HomeMy WebLinkAboutBLD2024-00769 SFR - BLD Application - 6/26/2024 MASON COUNTY Permit No: Wb
COMMUNITY DEVELOPMENT
ECEIVE
Permit Assistance Center, Building,Planning JUN 2 6 2024 fT7
BUILDING PERMIT APPLICATION 15 W. Alder Sire=
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C
NAME:_ywc' xya 1 JCrSG1n NAME:
MAILINQ ADDRESS: v ax' y 1 L4 MAILING ADDRESS: r
CITY:Fj'c cti f STATE: ZIP: CITY: STATE: ZIP:
PHONE#1:- iW 'it y - TC 1 PHONE: CELL:
PHONE#2: EMAIL:
EMAILanW+ ttunG l,lat i+� ;���:; cG,:11 L&I REG# EXP. /
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILINGADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: nn � �
r �J
PARCEL NUMBER(12 Digit Number) '7 L 1, G 5 Ci ' �w!1 L ZONING
LEGAL DESCRIPTION i(Abbreviated) FIRE DISTRICT��
SITE ADDRESS CIO ' 13 f C'01 1?,L ay L 1'1 CITY U,'%,qj
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES(Z NO❑ SNOW LOAD:-;Za 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: NEW ff' ADDITION❑ ALTERATI 4N❑ JREPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) C 15\O�iA Ill.
IS USE: PRIMARY[r SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS Z,
HEATED STRUCTURE? YES(note Bldg) YES(Pan/s/.fBldg)❑ NO❑
DESCRIBE WORK N IL" 5 !�f—
SQUARE FOOTAGE:(proposed)
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft
DECK sq.ft. COVERED DECK`503 sq.ft. STORAGE sq.ft. OTHER sq.ft
GARAGE rJ 17 sq.ft Attached rd Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME 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? YES I" NO❑ /fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES[ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 3
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 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X Abk�-'— --- 71[7
Signature of OWN (Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW kPFROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: '20 �(��7(�
PERMIT ASSISTANCE CENTER:•BUILDING •PLANNING •FIRE MARSHAL RLc
CE'V f
615 W. Alder St- Shelton, WA 98584
www.co.mason.wa.us ''/
Phone Shelton:(360)427-9670 ext. 352• Fax: (360)427-7798 SUN 2 6 2024
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 615
W Alder Sim"
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: TNA
ACTOR INFORMATION:
NAME: otiV 1 t►+1 �'i r Ord
MAILING ADDRESS:PO 9vX 4'Iu G ADDRESS:
CITY: P 1 �i T STATE:-Wk ZIP: C1 �'S STATE: ZIP:
I` PHONE: } 0-s zH -S 0C�j PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL:. :�}� t�„�}�►c t at v�nH, , cy,✓� L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 32 10 4 al ' 0 J O�(j Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: c;-0 ( (4 L r L, CITY:_ u A 1 d�
DIRECTIONS TO SITE ADDRESS: ,fA L L ,,y o Lin �1, t R c 1, v V►1 at1t��r,
�;.111�- c3.� � ;1'�{, ►�wP�t � \W-Q S�r�•°I�1� �n�� ��.5 wry L��. Twin � i�!��- ct✓1 E-�
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric ✓=LPG=Natural GasODuctless[�
Toilets— Type of Unit No. of Units Fees
Bathroom Sink T Furnace
Bath Tubs � Heat Pump
Showers Spot Vent Fan _
Water Heater i Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher �T Kitchen Exhaust Hood
Hose bibs / 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALI ATE THE PPLICATION.
X 10 pwv— Z Z®Z .
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/2 /2016 1BN
NamelVt�i'AVA PekfffA Parcel 5�k04 S�' 0� 4d BLD# gk?M—co F(
Mason County BUILDING
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) \. e 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 � (417�
wne/Agent/Contractor(circle one)Date: 17 Z 2 c 17,
Page 2 of 2
BLD DATE STAMP
MASON COUNTY h�� RECEIVE
COMMUNITY DEVELOPMENT a -�
Permit Assistance Center,Building,Planning R Vl) BY: JUN 2 6 M24
!n e- 615 W. Alder
APPLICANT INFORMATION(please print clearly)
Name of Applicant: 1�I k I� n Pe�k 3a 1 Parcel Number 3 1 1 04 —S1 - UCO j O
Site Address: �;Q C �hC�<-���'��f �� avijOA I W
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 rl/
fees are due at submittal. EJ
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.
Zoning(indicate):
Rural Residential:0 2.5 49 5 0 10 0 20 Other:
Urban Growth Area: Zone:
Front yard:�6 Direction: Side yard: Direction:
Rear yard: 15 Direction: Side yard: i 7.,q Direction:
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. it P<
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland report may need to be ❑ 1�
submitted. f'-r
Is the site near a Shoreline stream,creek, lake, saltwater if yes,please indicate? n(
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
may be required. v
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
y
l
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 n//P�
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 /V
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, N
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 andskylights)
✓
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 L�
size,grade,spacing, length and species 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. i
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
� r
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,
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.
(�k'
Signature of owner or authorized agent Print Name Date
2o14 -dO7(z9
REAR ADV2024-00107- 10' MIN LMS Designs LLC
50 E Blackberry Ln,Union-Grapevlew,WA Regrid
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1.INSTA SILT FENCE PRIOR TOANY EXCAVATION OR CONSTRUCTION. d�. '� ( '~._
SIDE ADV2024-00107- 5' MIN 4�l 2.LIMITS.MINIMIZE SITE DISTURBANCE BYTIOHTCONTROLOFEXCAVATION \/ I— MS ,4
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;,ALL EXPOSED SOIL SHALL BE MULCHED WITH STRAW OR WOOD 1 \ \
CHIPS TO MINIMIZE SOIL EROSION. 91 EHHEEI VR*6 STREET$4
.DISPN TRENCHES SHALL OVERFLOW ONTO I ALLYN YL19D524
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iT PRIMARY DRAIN FIELD MINIMUM OF I' OF CLOTH6'
511
SILT FENCE DETAIL 07/01 /2024
I I i t I O Ro ro Z rti
I i I i I I
APPROVED
SIDE ADV2024-00107- 5' MIN x
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`I MASON COUNTY DCD PLANNING H o
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Digitally
N 10 signed
Scott Ruedy
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RR5 Zoning Ruedy d
O O l"� � Front Yard Setback. 25 .
O
" �� Side & Rear Yard Setbacks. Residential dwelling
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103.56 and accessory structures is 20'.
► OR 10% width of lot if not more than 100' wide
OR approved ADV
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Sq ft VE?/ �L�F/END i r-__,
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�9,5 *NOT AN APPROVED SEPTIC DESIGN*
Use approved septic design for septic system installation
E H S ET BRCKS_ r DATE:
A) Drainfield/Reserve requires 10' setback from footing/ o tions Z 6/2 412 0 2 4
Scale g) Septic tank(s) requires 5' setback from all footing/foundations SHEET:
Q No foundation/perimeter drains within 30' down-gradient of drainfield/ EH APPROVED 2 ,( 1 0
1 in = loft reserve area
/D) No cut(s), bank(s) (greater than 5' & over 45 degrees) within 50' D.Anders __ _ _ Y
down-gradient of drainfield/reserve area