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Home My WebLink AboutBLD2023-00743 SFR - BLD Application - 6/1/2023 MASON COUNTY COMMUNITY SERVICES Permit No:_�'� PERMIT ASSISTANCE CENTER: • •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 1V E D Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone RE Belfair(360)275-4467•Phone Elma:(360)482-5269 �N A' O Z023 BUILDING PERMIT APPLICATION J et PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: GSA NAME: a-.5 ��ISF/ MAILING ADDRESS: 1-7 MAILING ADDRESS: to( ,5F 12c%9c wcca C r CITY:S J STATE:_LJA ZIP: I cq CITY: ,s44et-2ncu STATE: L.t;. ZIP: sy-S2� / PHONE#1: PHONE: CELL: 3490-V96--g5to I PHONE#2: EMAIL : 4-> bco-i Le�:J _!'11111.SA) EMAIL: L&I REG#E,7"!lRr EXP. -7/ 1 ay PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME -r-(OA GA If per, EMAIL MAILING ADDRESS o t CITY _SflS7�!`�W S ATE Q.L, 14 ZIP V PHONE CELL. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3196-4 - 5L4 C )C3yO I ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS / -7�3Cp S I-e "r 31 CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESN NO ❑ SNOW LOAD:?r5 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE N RIVER/CREEK❑.__POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ® ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY* SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES (noleBldg) ® YES (Part(s]ofBIdg) ❑ NO ❑ DESCRIBE WORK 0EUJ SQUARE FOOTAGE: (proposed) 1 ST FLO�ORo _sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT ''7 jl sq.ft. DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft.'- GARAGE 3(o sq. ft. Attached Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGT TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: 3CO D64— '7'13'Z3 SEWAGE/SEWER SOURCE: SEPTIC ® SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES & NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YESX NO[] EXISTING SQ.FT.SO U` EXISTING BEDROOMS PROPOSED BEDROOMS Z TOTAL BEDROOMS a 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 leaal MASON COUNTY COMMUNITY SERVICES Permit No: '6I,I2,224 Ut`1`{--� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •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 Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: c � NAME: i--2- ADD t 7b0 �� (' Stet-nl� MAILING ADDRESS: Iol Sc- [MAILING CITY: S Neurxv STATE: ta,�A ZIP: 92S&VCITY: _s c,r�i�� STATE: 64 ZIP: 9a ' I"PHONE: PHONE: CELL: 360-i��g-5'yc/ 2°a PHONE: EMAIL : ,P, EMAIL: e-s bc�;r / jai. ��,�� L&I REG# �=rK�1�S��ps'j�EXP.�l ►s"l PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION (Abbreviated): CITY: S-"ec-t7k-� SITE ADDRESS: f-786 -sLr- C(?25c-'-nT- Or DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: USE OF BUILDING NEW ADD=AL-I=REPAIR=OTHER[ LOCATION OF FIXTURES/UNITS-I sT FLOOR�2ND FLOOR=BASEMENT�GARAGEQ OTHERC� PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS P�Hatural Ga uctles Type of Fixture No. of Fixtures Fees Fuel T e:Electri s s0 Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace -- Bath Tubs f Heat Pump �— Showers I Spot Vent Fan 3 Water Heater I Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Z Wood/Gas/Pellet Stove Dishwasher � Kitchen Exhaust Hood Hose bibs 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 hin 180 days or if construction work is suspended if work or authorized CONTINUATION OFTHIS'PERMIT IS BY MEANSon is not commenced OF f or a period of 180 days. OF OF INSPECTION.INACTIVITY OF THIS APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X /��✓� >�� Date Signature of Owner DEPARTMENTAL REVIEW rF IED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rov 1/27/2016 JBN J ? / S C_ O v 5 4. C 1,110'min { I' so1,dT+niltrx. ,....__.__._ —.._.... ._ _ -1Sakwctcvio_-:.:...�a..K•n.�'�.y.��l..n. ._ _ ... _..,._...._ .. .... � ��.�..,,`tr�' . . .. • ..,. .- �_-. .ae.... -.... 11ESY� Planning Setbacks Front:25' �2cJ73-Qd�Y3 Sides:6' EH SETBACKS Rear s setb6tb' II . acks measured from the farthest JIM UNI'ER&ASSOC.AS�OC. A)Drainfield/Reserve requires 10'setback from footing/foundations projection of the building P.O.BOX - WAs8507 �aho,rt B)Septic tank(s)requires 5'setback from all footing/foundations subject to EH setbacks 7531226 JFiANDA9SOC1AT69®F10TMNLCOM INSTALL DATE- C)No foundation/perimeter drains within 30'down-gradient of drainfield/ reserve area EH APPROVED Strenopq�ss c`F D)No cut(s),barik(s)(greater than 5'&over 4S degrees)within SO' P LN Approved RECORD DRAWING 1zgo 55 Chi fir-f down-gradient of drainfield/reserve area U^d.,,n 12/20/2023 t 7- q 10/25/2023 °'r"��- i-txrr�Mc�hc�r� FINAL DATE 7- Mason County Community Development .1 s It Gavin Scouten TWF 31got15L{000o a-9 S Ib2ril5—OD� Printed F From Mason ou n� 1 Changes Subject to Approval 11i ante rom MasoonCountytyy DMS ` VVV i % Name " i 1:7 Parcel BLD# 2623 - 007y ad 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)kThe 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 fmal 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 prop for review and inspection as may be required. X ✓1 �E Owner/AgejtV tScto - le one)Date:?_;e Page 2 of 2 Name Parcel# BLD# 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 surface2. '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 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) If the TotaHmpervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stornswater 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. 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