HomeMy WebLinkAboutBLD2024-01435 Addition - BLD Application - 12/5/2024 (2) MASON COUNTY COMMUNITY SERVICES Permit
PERMIT ASSISTANCE CENTER: � ;`—
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL '--`
615 W.Alder Street,Shelton,WA 98584 DEC ,
4 Phone Shelton.(360)427-9670 ez2 352.Fax:(360)427-7796 Phone _
BeNair.(360)275-4467•Phone E/ma:(360)482-5259
BUILDING PERMIT APPLICATION 615 W. Alder S6reet C
tt�
PROPERTY OWNER INFOWMATION: CONTRACTOR INFORMATION:
NAME: JC1meeS DOA-LA NAME: r Lai LL
MAILING ADDRESS:�j p t, j- -- MAILLUG DRESS:►I t
CITY: u', STATE:W �14 CITY: STATE: tv ZIP:c S
PHONE#1: 22'j PHONE J�CELL: z�
PHONE#2 EMAIL: SNh� arp {gA n clrnr,t 1 (o
EMAIL: L&i REG#,!:)i Ivy S C41.7 7�N EJCP.c_/L57�n;s
PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHER❑
•
NAME a V-Ae S 1 !In S EMAIL�5 (V,V�rhjr T�`n
MAILING 9pDRESS 1%t FY1 C; " rtin r- �!y t CITY U t ,- STATE'L�
PHONE+�bO p 1 3 sC I Cl GELD ZKIL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Numbcr) .2.2IM-52"0opIZ/ ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT CC'
SITEADDRESS 0 E 01 L h Y• CITY
DIRECTIONS TO SITE ADDRESS 00 z e Q_
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO I8 SNOW LOAD.,X—S'psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (C1 akatt har apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION)( ALTERATION❑ REPAIR ElOTHER ❑
USE OF STRUCTURE(Rrsidence.Garage,Comrnerctal Bldg,Eta). e -S 1 d e h(p_
IS USE: PRIMARY 5' SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_
HEATED STRUCTURE? YES(wbol,Bldg)) YES NO❑
DESCRIBE WORK
SOUARE FOOTAGE:(p opcsed)
1ST FLOOR 734q sq.ft. 2ND FLOOR sq.R 3RD FLOOR sq.ft. BASEMENT _sq.fL
DECK sq.fL COVERED DECK sq.flL STORAGE sq.ft. OTHER sq.fL
GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTfi
WIDTH BEDROOMS BATHS SERIALNUMBER
ENVIRONMENTAL HEALTH: -
SEWAGE/SEWER SOUR(.. SEPTIC SEWER❑ / NEW❑ EXLSTINGJ�-
PLUMBING IN STRUCTURE? YES jg NO❑ Ifyes,attach completed Wafer Adequacy Form
PEREvIETER)FOUNDATIONDRAINS PROPOSED? YES❑ NO[� EXISTING SQ.FT. _
EXISTING BEDROOMS - PROPOSED BEDROOMS O TOTAL BEDROOMS L
{� OWNER acknowledges that submission of inaccutate information may result Ina stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner end I further declare that I am entitled to re:eive this permit and to do the vrjrk 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 amess to the above described property
and structure(s)for review and inspection.This pemrNapplicalion becomes null&void Ifwork 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)
-e—
Signature of O M st be si ned b the OWNER Calka
TEPAI2TMGNTALRE "r;= APPROVRD DERILDa. :_DATE`;'.''TAGSINOTES/CONDTITONS�'
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: —01135 .
