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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