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Home My WebLink AboutBLD2024-01384 SFR - BLD Application - 11/21/2024 Permit No: �i_i�?(�Zti- G'13$� ANIL MASON COUNTY COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION NOV 2- 1 9024 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: I h� [a NAME: (.�t'I.t ,, ! t MAII IN AD RESS: K• MAILING ADDRESS. 3lg 451ML04e t v1 L) CITY:S STATE: 1. ZIP: CITY: D� r✓1 t f:� STATE:L"A ZIP. 'll PHONE#1: PHONE- CELL:36 •7fO '"31 8� PHONE#2: EMAIL:G;+'!C 'K 7 <<'o✓✓1 EMAIL: L&I REG# I .V- qp-o& EXP.�/ /-. P Y C NTACT• OWNER❑ CONTRACTORS �THER NAME EMAIL ✓1 G� MAILING ADDRESS 1 W CITY STAT l/`-YA' ZIP PHONE CELL W�'^ PARCEL INFORMATION: ^n`y J PARCEL NUMBER(12 Digit Number) '� ./�/! ZONING LEGAL DESCRIPTION(Abbreviated)-5(0'71( L LXZ Sal An I S S t FIRE DISTRICT SITE ADDRESS 1 (,PO — 44-1 CITY sl ( 4� DIRECTIONS TO SITE ADDRESS CA e SS o2! v^ ar s s . IS THE PRO CT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NOXSNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWX ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence Garage Commercial Bldg,Etc.) S� C IS USE: PRIMARN4 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS!: HEATED STRUCTURE? YES("aleBWg) YES(Parr sI of Bldg)❑ NO R �� ❑ DESCRIBE WORK V t k A G� SOUARE FOOTAGE:(proposed) I ST FLOOR,?2�5 sq.ft. 2ND FLOOR)D3j-sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.& DECK sq.ft_ COVERED DECKI,TWsq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attache Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOMJE INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YESK NO❑ Ifyes,attach completed Water Adequacy Form PERRvIETER/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 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 pernitlapplicalion becomes null&void if work or authorized construction is not commenced within 180 days or ff construction work is suspended for a period of 180 days. PROOF F CONTINUATIO OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER T PLICAT F 180 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON IACOUNTY 14.08.42) J Signa of OWNER(Must be signed by the OWNER) Dat DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 1 I;i PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH • Permit No: MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: CA NAME: MAILING ADDRESS: )9 K a MAILING ADDRESS: /S- !v ovy tJLo CITY STATE:ZIP:TKGCI CITY: w 3'vk STATE:_1AA#4 ZIP: 1"PHONE: 3W-)-n- 047 Z PHONE: -- CELL: 3i83 2"d PHONE: EMAIL : cLo7 d '-1-7 EMAIL: L&I REG# 6 , w - D EXP.�5 & PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): --*-4V0 Zoning: _ ZZ LEGAL DESCRIPTION(Abbreviated):S r l a--t SITE ADDRESS: d a CITY:S DIRECTIONS TOSITE ADDRESS: c � e Ck e �v C, CI`�gI LCGS �S Lu�Q Qr '� Sl vn e TYPE OF JOB: NEW ADD=AL'I[:=REPAIR=OTHER USE OF BUILDING LOC TION OF FIXTURES/UNITS— 1 ST FLOO 2No FLOO BASEMENT=GARAG THERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:ElectriqJE;:�PCC=]Natural GasE Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs I Heat Pump _ Showers Spot Vent Fan — Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood Hose bibs y Dryer Vent Other Solar Panel �g Other Base Fee Base Fee C25i TOTAL PLUMBING 65 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 CONTINu ON OFTHI IT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV D E TH TION. X c C)�b-q gnatur of ner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT _ f-3-2 S' PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 1BN 12/17/2024 ! ' ; „ i y REV.PER COUNTY APPROVED ?' ! 1 1 q qO E 15LAND OR move ExisT,'`"D. MASON COUNTY DCD PLANNING j TOLCATION Vt&S AND S EFT_ ExisrlNs s.PR O 5/VT pILIEDV (ep i EXIST. r 1 1 L 1 , a 1&24-- riELL ` i 1 1 1 SE MALL Digitally ; \ i I 1 +NDLOLATIONS 99' 1 6'.- q g• Scoff Ruedy signed �I ' S'S!lTDAGI[ ' _j2y�ca D33 __ In I ' .p161D�DlRIf. ; Rued „ ---J--------- -L y «�-- ------- - ; ------ ---------, j_ _ 2 CAR&ARA&E ;-___ __________ __.,_, 1 � ---r` i PROPOSED 3 GAR i FY i i I 6ARAbE II I 'I 191 1EXIST.," I r y� EXISTING I i = a , , Yl L6 , -"-" DRIVEWAY {' --'�---r - T- B ; 1 I �`. ASPHALT 'ff r___ , EXIS - , .{ 111TT�' u � `. REL AY m ii r '1` Wi W ' \n ; PROPOSED I >t O u r )f15T. CONCRETE r 0 z nto sa' YI i i�GARPORT DRIVEWAY \ ree DnrsEPrlc ofV&a , {-} 1 ( "' EXIST i PR�POSED I I 1 G4fNGRETE POR i GbURTYARD SEPTIC TRANSPORT LINE <I TO DRAINFIELD ACROSS ISLAND O The destruction or alteration of Fish and Wildlife Habitat r I R ` n A Conservation Area's or their buffers through removal,excavation, D; grading,dumping,discharging or filling of any material;clearing; ROP ED S.F.R. ;% `) shading;intentional burning;vegetation removal(terrestrial, ; PROPOSED 9 GAR l;' 11 - f�1, freshwater,or marine);planting of non-native vegetation that i &ARA6E `2' < Y Gai l �c would alter the character of the FWHCA or buffer;or the j min; ',roo.R no septic compon�lts 4 0 A construction or placement of structures or increasing the as within 50ft well rgdjus w structural footprint shall undergo mitigation sequencing and shall 1', %/ _ _; __ --- f- \ '' I V require a habitat management plan. l' - (� rn 0 i ry r _ 5'min sa 4 1 w w Disclaimer:Mason County does not require a O torus _ I $ survey to obtain a building permit.As a result,site -�� EXIST" _ PUMPHOUSE! j w plans may not reflect accurate data. It is the TANk!PUMP CHAMBER - -SETH(G_I� L_j i i applicant's responsibility to comply with setback requirements. I ---- I NOT AN APPROVED SEPTIC DESIG� UGA- Neighborhood Residential ( ;' I Must use SWG 2024-00207 for septic installatlol%t EH $o'tbacks I ;' Front yard10 ft. I W 11% A.) Drainfield/Reserve