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Home My WebLink AboutBLD2022-01454 SFR - BLD Application - 2/22/2023 3` MASON COUNTY COMMUNITY SERVICES Permit No: \ PERMIT ASSISTANCE CENTER: r •BUILDING•PLANNING•PUBVC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98564 Phone Shelton:(360)427-9670 ext 352•Fax.(360)427-7798 Phone T Belfair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 3 NAME: MAILING ADDRES of MAILING ADDRESS: CITY: @ t+4- STATE: ZIP: CITY: STATE: ZIP: PHONE#1: '"�60--LA-] 1 PHONE: CELL: PHONE#2: Eh4AIL EMAIL: ► Q fir'^ u ENP. PRIMARY CONTACT: OWNER 1] CONTRACTOR❑ OTHER❑ NAME ZA774 / +Sr v, EMAIL MAILING DRESS t4 CITY i l� STATE ZIP PHONE L CELL PARCEL INFORMATION: B ILDIN"G PARCEL NUMBER(12 Digit Number) KJ I 0 'y� ZONING LEGAL DESCRIPTI N Abbiated FIRE DISTRICT r v SITE ADDRESS 0) C . I CITY 5 Doi �r�) DIRF�CTIONS'4 S ADDRESS ( E, iu IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ff SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check art that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND IR SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 11 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Gamge,commercial Bldg,Etc.) IS USE: PRIMARY M SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Btdg)❑ YES(Part(s]oJBidg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(propose49 1ST FLOOR 00 sq.ft. 2ND FLOOR%k2 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK yq b, sq.ft. COVERED DECK 70_sq.ft. STORAGE sq.tL OTHER sq.ft. GARAGE' sq.ft. Attached❑ Detached❑ CARPORT _sq.ft. Attached❑ Detached JE 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 1(0'0 SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES e NO❑ I es,attach completed Water Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES NOD 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 6 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 APPLIC,4kTION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON �t COUNTY CODE 14.08.42) X r 1 Signatur OWNER(Must be signed by the OWNER) Date DEPARTM TAL REVIEW AP OWED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT f<< 2 ZZ- PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: (RAll-Oi L6 l 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 CF Phone Belfair: (360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATI" N0k l FO OWNER INFORMATION: CONTRACTOR INFORMATION: •.q NAME: \ NAME: MAILING ADDRES : C,.)Wl ^+ 2Zy AILING ADDRESS: rent CITY:j p- 4,j STATE: W ZIP: CITY: STATE: ZIP: ls`PHONE: (pD 7t/-(� I PHONE: CELL: 2°d PHONE: EMAIL : EMAIL: VL/'2 "�� &I REG# EXP. PARCEL INFORMATION: �J • PARCEL NUMBER(12 Digit Number): 0 -��- ®� Zoning: LEGAL �DESCRIPTI�N�Abbrevic(ed): SITE ADDRESS: ` CC �. CITY: DIRECTIONS TO SITE ADDRESS: �T BUILDING TYPE OF JOB: NEW ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS- 1IT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixt es Fees Fuel Type:Electric=LPG=Natural Gas=Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers -I,/ Spot Vent Fan _ Water Heater Z- Propane Tank Clothes Washer Gas Outlets Kitchen Sinks 2. Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood _ _L- Hose bibs r Dryer Vent "2- - 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 TH APPLIC ON X 6VU - 2e � S gnature olpwner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN Name Parcel# b�� I D# 2022 Li S_I Mason County BUILDIN 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 30 X 3 5 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/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) 1 Qs(� 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 roperty figor review ins ection as may be required. X 0 Owner/Agent/Contractor(circle one)Date ca If the Total pe eusSurface Area is GREATER THAN 2000 Square Feet, please read,ackrTo ign the information provided on page 2 of 2. o '1� V Page I of 2 61 S yV , ?022 q/ re., Name Sv Parcel# `0 _�S— � BLD# 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 i formation provided is accurate and employees of Mason County are granted access to the above- described prope for re ' an inspection as may be required. X Owner/A nt/Contractor(circle one)Date: Page 2 of 2 �` �� {..L < ///O L.L_ - - ' - ,- - - SITE - I � I i Ava.Rtl I I I i VICINITY MAP_.