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Home My WebLink AboutBLD2022-01191 SFR - BLD Application - 11/30/2022 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 { \f Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone REG 4a L.. V BeNair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION S E P 0 8 /022 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION 5 WI. Alder t re c t NAME:( A-)AN 1tt(wEq- nbu7NFICUtvO NAME: CrOVA L Hoili I-L(. MAILING ADDRESS:2-30 E' llrFLMGN f2D MAILING ADDRESS: ZOZ3 17 t CITY: A Lk—y N STATE:UJA ZIP:91"52,4 CITY:TAt."A STATE: fArA_ZIP: !(Y q y S PHONE#1: (p()2-'7 11 q(o q PHONE: ( WrELL: PHONE#2:% O (o 5 1 EMAIL: EMAIL: Ch_i u f t%er DAM 4►1 -Lnj L&I REG#GOYAL N LYq48.tI0 EXP. 11 / / V PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME / EMAIL MAILING ADDRESS CITY STATE Z[ y PHONE CELL DING PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 1 Z2Z`1- LI 3 'UOOZCJ ZO)gING IZV' c' )TA L- LEGAL DESCRIPTION(Abbreviated) `)CLA T-iN l A, Ta V-'* {'Z2 ,9-04 14E DISTRICT SITEADDRESS__ _7jO 6 NGLSc44 {!D CITY,A Lt,yN DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Hr SNOW LOAD:-L--!5psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that app49: 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) 9-K�JTIDtt-4E IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS z•S HEATED STRUCTURE? YES(Whole Bldg)A YES(Parr/s1 of 81dg)❑ NO❑ DESCRIBE WORKkt SF e SQUARE FOOTAGE:(proposed) Cat" - CA) I VAOir' 1ST FLOOR Z3b1 sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT_,sq.ft. DECK sq.ft. COVERED DECK_ 4_sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 6110 sq.ft. Attached Pk 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: SLIn 202Z "00516 SEWAGE/SEWER SOURCE: SEPTIC J1 SEWER❑ / NEW)l EXISTING❑ PLUMBING IN STRUCTURE? YES is NO❑ Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO ,A EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate Information may result in a slop 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 PE MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x � � 2DZ2 Signature of OWNER(Must be signed by the OWNER) Date EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT -2 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 1 �)Iq I PERMIT ASSISTANCE CENTER: *BUILDING •PLANNING o FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext 352• Fax:(360)427-7798 Sc Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 61,5 FP 08?O? PLUMBING & MECHANICAL PERMIT APPLICATION der ? OWNER INFORMATION: CONTRACTOR INFORMATION: et NAME J,jW 11,izizT y- A17K,A Sifxrr 1A EP-L tA,O NAME: e0 ifA L P O PK=9 LL(, MAILING ADDRESS:Zap r NeL6oN QD MAILING ADDRESS: ZDz3 1 25r14 S'rr CITY: AtLyiv STATE: W r, ZIP: T-137-y CITY: Ttkocti•w STATE: WA ZIP: 9is4y, 1S`PHONE:3(po 2--711 (vy PHONE:3r&Z-13(,{/8478 CELL: 2nd PHONE:3(00 jo (v 5.7>5 EMAIL : EMAIL: �h_ u rn p `to�nva i 1.G ow• L&I REG#C0/A L R rL"y Q 1> EXP. 11 / '4 /-Z-3 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): k- 229-43 - 00OZ0 Zoning: QcSOsNTA L- LEGAL DESCRIPTION(Abbreviated):3,-r-TT.en, 2-1, wN5 tq A2. SITE ADDRESS:Z3o fvri�t-450N R(j CITY• LL tr ) DIRECTIONS TO SITE ADDRESS: B U I L D I N G TYPE OF JOB: NEW__X _ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS-1ST FLOOR 2ND FLOOR BASEMENT GARAGE 9f OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric X' LPG Natural Gas Ductless_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs ? / Heat Pump t Showers ► Spot Vent Fans Water Heater t Propane Tank Clothes Washer t Gas Outlets D Kitchen Sinks % Wood/Gas/Pellet Stove Dishwasher IKitchen Exhaust Hood Hose bibs 2- 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)PV5LIDATE THE APPLICATION. ram. x 9 7oz.Z Signature of Owner I DAte PARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN - 1i nn Name Parcel# 1 0OU20 BLD# —ol Ivl Mason County `{ z ^ } 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 XU 0 = 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 = Any paved, gravel X = 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) 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 Storm water 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: ((``CC''� � If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, pleasR�ttd`�(�t�bi6ltnd sign the information provided on page 2 of 2. SEP 0 8 2022 Pagel of2 615 W. Alder Street Name 3000,At., /t,t2t-ttL Parcel# k Z22-9`41 --0062-0 BLD# MBA -_'X�TMF-V-tAkO Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Storm water 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: hqpHwww.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) /4 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 p perty for review and inspection as may be required. X wne gent/Contractor(circle one)Date: 9A v-'2-- Pagc of 2 / \ \ �� _CR'9P�V�Ew C S N ( Opp pROA D \E/ I I I I I RECEIVED S E P 0 8 2022 615 W. Alder Street I I - ---�---tea APPROX. WELL SITE 1 I I 100' 1� PROPOSED HOME PROPOSED SEPTIC I \ 1 I Rat TANK LOCATION �! I APPROX. CLEARING I I BOUNDARY I "" I 11 PROPOSED 4 BED. DRAINFIELD I j I � I CLASS B WAIVER i ATTENUATION ZONE EXISTING DRIVEWAY I I I i I M I � I I NELSON ROAD TH is o-3o Gis�30+Morr�COMP ROOTS TO 30 263' ACCESS TH 2 032 GL5,32+MOTTiCOMP ROOTS TO 32 TH 3:0-30 GLS,30+MOTTiCOMP ROOTS TO 30 - - - ---- - -- DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE: ,l _ APPLICANT/COUNTY PROVIDED PLATS OR SURVEYS,FIELD PIONEER DIGUNC., INC. APPLICANT: )ORDAN TURNER SHEET: SITE PLAN MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY.PROPOSED DEVELOPMENT MAY BE SUBJECT TO PARCEL#: 12229-43-00020 SCALE: 1"=100' OTHER DEPARTMENT/AGENCY REVIEW. DESIGNER NOT "18' DESIGNER: ALEX L. PAYSSE DATE: 5/27/2022 RESPONSIBLE SONOFF SETBACKS EE WILL APPLY AT TIME OF SSTO ALLATON.