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BLD2024-00859 Revised SFR - BLD Application - 8/23/2024
13 MASON COUNTY RECEIVED COMMUNITY DEVELOPMENT JUL 1 7 2024 �A Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Si�'eet C lano PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r NAME: Ro IOG t C IOStr NAME: p wIII ER v MAILING ADDRESS: KID_b5g S(4- MAILING ADDRESS: CITY: Union STATE:%%rA- ZIP: 485Q2 CITY: STATE: ZIP: PHONE#1: 3&,& `19d• 0 56 R PHONE: CELL: PHONE#2: 3 1,n. _qQ.O 1 to 4 EMAIL: EMAIL: rc1nSeA->V%ctC.CorrI L&I REG# EXP.—/ /_ PRIMARY CONTACT: OWNER]( CONTRACTOR❑ OTHER❑ NAME o IIDSG EMAIL rGI06Pa7 he—+G•CAw, MAILING ADDRESS P.D. % S 1"2F CITY 0 nten STATE IL* ZIP qkM PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3 2 Z 34—4 3—ocb 10 2 ZONING RXS LEGAL DESCRIPTION(Abbreviated)— o FIRE DISTRICT (� SITE ADDRESS E bL 10 Lo CITY I DIRECTIONS TO SITE ADDRESS A. f mdesO kzwy /D/A dify ,06, IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESIK NO❑ SNO-,V LOAD:—;Z5—psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cdeckan#.t opplj): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTEERATIONALTERATION[] REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc Re 3/detre- IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS' _NUMBER OF BATHROOMS_;R±_S HEATED STRUCTURE? YES(N9tole Bldg)V�YES(Parr(s1.fBldg)❑ NO❑ DESCRIBEWORK hIeU1 1^4ntl rUL+I0n SQUARE FOOTAGE:(proposed) IST FLOOR I 6 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 T&y sq.ft. Attached JKDetached❑ 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❑ EXISTING❑ PLUMBING IN STRUCTURE? YES[- NO❑ byes,attach completed Water Adequacy Fomt PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO)q EXISTING SQ.FT. EXISTING BEDROOMS 9!1 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 8 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 PE IT APPLI ION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Signature f ER(Must be signed by the OWNER) D e DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT EL F�$•Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: Dff/ .- MASON COUNTY COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center, Building,Planning JUL 1 7 2024 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Steet OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ;5e-, NAME: (>ta..71Pr MAILING ADDRESS: P O.Bpx 5 MAILING ADDRESS: CITY: Llnt`&x STATE:4f4- _ZIP: qJ5Q 2 CITY: STATE: ZIP: 19 PHONE:_ ), 440•0S'10R PHONE: CELL: 2°d PHONE: EMAIL : EMAIL: rCloSe-Obck.Lar i L&I REG# EXP. I l PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 32 Z3'f--f 3-oo 1 o2 Zoning: reS. S LEGAL DESCRIPTION(Abbreviated): I R 10 of 0-0vJ 2 5 of 91W SITE ADDRESS: CITY: Jnio n DIRECTIONS TO SITE ADDRESS:=g,2 m i e-s east o '6? ir)7e.-se.chbis o-/- y5 . /blv a'7ey- /o/ TYPE OF JOB: NEW©ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—I sT FLOOR=2ND FLOOR=BASEMENT=GARAGE©OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric[;DLPGE�aturai Gas=Ductless= Toilets 3 Type of Unit No.of Units Fees Bathroom Sink y Furnace I Bath Tubs / Heat Pump Showers Z Spot Vent Fan Water Heater 1 Propane Tank 1 Clothes Washer / Gas Outlets Z Kitchen Sinks / Wood/Gas/Pellet Stove 1 Dishwasher / Kitchen Exhaust Hood 1 Hose bibs 3 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 1 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. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 'DEC- PLANNING DEPARTMENT FIRE MARSHAL RP%r 1/27/7n1fi [AN RECEIVED : r _ u ,l r''. AUG 2 3 2024 15W. NderStiw WSON OWN" CODW WrrYSFRVuMS y GG'��`/ �d�/c (.fin Ps;��� tf/�� � � ►��� .��/�?s�� Permit Number BLD/COM tV/- Applicant Name / _Email: Phone '".�N��a� Project Title: e4� ���� Parcel Number:✓y _79 fl6� Please provide a complete,detailed description of the proposed revisions to the approved plans. Please return this form to the Mason County Permit Center. f—J Oil The following documents are required to be submitted with this form. Yes No ➢ One set of revised plans or addendum indicating the changes.approved Yes— NoJ ➢ One set of the proved construction plans. — — (The"Red Stamped approved site plan must be included) ➢ Revisions are to be clouded with delta's clearly and accurately identified Yesv No on the revised plants or addendum. — ➢ Does the plan contain a structural, architectural or soils engineer analysis? Yes— No_✓(If yes,has the Registered Professionalls approved this revision) Yes— No— (Is a stamped and signed approval included with this request) Yes— No— (If no engineering or other changes requiring a registered professional have been made,the plan may be approved without written consent of the engineer or architect