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Home My WebLink AboutBLD2021-00680 SFR - BLD Application - 5/6/2021 MASON COUNTY COMMUNITY S ER X=kA PERMIT ASSISTANCE CENTER: ?(IDOL•BUILDING-PLANNING•PUBLICHEALTH•FIRE61 W.0,Alder Street,Shelton,WA 9856406 2021 tB U I L®I P"Phone Shelton:(360}427-9670 exf.352•Fax:(360)427-7799Phbhe B-&k..(360)2754467•Phone Elms:(360)482-51269 BUILDING PERMIT P�LI �TIv r�I "v�vl PROPERTY OWNER INFORMATION- CONTRACTOR INFORMATION: NAME: M_�1 tE_>% )1)CklA" NAME: MAILING ADDRESS:I GOZ G Sealt$AC L Ato R MAILING ADDRESS: CITY:_ STATE: .IR ZIP:C)89�4 CITY: STATE: ZIP: PHONE#1:(IGQ)Z Y1-26 6 3 PHONE: CELL: PHONE#2•- EMAIL: EMAIL: e1. n L&I REG# EXP. PRIMARY CONTACT: OWNERX CONTRACTOR❑ OTHER❑ NAME �Qf.1 neWiA U EMAIL MAILINGADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION.- PARCEL NUMBER(12 Digit Number) Z Z t 3 Z 33q 0080 ZONING ReSj d2n-t-iG 1 LEGAL DESCRIPTION(Abbreviated) Li Jr 1 OF SI'Z fit- 5_k)A 1�Ji510 to FIRE DLSTR IC-T__ SrrEADDRESS 160Z Z '&k-Acer LfxUL Roo1 CITY sy)ckt:�n DIRECTIONS TO SITE ADDRESS 'Rb U��(l� 1•IJ YY1(I e d-AC a QA CNl Gc�,W,,1Pi IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14'/•: YES[] NO;q SNOW LOAD:2-6—Psf IS PROPERTY WITHIN 2W FT OF THE FOLLOWING: (Cheatell drat apply): SALTWATER❑ LAKE X RIVMCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW K ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Rardamr,caragg aldg,Erc) �eC�kencei IS USE: PRIMARY I ( SEASONAL❑ NUMBER OF BEDROOMS 1- NUMBER OF BATHROOMS HEATED STRUCTURE? YES(R7role BW K YES(Pa t[aj ajBW❑ NO❑ DESCRIBE WORK SOUARE FOOTAGE: (proposed) 1ST FLOOR Z,$�0 sq.A 2ND FLOOR sq.ft 3RD FLOOR sq ft BASEMENT sq_lL DECK_"" sq.& COVERED DECK _sq.ft STORAGE '—" sq.ft OTHER sq.ft GARAGE sq.8. Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑ MANUFACTURED HOME HWORMAT�IION:: *4 COPIES OF THE FLOOR PLAN REQUHtED* MAKE t{�t� kO1DEL GSJ� 2 YEAR ZV Z LENGTH 7Z. WIDTH ill BID O MS "i BATHS 7 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES Pk NO❑ Ifyes,attach completed WaterAdequacyForm PFIMAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS - — PROPOSED BEDROOMS TOTAL BEDROOMS — 01MER acknowledges that submission of intonate 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 penmiUapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction works 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 14.0842) X Signature R(dust be siarted by the OWNER I Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH it 1 100 RECEIVED f {�Of MAY 0 6 2021 615 W. Aidet 1 Z21 v L 33�1d\ov \ +>k Zz►3Zy31cv� \ 1 1 la X 1 -1w'o C` 1 -Ar l� N 33 tot sh 4 Via► 000 al o,�al- 0004ytr� • 3= Q_ 52�, w -aoac doll 1ST IM�� i a Z - �S' �'.+.. SEC 00-� � � MAY 0 6 615 W. AJd r « ING Zz�3�3'1CD�D �. I 1_.AN N ALLSETE3,�C;{:� AREEaSI�REl7 . . ; FROM THE FURT ST' OP OVE FROJECTI(JN OF THE UILRiNG D PLA.% NING O{TE P' 1!KOO!tE�TO APR�SITE �� ES,:. SUSJ�T CTQ i .. ,, . 1 . Ilk 733 � �" 'a 6)0 �7 •} RECEIV ® ENVIRONMENTAL oOf Ao MAY 0 6 2021 HEAL } _615 W. �,tCi r 5►s - .� Z,213L33� o ' N x- o. 00 �/: `.. ry 7two&@ ��L,�r'��1 -rani o . ._. �. �/� . • . ; . , S c ti Name' a% ( Parcel# Zz I3z oo BLD# ad al -CAD IOT() Rr-CEI ETI, Mason County J 1 -1 ,;. r r it 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 surface'. '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 c X Lja = -Z ° O X 20 = z o� Measurements for buildings are taken at the perimeter of the farthest projections (example: 5 X = S eaves/gutters) X Z0 = Z� Driveways 272 0 X -7 ro X z = ZN Length of drive begins at the right of way 3 c�� 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) l� 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. 1 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 Name��Q& Parcel# 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)�V 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/drainfreld 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/Budder/Agent Ackrowkadges 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- scdbed property for review and inspection as may be required. U Owner/ gent/Contractor(circle one)Date: 1'7'zc%z Page 2 of 2 tQLi �iA� Q is Mason County Services-Building Division 615 W' Adder StrMANUFACTURED HrOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load 25 E5 Make Ckwak SMoclei 2935 Year 2oz Square feet $$0 Width HO Length : Single/Doubleftriple-wide ' icate) EN or Replacement(indicate) All footings must be min. 12"below grade within 24"of the skirting when perimeter blocking is required. When manufacture specification is not available use ANSI A225.1 or HUD 24 CFR 3285. Must provide pier plan with reference sections. Allowable Pressure(Pound Per Square Foot)No Allowrances made for overburden pressure,embedment depth,water table height,or settlement problems Soil bearing is assumed at 1500 psi If set-up is using a greater soil bearing capacity a soil report from a design professional is required Fill(compact or uncompacted) Compaction Report required through Special analysis Peat or organic clays Compaction Report required through Special analysis SET UP SPECIFICATIONS: Manufacturer's Pier Plan O ANSI A225.1/HUD24 CFR part 3285 FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 F1 Pads n Continuous concrete footing(runners) '7( Slab ANCHORING: n Ground (1 Magnum Concrete-2500 PSI Cl J-bolt Cl Expansion bolt For new units,this information can be obtained from the home retailer or contractor. Previously owned units,which manufacture's instruction are not available must utilize the ANSI A 225.1/ HUD24 CFR part 3285 code for installation.Washington State law requires that a certified installer install manufactured homes. The undersigned I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will be verified at time of i spection. X Applicant/ ealer/Installer(indicate) Date Ll " ��—