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BLD2024-00797 SFR - BLD Application - 7/3/2024
MASON COUNTY Permit No:J?2 L9 COMMUNITY DEVELOPM T D v E D Permit Assistance Center, Building,Plannj ��� � BUILDING PERMIT AP 19)TION JUL '3 2024 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATM ; er Street NAME:Leonard & Denise Anderson NAME: NA MAILING ADDRESS:616 West Broadway MAILING ADDRESS: CITY: Montesano STATE: WA ZIP:98563 CITY: STATE: ZIP: PHONE#1: 360-590-2120 PHONE: CELL: PHONE#2: EMAIL : EMAIL:leonardagolf comcast.net L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME Leonard Anderson EMAIL MAILING ADDRESS same CITY STATE ZIP PHONE CELL 360-590-2120 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 61930-43-9006.2 ZONING LEGAL DESCRIPTION(Abbreviated)LOT:2 of SP#2518 PTN TR6 S1/2 SE S 17/250 FIRE DISTRICT SITE ADDRESS 51 W Benthein Road CITY Elma DIRECTIONS TO SITE ADDRESS West on Matlock/Brady Rd.to Shafer Park Rd. left on Shafer Park Rd, to W Bentein Rd. Left on W Benthein Rd.first driveway on left. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES© NO ❑ SNOW LOAD:2.9psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑x 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(Pa,-t[s]of Bldg) ❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 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 864 sq.ft. Attached❑ Detached CARPORT 432 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 ❑ Ifyes, attach completed Water Adequacy Form PERTMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO® EXISTING SQ.FT. 0 EXISTING BEDROOMS 0 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 descri bed 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 �/ � � �Ay 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 MASON COUNTY COMMUNITY SERVICES Permit No: -7 . PERMIT ASSISTANCE CENTER: BUILDIN, �' 1' •BUILDING •PLANNING •FIRE MARSHAL . D • 615 W.Alder St-Shelton,WA 98584 E I V E www.00.mason.wa.us Phone Shelton:(360)427-9670 ext 352• Fax:(360)427-7798 —3 2�24 Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 JUL PLUMBING & MECHANICAL PERMIT APPLICATION W. Alder Street OWNER ORMATION7 I CONTRACTOR M ON: NAME: o NAME: MAILING DRESS: 14 t oa WoC4 ING ADDRESS: CITY i e-f0l TATE: ZIP: CITY: STATE: ZIP: 11 P ONE: G �.2 Q PHONE: CELL: 2nd PHONE: EMAIL EMAIL: `i a r Di 6)PJ r�1t1 2 . L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning- LEGAL DESCRIPTION(Abbreviat SITE ADDRESS: i C C gjRECTIO S SITE AD RESS: f2 ru c TYPE OF JOB- NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—IsT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FDaIMS(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas—Ductless— Toilets l Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent 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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Owner Date DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT DEC- PLANNING DEPARTMENT FIRE MARSHAL Rev'.1/27/2016 JBN (t' HOME OWNER:Leonard&Denise Anderson I PROJECT ADDRESS:51 W Benthein Road Eima WA 98541 GRADING NOTES: O 1.CONTRACTOR TO VERIFY LOCATION OF ALL EXISTING UTILITIES. LEGAL ADDRESS:LOT:2 of SR#2518 PTN TR 6 S1/2 SE S t7/250 2.PROVIDE POSITIVE DRAINAGE AWAY FROM BUILDING. 1 3.FINAL GRADE TO CONVEY SURFACE DRAINAGE TOWARD ROCK CHANNELS AND FIRE DISTRICT:12 C DISPERSION TRENCHES. V 4.AREAS TO BE FILLED SHALL BE CLEARED,GRUBBED TO REMOVE TREES,VEGETATION, WATER DISTRICT:NA (� ROOTS AND OTHER OBJECTIONABLE MATERIAL AND STRIPPED OF TOPSOIL. N 5.PLACE FILL SLOPES WITH A GRADIENT STEEPER THAT 3:1 IN LIFTS NOT TO EXCEED 8 STORM wnrER#: $ INCHES,AND MAKE SURE EACH LIFT IS PROPERLY COMPACTED. BLDG PERMIT#: LI BUILDING FLOOR 1: 1296 SO.FT. 8 ,11 EROSION CONTROL NOTES: AREA: Q 1.INSTALL SILT FENCE PRIOR TO ANY EXCAVATION OR CONSTRUCTION Carport 432 SO.FT. 2.MINIMIZE