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HomeMy WebLinkAboutBLD2024-01489 Pole Bldg - BLD Application - 12/18/2024 MASON COUNTY PeimitNo: COMMUNITY DEVELOPMENT DEC $ ts Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615W-AkW8kW00 PROPERTY OWNER pp INFORMATION: � CONTRACTOR INFORMATIO INFORMATION: l C NAME::� �4?js. NAME: _ MAILING ADDRESS: �/.p.F'do 1\��2 N AILING ADDRESS: _ r CITY:�hel-t-6ri STATE:/ -7 P:V CITY: STATE: ZIP: PHONE#1:_j f�j_¢ - :(s�� $',?l�9 PHO2�'E: CELL PHONE#2:,j C - - 2 EN'' atatat EMAIL:_ ' f' ►tC'J I REG PRIMARY CONTACT: Oti NER J} NTRACTOR❑ OTHER I NA E EMAIL C_iL(I1- C6i✓ 5It'd�F�S k�C<Nti� MAILING DDRESS CTTY Jr-- STATE ZIP-g6 I PHONE t - CELL - PARCEL INFORMATION: /y {� i PARCEL NUMBER(12 Digit Numbcr) "�2- 2 'r? ZONING_f�-{�� LEGAL DESCRIPTION(Abbreviatod)A FIRE DISTRICT_ -__ - STTE ADDRESS_ * ��_C �i�JitlR �_ Tyv�� ,� DIRECT NS T T3 DRESS IS PROJEG---RN 300 FT OF SLOPES)GREATER n AN 14°/a YES[] NOR-SNOW LOAD:2!j;sE ` IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: Xnwit dt Aatappty): jil b SALTWATER❑ LAKE Q RTVERlCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEw,2 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER❑ USE OF STRUCTURE(Residence,Garage,Cmmr vd Bldg,Ere) ('fgd.Q,. IS USE: PRINIARY❑ SEASONAL❑ NUNIBEROF�BEDROO m NUNIBEROFBATHROOMS HEATED STRUCTURE? YES fa hcde Bldg)❑ YES lror[.1 afB1ds)❑ NO Q-- DESCRIBE WORK © X if w-le RAM. SQUARE FOOTAGE:(pymrev) 3 1ST FLOOR sq.JIL 2ND FLOOR sq.R 3RD FLOOR sq.ft. BASEMENT sq.ft. 1 DECK & COVERED DECK sq.& STORAGE sq.A MUM sq.tit. GARAGE J�sq.ft. Attached❑ Detached❑ CARPORT sq.ft.Attached(3 Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE IiiODEL YEAR LENGTH WIDTLI BEDROOMS BATHS SERIALNUNaBER ENVIRONMENTAL HEALTH: SE\VAGE/SFWT:R SOURCE: SEPTIC 2 SEWER❑ I NE\VJ21"' EXISTING❑ PLUMBING IN SIRUCT'URE? YES❑ NO,Q-- If)w,attach completed Water Adequacy Form PF.RIMETF,R/FOUNDATION DRAINS PROPOSED? YES❑ N99- 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 tothe above described property and structure(s)for review and inspection.This permitrapplication becomes null 8 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) 'Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DKN'IED DATE TAGS/NOTES/CONDMONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH o 4k ro y R drrt'S 3 so sF c ermcik L-n Shel�W, WA PAI : 32 o2 -7- -75- oa12D S� ce BLaaoa�-or4_sR t A i oc' F 14+�Ye- A ke�Idepce r 3 330 S V el' i � A _ �0 caw it �� 9 �o ,.._ �Ogwa+ttenrylila� fi��^�` --�--� -•-- ------------------------- -------- 8 Ci Sz- EH Setbac#cs rL' -0 Drainfield/Reserve requires 1O'setback from footing/foundations +.)Septic tank(s)requires 5'setback from all footing/foundations % proposed garage :.)No foundation/Perimeter Drains within 30ft,downgradient of % �v �t BLD2024-01489 Ira area , g.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within ' ,�� • -� ��• ' Oft,down gradient of Drainfiel0469aserve area I i �I f: 5' min y ' f,F��_ ' Pe..-s�i��r ' ' P lid ; J' I +r_ Proposed `�! �•Da a To manufactured home BLD2025-00020 CD Imo• r r i I ; , EH APPROVED • Rhonda Thompson 01/31/2025 _ ' `i✓ Y)+ „ .. - f ~+ `tau � +,.•_ , :..._,>..y«g..f ii - . _ }��S�.r }. :,f. �iv� •F �+�'- ; � ti ij7 } 5 7 .•I Ic �..1.���. I -*send� ui"SKr i 1 711iy' ' 1 Na ' me�—���/' (�„� Parcel� 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. 'Common 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 011 S Glh X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: 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 20W 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 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. k .T Owner/Agent/Contractor(circle one)Date: Z — If the Total Impenious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge Tand sign the information prodded on page 2 of 2. Page 1 of 2 Name S Parcel# BLD# �01 QjO/ 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 Plm 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: hft//www.co.mason.wa—us/code/c,onunissioners/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 documentManaging Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout' LEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE VA"')rf"The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Siormwater 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) 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.450 100 W PUBLIC WORKS DR SHELTON,WA 98594 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.352 615 W ALDER ST SHELTON,WA 98594 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,ownees legal representative,or the contractor.I fiuther acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described propertyyforr d inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2