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Home My WebLink AboutBLD2020-00589 Shop - BLD Application - 6/12/2020 MASON COUNTY COMMUNITY SERVICES Permit No:7BId 2-620 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 IP" JP* ton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone %&air:(360)275-4467•Phone Elma:(360)482-5269 J U N 12 2020 BUILDING PERMIT APPLICATIOW15 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 14A'AAT "t-,KriSfli NAME: (/At l _QiQlk F- )iAk 5 t-4-C— MAILING ADDRESS:3(ol G• M7• Vi GL- 7 Dv'. MAILING ADDRESS: 3(a 1 6 . M"r 11 t CW CITY: I STATE: WA ZIP: M CITY: Ar(l m STATE:1/4 ZIP: PHONE#I: ?(e0- PHONE: CELL: 3WO-601 PHONE#2: 31 0 - PaQ-2W I EMAIL : 1/OnA.i i Y111eS I I C vi -COPY) EMAIL: L&I REG# - ( - ?jZ EXP. PRIMARY CONTACT: OWNER CONTRACTOR' OTHER❑ NAME C6 P-tt-van l EMAIL Vann if k-hoiY1,P S'II C trial I-COrYI MAILING ADDRESS 7 1 - FA Vi CW 1 CITY I STATE (A ZIP�k5 PHONE CELL �610- 1- 2 PARCEL INFORMATION: Q !^ PARCEL NUMBER(12 Digit Number) 1Zsl 1 `TZ%S ZONING RR-5 LEGAL DESCRIPTION(Abbreviat d) FIRE^DISTRICT CP- _ SITE ADDRESS I ID n E l IC I CITY BgAQ 11 J A DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO,#q:,SNOW LOAD: psf IS PROPERTY WITHIN 200IET OF;THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ , 'MVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW - ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) (-106 51�_iAiC= F IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) ❑ NOX DESCRIBE WORK SOUARE 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 Z—CPA 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❑ / NEWX EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO& If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YESa 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 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) 5ot)M Le ` X Signature of OWNER( ust be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT ;f �-7il�Z Zc7 'TNING DEPARTMENT IARSHAL 'HEALTH RECEIVED 'Bled Z6zo - Lo 589 JUN 12 2020 nE03 j).,-Ach4,-t, 1 ,hO 14A& w 615 UV Alder Street PLANNING I . 5-65 A = i bo l �¢--110►2� i � 1�5+�. PLANNING: ALL SETBACKS ARE MEASL RED FROM THE FURTHEST PROJECTION OF THE BUILDING n .r 1 MASON COUNTY DCD PLANNING SITE PLAN REQUIr E'0 TO -7 ON S IFE GES SUBJECT TO Ar'P " V By Date L ZV ---------__----.... Iwo►: _.- ��A\Vd**" AMA - -De-\1262n -coon cp E� Name KAA,� VA��l Parcel# BLD# 2020 r62)9 BUILDINP Mason County artment of Community D evelopmen t 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 forte r wl ter E D Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County w bsite: httpHwww.co.mason.wa—us/code/commissioners/index.htm JUN 1 2020 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 _-IN/INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) KQ a 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 pro for r iew and i ion as may be required. X Owner/Agent/Contractor(circle one)Date: :5j�Za�-6 Page 2 of 2 Name Parcel# 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'. '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 cons ide impervious surfaces. To Calculate Impervious Surfaces Please Complet This Table Surfac ype Length X Width = Area *All dimensions in feet Buildin sl X = X = Meas ements for buildings are taken at the peri ter of the farthest projections (example: X = eaves/gutters) X = Driveways 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 — PatiosMlalks 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 = velopment is greater than 2000 square feet a Sm I Parcel Stormwater Site Plan is Required Total Impervious Surface Area um of all areas) If the Total Impe /in Area is LESS THAN 2000 Square Feet,please re acknowledge and sign below. Based Upon the infhave provided a Stormwater Site Plan IS NOT required fo is development activity. Owner/Builder/Agen that submission of inaccurate information may result in a stop work order errnit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the actor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to th above- described property for review and inspection as may be required. X 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 \ V