HomeMy WebLinkAboutBLD2024-01337 SFR - BLD Application - 11/7/2024 013�7
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Permit No: Q--O'33`7
MASON COUNTY RECEIVELJ
COMMUNITY DEVELOPMENT Y
Permit Assistance Center,Building,Planning NOV - 7 2024 93 U 1 L D
BUILDING PERMIT APPLICA "W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: f.c -� dbr2ynS NAME:1A1fAtA -j40WS I"(- (JOB-4110 )
MAILING ADD SS: &013 Y41,fcr 00010 G-1 Sf MAILING ADDRESS:?s%OX 1 103
CITY:TkrnwatW STATE: _ZIP: 98So) CITY:R(x/neSi aY STATE: ,¢! ZIP: `f85 7r9
PHONE#1: 3 b0- 19 1 - 011 6 PHONE: &0 239-3`SSCELL: `t *
PHONE#2: EMAIL: t,%V%L nr.•mCS LuA%ai-tlnti.I•Q3Pn
EMAIL: o nSj,-i V qfA&. /• Gar►+ L&I REG# EXP.
PRIMARY CONTACT: , OWNER CONTRACTOR Ag OTHER❑
NAME ohn :AMC--A-A l\Me— tjCdnt-S VnLEMAIL h�nklthom�$��lc}m[+ „� •LLr
MAILING ADDRESS O ay>l WA CITY STATE LO t ZIP 96S'1 cl
PHONE �j LO- `=�5 n-I % CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 319 b 9-4 15 OnQ 'I ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITEADDRESS )0& Sf� L" niN, 9-a CITY 9'VICA n
DRESS. \vNoS --DIRECTIONS Tq SITE AD � s+ C.r c\ tJ a u S'•iJ cn'IC L S� L{'�✓� �
tt:. Cb rC,l�,.S It9 n+ L onka i✓R-3 .� L °^S� Gtcy^, �oc , L SE' Cc� `, J
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW% ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) {t e S`� 1 f>C✓Q'
IS USE: PRIMARY jg SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2-
HEATED STRUCTURE? YES(WhoteBUV W YES(Part[,1 gfBldg))< NO❑
DESCRIBEWORK
SOUARE FOOTAGE:(proposed) 8} [8' 3-75(0
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECKS_��sq.ft. STORAGE sq.R OTHER sq.fL
GARAGE 528 sq.ft. Attached in Detached❑ CARPORT sq.fL 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 K EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERINIETERROUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
n
EXISTING BEDROOMS V PROPOSED BEDROOMS " TOTAL BEDROOMS 3
OWNER acknowledges that submission of Inaccurate information may result in a stop work order or permit revocation.Aduwwiedgement of such is by
signature below.I declare that I am the owner and 1 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 structures)for review and inspection.This pernitlapplication 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
PERM PLI ATION OF 1110 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Si ature f OWNER(Must be signed by the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNT Permit No: � o r337
S �� �
COMMUNITY DEVELOA4 f IVED
Permit Assistance Center, Building,Planning - 7 2024
PLUMBING & MECHANICAL PERMIT APPLIC M& Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Z1b NAME:+-IinNe- -14oin-S Inc. onn 4,nlQ-0-
MAILING DDRESS: (,,e V3 S's Ivw okks U 5f MAILING ADDRESS: 00 B-� ►ioy
CITY:Tyrnwx+&t STATE: Wft ZIP: %501 CITY: �oc4,6t-e' STATE: 1.)A- ZIP: 90057q
I s'PHONE: I to- : G I-0 19$ PHONE: ' e)-- 1337- 355S CELL:
2nd PHONE: EMAIL : h:.��t am�SL Yuma•I cx�.k
EMAIL: 1 ;-r z_-, t -u m L&I REG#-H i 1,J4E i_ti s iL 3 t G 2 EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 'i j G(VI y I z10eo'1 Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: S E V-d CITY: ►^e t �~-
DIRECTIONS TO SITE ADDRES :=r1rt) y 11 N 511` 5t-v g omo N to1 51-. Q. on+d w yy%Ae r t
19� 2,x,+ Tvom Wn,6 a►orUk onto N l s�. L onto SE (,ote, 3-c1. L oNto 'SE Lynch 3-8-
TYPE OF JOB: 1 ��
NEW ADD=AL7=REPAI OTHER=USE OF BUILDING 1`
LOCATION OF FIXTURES/UNITS-I ST FLOOR 2No FLOOR=BASEMENT=GARAG OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[[.PG=Natural Gas=Ductless=
Toilets Tyne of Unit No.of Ujaits Fees
Bathroom Sink 3 Furnace
Bath Tubs — Heat Pump
Showers — . Spot Vent Fan
Water Heater I Propane Tank 1
Clothes Washer I Gas Ou is
Kitchen Sinks 1 Wood/ a Pellet Stove
Dishwasher i Kitche xhaust 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 INV DAT THE APPLICATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Name Parcel# ��� �2`1 006 BLD# r Da�"� 1 5�s
Mason County Ire
Department of Community Develop> tC E IV E
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Req&6 fWt Afh6y%Teentt ftivity.
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 VTTV
http//www.co.mason.wa—us/code/commissioners/index.htm Y:. ,
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) 04 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 Ni l �1), `,Q Owner/Agen tract r(circle one)Date:
Page 2 of 2
14R
Name Parcel# �161 02q 19 oOO 2 BLD#
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 X = 25 R)
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways Iy4 X 2-14 3 34.0
X = Length of drive begins at the right of way
X =
Parking Areas 16 X 2-4
X = Any paved, gravel or packed area per definition
above table
X
Patios/Walks /e- X Tn
(r X a = g 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) (p27(p
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 Stornswater 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
Disclaimer
�LVa0o0� �`�J3� Mason County does not require surveys for building.As a
+ result,site plans may not reflect accurate data.it is the
lr N-
3 applicant's responsibility to comply with setback requirements.
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EH Setbacks � � D
EH APPROVED q p� �C" � +" A.) Drainfield/Reserve requires 10'setback from tooting/foundations O
Rhonda Thompson 12f05/2024 4 B.)Septic tank(s)requires 5'setback from all footing/foundations 3 0
C.)No foundation/Perimeter Drains within 30ft,downgradient of'
t Drainfield/Reserve area (D N
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfiel&Reserve area
NOT AN APPROVED SEPTIC DESIGN m
Must use S WG 2024-00196 for septic installation
,