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Home My WebLink AboutBLD2023-00203 Garage/Storage - BLD Application - 6/20/2023 say coz, MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No-'*61 Gi 2020-00 W Zj ' •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Ike! Belfair.(360)275-4467•Phone Elma:(360)482-5269 FEB 21 2023 BUILDING PERMIT APPLICATION 615 W. Alder Street' PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: � � C��,cY\S�`n NAME: MAILING�ADDRESS:_ N-1 MAILING ADDRESS: •- CITY: 1JC'\rCcs�x- STATE: ZIP: 1, CITY: STATE: ZIP: PHONE#l:_-W,O PHONE: CELL: PHONE#2: EMAIL : EMAIL: L&I REG# EXP. / dwim PRIMARY CONTACT: OWNER ff CONTRACTOR❑ OTHER❑ NAME S. i�7M5CW\ EMAIL & .S��CC-�� 6 MAILING ADDRESS \"-1 G kN'x(:c-t' �k �� CITY kP\ - \t- STATE V\JA ZIP�f Z PHONE C7747 ELL PARCEL INFORMATION: rr PARCEL NUMBER(12 Digit Number) �`��J'1 u� 5� b ZOIINW,t LEGAL DESCRIPTION(Abbreviated) _'�{�(s, p� ��,�CS►1�j�� i{y 'r `� FTH Sf?a SITE ADDRESS \-10 tJ F 11,Q V, W�\J 'QL.i3 CITY ' \ � DIRECTIONS TO SITE ADDRESS md-t%a- ' .��A& oV\ MNZZA" \-k.\\ 'min&� v% IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOR IS PROPERTY WIMN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW V 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(Part[s]of Bldg) ❑ NO [ DESCRIBE WORK 3 � �� \ O )0� SQUARE FOOTAGE: (propose+existing) 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 )5GCS sq.ft. Attached❑ Detached ' CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL EAR LENGTH TH BEDRO BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ❑ EXISTING. PLUMBING IN STRUCTURE? YES ❑ NO 0< If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ N(V 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 Name w4U - cTy\S,3,*^ Parcel# 3 3 (37 S9 (�O( } BLE14,2 p -'i,�k2o 3 Mason County Department of Community Development FEB 21 2023 Small Parcel Stormwater Management Application/Worl s>); Mall gha 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 n` X = 1� 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- desc ' property Pr review and inspection as may be required. X Gam•- a gent/Contractor(circle one)Date: r �� 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 '1 • MASON COUNTY COMMUNITY SERVICES Permit No: &'O'aOa3-OOX3 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH PLANNING: �Q ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING ^� I u / fis Y'nux- 1 V EH SETBACKS A)Drai"field/Reserve requires 10'setback from footing/foundations 8)Septic tank(s)requires 5'setback from all footing/foundations C)No foundation/perimeter drains within 30'down-gradient of drainfield; reserve area D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' d wm gradient of drainfield/reserve area EH APPROVED - u.n,ia,,on 02/27I2023 Y5' >'J APPROVED MASON COUNTY DCD PLANNING PLANNING SETBACKS SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL Front: 25' Rear and Side: 20' By: ` Date: 05/09/2023 "Subject to EH Setbacks TOPOGRAPHY PROFILE: 51 cS v��,"c,•r� w 5� vC qO _----__-- �� +C�t202.3-(�203 Direction: gcal�:1 Approval: for office use Building Permit number. Building: Owner/Applicant: J �O1l}�C�v�r.�, �\al� Date of Planning: 17-4 r application: Env. Health: Parcel Number: 1133U-7 C 160 b 4f V\1