HomeMy WebLinkAboutBLD2019-00764 Cancelled MFG Home - BLD Application - 11/21/2018 ott,� MASON COUNTY COMMUNITY SERVICES �j �� aDl�l • �' Ll�`I
PERMIT ASSISTANCE CENTER: Permit No:
•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
BeKair:(360)275-4467•Phone Elma:(360)482-5269 RECEIVED
ixs�t
BUILDING PERMIT APPLICATION NOV Z
PROPERTY OWNER INFORMATION: CftNTRACTOVINFORMATI W. Alder Stme
NAME: ja&n �5*91sav�x, Q19erLl0 1 t'tctr I NA 0i^ V 1 I4tt r
MAILING ADDRESS: PO bm� a o AlL G RESS: L-1 k
i CITY: 4tVv4" STATE: uJA ZIP: 3857-$ Y: kc,�kx&, STAT
PHONE#1: %oo 55— -15 3-5 NE: _-_- C
PHONE#2: (-5611 IL : ---
EMAIL: a U vc , C ;v1 L REG# GXP. __!77
PRIMARY CONTACT: OWN CONTRACTOR C. OTIIft
NAME ircrMo' q/ i•;%l 111 . - >Iv L-}a c{ C� �'"t C n�
MA''..ING ADDRESS Pa a ' "'.4 r .. -TATE w4' ' �1J'
PHONE ago S6c' -MS CEL
'PARCEL INFORMATION:
y PARCEL NUMBER(12 Digit Number) ZONING "5
" rl !2/4 :�ROF. R 'T Z
LEGAL DESCRIPTION(Abbreviated) Q Of - �
SITE ADDRESS $Aj k�'�t lac CI
DIRECTIONS TO SITE ADDRESS G o (� n
- -......�1�..._. ._ ............. _.._.._.. _ ......__...e.anl....__.... '1�...__ lt.._........._.G� ` .
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: NOR
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply)
SALTWATER❑ LAKE❑ RIVER/CREEK ❑ POND ❑ WETLAN S NAL RUNOFF ❑ STREAM ❑
,"TYPE OF WORK: NEW:' ADDITION ❑ ALTERATION ❑ AIR ❑ OTHER ❑
USE Of-STRUCTURE(Residence.Garage.Commercial Bldg,Etc.)_-_-9.6-A^�...._...
.........._................................._ --- -- ---IS USE: PRIMARY tR SEASONAL, ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Wsole Bldg) X YES(Pari[s)of B/dg) ❑ NO ❑
DESCRIBE WORK_g� _..._._ rv16hL�_�..._..... Oh`C_�. e �......._YC-P�!'�Ccq�`ev _...._.( '�.SCt
-- _. —- --
SQUARE FOOTAGE: ropose + existing)
I ST FLOOR-I� .......-...sq. 2ND FLOOR—_sq. ft. 3RD FLOOR....................._.—sq. ft. BASEMENT- _ sq.ft.
DECK QW sq.ft, COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.11.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACT_1IJRED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKEirltrn .._._..---.._..................................-.......__._MODEL._.... ._....._.._—__......_...................-- -._.._.........._. YEAR ��3� ..-_.-.._._—LENGTIi_..------A--......._._...............
WIDTH BEDROOMS_ BATHS SERIAL NUMBER
ENVIRONMENTAL IIEALTII: •
SEWAGE,/SEWER SOURCE: SEPTIC'X SEWER❑ / NEW ❑ EXISTING
PLUMBING IN STRUCTURE? YES® NO❑ lfyes, attach completed Waler Adequac},FOX
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT.
