HomeMy WebLinkAboutBLD2018-00549 CancelledTear Down and Replace SFR - BLD Application - 6/27/2024 MASON COUNTY COMMUNITY SERVICES Permit N-F-AA
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
• 616 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone MAY 2 4 2018
BeHair.(360)275-4467•Phone Elma:(360)4 �� '
BUILDING PERMIT Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J ►i b iC &, 1/ 4 NAME:
MAILING ADDRESS: 7P.00 f, 6rWyt4d-Ao%L#VMAILING ADDRESS:
CITY: STATE:-i&W ZIP:TS gJ CITY: STATE: ZIP:
PHONE#1: Mo 4" 11007_ PHONE: CELL:
PHONE#2: ,►J ►� _ EMAIL:
EMAIL: RIB SJ J le WA% L&I REG# EXP.
PRIMARY CONTACT: OWNER/ CONTRACTOR❑ OTHER❑
NAME 40ALy 'elstul EMAIL Ailr81.1 J (�{f��✓ECAB16 �/`�.Y,
MAILING ADDRESS 7100 C 6nW! CITY STATE W_ ZIP��
PHONE_l4W 2600 &20 9rOV_ 7 _ ELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12 2!7 bad 1,0 ZONING R Cf 1 a1 yJ;t1'l
LEGAL DESCRIPTION(Abbreviated) rR I Of Gov ci FIRE DISTRICT J
SITE ADDRESS 7206C r 12AfE CITY
DIRECTIONS TO SITE ADDRESS O O 7f1 b /,
tilel — OA/
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Z
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❑ ADDITIONg ALTERATION❑ REPAIR❑ OTHER ® Y Tia�
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc..) Rm _ ce-
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUM ER OF BATHROOMS_
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[sjofBldg)IQ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(propose+existing)
I ST FLOOR 132Ssq.ft. 2ND FLOOR O sq.ft. 3RD FLOOR O sq.ft BASEMENT O sq.ft.
DECK/ sq.ft COVERED DECK 2410 sq.ft. STORAGE L - sq.ft. OTHER sq.ft.
GARAGE 7OZ sq.ft. Attached Z Detached❑ CARPORT sq.& Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWERg / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YESZ NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES 8 NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 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
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 penmit/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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT S--t
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
It . Or, GOLNl, MASON COUNTY PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.351
�* Mason County Bldg. III, 426 West Cedar Street (360)275-4467 Belfair ext. 352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFO ATION: CONTRACTOR INFORMATION: —�
NAME: N 11515M NAME:
MAILING ADDRESS: 70Z00 F-, 6mWocial rin R MAILING ADDRESS:
CITY: STATE: \ .4 ZIP: CITY: STATE: ZIP:
PHONE: . G2b 9D07 CELL:T6D 621 1If /!' PHONE: CELL:
EMAIL: r IQ kjt p- u/aac�61C � CoM EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 12Z29 4t.Z 6,90149
LEGAL DESCRIPTION(ABBREVIATED): of &-ov
SITE ADDRESS: 7i?� F, CITY-
DIRECTIONS TO SITE ADDRESS: S s oe A/ G ile • A 11vH ea
TYPE OF JOB 76crr dawK it-e b�,ll
NEW Vo-- ADD ALT REPAIR OTHER x USE OF BUILDING
LOCATION OF FIXTURES/UNITS—IsT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump_
Toilets ! Tyne of Unit No.of Units Fees
Bathroom Sink / Furnace
Bath Tubs / Heatpump
Showers / Spot Vent Fan Z
Water Heater Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood --- -
Hosebibs 3 Dryer Vent /
Other Other
Base Fee Base Fee
TOTAL PLUMBING 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 described property and structure(s)for review and inspection.This
permitlapplication 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X a. '
Signature of Applicant Date
X JON�V 4, R/t J341 Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW. APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
602.3(1)
SCHEDULE
NUMBER AND TYPE SPACING AND LOCK
OF FASTENER"°`
m lof
box(2t/Z"x 0.113'�or
common(2'/2"x 0.13M;or Toe nail
'd box(3"x 0.128'D;or
One o, z x 0.131"nails
ve9e�ao APPROVED ►box(2'/z"x 0.113');or
n�nwa'e,�ont MASON COUNTY DCD PLANNING ►abo(3n X 0.12s D;lor D'or Per joist,toe na
SITE PLAN REQUIRED TO BE ON SITE x 0.131"nails
4 CHANGES SUBJECTTO APPRGUV )d box(3"x 0.128'D;or
By- 2' Date id common(3'/2"x 0.162'�;or Face nail
Plot Plan x0.131"nails
Scale: 1 n - 3 2' le R802.5.1(9) Face nail
0
d box(3"x 0.128'D;or
Jd common(3"x 0.148'D;or Face nail each ra
x 0.131"nails
oPd box nails(31/2"x 0.135'�;or 2 toe nails on one side an
rn s common nails(3"x 0.148'�;or
0 on opposite side of each
d box(3"x 0.128'D;or truss'
x 0.131"nails
0 O 6d(3'/Z"x 0.135'D;or
o pd common(3'/Z"x 0.148'�;or Toe nail
Od box(3"x 0.128'D;or
o 'x 0.131"nails
z
box 3'/2"x 0.135'�;or
6d common(3'/2"x or End nail
s
a W box(3"x 0.128'D;or
co "x 0.131"nails
� cn
� N I yail
m
o''. common(3'/z"x 0.162'D 24"o.c.face r
o a. box(3"x 0.128'�;or 16"o.c.face r
m v<. c 0.131"nails
m
6� CD` 3 box(31/2"x 0.135');or 12"o.c.face c
a `x 0.131"nails
F t`!common(3'/2"x 0.162')
16"o.c.face i
5d common(3'/2"x 0.162') 16"o.c.each edge
p os v 12"o.c.each edge
d box(3i/Z"x 0.135'D
�d box(2'/2"x 0.113'D;or
W common(21/2"x 0.131'D;or Toe nail
10d box(3"x 0.128'D
Cent Line of Paved Grapeview Loop Road
common(3'/Z"x 0.162'� 16"o.c.face
box(3"x 0.128');or 12"o.c.face
x 0.131"nails
1.6d common(3'/2"x 0.162'�;or
16d box(3'/Z"x 0.135'D;or Face nail on each side
-IOd box(3"x 0.128');or (minimum 24"lap split
x 0.131"nails joint
side of end joint)
?-16d(3'/2"x 0.135'D
nrinued)
2015 INTERNATIONAL RESIDE
RECEIVED
BUILDING MAY 2 4 2018
615 W.Alder Street
Name t OHAI R l 6L,I Parcel# �2�/���j( . bDiD`D BLD# W/�'�O�j��j/9
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 storrnwater 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 Sudaces Please Complete-This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
X = — 6 Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X =
X = 1271 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/V1lalks X
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = A '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) G
If the Total Impervious Surface Area is LESS THAN 2000 Souare 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 1 Owner/Agent/Contractor(circle one)Date: Z�
If he Total Impervious Surface Area is GREATER THAN 2000 Souare Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Paee 1 of 2
RECEIVED
BUILDING
' ��® MAY 1 4 2018
615 W.Alder Sheet
Name. t7W-t,*7R &"W Parcel# 1 A �Z 2 !�—Al2 — 0001 Q BLD# 2010 — 00,5 y 43
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:
hn//www.co.mason.wa—us/code/commissioneTs/index.htin
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 prope for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page of 2