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Home My WebLink AboutBLD2024-00918 SFR - BLD Application - 7/29/2024 Permit No ; MASON COUNTY COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center, Building,Planning JUL 2 9 2024 BUILDING PERMIT APPLICATION�.,15 W. Ader Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: f� Z� i t !LI{t/�/i E NAME: ✓ / f MAILING ADDRESS:i 1 E A5t LA C MAILING ADDRESS: 1C>1 s�. terseczer�rlc F" CITY: SNe'-Lxck i STATE: U)A ZIP: 7,?S&f CITY: C&AeLroo STATE:.Vj4 RN � PHONE#1:� 4f34. 3t12 PHONE:`gf-,p .g40 --qqa( CELL: PHONE#2: EMAIL : i i Le EMAIL: e oIA;xI P�ij L&I REG# Tx21K EXP. 7 PRIMARY CONTACT: OWNER❑ CONTRACTOR g OTHER❑ NAME `r7An cRAr/p✓ EMAIL c 'V' -) MAILING ADDRESS t0 r � F t?cxe_CLk3tyd C,rT CITY vR f-te_C TZ w_) 9TATE WA ZIP 4ywA PHONE � - -:K_,P4-3/V7 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) A. C� - i L f ZONING LEGAL DESCRIPTION(Abbreviated) ffP '1,-)1 V L64- P I FIRE DISTRICT SITE ADDRESS SSA . 02_ t-A , CITY S-tfecXm&J c�QA. DIREC IONS,TO�rSIT DRESS mltt� 1L , o 11 t'u� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Iff SNOW LOAD:&'T__psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that appl}): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW® ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc) ',`,2_F9_ IS USE: PRIMARY R SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK ,41&,a �SCif. SQUARE FO()PAGE: (proposed) I O 1ST FLOOR sq.ftft. 2ND FLOOR( ,sg.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. DECK��sq.ft. COVERED DECK '�o sq.n. STORAGE sq.ft. OTHER sq. ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT_ _sq.ft. Attached❑ Detached— MANUFACT FORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* 71DTH_:::: BEDROOMS MYEAR LENGTHB�A ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑' / NEW❑ EXISTING R' PLUMBING IN STRUCTURE? YES J3 NO ❑ If yes, 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 rPnracantativa rP-nrP-GP-ntC that thv infnnnatinn nrnvirind is nrinirntP and nrantc camnlnvanc of Macnn r.ruinty arracc to tha nhnva rlacr-rihwi nrnnarty MASON COUNTY Permit No:�I c I Zoo-4 -�18 -� RED ! fr7D COMMUNITY DEVELOPMEN I 2 9 2024 Permit Assistance Center, Building, Planning 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: U,)Ai _S N NAME: �1 iC/2�5�s�,fl # SOr✓1 rv1S�TC. MAILING ADDRESS: S i= Poi nr`c »,2_ a�1, MAILING ADDRESS: l o 1 s E_ ��cti5ec rC� CITY: sS pjrn c)__STATE: 9A ZIP: CITY:SHec.Tb&) STATE: WA. ZIP: 1`t PHONE: t ue � ,� � PHONE:i3&0-Y32• t V,7 CELL: 3�• nd of y0- S�fHf 2 PHONE: EMAIL : 4e : baw }i rXs r! em, EMAIL: L&I REG#,'1 Lr ri<5-I sF il EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): , j j — 1 j 3 — v - Zoning LEGAL DESCRIPTION(Abbreviated): L I) (� SITE ADDRESS: SSA r��I�T CITY: .5-fA&-L•TZAJ t✓e3,c>E DIRECTIONS TO SITE ADDRESS: t/Ats?tn� Pol.1F— rat C� T� �� aT 7-, 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 Fixtures Fees Fuel Type:Electric=PGQNatural Gas[=Ductless0 Toilets ig lype of Unit No.of Units Fees Bathroom Sink 2 Furnace 1 Bath Tubs L Heat Pump Showers / Spot Vent Fan Water Heater j Propane Tank Clothes Washer i Gas Outlets Kitchen Sinks / Wood/Gas/Pellet Stove Dishwasher / Kitchen Exhaust Hood Hose bibs 2, Dryer Vent Other / A-.tnnry 5vlt i 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 *.