HomeMy WebLinkAboutBLD2024-00279 SFR - BLD Application - 3/4/2024 Permit No:
MASON COUNTY
COMMUNITY DEVELOPMENT `' �W
N'C Permit Assistance Center, Building,Planning
B WL PSIG
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Michelle Vote _ _ NAME:
MAILING ADDRESS:8514 18th Ave NW MAILING ADDRESS:
CITY:Seattle STATE:WA ZIP:98117 CITY: STATE: ZIP:
PHONE#1:206-930-9466 PHONE: CELL:
PHONE#2: EMAIL :
EMAIL:mvote@hotmail.com L&I REG# EYP.
PRIMARY CONTACT: OWNER E] CONTRACTOR ❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22009-50-00026 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) CONCORD VINEYARD TRACTS TR.2 OF TR.5&T.L.SURVEY 30/134 FIRE DISTRICT
SITE ADDRESS 5185 E. Pickering Rd. CITY Shelton,WA 98584
DIRECTIONS TO SITE ADDRESS N on Hwy 3,R on E Pickering Rd.,L on small driveway road before Schneider Rd.between 5271 and 5189,
turn R on gravel drive in approx.250'.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑r SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER E] LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND E] SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW[3 ADDITION ❑ - ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Erc.)New SFR attached garage
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(part[,]of Bldg) ❑� NO ❑
DESCRIBE WORKNew SFR with attached garage
SQUARE FOOTAGE: (proposed)
1 ST FLOOR 1520 sq.ft. 2ND FLOOR 1183 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK376 sq.ft. STORAGE96 sq.ft. OTHER sq.ft.
GARAGE672 sq. ft. Attached 0 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 SEWER ❑ / NEW El EXISTING E]
PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO[] EXISTING SQ.FT.
EXISTING BEDROOMS 1 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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 CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X Rachel Weber _I-wS°µ_ 3/1/24
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J-n— 14-t2-L
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY Permit No:
,.
COMMUNITY DEVELOPMENVECEI V I-D
Permit Assistance Center, Building, Planning HAR 0 4 ZM
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Michelle Vote NAME:
MAILING ADDRESS:8514 18th Ave NW MAILING ADDRESS:
CITY:Seattle STATE:WA ZIP:9811 7 CITY: STATE: ZIP:
Is'PHONE:206-930-9466 PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL:mvote@hotmail.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):22009-50-00026 Zoning:RR5
LEGAL DESCRIPTION (Abbreviated):CONCORD VINEYARD TRACTS TR.2 OF TR.5&T.L. SURVEY 30/134
SITE ADDRESS:5185 E.Pickering Rd. CITY:Shelton,WA 98584
DIRECTIONS TO SITE ADDRESS:
N on Hwy 3, R on E Pickering Rd., L on small driveway road before Schneider Rd.
between 5271 and 5189, turn R on gravel drive in approx. 250'.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING New SFR attached garage
LOCATION OF FIXTURES/UNITS—I ST FLOOR=2ND FLOOR ✓0 BASEMENT 0 GARAGED✓ OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric�PGONatural Gas=Ductless0
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace
Bath Tubs 1 Heat Pump 1
Showers 2 Spot Vent Fan 5
Water Heater 1 Propane Tank (2) 125
Clothes Washer 1 Gas Outlets 1
Kitchen Sinks 2 Woo as Pellet Stove 1
Dishwasher 1 Kitchen haust Hood 1
Hose bibs 5 Dryer Vent 1
Other 1 utility sink 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 not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
���Rom o
X Rachel Weber ::oo; s,. ��., ` COS 2/29/24
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/20"I6 1BN
PARCEL No; 3300,50_ ,00036
LEfiAI DESCRIPTiq.1. CONCORD vh.EYARD TRACTS TR 3
OF TR 5 c Tl.SURVEY 301E
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EH Setbacks
Il A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all fooling/foundations
\ / C.)No foundation/Perimeter Drains within 301t,downgradient of
/ Drainfield/Reserve area SHEEP CONTEWS
\ / D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within SITE PLAN
\ / 50h,down gradient of Drainfiekl/Reserve area
\\ \ EH APPROVED °"TE 3-s-3t
\ \ Rhonda Thompson 04,042024 puwNm
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NameMichelle Vote Parcel# 22009-50-00026 BLD#9-0W—�
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page l 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 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 = 3055 Measurements for buildings are taken at the
e:
_ perimeter of the farthest projections (exampl
X
eaves/gutters)
X =
Driveways X =
X = 127 new 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 = 284 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) 3466
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 Stornnvater.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 property for review and inspection as may be required.
X Ra e h e l Weber-21�,o ;gym°'""31 Owner/Agent/Contractor(circle one)Date:3���24
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 Michelle Vote Parcel# 22009-50-00026 BLD#�-D(7o2J9
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) X 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 Health 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 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.
,,Rachel W e b e rFag�Fp;o Owner/Agent/Contractor(circle one)Date:3���24'
Page 2 of 2