees of Mason County access to the above
described property and structure(s)for review and inspection.This permitf:, plication becomes null&void if work or authorized construction is not
commence thin 180 days or if construction work is suspended for a per J of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPEC N. NA VITY1 THIS PERMIT APPLICATION OF 180 DA' :3 WILL INVALIDATE THE APPLICATION.
9VI j5 7
Si ati.4 e of Ap lica D
x r ��-✓ OwnerlOwners Representative/Contractor
'Print Name irk a one)
DEPARTMENTAL REVIEW APPROVED DA7E DENIED DATE TAGS/NOTES/CONDITIONS
O Building !Y
O Fire Marshal VV
O Permit Tech (OTC permit only)
Visit u5 on-line: http://www.co.iiiason.wa.Lis/communii\ / Rev:3/08/2017
�ro ram- l 5 ry � Zo `
ides _ RECEIVED
.id 20 ! - 0 10'�7 Co�, �L I���� - OCT 312017
615 W. Alder Street
� S e T BUS-k, �
- - - - - - 'Z PLANNING Plc
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PLA1\1 N 1 NG :
All SETBACKS ARE MEASURE[`
Zs� pr o a5e� FROM THE FURTHEST
PROJECTION OF THE BUILDIN:';. XX tA&KU/EU,S�t�
`�ri�ewd. 10' 2 ��
( OVED _ _ a� P � r ��f �
MASON COUNTY DCD PLANN o0
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SITE PLAN REQUIRED T (3((�-S 3 . f Z
CHANGES SUBJECT TO APP 0 L
/�,a-►.i /3 Date
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RECEIVED (For office use only)
OCT 3 12017 Stock plan number 2015-
Stock PlanW W ft4*t20%permit fee) $
Mason County Community Development
Request for Stock Plan Approval B U I L I G
Applicant:
r&J ► i1 I.Q S
Mailing Address:
.—P.6.760A ! 0q 5
elepho e: Fax: Cellular/Pager/Other: E-Mail Address:
(36 a5a- 65qLe c ) c )
Describe Project:
p�w �F� W � Seismic Catego D2
No. of Bedrooms No. of Bathrooms: Height of Structure: Number of Floor;
(Max. proposed:) �2 �•� Z I � � � -i-
If Engineer or Arc_hittect prepared, do you have letter Snow Load: Manufactured truss
authorizing multiple use? �r� I _ 5 Engineering included?
Square Footage of Structure:
Include options/maximum square footage (see Stock Plan Policy for allowable options)
Main Floor: Second Floor Third Floor Basement:
.-r6t4� q'�2(47 �546
Carport: Garage: Decks: Covered Porch:
-qZd 1 1
�2
Storage: Other (Describe):
Heat.type: SEC Compliance: Prescriptive Option: WSEC Credits:
or Component Performance:
Plumbing Fixtures: Mechanical Units:
Toilets: 3 Furnace:
Bathroom Sink:-4-- Heat Pump: 1 �c I.esS
Bathtubs: 2- Spot Ventilation Fans: 3
Showers: Propane Tanks: —
Water Heaters: Gas Outlets:
Clothes Washer: ( Fireplace/Stove: :::j�p4-io n�
Kitchen Sinks: 1 Fuel Source?
Dishwashers: Kitchen Ex. Hoods:
Hose bibs: Dryer Vent: 1
Other: Other:
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: )14 y 1L' 6 Date: 1v. - Project description: n I`VJ `5Fle
Documents: RECEI V E
Building Permit Application Completed. OCT 312017
V"Mechanical/Plumbing Application Complet�c�.5 W Alder Street BUILDING
Planning Intake Checklist Completed. 1
►/Site plan includes: Allowable building area, roof overAgs, decks, etc.
Fire Apparatus &Access Road info required? Yes, N�o
Stormwater Checklist Completed.
Energy Code Application Form -O Electric wall heater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type )
® Ductless Heat Pump O Other: Specify:
Construction Plans:
Sets ( 2 full size sets/engineered calculation& 1 reduced sized set 1X17 min.(no calculation needed )
Flans Legible recognized Scale �levation Views _Cross Section
foundation Plan _Roof Framing Plan _ Floor Plan—Use of rooms labeled (all floors)
Floor Framing Plan -all floor levels including loft, crawlspace, etc.
✓ Deck Framing Plan including covered porch, carports
Plan Details:
✓Roof framing details, truss lay-out may be needed (Hip and girder location shown)
►7Wall Framing - Does bearing-wall height exceed 10'? (_Engineering may be required) IMei-v
_Floor framing: Floor joists (size & spacing)- 7 JeO06— , Floor beams:
_jZWindow headers. Typical header. Garage header:
Foundation: footing size, reinforcement
e`j_Concrete Walls - Does Concrete Wall Height Exc�edw8'? (Engineering may be required, see details) 7,�
Landings at all exits? Less an 30' above grad Y)N (must be shown on site plan)
Water Heater: Location: : f Type: C=
W Heated By Furnace- Locaboh of Fu ace •Jt&L_+ Do Wc if gc6 Fuel type,_49J ([_ Li
=Fireplace/Stove Information Shown - Fuel Type? flill, Location(s): h0
✓Window Sizes Marked on Plans.
Braced wall (shear walls) MUST be marked/indicated on plans.
Engineered Yes No Snow load: 2a Seismic: D2 Design Co !S Are plans stamped S
Manufactured Homes:
_4 Flo`o�i oms & areas must be labeled)
Foundation Type:
ANSI/Manufacture method Engineered footing Basement
Decks*: 4x4 min. landings required at each entrance (must be shown on site/plo
`Covered decks and/or any decks greater than a 4'x4' (that exceed 30" from grade) requires a permit and
construction plans.
COMMENTS:
Intake review(initials). Date:
H:\permit tech building checkUst2015.doc Revised 8.5.2016
If any of the items listed below are either indicated or missing within the construction
documents; the plans must be engineered or returned to the applicant for resolution.
ENGINEERING REQUIRED:
Braced wall panels/brace wall lines are not marked on plans (R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA.-
All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans.
Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf.
IRREGULAR BUILDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted
engineering practice. A portion of a building shall be considered to be irregular when one or more of the following
conditions occur:
1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost
story in which they are required. See exceptions.
2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges.
3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line.
4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below.
5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension.
6) Portions of floor level are offset vertically
7) Shear wall lines do not occur in two perpendicular directions.
8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be
designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as
permitted by the code).
***Applicant must take plans to a design professional to address items indicated above***
Notes/Comments for design professional:
H:\peTmit tech building checkhst20I5.doc Revised 8.520I6
Name Q)reA-ul 001&4) Parcel# �'ZZZ O S`U C� `/ BLD# :?2 1�J Z 6 t-7-
Mason County � � � 1L�`%
Department of Community Development u
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 buil if{1'I�itVsED
made for residential development,or redevelopment',with more than 2,000 square feet of impervio s ((a e .'' 1
ZV
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural deveropm nt
including construction,installation or expansion of a building or other structure,and/or replacement of impervious f cep
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious re eht"
?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.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings / X S - %�/ '2
X /-1 _ Measurements for buildings are taken at the
X - perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways 'tJ X /` = 7j Z J
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) 7S
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 rty Irew and inspection as may be required.
X Oer/ gent/Contractor(circle one)Date: 9�/5 /17
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
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 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
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 400
415 N. 6th St— Bldg#8 lower level
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