HomeMy WebLinkAboutBLD2023-00188 SFR - BLD Application - 1/13/2023 MASON COUNTY COMMUNITY SERVICES Permit No:B I q O B
PERMIT ASSISTANCE CENTER:
.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Sheet,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone
Belfair.(360)2754467•Phone Bma:(360)482-5269 R�
BUILDING PERMIT APPLICATION
PROPERTY(OWNER INFORMATION: / CONTRACTOR INFORMATION: fA At
I
NAME: ntl t' '-JE`it L I t C L NAME: , �O?.�
MAILING ADDRESS: I ING AD SS:
CITY: ' Qt iv STATE: ( ZIP: 'CITY: STATE: ZIP: 8 S'tr
PHONE#1: 4-0 C PHONE: CELL: eC f
PHONE#2: _ I J_ EMAIL:
EMAIL: l ` L&I REG#
PRIMAR CONTA T: h OWNER„ ' ,CONTRA EMAIL OTHER Lj y' �r�
NAME J G /L,: L L f M srr
MAILING ADDRESS l—Q Cs maw L CITY LS9 LPL:UAW STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) �Z L(.�� ZONING
LEGAL DESCRIPTION(Abbreviated) I ' !i IR '(�11STRICT
SITE ADDRESS s I, I L S'
DIRECTIONS TO SITE D
� � t
IS THE PROJECT WITHIN 300 FT OF SLO )GREATE THAN 14%: YES❑ O SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheek an that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NE ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ BRI L D I�N G
USE OF STRUCTURE(R�sidence,Garage,Commercial Bldg,Etc.) � ,9Li�.�
IM IS USE: PRAR_Y""rJf SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(WholeBldgRZ*"YES(Partfs)of Bldg)❑ NO❑
DESCRIBE WORK AL;?LL2 --"j)eA 17t;,A4 f
SOUARE FOOTAGE:(proposed)
1 ST FLOOR jift sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.ft.
DECK sq.fL COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.&
GARAGE 5O 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.r"_/ EXISTING❑
PLUMBING IN STRUCTURE? YESO NO❑ Ifyes,attach completed Water Adequacy Form G`A S
PERIMETER/FOUNDATION DRAINS PROPOSED? YES N- NO[] EXISTING SQ.FT. "19-
EXISTING BEDROOMS PROPOSED BEDROOMS 2' TOTAL BEDROOMS Z
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 dedare 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
PERMIT,APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
14.0
x Z;
na re of OWNER(Must be signed by the OWNER) Date
DEPAR AL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 0,4 t;S
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:IN
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us R�C
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 &/Vc�
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICAT40 BAN 13?4?3
OWNER INFORMATI N: CONTRACTOR INFORMATION: der Str
NAME: �1� NAME: 0G
MAILING ADDRESS: MAILING A DRESS:
CITY., dV STATE: CITY: STATE: ZIP:
1st PHO PHONE: CELL:
2nd PHONE: u EMAIL :
EMAIL: c �4ov L&I REG# r7;xf7 r3 I L7 M_s—EXP.
PARCEL FORMATION:
PARCEL NUMBER(12 Digit Number): Zoning: 74-AWY//Z-7'
LEGAL DESCRIPTION(A brev' ted)' r
SITE ADDRESS: CITY: �.
DIRECTIONS TO SITE AD SS' T r— i A; I„� _ (-d rC� 1 /"JA
&I
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1ST FLOOR=2N':)FLOOR=BASEMENT=GARAGE=OTHER=
PLUMBING FIXTURES(SHOW NUM
OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fix s Fees Fuel Type:Electric5?DLPCE�Natural Gas=Ductlesst2�;J
Toilets Type of Unit No.of Units Fees
Bathroom Sink � Furnace
Bath Tubs t` / Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer T/ Gas Outlets
Kitchen Sinks T Wood/Gas/Pellet Stove
Ai—
Dishwasher � Kitchen Exhaust Hood
Hose bibs Dryer Vent i
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 F INSPECTION.INAC�cTIV�ITY�OF H S3PERMIT3APPLICATION QF„180 DMA
WILL I /ALIT E �4PPLI�CATION�. �L , 7 / L/�`� /�J�-� J`'�%►`[X ���[
Signat of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Owner Info,
Red Door Design & Build \
EH APPROVED 7356 Guide Meridian
Lynden, Washington 98264 Geain zo.ss
Rhonda Thompson 03/21/2023 T\
Site Infoi / \
N
t Stree �
Public sewer and water Drum o
A&M Development Lot Line Adjustment, Lot 9
Allyn, Washington \ \
Mason County
4,837 Sq, Ft,
1 �m Sr
City of Allyn Applicable Codes No Pin-Actual J \ y '0'
Lot\Corner o
-2018 Internatia-t Residential Code and Anendnents QRC>
-2018 International BIt
WIdha Code and Anendnents QBC /
-2018 Internatbnal nine Code d AM d A— t
-2018 Internatbnal lg Codk( Code and Anertd+en{s<InC> \
-2018 UnIfoW-1hi n Pln St. Code(UPC)
-2018 W.Nton State Enerpy Code d Indoor
-2018 Vashington Stole ventpatbn oM Intloor Alr a.outy Code<vIAC>
I�Ivvv v�l UGIUv A 4 L
p[!
