HomeMy WebLinkAboutBLD2017-00529 SFR - BLD Application - 6/9/2017 r go14 ooU� MASON COUNTY COMMUNITY SERVICES �Z �Z p� _ 5ZC
PERMIT ASSISTANCE CENTER: Permit No:
.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
i. Phone Shelton:(360)427-9670 ext. 352-Fax:(360)427-7798 Phone
1834 Be/tair. (360)275-4467-Phone Elma:(360)482-5269
JUN 0 9 2017
UILDING BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C AOP-4T�
NAME: ��� O`I�+�t � NAME:CKAP-L (3.3�►�C�21j �3�t211�n''r:Ptst�nl
MAILING ADDRESS: SU , S% 'rz. 3 oZ MAILING ADDRESS: r1r7LI:�O Aof i FM WA k r
CITY: 6EL'FA t 2 STATE: WA . ZIP: CITY: 6((a IA AAP.-O,STATE:WA- ZIP: ($335
PHONE#I: `3�0� {j5 2 - Z a(o C- PHONE(253) S S I-'6�a CELL: 'ZSS-)"-4 001
PHONE#2:� EMAIL :C%AAyLL4-t. 0- ItA2,3O ft NoM�o�s iL7,4 , C af-
EMAIL: L&I REG# Fl/1913ON D g 9�113 y EXP.a I /'Zq/ 0&
PRIMARY CONTACT: OWNER ❑ CONTRACTOR RT,3,Q OTHER QG0-�T
NAME NA2LC;S S. (3U(,-N OZ, EMAIL N,o+2rs�Zt+ovhEyEi+C��.c.,
MAILING DDRESS r7r7Ln PIlo Z,'$ CITY 610 HARi3-/t STATE LJA, ZIP 9r3 335
PHONE (253) �E351-�3�d CELL
PARCEL INFORMATION: u
PARCEL NUMBER(12 Digit Number) I ZZ Z 3 ` " U 0 li ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT Z
SITE ADDRESS y 3 S(1 C- S;, R►, 3oZ. CITY JGeZ.FA I'm
DIRECTIONS TO SITE ADDRESS 5T- Af S 710 ALL-�N PT, oc�► Ma. 13Ay )e0 Th S T- ril T 3�Z
b ro s A 1?t>20S5 O iv n r- 5/br o F R o
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 ❑ ADDITIONX ALTERATION`W REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc) SF
IS USE: PRIMARY' SEASONAL ❑ NUMBER OF BEDROOMS Z- NUMBER OF BATHROOMS Z
HEATED STRUCTURE? YES (Whole Bldg) 1� YES(Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK ♦✓X71ND C-J7ZJ A✓LCJ4 /Sy ZZS SSQ Ff/App 13-L �Q r L�1R_p0-oci4 CWe D)
SQUARE FOOTAGE: (propose+existing) ��•" 0 2 NC2.+/ 'Wil S► *t t
1 sT FLooR I 3(at) ► 3 z � fror` P�'L�h
sq. ft. 2ND FLOOR sq. ft. RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK &GO sq. ft. STORAGE sq. ft. OTHER_ sq. ft.
