HomeMy WebLinkAboutBLD2017-00589 Pole Bldg - BLD Application - 6/23/2017 �Pgo� Co�NrA MASON COUNTY
Permit No: BLbZ017-(bJ5rP�j
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING*PLANNING*FIRE MARSHAL (360)427-9670 Shelton ext. 352
-- http://www.co.mason.wa.us/community de v/ (360) 275-4467 Belfair ext. 352
185+ 426 W Cedar Street, Shelton WA 98584 (360)482-5269 Elma ext. 352
BUILDING BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ���,rjb �T � �1 t� 1 A\1 ti5 NAME: ' -� & CAI
MAILING ADDRESS: AZ�S�t� �t1a rev= --MAILING ADDRESS: S 3
CITY: W"F743%02 STATE: t�Qr ZIP:g CITY:C.91� STATE:w A ZIP:9 S S-3 1
PHONE:,9 3-3 -gSZr-C-- PHONE::3&;0 - ?34 •GA 86 CELL:
EMAIL: EMAIL :
L&I REG .9 g 3 �5 /o EXP. a/,;Ul l y
CONTACT : OWNER CONTRACTOR BELOW ❑ KtGEIVED
NAME: -A01r>r-, .ram.__ MAILING ADDRESS: .SUN 2 3 '
CITY: STATE: ZIP: PHONE: CELL:
EMAIL: IN. Alder St eet
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) \Z-Z:Z\ - 43"- " �b FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS A2.-�5,3 S, SrNT tE.sA 1hrk, 7jc>Z, A CITY_ Zjc--�'C� >2. ,�$. a►�Sb-?,�
DIRECTIONS TO SITE ADDRESS "i- Q - sac,Mr-tk rr, 00-.A:•�3�z "Cd Vt�-TDB AAA
IS PROPERTY WITHIN 200 FT:
SALTWATER LAKE❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NOX
TYPE OF JOB: NEW [ADDITION ❑ ALTERATION ❑ /REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)
IS USE: PRIMARY K SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK
SQUARE FOOT E:
I ST FLOOR r c.� sq.ft. 2ND FLOOR_ sq.ft. 3RD FLOOR / sq.ft. BASEMENT sq.ft.
DECK_ sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHERS_sq.ft.
GARAGES sq.ft. ATTACHED ❑ DETACHED CARPORT� sq. & ATTACHED❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REOUIRED
MA Iv ODEL AR
WiDT ROOMS SERIAL NUMBER
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 or owner's legal representative. 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 permittapplication becomes null &void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
Inn r4�„v
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APP TIO F 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
X CC:>/
Sig re of NER Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT -17Z o It/47
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
SITE PLAN
(This is not a permit)
Parcel Number �2-ZZ�_'—� Building Permit Number
County Road _ ____ __ Septic Permit Number
INSTRUCTIONS: Show the following information on the site plan,and mark the appropriate box. Mark"NA"next to
• the box it item does not apply. .
Cl 1. North arrow and scale (a 7. Arrows showing direction of slope;assume an elevation of 100 feet at one
0 2. Boundary lines showing whole property lot confer and indicate the other lot comer elevations to it
❑ 1. Major features of property(ravines,seasonal creeks,bodies of ❑ 8. Structures—label existing and proposed with dimensio S�R dCI C' V mm D
water) lot lines and other structures on the site G
❑ 4. Septic system location Cl 9. Plumbing stub out of proposed residence❑ S. Wells or drinking water source ❑ 10. Wells or springs within 100 feet of property lines J U N 2 3 2017
❑ b. Paved surfaces(i.e..driveways and patios) ❑ 11. Easements or Rights-of-Way
MINIMUM DISTANCE IN FEET t
Component Well or Water Supply Line Surface Building Property Cu s or ank
Suction Line Under Pressure Water Foundation Line
Building Sewer 50 10 10 - -Septic Tank 50 10 50 5 5 -
Drainfield 100 10 100 10 5 25/50(depending on restrictive layer)
North Arrow
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1 understand that any permits issued by the county consistent with the above st , a " d
and codes. Further, that all permits issued are valid only if'construction is according to this plan. This site plan shows a existing
and proposed sh-itctiu•es.