OG/���GOGJ Survey Pin /?+-� No PCore CD r
rLVo Potio Lot Lorne
APPROVED RECEIVED '0 \ \ ;�"b \ \ ' LLJ
MASON COUNTY DCD PLANNING 9.,5 \ \ Q
SCO7T RVEl1Y,AICP IAN 13 2023
Survey Pin
615 W Alder Street Digitally
u'
scan R�ody signed ropose O
by Scott esldence
Ruedy
Survey\vey Pin O
Fro Zoning � \ \ Q
Front yard-15 feet. /
Side yard-5 feet,or less with review and approval of an \ la
7 administrative building variance,see Section 17.10.460. Q
P� / \ 9Street side 0feet feet \ �Z �`_ L W
Rear yard-10 feet.In cases when the rear yard abuts a \ o lT.
right-of-way,the primary structure setback shall be 20 feet. N
Garage doors-20 feet with roll-up door,or 5 feet from an alley or \ �r tv Survey Pin L.L
private drive.
NO Pin-Actual
Lot Corner
All required setbacks shall be measured from the nearest /
property line,except that front yard setbacks shall be measured
from the property line or the edge of an access easement. \ \
No Pin-Actual \ Libolt
n Site Plan Lot Corner / Residential
1'r=20'Scale
Pw
0 5' to, IV 30' 40' 50, 75' 100'
Name RED DOOR Parcel# 12220-50-64009 BLD# UZ2 dMb
Mason County R U I L 0 N
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 2.
'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 =
40 X 29.10 = 1160 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
X _ above table
Patios/Walks X =
10 X 8 = 80 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) 1240
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 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 1 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 operty for review and inspection as may be required. Z
X Owner/Agent/Contractor(circle one)Date:
If the to Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acic� Mceervt
Dthe infor tion provided on page 2 of 2.
Page 1 of 2 JAN 13 2023
Alder Street
Name Parcel# BLD#
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.httn
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
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 property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
nn er#
a.d
Owner Inf o: Irt������
Red Door Design & Build \ \
7356 Guide Meridian \
EH APPROVED Lynden, Washington 98264 \ Psalm 2014s5
Rhonda Thompson 03/21/2023 \
Site Info \
\
\
Public sewer and water Drum Street \
A&M Development Lot Line Adjustment, Lot 9 \
Allyn, Washington \
Mason County
4,837 Sq. Ft, D
S
City of Allyn Appllcab Mle Codesi No Pin-Actual 1 1 I
Lot Corner �ot
-2018 International Residential Code and Amendments (IRC)
-2018 International Building Code and Amendments (IBC)
-2018 International Fire Code and Amendments (IFC) \ v
-2018 International Mechanical Code and Amendments (IMC) \ 0 J1
-2018 Uniform Plumbing Code (UPC)
-2018 Washington State Energy Code (WSEC) Q)
-2018 Washington State Ventilatlon and Indoor Air Quality Code (VIAC)
Survey Pin -0 No Pin-Actual. y
02/28/2023 a R, Patio Lot Corner
C/
APPROVED
RECEIVED 10� \ \ ��� \ \ � Liti
MASON COUNTY DCD PLANNING 91-S \ \ 0
WIT RUEDYACP ,BAN 13 2023
• y Survey Pin
CD
Digitally
615 W. Alder Street a
signed ropose
Scott Reedy by Scott Residence O
Ruedy O
R-2 Zoning Survey Pin \ Q
Front yard-15 feet. \
Side yard-5 feet, or less with review and approval of an lb +
administrative building variance, see Section 17.10.460. Q
Street side yard-8 feet \ `Z
Rear yard-10 feet. In cases when the rear yard abuts a Liright-of-way, the primary structure setback shall be 20 feet. ot— +
Garage doors-20 feet with roll-up door, or 5 feet from an alley or \ Survey Pin ry
\ fU
private drive. No Pin-Actual
Lot Corner
All required setbacks shall be measured from the nearest
property line, except that front yard setbacks shall be measured
from the property line or the edge of an access easement. \
No Pin-Actual \ Libolt
A Site Plan Lot Corner Residential
/ T \ Drafting
no Perk Vk.A'.
L VA 9626�
933-1103
1" = 20' Scale mtv 2°/22
Page:
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