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Home My WebLink AboutBLD2020-00094 SFR - BLD Application - 1/28/2020 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RE Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone l _E I /E D (2Beltair.(360)275-4467•Phone Elma:(360)482-5269 V V BUILDING PERMIT APPLICATION JAN 2 8 2020 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W Alder Street NAME: ` r'7 NAME: ,S 17 MAILING APDRESS MAILING ADDRESS CITY: STATE: ZIP: CITY: STATE: ZIP: PHONE#1: - PHONE: CELL: PHONE#2: / 0. EMAIL: EMAIL: L&I REG# EXP. / PRIMARY ONTACT• OWNER CONTRACTOR❑ OTHER❑ D IN G NAME I7 EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) zZ2 ZONING LEGAL DESCRIPTION(Abbreviated) Ze WAJ -)2_FIRE DISTR/I�CT, SITE ADDRESS F! S O CITY 46C'/Tq/r' DIRECTIONS TO SITE ADDRES e-7 r IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX IS PROPERTY ITHIN 200 FT OF THE FOLLOWING: (Check all that apphy): 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.) IS USE: PRIMARY El SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMSo w HEATED STRUCTURE?/ YES(Whole Bldg) YES(pa•t[s)o(Bldg)❑ NO❑ DESCRIBE WORK �!/P.(1/ Z rV ��v ►� SOUARE FOOTAGE:(proposed) 1ST FLOORsq.ft. 2NDFLOORr4f sq.ft. 3RD FLOOR sq.R. BASEMENT sq.fr. DECK�1 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 MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWERX / NEW EXISTING❑ PLUMBING IN STRUCTURE? YESX NO❑ !f yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YESA NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS ,3 TOTAL BEDROOMS__,F 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 suspen for a period of 180 days. PROOF OF CONT ATI OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APP ATIO OF 180 DAYS OF MORE WILL CAUSE THE APPLIC 1 N TO BE EXPIRED.(MASON COUNTY CODE 14.08,42) X G Signat of OWNER(Must signed by the OWNER) Dyb DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PTZ A;-LS Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: Zwww 't700a`f' PERMIT ASSISTANCE CENTER: .BUILDING •PLANNING .FIRE MARSHAL RECEIVED • 615 W. Alder St- Shelton, WA 98584 www.co.mason.wa.us JAN 2 8 2020 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair. (360)275-4467• Phone Elma: (360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFQRLAUTIQ CONTRACTORINF9RMA ION: NAME: NAME: (/rl MAILING A,DDRESJ: /eTJS/ E/�4 4 S MAILING ADDRESS: Q07 CITY: W,,,�d STATE: GV/r ZIP: ,57— CITY: STATE: ZIP: 1"PHONE: Zdl& -7/3-SRO Z PHONE: CELL: 2nd PHONE:ZZ7&- EMAIL : G EMAIL: Cl O/C L&I REG# I�u PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): - - / Zoning:' flag' LEGAL DESCRIPTION (Abbreviated). /,3 /— SITE ADDRESS: O 2 S CITY: DIREgTl NS TO SITE ADDRES Q S TYPE Ot JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— IST FLOOR ✓NDFLOOR l/ BASEMENT GARAGE OTHER PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets 9 Type of Unit No. of Units Fees Bathroom Sink ? Furnace Bath Tubs Z Heat Pump Showers I Spot Vent Fan Water Heater / Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks / Wood/Gas/Pellet Stove Dishwasher of Kitchen Exhaust Hood Hose bibs Z 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 t commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS 91T IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE LIC,.,XrION. x Z3 Z�LO Signature rier Date DEPARTME<TAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN Name _11611Je7 Parcel# /ZZZ 1 -3/ -1516130 BLD# 6LI-OW-2-C, -EVOC Mason County RECEIVED Department of Community Development Small Parcel Stormwater Management Application/Worksheet (paoAl 2f82h020 615 W. Alder Street 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 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 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 X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = 7/77 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) �9a 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 s by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowle that a information provided is accurate and employees of Mason County are granted access to the above- described pr erty for view and inspection as may be required. X Owner/ gent/Contractor(circle one)Date: 5 O If the To di Impervious Sur/face Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 • � r • ! s rNo � • • I • • .r. • • a • • d MG wA r++ w ti• f Tc, . • '• • it w ►il' pQ��yF . I a•+ •w r.••z+r- •: a sY. i' • \ • t • \ wMt oia* 1 r! 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I I Net pervious Area- 10,481 S.F. — --— - - -r I f Z ; I W r 33 D wnspouts tightlined to"daylight Proposed 500 / 1 ,2 i front lawn area ..may . ( gallon propane storage tank 1 o IDSif S I 4 � �+ IDS Gravel drive&parking CO o� '5 t r� W J - . 1� J st LIJ t SET n p.:< J t Q ! Stormwater I pg run-off path r 5 �� ® 40 VERiYY La: ^TION Q� Nip? �®� oy _ 70' r � - II S0"r° ¢XG , �' - , . .,,;, �° _ �� Private driveway easement w • tl S 4, 1 3 .:? . Common line surveyed and established with 4060 SR 302 by Holman & Associates Land i tir 'ems ' xVt ' Surveyors 12/2019 : � # - `