requires 10.setback from footinpttoun ,ions I Side yard5 ft. ; B.)Septic tank(s)requires 5'setbadk from all footing/foundatio I L_ v C.)No foundation/Perimeter Drains Athin 30N,downg radient of Rear yard 15 ft. ' Drainfield/Reserve area Date: l m D.)No Cut Bank(s)(greater than 5N andbver 45 degrees)within I 1 G.1 n.34 50N,down gradient of Drainfietd/Reserve area EH APPROVED lu 1 q-(O E ISLAND Rhonda Thompson 12/17/2024 DR -` ------- ---- SITE PLAN I SCALE:1'-7d-d' r A BLD DATE STAMP MASON COUNTY 4k COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning RCVD BY: N V 21 2024 APPLICANT INFORMATION (please print clearly) 61 r BffW "vl 3200b,5 Q�7 7 Name of Applicant: � c�/1 L Parcel Number Site Address: l `l�2 E—, J�— 0( L G Ize r This checklist must be completed and signed by the owner or owner's 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 RECEIVED Provide a completed and signed(by owner or authorized representative)application and applicable ❑ fees are due at submittal. Provide a completed plumbing and Mechanical Application SITE PLAN VERIFIED Provide one(1)copy of proposed site plan. Drawn to scale of either. 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 andprivate) Show distances to all structures, septic tanks,drain fields,property lines,top of slopes or cuts and (� easements. t_J Zoning(indicate): Rural Residential:O2.5 O 5 O 10 O 20 Other: ❑ Urban Growth Area: Zone: Front yard:a 0 Direction: Side yard: j Direction: tJ Rear yard: l 5 Direction: f Side yard: >C Direction: S ❑ 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. ET Is the site near a Shoreline stream,cree 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%or greater?If yes,a geological report or assessment ❑ r J i may be required. Existing/proposed on-site septic s stem and reserve areas,providing setback to structures. Existing/proposed wells show 100 ft well radius,with distances to structures). Existing and proposed stormwater controls(downspouts,dry wells,etc. Exterior storage tanks(propane)and HVAC equipment. CONSTRUCTION PLANS I LOCATED Provide three(1)copy of plans(1 full size min. 18"x 24"and 1 small size)and one (1)copy 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. Engineered plans must provide calculations/analysis.Analysis must include the following information: - • Adopted International Code • Snow load(by location) • 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 Cross-sections of footing and foundation(including height of wall). Floor joist andspacing each floor . Location of flood venting, size and method of compliance for ventin when in a flood zone 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 the 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 Attic access size and location Dimensions of building and rooms. Location and type of furnaces,water heaters,smoke detectors,and carbon monoxide detectors. Include location of bollard for appliances located in garage. Heat Detector in garage(required in all garages attached,must be hardwired to smoke&carbon Plumbing fixture locations Location of doors,windows include size,egress,tempered and skylights) Insulation value in floor. See Energy Credits for additional requirements,must be indicated on the plans. Location of ventilation fans and CFM for each. 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 andspecies 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. 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. Exterior wall details when distance between overhangs is less than 5 feet to property line or other structures. Insulation value for walls. See Energy Credits for additional requirements,must be indicated on the plans. 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 e, location and amount Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for addition requirements,must be indicated on the plans. ENERGY CODE REQUIREMENTS RECIEVD Completed Washington State Energy Code form Plans must indicate fuel source for furnaces,water heaters and other appliances. Manufactures Specifications for each unit or component for HVAC&plumbing Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans PAGE # MUST include all credit information on the plan details such as insulation,ventilation,furnaces, 1 windows etc.Plans must also include the number of credits and which credits are chosen. -- I verify all required documents,plans,and specifications associated with this application have been submitted and are accurate. Signature of o er or authorized agent Print Name Date JWName (A —C:::> Parcel# 3;2-00(QSOOgO 7� �]BLD# 2.Oz-1 - U13- Mason County RECEIVED Department of Community Development Small Parcel Stormwater Management Application/Worksheet fogs 11 9�) treet Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required wheneveN§u appphcationrS 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 �510 X `6 _ 3�QP 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) 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 ackXwledge that the information provided is accurate and employees of Mason County are granted access to the above- describe pr perty o r i and* spection as may be required. X Owner/Ag t/Contractor ircle one)Date: 1 If the Tot 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_ ) 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)X The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in eir 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 acknowled at the info a n provided is accurate and employees of Mason County are granted access to the above- described prope fo revi pectio as may be required. X Owner/Agen Contractor( rcle one)Date: Page 2 of 2