XISTING BEDROOMS S PROPOSED BEDROOMS 3........._...... 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 permit/application becomes null&void if work or authorized construction is not commenced within 180
RECEIVED
¢nor o�U�r MASON COUNTY COMMUNITY SERVICES P >, 0 a0l
�` PERMIT ASSISTANCE CENTER: r� 3 • �—
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL go
ilia
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Pho§15 W. Alder Street
Belfair.(360)275 4467•Phone Elma:(360)482-5269 B U D D I N G RECEIVED
1N5J
BUILDING PERMIT APPLICATION NOV 2
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIG W. Alder Street
NAME: la oh t 5+-Pkav�,C 610?,fV%0I i-tcr NAME:Cad Ur\,VA I y1fnbut s
MAILING ADDRESS: Pv o 60 MAILING ADDRESS: 1 0 y " Sc
CITY: 0,cQ?z, f STATE: uJA ZIP: 0t85z$ CITY: Okc\.Wa STATE: W-h-ZIP:
PHONE#1: '$tv6 .55c- -1555 PHONE: CELL:
PHONE#2: 3&o- Loa\- &:56I EMAIL :
EMAIL: $ jobeClnal C3 ULr, Colm L&I REG# EXP.
PRIMARY CONTACT: OWNER[ CONTRACTOR❑ OTHER❑
NAME aGP biru►�'kt-':t✓ EMAIL SIUjgiih0 j � lJur.Cor`i
MAILING ADDRESS P& atc CITY t t T STATE.f_ ZIP 4LSSZ'&
PHONE *3 -753S CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ZONING "5
LEGAL DESCRIPTION(Abbreviated) TQ 1 Of 5 is Nw See SU'VCY I2/MZFIRE DISTRICT6z4 j
SITE ADDRESS $),J CITY f t►pp W
DIRECTIONS TO SITE ADDRESS G o! (CA 0 v\ r\ 54a
_ 1 cr.� 0 fa K j2 f t
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO''
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:W ADDITION ❑ ALTEERATION ❑ REPAIR ❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Etc)IS USE: PRIMARY O SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) X YES(Part[s]of Bldg) ❑ NO❑
DESCRIBE WORK g� � mbh;\t �\Oryt , ems\
SQUARE FOOTAGE: (propose-+eristing)
I ST FLOOR__I`600 sq.ft. 2ND.FLOOR -sq.ft. 3RD FLOOR _sq.ft. BASEMENT sq.ft.
DECK qW 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*
MAKE \7rn ncA i _ MODEL_ __.... YEAR �'(_ LENGTH_
WIDTH BEDROOMS_ BATHS o� SERIAL NUMBER 4
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC'X SEWER❑ / NEW❑ EXISTING)Q
PLUMBING IN STRUCTURE? YES k' NO❑ If yes, attach completed Water Adequacy Form
PERIMETER(FOUNDATION DRAINS PROPOSED? 7, YES ❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 5 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
rep pt�yy� represent the in'?"TtFIRrpyid accurate and grants employees of Mason County access to the above described property
'RC_`f J. . T r._S_[ '7_,.__..__�___�_ ....a o....,a s... i,—„ati.,A—A—nefe—finn is nnf mmmanr.Pri within 180
BUILDING Page 1 of 1
G¢nio Mcf"arland -building pQrmit for Mfg liom¢1ZgplacQm¢
from: G�ni¢ Mcfarland �`G x9 RECEIVED
To: slobQrholtz�zr@a liv¢.eom Mai �3 �� tees g 201a
9atQ: 11/29/2018 10:32 �M p,\6eC s� NOVV
�ubjQet: buildingpermit for Mfg ttomQ 9�¢p r�t��c > 615 W. Alder Street
R9ttaehm¢nt.s: .5ITe ply,MN INfO.pdf
Good Morning.. wQ havo r¢e�-7ind tho application for th¢r9zplae¢m4znt mfg hom z. W¢will nsz¢d a
zitQ plan drawn to zea1Q zhowin8 th¢ location of th¢nzplae�mtznt unit with landin86, nptie tank
and drainfi0d location with rQs¢rv¢ arQa markQd.
W¢ did zozz thv, m zazunzm znts on thv- av-rial map6 that mzrv- sQnt with thv- application but w¢ will
ntztzd a mor�z dsztail¢d map. WQ havfz attached and vxamplo 6hvvt hzlow.
