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Home My WebLink AboutBLD2024-00323 Addition - BLD Application - 3/11/2024 Permit No: FjLDa.o��{--oo3a3 MASON COUNTY R E C E I WE D 4k COMMUNITY DEVELOPMENT I, Permit Assistance Center,Building,Planning f AR 1 1 2024 BUILDING PERMIT APPLICATION t PROPERTY OWNER INFORMATION: // CONTRACTOR INFORMATION: NAME: MAILING SS: MAILING ADDRESS: CITY: STATE:�—ZIP: CITY: STATE: ZIP: PHONE#1: —f4R—'79V D Z PHONE: CELL: PHONE#2: Zb EMAIL: EMAIL: 5 L I REG# ENP. / /_ PRIMAR CONTA OWNER ONTRACTOR❑ OTHER❑ NAME EMAIL MAILING AQ&S CITY STATE-1�-- ZIP PHONE LV CELL — PARCEL INFORMATION: Awn PARCEL NUMBER(12 Digit Number) ✓ Z7E:DISTRICT G LEGAL DESCRIPTION(Abbreviated) FSITE ADDRESS 9,00 1!• p 1� ►E-CITY DIRECTIONS TO SITE ADDRESS L-a O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] Nt� SNOW LOAD:�xxpsf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (CAwckall that apply): %> SALTWATER If LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(B..tdwrc.,Ghmg.,C tcwlBldg,Etc) 5 D IS USE: PRIMARY❑ SEASON NUMBER OF BEDROOMS ER OF BATHROOMS-7— HEATED STRUCTURE) YES 7.1. YES(P-[.jafBkW❑ NO DESCRIBE WORK A SQUARE FOOTAGE:(ptopa..d) 1 ST FLOOR_ sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT ..ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.R OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MOD ��YEAR LENGTH WIDTH BEDROO BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING UL PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOM: a PROPOSED BEDROOMS TOTAL BEDROOMS 3. OWNER admowledges that submi lion of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of luch is by signature below.I declare that I am the owner and I further dedare 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 R 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 APPLICATION OF 180,DVS OF MORE WILL CAUSE THE APPL ATI TO BE EXPIRED.(MASON TY CODE 14.08.42) 2o X ' Signature of OWNER(MIalbe signed by the OWNER Date DEPARTMENTAL REVIEW APPROVED D:AL"IF 1)L IE1) DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: &U&& -OD3a3 MASON COUNTY 'E I V E D COMMUNITY DEVELOPMENT 00 Permit Assistance Center,Building,Planning t41AQ 11 2024 BUILDING PERMIT APPLICATION _ 615 W. Aldarqt PROPER�yTT�Y,,��OWNER INFORMATION: CONTRACTOR � � CONTRACTOR INFORMATION: NAME: JWJO-P W4U K0$1� —"— NAME: MAILING AD SS: 4A MAILING ADDRESS: CITY: f STATE:Ia ZIP: CITY: STATE: ZIP: PHONE#1:_ �i4�-74 O Z— PHONE: CELL: PHONE#2: Zf� - �51'- PRDI&n EMAIL: G) EMAIL: I REG# EXP. CONTACT— OWNER ;;TRACTOR❑ OTHER❑ NAME 420 ly EMAIL MAILING.Aft 121 11 00LII CITY STATE ILA ZIP PHONE — CELL 57 — PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) '0� Sz �D`�D ZONING M 7- LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITEADDRESS 900 C. � l�1�-cITY IJ�/F DIRECTIONS TO SITE ADDRESS �-��4p IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NC!A SNOW LOAD:psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: Xhackalrrhorapply): % �� SALTWATER& LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDTTION)K,,ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,C rcra►Bldg,Eta) IS USE: PRIMARY❑ SEASONA. NUMBER OF BEDROOMS_ '� ER OF BATHROOMS Z 67 HEATED STRUCTURE? YES re Idg1 YES(Pa.rl+l at81❑ NO DESCRIBE WORK �/,f J (1�� LS'FR SQUARE FOOTAGE:&,.p. U 1 ST 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 sq.ft Attached❑ Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE �MOD ��/ YEAR LENGTH WIDTH BEDROO BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING U_ PLUMBING IN STRUCTURE? YES NO❑ if yes,attach completed Water Adequacy Form PERRAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOM: A PROPOSED BEDROOMS ;k TOTAL BEDROOMS OWNER acknowledges that sutsmi on of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of Lch 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 perrmiUapplication 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 PE APPLICATION OF 1850Z9S OF MORE WILL CAUSE THE APPL ATI TO BE EXPIRED.(MASON TY CODE 14.08.42) LP Signature of 6WNER be si ned bv theOWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: &LDRO a4 00323 MASON COUNTY COMMUNITY DEVELOPMENT I, Permit Assistance Center,Building,Planning t�1,AR 1 1 C00L? BUILDING PERMIT APPLICATION 615 W. Aid t PROPERTY ,,��O WNER INFORMATION: � CONTRACTOR INFORMATION: NAME: 4W�f�+I�yL Tll� `J NAME: �9 MAILING AD SS: MAELING ADDRESS: ..