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Home My WebLink AboutCOM2021-00080 Replace and Remodel MFG Home - COM Application - 1/13/2022 MASON COUNTY COMMUNITY SERVICES Permit No: 2. ^ 660601 PERMIT ASSISTANCE CENTER: .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 9B584 Phone Shelton:(360)427-9670 ext 352•Fax.,(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)462-5269 BAN 13 2022 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION615 W. Aid r Street NAME:s UEMATL: GAD $S: Qll" '')�,I 13 jI �[v1P.ILINGi AD RFSS:Z ` + STATEW ZIP: %,3R 3 CITY 111 t o�P. STATE: ZIP: gig_ 1: ;3(��1-(:�-r I q-73 I PHONE: CELL: #2: EMATL: 'Y 1 L&I REG# 0 -d EXP. YRY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME EMAIL Ltbw fir'' G MAILING ADDRESS ( ) 2. CITY 7 V STATE ZIP PHONE �� 1)-1 p t♦q-7 3q I CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 1"L3-3 ZSyOy d I 0 ZONING LEGAL DESCRIPTION(Abbrcvia�tc'd) FIRE DISTRICT SITE ADDRESS �_� � i �it✓i 11 ff. CITY 138&t r DIRECTIONS TO SITE ADDRESS iS THE PROJECT WIT`MN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_Psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (eheotatt that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW j%i ADDITION❑ ALTERATION❑ REPAIR❑ OTHE USE OF STRUCTURE(Revidmce,Garage,Cammer W Bldg.Etc.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS ER OF BATHROOMS HEATED STRUCTURE? YES(Whale Bldg)1% YES(Partfsl o(B1dg)❑ NO❑ DESCRIBE WORK 'e I (eve) . ✓ VL p 1aL,LKyAJ SQUARE FOOTAGE:(p,,p,..d) Ibb rtc� l S^ S FLOOR �15z sq. 2ND FLOOR sq. 3RD FLOOR sq.R BASEMENT D C ft.K��sq,R COVERED DECK sq.ft. STORAGE sq_fL OTHER sq.ft Q�� \ rv\ GARAGE_G�sq.R Attached$ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ ihQ..rJ L jam— MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* Gjz's++ ,t MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWERS / NEW❑ EXISTING 4 �G PLUMBING IN STRUCTURE? YES[ NO❑ Ifyes,attach completed Water-Adequacy 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 structum(s)for review and inspection. This permitlapplic ation 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 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 t MASON COUNTY COMMUNITY SERVICES Permit No. I - 00000 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St- Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair.-(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFO ION: CONTRA TOR INFORMATION: NAME: Mc, NAME: 0 NIL' MAILING DRESS: MAII.ING AD SS: CITY:6 iv*vdaLt- STATE:\e1b ZIP: CITY: d STATE:VIA ZIP:K9 1 S`PHONE: PHONE: - CELL: 2"d PHONE: 2 EMAIL : d v d • EMAIL: L&I REG - EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 12_33 5 OOOO ) Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: 23`3(e J 'E -�. -F_ CITY: Q")y DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: f NEW_ ADD ALT REPAIR OTHER USE OF BUILDING rVC 1 al LOCATION OF FIXTURES/UNITS—1ST FLOOR_2ND FLOOR BASEMENT_)oG _GARAGE g OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL U fts Type of Fixture No.of Fixtures Fees Fuel Type:Electricyy� LPG Natural Gas Ductless1 Toilets _ I _ Type of Unit No.of Units Fees Bathroom Sink _ _ Furnace Bath Tubs 0 Heat Pump Showers �_ Spot Vent Fan 2— Water Heater _ ( Propane Tank Clothes Washer _ ' (j 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 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN MASON COUNTY COMMUNITY SERVICES -PerrnitNoejo rn 2DEI - 0WOo PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL RECEIVED • 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 JAN 13 2022 • Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION W. Alder Street OM2MR INFORMATION: CONTRACTOR INFORMATION:. N NAME: k61 ll G DRESS: Z MAILING AD SS: C a STATE:_ZIP:'b CITY: cL'' STATE:W.A ZIP: I s NE: t36 p-b t f 9--7E3q I PHONE: CELL: 2 ONE: 2 EMAIL: 0SAAlil luji'sm_ of• lain. L&I REG SM td. 102q-0 1 EXP. 1l 1 /Zi P CEL INFORMATION: PARCEL NUMBER(12 Digit Number): 12,332 5 6000 10 Zoning. LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: 2353te I 2 CITY: .Q'ly DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING fpyjy �0�a l LOCATION OF FIXTURES/UNITS—1 sT FLOORS 2xD FLOOR BASEMENT—0 GARAGE g OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL U�TS . Type of Fixture No. of Fixtures Fees Fuel Type:Electricy LPG Natur Gas Ductless Toilets _ I _ Type of Unit No.of Units Fees Bathroom Sink _ Furnace Bath Tubs 0 Heat Pump Showers �_ Spot Vent Fan Water Heater _ Propane Tank Clothes Washer _ � � S � Gas Outlets Kitchen Sinks 1— Wood/Gas/Pellet Stov Dishwasher Kitchen Exhaust Ho 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 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 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 PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN Name OS _ Parcel# Mason County JqN 13 2022 Department of Community Development Small Parcor4mwater Management Application/WotU6cW.( k#*r23*g�t Based Upon the i iron you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chap . 8 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Manageme jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co. son.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.450 100 W PUBLIC WORKS DR SHELTON,WA 98584 If this development has,or will have,a septic/draintield 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. 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 r- S Name%JU�'VJJ, bjAIWJJ5 Parcel# 12332� 16 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 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 = SZ 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 14 a aer/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. Pagel of 2 �� 11 ryop o� A �e fI 3 YA -y J a G/ �Po StateNF St Route 3 z ate 011t Water Line k Existing Driveway 75# ADA Parking kV 5ign Set Back Line Ramp T Property Line 201 Power Line 5 —Existing House '1 (No change to Footprint) ewer Line Existing Drainfield O 50 125 Site Plan 5c.ale: 1 = 40' Site Addre55:23361 NE State Route 3 Parcel #12332-50-000110 1 = 201 SEL13Yes1 qnitd.corn DESIGN360-64q LTD VE51614 FOR: a Address: 23361 E ST RT 3 Pay- 1027 Killeen PI 5w Port Orchard,Via q5361 Ted & Kathy Becker Belfair, September 4, 2021 1 UALW.5elbL0 -lb2b I NVqA qb526 1