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HomeMy WebLinkAboutBLD2019-00763 Cancelled Deck - BLD Application - 7/17/2019 �aN Cott ,, 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 C Belfair(360)275-4467•Phone Elma:(360)482-5269 JUt 1854 �Q19 BUILDING PERMIT APP ICATION BLS w'� PROPERTY OWNER INFORMATION: CONTRA OR INFORMATION: tr�et NAME: SS�G7t �JV` i +-AI NAME: IV A i✓�-�rs0'� MAILING ADDRESS: 5Zc� (; 1�I�a vJ r,11, � 54- MAH ING ADD P© vX y'1 CITY: STATE:_ZIP: °I$5 Z CITY: STATE: Q_ZIP: 9 2g I" 01 PHONE#I: PHONE: CELL: � - 3 PHONE#2: EMA c t� Lp 1N1 EMAIL: �o-4-. t5 5 W 1v 0113 iv%di - will L&I G ? Z 7 EXP. PRIMARY C NTACT: OWNE TRACTO OTHER EMAIL NAME MAILING ADDRESS PHONE CELL PARCEL INFORMATION: �tf PARCELNUMBER(12 Digit Number) 1-t2,7C� �$�(� ZONING S� I LEGAL DESCRIPTION(Abbreviated) 4tw, FIRE DISTRICT SITE ADDRESS 20 CITY J(V N DIRECTIONS TO SITE ADDRESS 3 0 ` J 5 N � how_ v,x v'q IS THE PROJECT WITHIN 300 FT OF SLO S)GRE ER TH 4/o: S❑ NO� IS PROPERTY WITHIN 200 FT O THE G: (Check all 1 al ): SALTWATER El LAKE [IRIV CREEK El POND W L D SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW ❑ ITION N ALTE TION ❑ PAIR❑ OTHER ❑ USE OF S UC RE(Re a ge,Commer at Bldg,Etc. `p G�L IS USE: RIMARY,R S ASONA NUMBER OF B DR MS NUMBER OF BATHROOMS HEATED RUCTURE? Y (WholeiB ❑ YES(Parils)of Bldg) ❑ O DESCRIBE WORK O \VAA./�/ S UARE DOTAGE: (propose existing) C�" n/I is 100 � IST FLOOR sq.ft. 2ND LOOK sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. DECK ZOO _sq. COVE D DECK sq.ft. STORAGE sq.ft. OTHER sq. ft. GARAGE sq.ft. ttached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFA D HOME INFORMATION: * COPIES OF THE FLOOR PLAN REQUIRE MAK MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMB ENVIRONMENTAL HEALTH: EXISTING SEWAGE/SEWER SOURCE: SEPTIC El SEWER,® / NEW El � PLUMBING IN STRUCTURE? YES ❑ NOV If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION 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 CONTIN ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT CATION OF 180 DAYS OF MORE WILL CAUSE 4 8 HE APPLICATION TO BE EXPIRED. (MASON COUNTY Date Signature o ER(Must be signed by the OWNER) -- D DENIED DATE TAGS/NOTES/CONDITIONS DEPARTMENTAL REVIEW APPROVED DATE BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH tj 6AW W c A T Zs r f - E - - - �- Ain id RECEIVED 615 \N. elder Street t__ tf 4 13UILDING If dr c posed O& T } -4+fi- 4 i SuEpffr� qxb pom to g ci s y F ouy\A4 on �� Posys �%aVc A r•�c� W+� 3 Z '� n" ((11 � rva ,^,:Il b� ail-act ,�► a gA\-.w^ 4,.� pec F„V kt - ntoyc . N G� fl¢.c Zo�s r��''� 0 �.�1 A lk b to� PA $�-ri`�VS w tli E X I S T I NG be, pas; -;ve1y conrl�W w ;�h a?prof,�,a (,K E x i S� " 0 ttis�, �ze� h arjos. p Zx�o goo 5� PLANNING K L (0 Lt slW tAxb vbeo3d q)(.�0 A ., S �"0.i►� ron R�EI V D JUL y" " 615VW.AkW J S 1_ , 1 _ IAl 17.;v_ui •' e _r RECEIVED ' ' I JUL 17 2019 i 615 W.Alder Street J -+ ANffNG f - - I a- 5 N - fi - - -- ACKS AR E MEASURED L CTIM THE FUR7 ZEST xis{- ROJECI"1OIV HE BUILDING UILDING .e6 Of 4mca*, & APPROVED 'MASbN COUNTY DCDLANNING _ 11 T ' SITE PLAN REQUIRED TO BE ON SITE C� ANGES SUBJECT TO APPR VA t Date �y By 7--Q�7�3 ✓C"Ie ���'� _ �,r-o'r \m i 2X �� �rA 6 UJ b 11 �C '� � VI �U9 Por� Fra�i 4X6 pom qx f0 �e�w�S l- ^ rAc� wit 3`�2�1 r ounA �" 1on f-Y 1� Po51'S W ��� r �aVC A �l ---�����i a-- S Q a � A be. aW-ctI4 w,A c. } t pec+r- ►tit -7' -4-+ +- 1- jf. �t1S� �V�,�/ Gd�111� W Ol Pro C K -- RE Ct! \00 s� - JUL 1 ;2 615 W A! er S.r,epi ti Z X to Le 61tr rGfG �r � h� - �o 1" P ° o AJ 111 4111# I I I I I I I FM J 1_ j�ale 3�g = 1 T T-rax&lj 2x ko +r-tw,@ 16 " DC E �( � 5 - t X5 !!�'o� /�it rZ•►Xt' S ut P°4- IF, vb Po�w to` tki"�( Z�s Z 36" (LIGI. W14 3�11 Foundai Nvt a BUILD-M. NG cdncr4e �00� �h9 , l rvd vi:11 be 4Hv4 w%A a 9AVw^i2" Dec-. ,- kgi5kt 7' MA1. oS F- 6 raG NUJ pe-C K gdd��o►�, 0 i A 1k b t w� and 5�-ri`�j�S will E X S T NG Zo0 ST � be ?os%, -,\It\y (_Oy\At( ed w ��k afProfr,ale CK x' S�-1 �0IASe D i 2xco REC IVED 5�,� �00 JUL 17 2019 q� N��D ���D W.LL��W Peet J r-G PO ea, d H)( ° 5 al er0 P C159 peck. T- o a Name Parcel# I'ZZ ZV -So - 3 ,ZV BLD# V l'l -00 7(o3 BL;1 0 Mason County �n l (;- 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. '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. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area All dimensions in feet Buildings !.5 X ZO 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 = PatiosfWalks X X = Any paved, gravel or packed area per definition X _ above table Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a 2� Small Parcel Stormwater Site Plan is Required 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 revoca 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. ✓U/ /�� X Owner/Agent/Contractor(circle one)Date: CY�'!i If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet.please read,acknowledge and sighilb; 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: ht!p//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stomlwater 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