�. CITY: STATE: ZIP: Q,1.41 CITY: STATE: ZIP: f� PHONE41: pub- -r7q Z- PHONE: CELL: L PHONE#2: Z& -- EMAIL: EMAIL: 5 I REG# EXP. PRIMAR CONTAC OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING }R,,E,S ` ✓ CITY t STATE�Z _ZIP PHONE CJ L CELL — PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) z— ' Q19t')' ZONING In LEGAL DESCRIPTION(Abbreviated) FIRE DIS�T?RICT SITE ADDRESS 900 '• T flPIP lJ F CITY oft I,L1 ,W�' DIRECTIONS TO SITE ADDRESS L- T 4P O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOA SNOW LOAD: s�-psf ]IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER R LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION)�\ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Restde ,Gamge,C rcial B14 Eta) D C' IS USE: PRIMARY❑ SEASONA NUMBER OF BEDROOMS ER.OF BATHROOMS Z HEATED STRUCTURE? YES le ldgl YES(Part(:)ojBldg)❑ NO DESCRIBE WORK SQUARE FOOTAGE:(prcp.4 I ST FLOOR 4(0 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.A BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ff. STORAGE sq.ft. OTHER sq.& GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.R Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MOD YEAR LENGTH WIDTH BEDROO BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW[I EXISTING 9— PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERRY ETERNOUNDATION DRAINS PROPOSED? YES O NO[] EXISTING SQ.FT. EXISTING BEDROOM: t7c PROPOSED BEDROOMS TOTAL BEDROOMS 3 OWNER acknowledges that submi lion of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of Loh 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 PE APPLICATION OF 180 S OF MORE WILL CAUSE THE APPL A/4 TIO TO BE EXPIRED.(MASON t/� C,O TY CODE 14.08.42) Lf C YO , Signature of OWNER M be signed by the OWNER Date ....... ...:. DEPARTMENTAL REVIEW APPROVED DA-I E DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH EH setbacks EH APPROVED A.)DrainfieldiReserve requires 2'setback from footing/foundations Rhonda Thompson 08/09/2024 with WAl a-4.—'-2 B.)Septic tanks)r uires_'setback from all footing/foundations - N ,I with wAl 2o2a O�078 C.)No foundation/Perimeter Drains within 30ft,downgradient of Q \ DrainfiekYReserve area / , t)g D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)withinC-I i QI — _- - 7 50ft,down gradient of DrainfiekYReserve area it I - t- t �_ EXISTING RESERVE t + J I EXISTING DRAiNFiELD yj DECK � (D ►N�' r '�' i yF�/ c� EXISTING cc j I DECK 1D ij- h q Q w Q too I t Twwa 31rOr r-r- ^�1.11``- O g .ra 30• 2'min from tanks to fs new footings 's I ' f - --i wr i I + A 6o goof Mao >/ft 11 Od li C Permit No: 0 �D p,3 MASON COUNTY COMMUNITY DEVELOPMENTRECEIVEM MAR 1 1 2024 Permit Assistance Center, Building, Planning 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER FORMATION: CONTRACTOR INFORMATION: NAME:, a— j a LL NAME: MAILIN DRESS: 260 ..i4tw�17� , MAILING ADDRESS: CITY: STATE: t.0k_ ZIP: qv�{ CTTY: STATE: ZIP: I PHO — $ — PHONE: CELL: 2°d PHONE: 0— G S EMAIL : EMAIL: SUL /1uG 4, L&I REG# EXP. PARCEL INFORMATION: , PARCEL NUMBER(12 Digit Number): Z ,SZ fJDo(o o Zoning. f-W!;).D0)V77) -L, LEGAL DESCRIPTION(Abbreviated: SITE ADDRESS: 40f610 qDO A5, 7?�-P -S" 151.66P /VF-. CITY: �4 RV DIRECTIONS TO SITE ADDRESS:T TYPE OF JOB: NEW=ADD�AL I�REPAI OTHER=USE OF BUILD�Wt�G6E[:= LOCATION OFF S/UNITS—1sT FLOO 2NDFLOOR=BASEMENT OTHFRQ PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tie of Fixture No.of Fixtures, Fees Fuel Type:Electric=PG[Natural GasODuctles Toilets TYBe of Unit No.of Units Fees Bathroom Sink I Furnace Bath Tubs Heat Pump I Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher / Kitchen Exhaust Hood —L— Hose bibs I 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 WILL IN ATE THE BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS APPLICA N��if X ,.✓ Ah ignature f Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BI TIL,DING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN BLD# aQO1.A+'O Q5,_?,3 ------- 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. 'Redevelgyment 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 I 4P — X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = 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) pl 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- de property f d' ti as may be required. C.� �e�r/At/Contractor(circle one)Dater 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 N`_�72�_� 1��arcel# /�OS— ,j 2 0�� BLD# ,F)��-3 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: httQ//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 th ' rmation provided is accurate and employees of Mason County are granted access to the above- zz7vlz pecti may be required. Owner/ ent/Contractor(circle one Date: Page 2 of 2