HomeMy WebLinkAboutCOM2019-00067 Retaining Wall - COM Application - 5/8/2019 MASON COUNTY COMMUNITY`SERVICESC6�
PERMIT ASSISTANCE CENTER: Permit No:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone 1854
Be/fair:(360)275-4467•Phone E/ma:(360)482-5269 R`FC V e 1 6 D
BUILDING PERMIT APPLICATION MAY ;-',�
PROPERTY OWNER INFORMATION: CONTRACTOR INF Alder
ORMA Vll/U
NAME: t'&/ , �ny) S X 10 1 NAME: Strew
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# EXP.
PRIMARY CONTACT: OWNER ❑ CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 2 26e-Z 2- 606 0 0 ZONING
LEGAL DESCRIPTION(Abbreviate ) FIRE DISTRICT
SITE ADDRESS _o>a6 E P2, CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Parifs)of Bldg) ❑ NO ❑
DESCRIBE WORK
SOUARE FOOTAGE: (propose+existing)
1ST FLOOR 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 LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ 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 1 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
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
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
�aoN c—U� MASON COUNTY COMMUNITY SERVICES
PERMIT ASSISTANCE CENTER: Permit No:
•BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
— Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone 1854 yam^
Belfair.(360)275-4467•Phone Elma:(360)482-5269 1 {`�-
L F
BUILDING PERMIT APPLICATION k
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMAT' -N:/
� � �� �� 1 �• �4Cer c�
NAME: t 1'Lv �) �St�) � I NAME: `Jtra��
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: " 'TE: Z
PHONE#1: PHONE:
PHONE#2: EMAIL :
EMAIL: L&I REG#
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Z ZG —Z Z— 10600 ZONING
LEGAL DESCRIPTION(Abbreviate ) FIRE DISTRICT
SITE ADDRESS 306 6 CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etta
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YeeE--S(Whole Bldg) ❑ YES(Part[sI of Bldg) ❑ NO ❑
DESCRIBE WORK T1 o
SQUARE FOOTAGE: (propose+existing)
IST FLOOR 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 LENGTH
WIDTH BEDROOMS BATHS S AL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑ T
PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ 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
amri ctninhiretcl fnr review and insnection. This oermit/aoolication becomes null$void if work or authorized construction is not commenced within 180
ERICKSON •MCGOVERN Erickson McGovernP.L.L.0
® 101E 261h Street Suite 300,Tacoma,WA 98421
Archit_• P:253.531.0206 F:253.531.9197
www.ericksonmcgovern.com
LETTER OF
Attention Date: April 29, 2019
To: Mason County Re: 2018-46 Phil Pugh Grandstand
Dept. of Community Development Improvements
615 W. Alder Street _
Shelton, WA 98584
We are transmitting you the following:
COPIESDATE NO. DESCRIPTION
1 04/24/19 1 Land Modification Permit Application
1 04/24/19 1 Structural Calculations
1 04/24/19 1 NMHS Grandstand Stormwater Management Report
1 04/19/19 1 Geotechnical Engineering Report
-
1 04/24/19 1 Phil Pugh Grandstand Improvements Permit Set- Full Size
2 04/24/19 1 Phil Pugh Grandstand Improvements Permit Set- 1 1x17 Size
These are transmitted as checked below:
General Transmittal: Submittal Review Transmittal:
For approval Reviewed
x For your use Reviewed with comments noted
Approved as noted Rejected
Not approved, resubmit Revise and resubmit
As requested Partial submittal only, see comments
Other (see remarks) Submit specified i s)
REMARKS:
To be hand delivered by Ray Mow. 61Spl� '
CJ� vl i ►'1 %l l( q�aer
— ��►rYl W 0.`��� "�r� t
�® Mark Swofford - _ ® Wade Jensen,AIA
Director of Mainenance,NMSD Senior Architect
If enclosures are not as noted, kindly notify us at once
RECEIVE® ERICKSON •MCGOVERN
MAY 0 8 2019
April 29, 2019
615 W.Alder Street
Tricia Woolett
Building Inspector 1
Mason County, Department of Community Development
615 W. Alder Street
Shelton, WA 98584
Project: Phil Pugh Grandstand Improvements
Owner: North Mason School District, No.403
Dear Tricia Woolett,
Attached are the following documents for the Land Modification Permit for the new Covered Grandstand at
Phil Pugh Stadium. The following items are included with this submittal:
• Land Modification Permit Form signed by Raymond Mow.
• Structural Calculations dated April 24, 2018 for site retaining walls.
• North Mason High School Grandstand Project Stormwater Management report dated April 24,
2019.
• Geotechnical Engineering Report, Grand Stand Improvements, North Mason High School, dated
April 19, 2019.
• One full size (24x36) set and two 11x17 size sets of the Phil Pugh Grandstand Improvements
drawings dated April 24, 2019.
• A USB drive with a PDF version of the documents listed above.
The building permit for the Grandstand that is part of this project will be a deferred submittal. The
Grandstand manufacturer, Southern Bleacher, will provide the structural calculations and drawings for the
grandstand to be submitted at a later date. The information that has been included on the grandstand in
this packet is for information purposes only and will be submitted for review at the time of submittal of the
building permit.
If you have any questions or need additional documents, please call me at (253) 531-0206 or feel free to
contact me via e-mail, wade@ericksonmcgovern.com.
Sincerely,
Wade Jensen, AIA
Senior Architect
X:\2018-46 North Mason Stadium Roof\8 Agency\19-0424 Site Permit Submittal
=X 101 E 2611 Street Suite 300-Tacoma WA,98421 0 P 253.531.0206 www.ericksonmcgovern.com