SITE DISTURBANCE BYTIGHT CONTROL OF EXCAVATION LIMITS GARAGE: 864 SO.FT. 3,ALL EXPOSED SOIL SHALL BE MULCHED WITH STRAW OR WOOD CHIPS TO MINIMIZE TOTAL: 1296 SO.FT. SOIL EROSION. NO SOIL SHALL BE LEFT IN AN EXPOSED CONDITION.IT IS RECOMMENDED THAT THE CONTRACTOR MAINTAIN A STOCK PILE OF THIS MATERIAL LrVABLE AREA: 0 SQ.FT. ON SITE FOR QUICK APPLICATION. F2� 4.HYDROSEED WITH A WOOD CELLULOSE FIBER MULCH APPLIED AT A RATE OF 2,000 #!ACRE. USE AN ORGANIC TACKIFIER AT NO LESS THAN 150 WACRE OR PER F MANUFACTURE'S RECOMMENDATION IF HIGHER. APPLICATION OF TACKIFIER SHALL — C BE HEAVIER AT EDGES,IN VALLEYS AND AT CRESTS OF BANKS AND OTHER AREAS Nestee^r^1e"ROHtl WHERE SEED CAN BE MOVED BY WIND OR WATER i 5.DISPERSION TRENCHES SHALL OVERFLOW ONTO NATIVE UNDISTURBED GROUND. i NO SITE DISTURBANCE BELOW TRENCHES. PROJECT STATISTICS: LOT SIZE: 60.113 SF 9 ANTICIPATED DISTURBED AREA: 1296 SQ.FT. BUILDING ENVELOPE: 1296 SQ.FT. ROOF AREA: 1680 SQ.FT. FRONT HEIGHT AT RIDGE: 20 FT 7 IN, M Ilk REAR HEIGHT AT RIDGE: 20 FT.7 IN. a SOIL TYPE: SHALLOW AND MODERATELY DEEP,WELL-DRAINED SOIL FORMED IN MATERIAL WEATHERED FROM BASALT THAT HAS A SMALL AMOUNT OF LOESS IN THE UPPER 0 PART OF THE PROFILE. THE PERMEABILITY IS ESTIMATED 6� as67t �.p�.wr arr TO BE MODERATE. SOIL DENSITY: '2,000 PSF ALLOWABLE(ASSUMED).TO BE DETERMINED AT TIME OF EXCAVATION. FROST DEPTH *V-0" � 1W.012' o SEISMIC ZONE: D2 / so-eem fBtlbmsBmeek a '� WIND: 130 MPH(130 MPH 3 SEC GUST),EXPOSURE C. / c O VeNtitti n Ling Q SITE PLAN NOTES: 1.SITE SURVEY TO BE COMPLETED TO VERIFY PIN LOCATIONS ANg J HOME LOCATION PRIOR TO EXCAVATION. 2.CALL BEFORE YOU DIG:800.428,4950 / EH APPROVED bQ 'NOT AN APPROVED SEPTIC DESIGN. / ^ DATI uw<mr^+ a sm.d—Sn r^...... ...... �.�:�u:,�,,,� n ,,-., .111-.2a / r� ! 6/18, ,,,, EH SETBACKS g sal A)Drainfield/Reserve requires 10'setback from footing/foundations B)Septic tank(s)requires 5'setback from all footing/foundations C)No foundation/perimeter drains within 30'down-gradient of drainfield 1° reserve area EI D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drainfeld/reserve area ' Created Universal 'Name Let-mard Anderson Parcel# 61930-43-9006 BLD# � ( �O?��t� 7 Mason County pp®� Department of Community Develop U I L D A N 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.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". ''E C E I V E D Regulated activities shall be conducted only after Mason County Public Works approves a sto 'aQ s l}lan (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':,�Tws tWP1SVia®1sist 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) X 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. 352 615 W ALDER 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. OwmerBuilder/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 revie • nd ins tion as may be required. +-� X wne Agent/Contractor(circle one)Date: 6/.2 / Page 2 of 2 •Name l-e�rd Anderson Parcel# 61930-43-9006 BLD# Mason County 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. '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. Surface Type Length X Width = Area *All dimensions in feet Buildings 36 X 36 = 1296 8 X 8 = 64 Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 98 X 12 = 1176 X = Length of drive begins at the right of way X = Parking Areas 38 X 30 = 1140 38 X 30 = 1140 Any paved, gravel or packed area per definition above table 36 X 18 = 648 Patios/Walks 36 X 12 = 432 40 X 18 = 32 Any paved, gravel or packed area per definition above table X = Others X = i 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 i Total Impervious Surface Area (sum of all areas) 6616 I 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 for review and ' pection as may be required. / X � wn /Agent/Contractor(circle one) Date: t//o ! ,� `7 '2 0'2 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