GARAGE qoo sq. ft. Attached❑ Detached K 540( -6RPcP9 �5 a sq. ft. Attached". Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL -YEAR
WIDTH BEDROOMS A SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC._ SEWER / NEW ❑ EXISTING
PLUMBING IN STRUCTURE? YEc NO% Ifyes, attach completed Water Adequacy Form
PERIMETERTOUNDATION DRAINS PROPOSED? YES), NO[] EXISTING SQ.FT. /3C00
EXISTING BEDROOMS 2- PROPOSED BEDROOMS TOTAL BEDROOMS Z
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
P R I PPLI TION OF 180 DAYS OF RE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
OUNTY CODE 14.08.42)
Signature of OWNER(Must be signed signedky the OWNER) ate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT g-2 V 11
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON-COUNTY
COMMUNITY SERVICES RECEIVED
Building,Planning,Environmental Health,Community Health w +�si� Q
0 J 2017
Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584 111410�W,
Mel Street
Shelton Phone: (360)427-9670 ext 352 + Fax (360)427-7798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: •fit L IJ Z� I /
OWNER INFORMATION: CONTRACTOR INFORMATI N: (AG*-J >
NAME: 1 (> 0"I��tcFtE NAME:C-ur P-0275 IS.x.HM { I},,��3ut2Har^t' o�Tla�i
MAILING ADDRESS: 4LISO 6_- 577 ATE '50-L- MAILING ADDRESS: `1'70a Y'tSge--174 WAni PF Z.�I
CITY: 9 C-7- 54 10, STATE:wA, ZIP: CITY: 614o ffA►2acA STATE:W'�- ZIP: y8375
ls1 PHONE: PHONE, 'L5s) w3S1-Q606 CELL(ZS3j (a0to - y0(, 7
2no PHONE: EMAIL: i-3 C,-%M
EMAIL: L&I REG# /4A 2&14 D'1 q'f a 4J EXP. 01 /Z 9/ /8
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): Z r 3�- �/� Zoning: ��—s
LEGAL DESCRIPTION (Abbreviated: NSA
SITE ADDRESS: y 3 50 E' 57• ^7, '3,32- CITY: 667_rAlir?,
DIRECTIONS TO SITE ADDRESS: S-T, 94H rA Tb ST.r2T, / _
<-7s Ai>orzr�53 cyN t?-i
TYPE OF JOB/WORK: NEW ADD_ t7 ALT V REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(none)
Type of Fixture No. of Fixtures.,Fuel Tvve Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) Furnace riz [E/G/LPG)
Bathroom Sink(s) Heat Pump [E/G/LPG]
Bath Tub(s) o Ductless H.P. [E/G/LPG]
Shower(s) Spot Vent Fan
Water Heater(s) [E/G/LPG] Propane Tank gal.]
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) Dryer Vent
Other Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection Fee
TOTAL PLUMBING Ali A- 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 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
describe roperty and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not
comm c withi 180 days ar if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INS CTI N. bTIVITY TH RMIT AP (CATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X
ignature of applicant Date
X Cf�A-41 Owner/Owner Representative Contractor
I
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building -Z Y—/7
O Fire Marshal
O Permit Tech (OTC permit only)
11wv,,!vv.o.i o n.w,a.IISiIC.flfliiiL!1;T\r devil
Pe_rinit number BLD
Mechanical Permit Checklist
i �
• Name of owner: J, A Name of Installer:
• Fuel Type? LPG Nat Gas Electric Other
• If propane, what is the proposed size of tank(s)?
• What type of mechanical unit will be installed? (i.e.freestanding stove,forced air furnace, etc.)
• If the unit is a wood stove,provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) Residential Commercial
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Site Built Home Manufactured Home Other
• What room will the mechanical unit be located?
• Will the unit be located in a basement?(circle one) Yes No
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, direct vent,L-vent,etc.)
• What year was the structure constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. thermostat, etc.)
• Will the proposed mechanical unit be a heat source?(circle one) Yes No
• Additional information:
Signature of Applicant Date
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
ropane c - - ------
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or $ 9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove $73.00
Final Inspection fee 73.00
Name t Parcel# 1 Z 2 21-3 LI -O L y ' O BLD# 2 f� 7 — 0052 V
Mason County BUILDING
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 surfacez.
'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
Parking Areas =
X = Any paved, gravel or packed area per definition
above table
i 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)
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 ow e that the information provided is accurate and employees of Mason County are granted access to the above-
descr' ed e for r e(w ectio may be required. c�
X Owner/ gent/C ntractor(circle one)Date: ( �
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.