PERMIT ASSISTANCE CENTER:
BUILDING •PLANNING •FIRE MARSHAL r'
• 615 W.Alder St-Shelton,WA 98584 RE C E I V I,-D
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext 352• Fax:(360)427-7798 DEC 0 5 Z
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
615 W. Alder Sires#
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: JaMfS Do+u NAME: S►r nS Caf J?r VXb!.. LLIL
MAILING ADDRESS: Zg1�Q�c r) - MAILING ADDRESS:
CITY:G fctm,ow STATE- ZIP: 5 (o CITY: eAk) STATE: yJ A ZIP:
Is'PHONE: 20 l0 Z.2-7 74 3 PHONE: b0 go 1 -dR 1-1 CELL: J6 o 2 sio .i 8 Z1
2na PHONE: EMAIL: SImS Co�rpe jr 4 C o 10 o►rra%1 C 0M
EMAIL: _j ,,3 Ma.)i busl J t I ,I;orr. L&I REG#St
l� PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 21�a-5o`L—�0( `-F Zoning-
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 91BI F 6114mip'L r. Cam:
DIRECTIONS TO SITE ADDRES .
TYPE OF JOB
NEW ADD _ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—lsT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks ( Wood/Gas/Pellet Stove
Dishwasher 1 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 permittapplication 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 I ALIDATE TH PLI ATION.
f)
X4 ! -x/��/'z��
Signature Owner Dat
DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL.
Rev:1/27/2016 1BN
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LICENSED DESI R ��
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EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations
B)Septic tank(s)requires 5'setback from all footing/foundations
q No foundation/perimeter drains within 30'down-gradient of drainfield /' •
reserve area EH APPROVED �GV
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area D.Mdc son Ot/29/2025
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LICENSED DESIG R
EXPIRES 05,10;
EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations
B)Septic tank(s)requires 5'setback from all footing/foundations
Q No foundation/perimeter drains within 30'down-gradient of drainfield
reserve area EH APPROVED 4�C!
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area A^dC SO^ ot/29/2025
Name tS Parcel# A-2`LI6752 BLD#,2&?Z1-0 e
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 =
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
X _ above table
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
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 acknowled a that the information provided is accurate and employees of Mason County are granted access to the above-
described pro e r review and inspection as may be required.X (/ Owner/Agent/Contractor(circle one)Date: !/
2 (O Z
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, G5 Parcel#,gLgJO1b -iq -Dn094 BLD#,9_D;2Z
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:
hqRL/www.co.mason.wa—us/codelcommissioners/index.htin
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 Stormivater 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: 100 W Public Works Dr, Shelton,WA 98584
Physical: 100 W Public Works Dr,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.400
Mail:415 N 6th St, Shelton,WA 98584
Physical:415 N 6th 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
I
Date Received:
RECEIVED •
MASON COUNTY DEC 10 2024
COMMUNITY DEVELOPMENT
op
Permit Assistance Center, Building,Planning 615 W. Alder Street
Permit#:
Property Owner's Authorization Letter
Namet
Mailing Address E D •WkK o t L ho.
CityG✓' -4, State tdj ZIP B'L/b
Phone a46 -d9-?- 7`lY ? Email �je s*-w5 -,,t �,J04:e m !9CoN--
Parcel Number
Site Address S cat r.d 4 s C{{�j B L"<
City State ZIP
I(we): JCL vh-e 5
( per rs N'
Hereby Authorize: Ms 0�rajn"
(Nam of erson% ontractor to Sign Permit)
To apply for, sign, and pick-up building permits for the following proposed work:
A,
i' r �a �''� .`-'V n V\ N n V I
20nry� �Urn�oLJ�
(Brief Description of Work to be Done)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above. All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
Al" ), IV y
(Pr perty Otinner i tur) (Date) t '7
BLD DATE STAMP
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
-`L-- '�"
Permit Assistance Center,Building,Planning RCVD BY: DEC 0 5 2024
der Stem
APPLICANT INFORMATION (please print clearly)
Name of Applicant: g i ms CA(N.}'-'j LL L Parcel Number
Site Address: 2-g j E Olu, P-1 c. Or, C co%Of y ttxJ w Pu qS s'41, '
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 VERt
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:O2.5 O 5 0 10 0 20 Other:
Urban Growth Area: Zone:
Front yard: Direction: Side yard: Direction: ❑
Rear yard: Direction: Side yard: 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.
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland report may need to be a
submitted.
Is the site near a Shoreline stream,creek,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 ❑
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
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 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
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.
OOF PLAN
out 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,
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.
V ktw..
Signature of own or authorized agent Pri t ame Date