—. _. NTE w I i tD �� J "�"---r SITE DATA ___ _.... i Q SCALE M FEET I I I SrtE ADDrtFss. SE05 FA.Ss. GT AGPTE PC�i I p LL z �f< I ( 5N¢TON wA xsae N J. TI„Vk 'I[[{{ff GROSS ACREAGE'. 0�35 AC(PFR COUNTY OATgI SQN LEX -STIN. E v.uNr Q_w I t f I PRE51 KTpV. MASON COUNTY.WA -,UI n. S�W 22 1At 6 I I 1 DIRECTIONS — Z ¢ Mf NTOF sTAKBf RRKW q, ARO ABERD EHNORT N.eArto Wt HGELAE iq THE V9 KR EMf OPRJ SMFLTON/POR NGEIES EpT mT O 3N TOWAROS ETOWERE EPTON.TWN RIGM ONTO _� II \// 4LltOA AVE.1V11N tE14 #IT 555iREET O Ni$T.Ii i I fY �Y \ f� I ( E AGPIERTUtMS RICH'MD 9ECON WA J WE fNE 5i.NNry eGNT OM1TO EXISTING CONDITIONS K ..-I fneWtmlvmwo WR'v \ \ \ �.. I � EAETRiGfEPTIFEs<eE gPppKNATELY/S OENCi ED YI NAfgI ("�" R COUNTY OEOOAi TING OEATURES AND TOPOOMPHY fNOWN I I WIi4 EE VEP�FfO PRpR CREG4NNNG CONSTRUtn .ANY AND ALL { dSCRPgNCESPo EETwEEN1IT5IXISt NGCONM'CNSANO TIE FX STING CON Tq, SHOWN HEPE H4l BE Df IRk'O TO THE € �.,154 re.pK+Y M.rN6 \ � PROJECT ENgNEER TO COHf,N'UANCE CP My wORK a i PROPOSED SINGLE-FAMILY R F- Ne.P.fP.+.Y..Y I I RESIDENCE I TV I SETBACK, A)Drainfield/Reserve requires 10'setback from footing/foundations t__ J B)Septic tank(s)requires S'setback from all footing/foundations Nnow wM',EE OW $ Q No foundation/perimeter drains within 30'down-gradient of drainfield E _ I reserve area � — _ _ _1_J D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' _ down-gradient of drainfield/reserve area VED EAST AGATE RD - — — — D.Anderson 02/15/2023 ,:� 37 Legend Flanting Ams kfVefl9ndA-e-0ftR(=ducr=d Wedand ABSL ®Um Parce-I.-Asslectian StFE-E-t-CEntE-fines n2 ti 22018%.00007 APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL By: Date: 05/23/2023 Must plant 10 large trees, 35 large shrubs, and 20 small shrubs for a total of 95 native plants per the mitigation plan. Figure 5 Land Services NIN LLC Mitigation Planting Area 120 State Avenue N E#19 0 Parcel #220185600006 and 220185500007 0 10 20 40 Feet Olympia. WA 98 501 1 f f 1 MASON COUNTY BLU "ASTAMP COMMUNITY SERVICES - � p 6y1 Building,Planning,Environmental Health,Community Health &Okm D APPLICANT INFORMATION eye(please print clearly) " re Name of Applicant: Pare 1 Number: 220 I$ ' S S—gyp` Oho Site Address: 6so C, A64�. Rd 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 ❑ ❑/ and applicable fees are due at submittal. Provide a com leted plumbing and Mechanical Application ❑ SITE PLAN Provide one(1)copy of proposed site plan. Drawn to scale of either ❑ N 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 El rivate Show distances to all structures,septic tanks,drain fields,property lines,top of ❑ �/ slopes or cuts and easements. Zoning(indicate): Rural Residential: E12.5 ❑5 ❑10 ❑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). ❑ Contour lines in twenty 20 foot increments.See Parcel Map Viewer on website ❑ Building height shown on elevations at all four corners of structure. ❑ �/' 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. Is the site near a Shoreline stream,creek,lake,saltwater if yes,please indicate? ❑ Name of shoreline: Shoreline designation: Stream type F,S,Ns,N : Is the proposed site within 300 feet of a slope 15%of greater?If yes,a geological ❑ .B- report or assessment may be required. Existing/proposed on-site septic system and reserve areas,providing setback to ❑ structures. Existin iroposed wells show 100 ft well