0 /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:
h"//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 Ai
/4 /�C v?` Cal
r
MASON COUNTY
I COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
6 February 2017
Mason County Addresses Exempt Wells
The Washington Supreme Court decision on Whatcom County v. Hirst, a Growth Management Act
(GMA)case,has had a profound impact on the way many counties throughout the state address water
resources.Under the Hirst decision, counties have the responsibility to make determinations of water
availability for development permit approval and cannot defer to Ecology.While this decision affects all
water withdrawal,it greatly affects the legal availability of water from Permit Exempt Wells. This
handout explains the Mason County position on Hirst implementation.
• At this time we are in compliance with the current comprehensive plan
• The comp plan is being updated and that process will take another few months to complete
• The legislature is working on legislative changes that will impact implementation of the decision
and we're waiting to see how that will effect state wide policy
• We're working with stakeholders to address current and future water use issues,and to match
population growth with available water as required by Hirst. Through the comprehensive plan,
we are updating forecasts for population growth,buildable lands,capital facilities and water use.
We will use county-wide groundwater studies to estimate development's impact on streams that
have instream flow regulations, and create county-wide solutions to mitigate for development's
impacts on stream flows.
• At this point in time,we are proceeding under our current policy as outlined in our current
development code and our current comprehensive plan. However,we are currently engaged in
the process of updating both our code and our comprehensive plan. The updated comprehensive
plan and code may be more restrictive than the current plan and code, as required by the Hirst
decision. Even if our current plan and code allow you to install an exempt well,we have no
control over judicial interpretations of State law or how State law may affect your project;
therefore,our willingness to permit your project or allow your exempt well is not a guarantee,
promise,or warranty that you will have legal or actual access or right to water. We cannot
promise, guarantee,or warranty that your permit will not be invalidated,or your exempt well
prohibited,by a court or hearing board. Notwithstanding our issuance of a permit at the County
level,you proceed at your own risk
By si m* this,I declare that I have read and understand the policy for Permit Exempt Wells in Mason
Co ty hen plying an A lication o Water Adequacy.
Date: e L' 111 RECEIVED
Signature JUN 0 9 2017
--Parcel---/-?,Z_Z__/ - ��-c�u I C o 6
15 W. Alder Sr"t
Public Health Community Development
(Community Health/Environmental Health) (Permit Assistance Center/Building/Planning)
415 N.6"Street—Shelton,WA 98584 615 W.Alder Street—Shelton,WA 98584
Shelton:360-427-9670,Ext.400 Shelton:360-427-9670,Ext.352
Belfair:360-275-4467,Ext.400 Belfair:360-275-4467,Ext.352
Elma:360-482-5269,Ext.400 Elma:360-482-5269,Ext.352
HARBOR HOME DESIGN, INC.
® 7700 Pioneer Way #201
a Gig Harbor, WA 98335
Phone (253) 851 -8808 / Fax (253) 858-1744
Email: charles@harborhomedesign.com
LETTER OF TRANSMITTAL
Cv , o n 17
TO: �LT]� DATE:
ATTN: SCUP` Ly �' JOB #:
i
FAX #: CLIENT: D � L=
FROM: C901-'�S S . &OL�QFYZ REGARDING: GQel. Rej�SIa&�S
TOTAL PAGES: RECEIVED URGENT. YES> NO
AUG 112017
ATTACHED ARP 6&q!61 "DESCRIBED ITEMS:
1. (2) SC"5 MAIk1c-u P �ILAiJ5 5.
2. (1) C._>V (_CT1-j VZ 6.
3. LIA 1L 7.
4.(Z' SV5TS �tN15b^D CAI- CS 8.
FOR YOUR USE EKAS REQUESTED ❑ RETURNED FOR CORRECTIONS
COMMENTS:
�7GIS'r �,,41 l-C� �2�t Sj12.v C1�iZe'
THANK YOU ZS &
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SENDER:
6/9/2017 ArcGIS-ECY_Mason_2016_Preliminary_FEMA_Floodplains
ArcGIS - ECY_Mason_2016_Preliminary_FEMA_Floodplains Modi
Details I Basemap Share Print ( Measure 4350 E WA 302,Belfair,Washington,USA
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Mason County 2016
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PLANNING
RECEIVED
JUN 0 9 2017
615 W. Alder Street
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