of record) ➢ Does the proposed revision modify the footprint or location of the structurels? Yes— No/ (If YES,is a revised site plan,with all new setback dimensions included with this request?)Yes No Additional Information: /J Applicants Signature:::: Date: 3 STAFF REVIEW SECTION Reviewed by: Ann! Qi Department Date Assigned Dale Reviewers for Review Received Reviewer Approved Approval Original Valuation: 5 .,(� Additional Valuation: 3 _. Building �� V��� �' ��` Sq.Ft. X S Sq.Ft. X —__ $ Planning $ Additional Fees: Additional Plan Review: $ Pubic Additional Building Permit: $ Health Additional Plumbing: $ Additional Mechanical: $ Other. $ Fro Marshal Total We: Public V4orks Page 1 of 1 �-- kOlTrE fo j� '6 LD 2 0 z-,4-oce 0 opr i YAP j WAY gfkvJ4R y 2 tQ krr� ` H• � �1 2- O' Min 0 1:2 00 ooa EH Setbacks ] r� `b A.) Drainfield/Reserve requ es 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater han 5ft and over 45 degrees)within 50ft,down gradient of Drain eld/Reserve area A P P R In 01- EH APPRO jtjv Disclaimer: Mason County does not require a 19 Rhonda Thompson survey to obtain a building permit. As a result, site OZ �-f 71 Z I plans may not reflect accurate data. It is the applicant's responsibility to comply with setback CD Audio-visual A].qr= requirements. O Cleanout RR5 Zoning Front Yard Setback. 25'. NuWater!3-N-R----oo A7_U-rank Side& Rear Yard Setbacks. Residential dwelling and accessory structures is 20'. 3 1,000 Gallon Pump uha=,Der OR 10%width of lot if not more than 1 00'wide Lp,z kA——N;k;—5;� OR approved ADV Valve Control Box_ 0 U,"gi t 09/12/2024 SWt%.dy signed by Scott APPROVED Ruedy MASON COUNTY DCD PLANNING 5007T RLIEDY'Alep Name &erf" elase Parcel# 3 2 z3`Z t 3- oo/02 BLD#;W4-00 Pf:;)9 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 surface2. '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 6 X S = 3 0 0 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/Vllalks 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 propeq for review and inspection as may be required. Q X Owner gent/Contractor(circle one)Date: 0- 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 I of 2 ti Name f1hG7 Clcoe. Parcel# .3223 V—y.3— OD io2 BLD# p —evoffo"� 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 Play: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". Regulated activities shall be conducted only after Mason County Public Works approves a stonmwater 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 Stornnvater 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- descri d property f review inspection as may be required. X Owner/ gent/Contractor(circle one)Date: QD z Page 2 of 2 BLD DATE STAMP MASON COUNTY ����jj, RECEIVE COMMUNITY DEVELOPMENT �--10 � 1 7 2024 Permit Assistance Center,Building.Planning J U L RCVD BY: APPLICANT INFORMATION (please print clearly) t-e—, L615 W. Alder S Name of Applicant: P,bPd Clasp, n - Parcel Number: 322 3y '13., 00lD2 Site Address: �� ' �s�- This checklist must be completed and signed by the owner or owners authorized agents at time of submittal. Incomplete applications will NOT be accepted. For a complete application, all items on this checklist shall be submitted, unless waived by Staff. PERMIT APPLICATION N/A Provided Staff Provide a completed and signed(by owner or authorized representative)application ❑ R f and applicable fees are due at submittal. Provide a completed plumbing and Mechanical Application ❑ [' 1/ F SITE PLAN Provide one(l)copy of proposed site plan. Drawn to scale of either ❑ R, ✓ 1"= 10' or 1"=20' depending on lot size. North Arrow, location and dimensions of all property lines and easements. ❑ []' Vicinity map showing location and names of all roads and easements. (public and ❑ Z ✓ private) Show distances to all structures,septic tanks,drain fields, property lines,top of ❑ ❑, / slopes or cuts and easements. Zoning(indicate): Rural Residential: ❑2.5 ❑5 ❑l0 ❑20 []Other: Urban Growth Area: Zone: Front yard: Direction: Side yard: Direction: Rearyard: Direction: I Sideyard: Direction: All access points,width of access. (easements and driveways). ❑ 21, Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website ❑ Building height shown on elevations at all four corners of structure. ❑ �' l✓ Flood lain boundaries and setback distances. See Plans for additional requirements. ❑ ❑ Wetland or surface water(if any)and any applicable buffers. If yes,a wetland ❑ ❑ report may need to be submitted. 1 V 1 Is the site near a Shoreline stream,creek,lake,saltwater if yes,please indicate? Ga' ❑ Name of shoreline: Shoreline designation: Stream type F, S,Ns,N f Is the proposed site within 300 feet of a slope 15%of greater?If yes,a geological report or assessment may be required. El Existing/proposed on-site septic system and reserve areas, providing setback to ❑ 2, structures. Existing/proposed wells show 100 ft well radius, with distances to structures). ❑ !