radius,with distances to structures). ❑ ❑-- Existing and proposed stormwater controls(downspouts,dry wells,etc. ❑ Exterior storaize tanks(propane)and HVAC equipment. ❑ PLANS N/A Provided Staff Provide three 2 copies of plans 1 full size min. 18"x 24"and 1 small size and ❑ It two(1)copies 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 ❑ ❑ callouts must be on plans. LOSK Engineered plans mus e c cif af'ions ara'ysis.Analysis must include the following information: • 2018 International Building Code • Snow load(by location) ❑ ❑ i— • 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 ❑ ❑ of finished floor relative to the Base Flood Elevation or Design Flood Elevation as designated by surveyor or engineer. FOUNDATION PLAN Plan view of foundation/footings/pads ❑ Type,size and location of footing(stepped foundation provide detail ❑ Elevation view of foundation steps,with final grade ❑ L9' 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. ❑ -8— Type 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. FLOOR PLAN Square footage of each floor ❑ Use of each room ❑ Cal/ ✓ Location and size of attic access ❑ $ --- Dimensions of building and rooms. ❑ Location and ty a of furnaces,gIONNOW ,and ❑ Q/ Include location of bollard for appliances located in garage. Plumbing fixture locations ❑ Location of doors,windows include size,egress,tempered andskylights) ❑ G7� Insulation value in floor. See Energy Credits for additional requirements,must be ❑ indicated on the plans. Location of ventilation fans and CFM for each. ❑ Q� 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 ❑ $ Building elevations-all 4 sides Show distance from grade at each corner. ❑ Exterior wall details when distance between overhangs is less than 5 feet. ❑ "$ Insulation value for walls. See Energy Credits for additional requirements,must be ❑ e/ 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 ' designated by surveyor or engineer. ❑ ROOF PLAN Layout of roofs stem ❑ Label type of roofs stem,rafters,engineered trusses&spacing ❑ Headers noted at each location or typical header noted. _ ❑ Roof pitch and covering materials ❑ Sheathing es,dimensions and fastening ❑ \?:� Attic venting t location unt ❑ Insulation value for r 38 vault 140 R49 ceiling)See Energy Credits for ❑ (v addition requirements icated 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. ❑ pecificatiM for each unit or component for HVAC&pi ❑ ❑ 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. z4ydky Si nature er or authorized agent Print Name Date� 2, 0 PROPERTY LI E 60—FT EH SETBACKS SETBACK____ 110—FTA V ERA G ED REDUCED A)Drainfield/Reserve requires 10'setback from footing/foundations BUFFER BUFFER B)Septic tank(s)requires S'setback from all footing/foundations Q No foundation/perimeter drains within 30'down-gradient of drainfield SETBACK reserve area D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drainfield/resenre area • EH APPROVED 15—FT BUILDING ,��TE D.Anderson 05/22/2023 SETBACK AINIM WALL ° a e < PROPOSED A SINGLE—FAMILY RESIDENCE e° TO LATERAL — — — — — — — — — SYSTEM - - - - - - EASTERLY — — — — — — NEtGORI/K SITE A E MATE ° LOCATMN OF ° POWER MID WATER a e Kt PROPOSED DRIVEWAY PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING PLANNING SETBACKS I APPROVED Front: 25' -�-�'��-" Front: 5 MASON COUNTY DCD PLANNING Rear:Side: 8' (east) SITE PLAN REQUIRED TO BE ON SITE Side: 27' (west) CHANGES SUBJECT TO APPROVAL *Subject to EH Setbacks By. Date: 05/23/2023 No clearing of native vegetation within wetland buffer. Must adhere to conditions in MEP2023-00005. PROPERTY BOUNDARY APPLICANT, BRIAN JOHNSON LAND SERVICES NORTHWEST SITE PLAN 60 FT AVERAGED WETLAND BUFFER 120 STATE AVE NE #190 (NOT A SURVEY) 15—FT CONSTRUCTION SETBACK ❑LYMPIA, WA 98501 (k PROPERTY SETBACK 360-481-4208 Scale: 1" = 20'