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HomeMy WebLinkAboutBLD2023-01192 SFR - BLD Application - 10/3/2023 Permit MASON COUNTY COMMUNITY DEVELOPMENT OCT 0 4 2023 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Stre(A PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:So *'io\\A2 1Y\cQv%\koLn NAME: "une. Homes MAIL G DRESS: OX2 MAILINGADDRESS: 30to b 2VIA CM: % STATE:W ZIP: a CITY:Pyy0,\\Up STATE:W ZIP:98 3 •�. PHONE#1: 2 2f0o PHONE:aM "i 0224410ELL: ■•. PHONE#2: EMAIL: LNOrC EMAIL:" L&I REG S EXP. I /8/ w.•.•.•,,�� PRP14,RY CONTAC OWNER)q CONTRACTOR❑ OTHER❑ NAME \ l�\�\A� EMAIL I.MCE ®Z rW) \\.cOM MAILING ADDRESS oX WjW5 CITY lie \r STATE W�ZIP q PHONE jx)2 7 2kS b j1G\6 CELL i PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) �01 Oct—1�)—0 o O o© ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT a SITE ADDRESS \50 NE-T-0-AI `f 09, CITY %P—\Qx\r DIRECTIONS TO SITE ADDRESS-TA)Q 0OW15 w\ Roo. rOM OIL. %Y W V;cAow koAt mt •crd•Ur,re c^ V%W\r.en F er OIL s cr IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOO SNOW LOAD:_psf 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❑u REEPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc Y\.) \MaY J \` e IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS off. HEATED STRUCTURE? YES(WholeB/dg) YES(Part[,)ofB/dg)❑ NO❑ DESCRIBE WORK NC� Qn &r\Or1 SQUARE FOOTAGE:(proposed) 1 ST FLOOR. sq.ft. Epp FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVE_REr D Z41 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 52g 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❑ / NEWffi EXISTING❑ I YE O I es attach completed Water Adequacy PLUMBING IN STRUCTURE? S N jy mp eq acy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ 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 14.08A2) X '-Pp"M-z— 10A)a093 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 Permit No:-614 2OL3 •01 1 q�k MASON COUNTY COMMUNITY DEVELOPMENT H"GO Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 5o5eO%4L \-\OWe.`f'nCW*%\\Ckn NAME: i'P- Names MAILING ADDRESS: fO DX a"�b MAILING ADDRESS: 1\ b Wo band PrVe- E CITY: 6eWO&1r STATE:WPc ZIP: gBSPS CITY:90yOAUP STATE:W 14 ZIP: 985aa I"PHONE: a fib 3g1b PHONE: a53-V40-'�2 W CELL: 2°d PHONE: 19-� 551 9b"ib EMAIL : LflprCVl��lnilir�e �nor`�eS.COr+1 EMAIL:Z' %`MCni -C oM L&I REG# 553y3 EXP. I1 /8 /a3 N2L I1v i 0 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 1 a3 a q 13' UU GCICJ Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: \r-J0 NE�oS�er 09- CITY: ?:>(! iY- DIRECTIONS TO SITE ADDRESS: -'vrYn can o YDavi5 FAry"-\ '2U0.,A- -FirOrn C)X& 2)6RAilr kAWt,j .Vo\\ow nc.\.1\5Fcrr,., ' Loc 6 once- tooQ 5t* -e,c� ik A-vXnS to \r---j O Y•►E F o cAQ r vDrL. TYPE OF JOB: NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR[ 2ND FLOOR=BASEMENT=GARAGE®OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fix s Fees Fuel Type:Electric[�al`G=Natural Gas=Ductless= Toilets 01-1 Tyne of Unit No.of is Fees Bathroom Sink— Furnace Bath Tubs bL !L Heat Pump / Showers a► Spot Vent Fanf Water Heater Propane Tank Clothes Washer 1 ✓ 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. X �� 3 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:'127/2016 JBN Davis Farm \S Planning Setbacks Front(North): 25' '� v+;h Y Epscmen-t Sides:20' .I Rear: 20' Irene Creek: 165' EH Setbacks e .all setbacks measured from the farthest I ' projection of the building A.) Drainfield/Reserve requires 10'setback from footing/foundations Sceptic 5 stm p B.)Septic tank(s)requires 5'setback from all footing/foundations 'subject to EH setbacks I C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area y i D. No Cut Bank(s) realer than 5ft and over 45 degrees)within PLNApproved 1 _ _ '_ _ a 50ft,down gradient of Drainfield/Reserve area 11/09/2023 Mason County Community Development ' Gavin Scouten Fr �}a5 FT All Changes Subject to Approval o +� j EH APPROVED j Rhonda Thompson 02/13/2024 F ram: t b k j k Tcmber eye � 60 \�Qng9en,e,�+ q Facce Rcce GEC . t i parce I t\)ur,he(- 1 a3aa-\3-�occo tL �I jco,le � I, t„60 ,Y p t bOo FT ?)L020Z?5 -O l lot 2 Name rY1�'(,)()1 I I �( Parcel# ai�Ja�- ��— BLD#_ 2v2.3 1 q p 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.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 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- described property for review and ins ection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 i 5 Name\�Ok\\e-MCQ\A\Gh Parcel# 1 a13 99 —13-00000 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. 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 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) 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 inspection as may be required. X_44OL6e Owner/ gent/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