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Home My WebLink AboutBLD2017-00903 SFR - BLD Application - 9/14/2017 poN�`o MASON COUNTY COMMUNITY SERVICES p PERMIT ASSISTANCE CENTER: Permit No: 518'24)9 7-00 •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 1 85 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-771pu'a„�, �� DIN Cev - - ;'� Belfalr:(360)275-4467•Phone Elma:(360)482-5269 6D BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFOIZIVIAI i A Alder('�, s NAME: 1 NAME: T 1 1 1 ol� '��')4nib _ MAILING ADDRESS: S'I r MAILING ADDRESS: • A Q CITY: - STATE: (yet! ZIP: Q mS' CITY:��6-- _STATE: W>A ZIP: !j: - " PI IONE#1: LoQ(p- .S I Ll�- PHONE: CELL: PHONE#2: S I EMAIL : EMAIL: , CDtV\ L&I REG# EXP. PRIMARY CONTACT: . OWNER❑ CONTRACTO OTHER❑ NAME in)_ 1)_ 410 _5 EMAIL MAILING ADDRE S CITY STATE ZIP PHONE Ub Zo ) , CELL PARCEL INFORMATION: UO A PARCEL NUMBER(12 Digit Number) O oo Z`A ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS I I I G7. L �jJLE' kn "i l a CITY —A l( _ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOX IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): YA SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW g ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) _ IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS a HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[V of Bldg) ❑ NO❑ DESCRIBE WORK SOUARE FOOTAGE: (propose+existing) 1 ST FLOORJ_Uk�_sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 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 LEN W I BEDROOMS BATHS SERIAL NUMBER ENVIRONMEN HEALTH: 11pt 1 SEWAGE/ EWER SOURCE SEPTIC❑ SEWER / NEW❑ EXISTING ❑ PLUMBING IN URE7 YES J9 NO❑ Ifyes, attach completed Water Adequacy Form PERIMETER&OUNDATION DRAINS PROPOSED? YES ❑ NOX EXISTING SQ.FT. EXISTING BEDROOMS ,&' PROPOSED BEDROOMS ,3 TOTAL BEDROOMS 3 OWNER acknowledges that submission of Inaccurate Information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.1 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/appllcation 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 ignature of OM(gust be ilundd by the OWNE ) ate TMENTAL EW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH C1854) MASON COUNTY COMMUNITY SERVICES Permit No: �I -W"I 0 '3PERMITASSISTANCE CENTER:.BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 www.co.mason.wamsRE Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 CEIVED Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION EP 4 2017 LMAIL:bcap4 ER INFORMATION: CONTRACTOR INFORMATIO : AJder Street E: NAME: i kme, V'*(11e.6 I G ADDRESS: MAILING ADDRESS:STATE: (t)a ZIP: (44 CITY: 6IMa, STATE: kVtq ZIP: qff,595 I" PHONE: S 3-- (oC(- .S j U o PHONE: CELL: 2"d PHON EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Numbe)):_ I ,� 3C� ;J3' Zq Zoning: LEGAL DESCRIPTION (Abbreviated) cnd# U g °► 2 SITE ADDRESS: M E WM CITY: R\W(\ DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—Is' FLOORF 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNI S / Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless-_✓ Toilets 2 Type of Unit No.of Units Fees Bathroom Sink 2. Furnace Bath Tubs _ Ott Heat Pump _I Showers Spot Vent Fan Water Heater / Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks 1 Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs 7— 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 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. ignature of wn r F Vate D TMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN SEP �42017 4/der Street Tj 190. i I f f Cu lv t 8 5 AOA 53' 12 slidn o, ABR APPROVED MASON COUNTY DCD ON SITE PLANNING SITE PLAN REQUIRED TO BE CHANGES SUBJECT TO APPR V L ya, By / -Date T GRAPHY PROFILE: aVQQ- 1 - 1 P 2 a n.in rn�n s 2 0 �'t -�_ e oor Eve Ft h '-7 n I ction: Scale: r Approval: for office use Ri Building Permit number: Vv / - '1 L Building: Owner/Applicant: �� S Date of Planning: Parcel Number: ZZO ^S -0002�J application: Env. Health: C�j VED SEP _.._. Alder Street L.Ak. L �t►Y.d ray y Cu Ivert-60 �. I �ii �3iA �szu �5ad � ENVIRONMENTAL HEALTH 70��0 o�� A HPPR VED MC PUBLI HEALTH NOV 6 2017 160 TOPOGRAPHY PROFILE: eoor E,v-e, oVee- 1e- (P 2 o A. I m�n S Z o F�- 'FIP �` y� o-U&Jed C� 5 Pt S 4- 2 a rt- ,P.,Me n Direction: Scale:� = Approval: for office use Building Permit number: -7- 'T Q� 1 1o�t Building: Owner/Applicant: V"rt( h q S ,V Date of Planning: Parcel Number: no -S -000 application: Env. Health: Nam 11 Parcel#_ a ago — -UOaa BLD# -ao ge 3 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 IbAvelopment activity. "V Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requiremli I Management in this jurisdiction.A complete copy of the ordinance can be found on the M&p�p,County ws� http//www.co.mason.wa—us/code/commissioners/index.htm ?O„ Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Q'IS Regulated activities shall be conducted only after Mason County Public Works approves a st_nAn °�t8' - e Ian (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public 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"tu �> 1, 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 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. CA Own r/Agent/Contractor(circle one)Da lt2 �—J . y Name Parcel# I LZZ0— -�o2R BLD# —QQatO Mason County 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 S X S = (o 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 = 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) Z 2 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 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: 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