�" 'Q : '�— /57 - '-7-- 2-g- z7 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JSN Name k� r Parcel# aj (1 '%'/ ��LO t BLD#_ Qb 2i 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. '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 Owner/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. Page 1 of 2 APO Name Parcel# �� -%��Uf U�' 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: httpHwww.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 prope review and inspection/ � as)may be required. X ��____1 —' / Owner/Agent/Contractor(circle one)Date: 1 mil- Z Page 2 of 2 CONCRETE MONUMENT W/BRASS DISC(LAST SCALE• 1"= 10 FEET LEGEND DESCRIPTION VMrM FEBRUARY,, 2024) / / 0 70 p • _ /`A AP HBOLMAh PLASTIC 156659" SEB STATHTVRY WARRANTY DEED _F WATER YBLiA AUDTDR'S FD8 NO. zo79849 EH AP.F�ROVED D VALVE o = M> NOTED RECORDS OF MASON COUNTY, WASHINGTON / FIRE HYDRANT (P)= PLAT TOGETHER WITH AND SUBJECT TO EASEMENTS Rhonda T/h6mpson 08/20/2024 �� ry)= MEASURED RESTRIC'Mn M9SERVATTONS AND COVENANTS OF OO C3= DECIDUOUS TREE ' °RD 5 ' HARTSTENE POINTE ADDITION 4 0= CO T 4VxPublic ewer and r c q 'b At 120. ��/ $ ¢oJ�O a\ 7✓ }.ice.4ar1 .��- 7 OY POTTER VAULTtov 5 / O� ❑ (- }Y' ++ RADIUS= 45' GRAVEL DRIVE ' 1 +" J \ ` /. X 10 IRON BAR .,.-.> �CONCRETE MONUMENT W/BRASS DISC(LAST s►°' iLOT 61 D 0-- VISTID FEBRUARY, 2024) (,T1 PLANNING SETBACKS: CURVE TABLE 5'All Directions -' ze.,s 35.49 0 A all setbacks are measured form 45.00 3L59 40T1S 20 i�' � IS . A5.00 ,e 4a ,4D the furthest projection of the building 0 s 00 34.49 43S4 s 'subject to EH setbacks - 'Cb �45.00 ./3 48'S560 43.00 .a1 943s 20 PLN Approved °/ NW I/4, NE 1/4 08/01/2024 (GOUT LOT 1) Mason County Community Development REFERENCESURVEYS All ChangesGavinect o off` Suubbject to Approval ( �i HAR75TENE POINTE ADDITION 4 VOLUME 8 OF PLATS, PAGE 121-124 Disclaimer �k7L"AHo%' Mason County does not require surveys for EQUIPMENT AND PROCEDURES building.As a result,site plans may not reflect PROC SoAMA MURRK �TRAVERSE accurate data.It is the applicant's responsibility 24-012.DNG to comply with setback requirements. SEC. 19, TWP. 2i x., R I w 24-012.ASC AUDITORS ORm CAM SURVEYOR'S CER,TF7CATE HOLMAN & ASSOCIATES SURVEY PRDFESSIONAL LAND SURV%YORS FDED itlR RECORD TH6 .. DAY.. 20 ORDER NA/'CORRCMN REPRE4ENT5♦SURVRY MADE BY NE E P.O.BOY 23M UNDER NY D@RCTNN W CONMT AT T ITN UI REpUfRP.MENIS FOR S ELTON. PA WW4 OF T!¢SURVEY FECORORVG ACT AT TR%RFQUS'Sf OF AT ...... Y!N T00% OF..._... (990)f2%-2RR0 PHONE holm"Ohotc- EVANS LIVING.7T{UST EVANS LIVING TRUST PAGE.... ...._AT iT�RaV OF DAM Y P RDLYAN DATE JOB NR 24._ IN CMF FEB, 2024 24-012 - .. MW IA NE 1/4(GOVT ILrr 1) CMW 9r xAll -N WX COUNTr AUDTIDR DANRL F 7NIIYAN c%R77FtCAre NG.W53 SEC77ON 19. TOWNSHIP 21 NORTH, RANGE I WEST IF,M. I)CH 1'= 10' I OP 1