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Home My WebLink AboutBLD2019-00948 SFR - BLD Application - 8/27/2019 MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No: •BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ext-352•Fax:(360)427-7798 P - Belfair. (360)275-4467•Phone Elma:(360)482-5269 U' UG 2 7 2019 1834 ®�� BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: -PpA NAML, MAILING ADDRE S: dam+E A-ltYhlV(" Ae. MAILING AVDK SS: CITY: Jkkkg t STATE:_ III ZIP: ,S:gj CITY: STATE: ZIP: PHONE#1: . PHONE- CELL: _ PHONE#2: EMAIL : -'t M, EMAIL: J 14 y II► Amke en CO- fvsn . Cc,M L&I REG# EXP. PRIMARY CONTACT: OWNER CO T CTOR❑ OTHER❑ NAME : do"—v Y EMAIL MAILING ADDRESS CI ( —STATE--- ZIP PHONE 310� CELL YV V PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING R—Z LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS ` ' "�`'t�'�� CITY 44tq&A DIRECTIONS TO SITE ADDRESS TbtF— t�cs2T11 �2nF2. Laf- , 'ilk iaS�cco.1 c,f=' 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 K ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY[6, SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES (Whole Bldg) , YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORIC ►g6Wy Gia� SQUARE FOOTAGE: (propose+existing) I ST 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 K / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES h( NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 1" 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 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 MASON COUNTY COMMUNITY SERVICES RECEIVED Building,Planning,Environmental HealtK Community Health AUG 2 12019 Physical and Mailing Address: 615 W Alder St.,Bldg 8, Shelton, WA 98584 Shelton Phone: (360)427-9670 ext 352 •: Fax (360)427-7798 615 Vy glrio,�, PLUMBING & MECHANICAL PERMIT APPLICATION Permit#. IdaOl�- H`bi OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: -I-EW M I (7Ext�t 1� NAME: MAILING ADDRE SS Bo E pty NVkrkJ MAILING ADDRESS: CITY: 4kW4 STATE:Wd ZIP: 15S24 CITY: STATE: ZIP: 1St PHONE: 'Scco - 10- 7(c73 PHONE: CELL: 2nd PHONE: EMAIL: EMAIL: tMA&ttt orl , MS%►- Cowk L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): I ZZZ-SD- AIC01 Zoning: R- 2- .LEGAL DESCRIPTION (Abbreviated: SITE ADDRESS: 0 CITY: ALk4r\ DIRECTIONS TO SITE ADDRESS: 1:beA'24Z of-- &AaaLl it S-i2 -� '�, F.-b 11 Z► . TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER USE OF BUILDING lzwsy rry), � PLUMBING FIXTURES MECHANICAL UNITS [J Electric in-wall heaters(no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) 19A Furnace [E/G/LPG] Bathroom Sink(s) ( 6a Heat Pump [E/G/LPG] Bath Tub(s) �r` get O Ductless H.P. [E/G/LPG] Shower(s) 1 '-. Spot Vent Fan Water Heater(s) G/LPG] Propane Tank [_gal.] Clothes Washer(s) G/LPG] Gas Outlet(s) Kitchen Sink(s) 1,Fa Heat Stove [E/G/LPG/W] Dishwasher(s) 1 an Kitchen Exhaust Hood to Hose bib(s) 4,A Dryer Vent �K+► Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges 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 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 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) D Date Received. MASON COUNTY ° cooN�A` COMMUNITY SERVICES DEPARTMENT RECtl BUILDING•PLANNING• FIRE MARSHAL Y ED — Mason County Bldg.8,615 W.Alder St AUS 3 0 2019 rxca Shelton,WA 98584 www.co.mason.wa.us 360-427-9670 ext 352 61S 'A, Permit 4: A I�eP - Mef Property Owner's Authorization Letter I (we): jenno M, -PoLodl (Print Property Owners Name/Firm/Organization) Hereby Authorize: T1 m �;O_YVai � (Applicant-Name of Person to Sign Permit) Representative of: (Applicant Company Name/Organization) To apply for, sign, and pick-up building permits for the following proposed work: (Brief Description of Work to be Done) Job Location: TO (Property Site Address) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick up the building permit for the work as indicated above.All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or riot.