HomeMy WebLinkAboutBLD2010-00833 Cancelled Demo and Build SFR - BLD Permit / Conditions - 11/3/2010 N
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^�w Date: 06-22-2010
51 TE FLAB
• � Scale: I" = 60'-0"
Drawn by. G j.H.
Job: 2010-03
NOTE: ALL ENGINEERED STRUCTURAL 5 1 T
NOTES TO SUPERSEDE ARCHITECTURAL
DETAILS.
Name VT e, ♦ e I,e 1, Parcel# 12,1 D 9 q 15 U 0 b I BLD# 2-L(6 C08
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 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 3(. X 3 0 = logo
2-G X 2-2- 2- Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
ewa s
X = Length of drive begins at the right of way
Parking Areas t =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X Any paved, gravel or packed area per definition
X - 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:Im�pe�rviousurface Area (sum of all areas) S 2—
If the Total Impervious Surface Area i L SS THAN 2000 Square Feet, pl a read,acknowledge and sign below.
Based Upon the information you have provi to ter 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
f ulhe cknowledge�Id the information provided is accurate and employees of Mason County are granted access to the above-
de 'be pro foview and inspection as may be required.
In- caner Agent/Contractor(circle one)Date: 2
If the/Total Imperv' s Surf a Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information rovided on age 2 of 2.
Page 1 of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
v provided a Stormwater Site Plan IS Required for this development activity.
Based Upon the information you have pp ty
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 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:
Page 2 of 2
ACCESS & GRADE INSPECTION BLD /
ADDRESS: �s -Si� Tyf 'ES,
INSPECTOR: / /
DRIVEWAY ACCESS
04 need post at access of driveway with reflective address numbers
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
(_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
LOT INSIDE UGA-NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS Q �/,F.�'i/c-/9 L C'—"S,f
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MASON COUNTY PERMIT NO. J34
BUILDING PERMIT APPLICATION _5 426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair(360) 275-4467- Elma (360) 482-5269 A /
On the web www.co.mason.wa.us . J`
APPLICAN . NFORMATION CONTRACTOR INFORMATION
Owner ,J i Ik= I? 2e in c t'eG✓e V Company Name Z c(-h I C.4 c-rs
Mailing Address 13H-2-o 51i :b L-t. 0- 14 P I,4 Mailing Address_ P•0. C3 v It 616
City�-,e H(.,,b L)r State WA Zip Code g1 u 3 2,ci City 6."u oc✓,'a State_W�1-_Zip Code ';it 5`t L
Phone( ,)t5 I_ 9qGJ Other Ph. &X4 -23 z I Phonef3L n ) 34 o - z K u Other Ph.
Lien/Title Holder—Lt1 s 1006,10 bi r4 t9 c e-+ # Contractor Reg. #zECH P9 x-A 0S9mPExp. i"t 1 ZvT i o
E mail address 4e6t ve Cevi toe + E Mail Address
Drivers Lic.#P AVE5_ogl0460 DOB t I t4l IC1LD Drivers Lic.#ZL-C-H *h1LgIST?- DOB N Z'7 145`t
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System_ Name of Water System St rc-f c.i. IS I c.r c4 V.IU4 c- ( �i S t.o ,..0c, I
PARCEL INFORMATION- 12 Digit Parcel No Zi i kq IU Fire District 3 M bSvr,
Legal Description LOT L o4 S p 4*14 y7 � UiJ I I 1 1 0-q 0 F G. L. ` Cuv Y
Site Address (Please Include street name,street number and city) S F Stic f _`, I s E,-L j2 ems,'e\,D p
Directions tosite ,oteec4 or- tp -Sf✓e--f IS1t ,.f r?.t C
fC� • (r/t r- Gln� Wj ✓1cf 1rGi1� 35
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater 4 _Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New-Add Alt Repair Other PRIMARY RESIDENCE ] SEASONAL ❑
Use of Building w'V1 re ✓c s,'rJf,--Describe Work tlek,-o i%s r^ c,c, sr c Cc.b: w�JU ee_ ,,✓) ,.-\c" O►",,,_
No. of Bedrooms Z No. of Bathrooms S Square Footage- 1 st Floor 10 SCE a Ad Floor o
3rd Floor Basement v" hC9 Z Covered Deck Z °^ n^
Garage S�Z a Other�_ Sq.ft. � Z
g Attached eta Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make P/A Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges 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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to appl for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
pr accurate and gr employees of Mason County access to the above described property and structure for review and inspection.
OOF O CO UATION F WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 6 U G I 1 O
wner OwnersReo resentati /Contractor indicate which one
FOR OFFICIAL U BEYON THIS POINT Accepted by Date "
DEPARTMENTAL R -APPROVED DENIED NOTES
Building Department
Planning Department �O
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site inspection
Plan Review Fee EY-( EH Review Fee
Plumbing & Base Fee 141N Planning Review Fee
Mechanical & Base fee 142 Z!,�- Other
Wood/Gas/Pellet Stove Fee 71, State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ 3 // , �o� TOTAL FEES
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PERMIT NO.j��111)
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner V v, , 17 e h t e- PeU✓e y Company Name
Mailing Address w�� q(4*h Ct- +• I_P+� Mailing Address P u, 1?,OX r�r 6
City G � State JL012 Zip C e 503�-4 City C- State -Ll�)11 Zip Code gr l `r l
Phone�zs Other Ph zs3 -'6-L3 Z Phone�� o-) 3Ko - Z H o Other Ph.
Lien/Title Holder Chic - /00L 100 r4 V c > rl Contractor Reg. # ZED�, x�r esr-r,IfExp
E mail address ec<✓(:g s(Q_ E Mail Address
Drivers Lic. # I1EaQESD,+u`1 D DOB ijqjiqL. v Drivers Lic.# 2-L-cH^ M,LH i c
,J-3 DOB L2 ( r s4
SEPTIC INFORMATION - Connect to New Septic Existing Septic ' Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. ( Z 1 0�q 14 o o G t Fire District--IL� Us r
Legal Description l 0 T y o{ S r r y 9 } tJ N D r ✓ t l�i +� 1 n 1T I N -f(y H
Site Address (Please include street name, street number and city) r s E ar v-," „� W
Directions to site kl c e c a 0—LDl�r��� r 1 s c< f1-� 0- S C r^ rt S
Is property within 200' of Saltwater X Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building or' 't' t-116
Location of Fixtures/Units- 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric-4&_LPG_Natural Gas Heat Pump
Toilets ',-A �— Type of Unit No. of Units Fees
Bathroom Sink 5 Furnace I
Bath Tubs 3 Heatpumps l
Showers Spot Vent Fan g l e t
Water Heater I Propane Tank
Clothes Washer I G Outlets
Kithen Sinks �� GaslPellet Stove t
Dishwasher I Exhaust Hood i
Hosebibs - Dryer Vent
OtherlAwmf�V1 Other as
7'' Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges 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 the contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the applicaion, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents hat the information
p ' accui to anp-qrants employees of Mason County access to the above described property and structure for review and hspection.
OOF CO NUA-0ON OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date-
caner Owners Representa've/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Pla ing Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group T e Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other