1 c
Owner/Applicant Signature Date 3
FOR OFFICE USE ONLY
Zoning Front Yard Setback 70 1 Shoreline Setback
Side Yard.Setback a.0% Height
Rear Yard Setback 200+`
Flood Zone Panel Reviewed by Date
PS001 November 2003
b L4--) Gv i /- 00 J J y.
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: Date:
c 3 /7 Project description: tit O
I l )
Documents: BUILDING RECEIrED
ZBuilding Permit Application Completed.
,)I�MechanicaVPlumbing Application Completed. JUN 2 3 2017
✓P�I nning Intake Checklist Completed.
✓Site plan includes: Allowable building area, roof overhangs, decks, etc. 615 W. Alder Street
ire Apparatus &Access Road info required? Yes
_Stormwater Checklist Completed.
ILA Energy Code Application Form - 0 Electric wall heater 0 Electric central furnace 0 LPG Furnace
O Heat pump with electric furnace 0 Heat pump with LPG furnace 0 Boiler(heat type )
0 Ductless Heat Pump 0 Other: Specify:
Construction Plans:
\Z3 Sets (2 full size sets w/engineered calculations & 1 reduced sized set 11X17 min.(no calculation needed )
�lans Legible ✓}Recognized Scale Elevation Views _✓Cross Section
v Foundation Plan -;:;:'-Roof Framing Plan —Floor Plan -Use of rooms labeled (all floors)
✓Floor Framing Plan -all floor levels including loft, crawlspace, etc. 4-f
Framing Plan including covered porch, carports
Plan Details:
✓ Roof framing details, truss lay-out may be needed (Hip and girder location shown)
✓ Wall Framing - Does bearing-wall height exceed 10'? (Engineering may be required) 0 `
Floor framing: Floorjoists (size & spacing): Floor beams.
—Window headers. Typical header: Garage header:
_ Foundation: footing size, reinforcement
Concrete Walls- Does Concrete Wall Height Exceed 8'? (Engineering may be required, see details)
✓ Landings at all exits? Less than 30" above grade? Y/ N (must be shown on site plan)
A)A Water Heater: Location: Type:
/)A Heated By Furnace- Location of Furnace Fuel type:
kW Fireplace/Stove Information Shown - Fuel Type? Location(s):
ON Window Sizes Marked on Plans.
��raced wall panels (shear walls) MUST be markedhndi d on plans.
✓ Engineered es No Snow load: 2� Seismic D2 Design Code: Are plans stamped
Manufactured Homes:
\Deck
Floor Plans (rooms&areas ust be labeled)
ation Type:
NSI/Manufacture m od En ineered footing/foundation Bas ent
: 4x4 m* . landings required at ach entrance (must b hown on site/plot n)
overed cks and/or an decks reate an a 4'x4' at exceed 30° from rade re uires a ermit and
co on plans.
COMMENTS: 40 X S-Z) S
1
Intake review(initial Date:
H:\permit tech building checklist2015.doc Revised 8.5.2016
e Parcel# 1 2 2 ?, q-00oTY6 BLD# G 0/ 7-
Mason County BUILDING
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 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) 2 00
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 I am the owner,owner's legal representative,or the contractor.I
kn e that the information provided is accurate and employees of Mason County are granted access to the above-
de ribed oAerty r review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: (0 Z `�
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.
RECEIVED
Page 1 of 2 JUN 2 3 2017
615 W. Alder Street
Name----- -- --- - - - Parcel# BLD#
Mason County
Department of Community Development
Small Parcel StormN ater 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:
hgpHwww.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) 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
100 W.Public Works Dr
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 400
415 N.6th St—Bldg#8 lower level
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