/ Existing and proposed stormwater controls(downspouts, dry wells,etc. ❑ Exterior storage tanks(propane)and HVAC eciumment. ❑ PLANS N/A Provided Staff Provide two 2)copies of plans 1 full size min. 18"x 24"and 1 small size)and I one(1)copy of all specifications and engineering.Plans must be drawn to scale of ''/4"= 1'.All notations and drawings must be clear and legible.All Engineering ❑ L►� ✓ callouts must be on plans. Engineered plans must provide calculations/analysis.Analysis must include the following information: • 2018 International Building Code • Snow load(by location) ❑ [v� / • Seismic zone(D-2) • Exposure(by location and topography) • Windspeed 85 MPH basic and 110 ultimate w/3 secondgust) If project is in a flood hazard area,the submittal must include an Elevation Certificate,flood venting compliance and an elevation detail indicating the location d ❑ of finished floor relative to the Base Flood Elevation or Design Flood Elevation as 1 designated by surveyor or engineer. FOUNDATION PLAN Plan view of foundation/footings/pads ❑ Q Type,size and location of footing(stepped foundation provide detail ❑ la Elevation view of foundation steps,with final grade ❑ a Cross-sections of footing and foundation(including height of wall). ❑ Floor joist andspacing each floor). ❑ Show location of flood venting and detail the method and compliance for venting. Q" ❑ TY e and locations of hold-downs and anchors. ❑ Crawl access location and size. ❑ [� Insulation value for foundation(if slab or basement). See Energy Credits for ❑ additional requirements,credits must be indicated on the plans. If project is in floodplain provide flood venting compliance including vent locations,vent type,elevation detail for venting location interior and exterior of the [' ❑ crawls ace. r' FLOOR PLAN Square footage of each floor ❑ [� Use of each room ❑ 21 Location and size of attic access ❑ a Dimensions of building and rooms. ❑ (� Location and type of furnaces,water heaters,smoke detectors,and carbon ❑ / monoxide detectors.Include location of bollard for appliances located in garage. V Plumbing fixture locations ❑ [� Location of doors, windows include size,egress,tempered andskylights) ❑ [)' Insulation value in floor. See Energy Credits for additional requirements,must be ❑ Q. indicated on the plans. Location of ventilation fans and CFM for each. ❑ ❑ Location of whole house fan and CFM continuous or intermittent ❑ ❑ Location,side and type of brace wall or shear-wall panels.If structure is ❑ ✓ engineered,must supply two copies of required analysis calculations Dimensions and framing details of decks(including joists,beams,posts,ledgers. ❑ Plan MUST include size grade,spacing, length and species or type of material ELEVATIONS AND WALL DETAILS Typical and rated walls(garage separation) Listing of fire-resistive wall designs(duplex or townhouse ❑ [a- Building Ga- Building elevations-all 4 sides Show distance from grade at each corner. ❑ a Exterior wall details when distance between overhangs is less than 5 feet. ❑ ®' Insulation value for walls.See Energy Credits for additional requirements,must be ❑ indicated on the plans. If project is in floodplain must provide Elevation detail indicating the location of ❑ finished floor relative to the Base Flood Elevation or Design Flood Elevation as Nirr designated by surveyor or engineer. ❑ NZA ROOF PLAN Layout of roofs stem ❑ Label type of roofs stem,rafters,engineered trusses&spacing ❑ Headers noted at each location or typical header noted. ❑ [ r/' Roof pitch and covering materials ❑ [a' Sheathing es,dimensions and fastenin ❑ [a Attic venting e,location and amount ❑ Insulation value for roof(R38 vault and R49 ceiling)See Energy Credits for ❑ a t/ addition requirements,must be indicated on the plans. ENERGY CODE REQUIREMENTS N/A Provided Staff Completed Washington State Energy Code form ❑ !/ Plans must indicate fuel source for furnaces,water heaters and other appliances. ❑ (- Manufactures Specifications for each unit or component for HVAC &plumbing ❑ Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans MUST include all credit information on the plan ❑ details such as insulation,ventilation,furnaces,windows etc. Plans must also include the number of credits and which credits are chosen. I verify that all required documents, plans,and specification associated with this application have been submitted and are accurate. T—dA�1- i2obC-A Cfast e S gna re of An or authorize gent Print Name Dat