One¢wv- have rQetzivszd all tho additional information w-7 can Start thsz pszrmit procoms.
WQ hav¢ notie¢d omz it5zm that may b¢eomjz a probl¢m for the approval of tho pumit.
environmmtal 'Hizalth will r�zquirtz an a6built (thi6 iz a map of thfz in6tallO layout of thQ optic
3y.stom), aftu looking at your parevl fi1Q wQ did not find any rveord6. if thi,5 i6 thQ eaz¢
C-nvironm¢ntal flolth will r5zquirsz an azbuilt bQ prszparszd by a lie¢nzszd 6szptie daignor.
' pl¢a8z contact environmjzntal flzalth @a 1.360.*27.9670 fzxt.400 and ehszek to nv- if maybQ wiz
mi5nd .5szoin8 thsz mquirizd information.
plv,a.sv- 1¢t m¢ know if you havq, any gmzsstion.
6,onie AM Far1and
Permit rochnicien <
F6rnmgco.msson,wa.ug
360.42T.96T0 �eXt.254
k
s file:///C:/Users/gmm/AppData/Local/Temp/XPgrpwise/5BFFC031Masonmai110016D686... 11/29/2018
Name 0' Parcel # 1Z.3 — BI.,Dr+ A-00�1 t04
Masooeoutpiq �'
Department o c, t;� "4rl��pment L D I N G
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 surfaCe2.
'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 storwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Sut�faces Please complete This Table
Surface Type Length X Width = Area `All dimensions in feet
Buildings 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
Parking Areas X
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X 4 �1xc Y`I A}°k �(Wfcf u�s Sc,,�
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)
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. t
further acknowledge th3 intbrmation provided is accurate and employees of Mason County are granted access to the above-
descrihe rope review and inspection as may be required.
...
wnc Agentr`Contractor(circle one)Date: <<' I ( 1'
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 l of 2
Name Parcel# BL,D#
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!S 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 Un
kWCode Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled aging%orm Drainage 1,I qts,fhe Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necesey-iaZ4JNW plans for Public Works to review and approve. Per Department of
Public Works this document w' stttute 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 I lealth
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 Slormwater 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
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 Ilealth 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 1 wn the owner,owner's legal representative,or the contractor.1
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
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PARCEL 123162400010
• 14 acres DFL, Drainfield
1 acre residential. (1200 gallon concrete tank
1 300'-4" Draintile 3'deep)
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APPROVED
• JUN 2 4 2021
1 ! MASON COUNTY ENVIRONMENTAL HEALTH
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RECEIVED ��"✓ ,�
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rpp MAY 1 �� Uv�,�'�c 3 2019 r,�-
r� YY1 FCC yy� 615 W. Alder Street
mason.wa.us ,ra on. 'find 12 3152 - - ,p Ci Nerd IvTenaScanTaxSifter Masan Ca.,. Mason County WA GIS
Traini... X Tier 3-Naval Maintenanc.. Q`. ggesteci Site, Judge allows emolurne— w A Health Savings Advantage Tabs
i 7 I Feet (U
Measurement
300.4 Feet(US)
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Traini Tier 3-Naval Maintenanc... 0 Suggested Sites Judge altcws ernclume,.. A Health Savings Advantage... a'Tabs
i
I Feet (U
Measurement
305.5 Feet(US)
_o:mason.wa.us n Gn #r d - .:.. j� - C New TerraScan TaxSifter-Mason Co... <1 Mason County WA GIS x
Train.. X Tier 3-Naval Maintenanc... Q Suggested Sites Judge allows emoiu-1, n Health Savings Advantage... z Tabs
Parcel dr Addre
Feet (U
Measurement
298.7 Feet(US)
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mason.wa.us mason.Pfind=12315243D.3? C New tab TerraScanTa:difter-Mason Co... j Mason County WAGIS A
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304.1 Feet(US)
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