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). (P.o erty Own r Signature) (Date Rev.03/1012016 jlbn VXC Name Parcel# BLD# ' V ED Mason County AUG 2 7 2019 Department of Community Development 615 W. Alder Street 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 surfacez. '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 = PatiosA/Valks 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 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 further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property f eview and ' `pection as may be required. 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. Page 1 of 2 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.htin 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 e)d 450 100 W. Public Works Dr Shelton.WA 98W 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 11/14/2019 SMARTGov SmartGov Mason County Permit Detail Trish Woolett Sign Out Preferences ? BUILDING Main Notes Contacts Contractors Details Valuations Fees Submittals Workflow Fixtures Cor Workspace Permit#:BLD2019-00948 Status: ROUTED FOR REVIEW Contact: JENNY M POWELL Site Address: UNKNOWN Favorites Type: NEW SINGLE FAMILY RESIDENCE Project: Contractor: MASON COUNT Permitting Valuations Valuation Type Quantity Rate UOM Value Reset Override Create Permit RESIDENTIAL R-3 VB RESIDENTIAL, ONE-AND TWO-FAMILY 840.00 $120.75 SQFT $101,430.00 Override ' Add Remove Zcio QLy Reset All Search Permits Create Estimate Search Estimates [ I Search Historical Permits Permit Reports I Code Enforcement Common Receipts I Administration 1 Recent I I 1 r i Total Valuation. $101,430.00 Hide Menu SMARTGOV Terms and Conditions Version: 2.170.1 Contact Support Powered by Dude Solutions, Inc. https://office.smartgovcommunity.com/Main#—/Permits/Permit/Index/948c3478-7e43-4060-8a34-aab6015dO359Naluations 1/1 11/14/2019 SMARTGov SmartGov Mason County Permit Detail Trish Woolett Sign Out Preferences ? BUILDING Main Notes Contacts Contractors Details Valuations Fees Submittals Workflow Fixtures Conditions Cycles Inspections Other Req Workspace Permit#:BLD2019-00948 Status: ROUTED FOR REVIEW Contact: JENNY M POWELL Site Address: UNKNOWN Favorites Type: NEW SINGLE FAMILY RESIDENCE Project: Contractor: MASON COUNTY,WA 00000 Permitting Portal _ Current Calc D E C F .0 Fee Code Pay Based On e m s v Value Value x Create Permit State f p t r Search Permits BLD-ADDRESSING FEE Pending Addressing -s STATIC STATIC Create Estimate STATIC STATIC I Q BLD-MECH BASE FEE Ready Mech Base �; Search Estimates _ - _..__.____ _ .__._._... _ __ __T___—.—..._. Search Historical Permits BLD-MECH FEES Ready Mech Fixtures MM 0 0 0 0 Permit Reports BLD-PERMIT FEE Pending VALUATION i °°,i 101430.00 101430.00 E5 0 0 Code Enforcement BLD-PLAN CHECK FEE Pending BLDG Permit Fee 1099.28 1099.28 I I Common Receipts BLD-PLUMB BASE FEE Ready Plumb Base STATIC STATIC 13 0 Administration BLD-PLUMB FEES Ready Plumb Fixtures � 0 0 0 I Recent EH-BLD PLAN REVIEW/COU-ONSITE SEWAGE Ready flat fee STATIC STATIC 0 I ni AM nC%11C\A1 rCC fTATIP- fTATIf` r Add Hide Menu SMARTGOV Terms and Conditions Version:2.170.1 Contact Support Powered by Dude Solutions,Inc. https://office.smartgovcommunity.com/Main#-/Permits/Permit/Index/948c3478-7e43-4060-8a34-aab6015dO359/Fees 1/1 SEE STATUTORY WARRANTY DEED AUDITORS FILE NO. 2097536 / TOGETHER WITH AND SUBJECT -TO EASEMENTS, RESTRICTIONS, RESERVATIONS AND COVENANTS OF 30 .30 , RECORD. RECORDS OF MASON COUNTY WASHINGTON / m MASON APPROVED ON COUNTY DCD PLANNING PLAN oo BLOC TE P N REQUIRED TO BE / CH ON SITE Gp SUBJECT TO APPRO A o _ CK �j CEIVEDI^^l AUG 2 7 C�20�Cj l r ! 2019 e � , �ty PLANNING: r�,' �� 5 w Alder Street 8 MEASURED et ALL SETBACKS ARE / J F�pM THE FURTHEST ` R(`J1=CTtOP1tING iE BUILD ._ L. / Vl r r h ` 3 O 00. l Cli � E W Z077 1 _ t 20 03 o �� a / \ rZ.L p` \ S )300 0p U 0 580 L p RECOROEO/NRB o pERR) s80 S(iR N) 0p�F20 1 \ ` ST 80 / 80 ' C SEE STATUTORY WARRANTY DEED AUDITORS FILE NO. 2097536 / t TOGETHER WITH AND SUBJECT TO EASEMENTS, 301 RESTRICTIONS, RESERVATIONS AND COVENANTS OF 130 RECORD. RECORDS OF MASON COUNTY WASHINGTON ' J �o ENVIRONMENTALco HEALTH BLOC / � t IOC �j ' r X RECE,VE ,20 AUG 2 7 2019 I W. Alder Street �a 2�2 7-0 rr (h �30000. N -03 a a L pT ol 03 APPRO rZ r OCT 15 19 sr MASON COUNTY ENVIR MENTAL HEALTH S RLE \ eq00 00 �L p \ qS RF RDE�F R/NG p O1/�') 580 CK eoo r£R SUR 10(4t) 30 pA F 20 T \ 80 ' ' , �Y,"