HomeMy WebLinkAboutBLD2024-00334 Cabana - BLD Application - 4/25/2024 MASON COUNTY COMMUNITY SERVICES Pei-mit Not 69-Uy
• PERMIT ASSISTANCE CENTER:
i4 •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R E C E I VE EPC)
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfair. (360)275-4467•Phone Elma:(360)482-5269 MAR 12 2024
BUILDING PERMIT APPLICAf(I tV. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: W`F
NAME: Michael & Karrie Parker NAME:Andrew Spear
MAILING ADDRESS:2870 E. Phillips Lake Rd. MAILING ADDRESS:2,000 W. Shelton Valley Rd.
CITY: Shelton STATE:WA ZIP: 98584 CITY:Shelton STATE:WA ZIP:98584
PHONE#1: 1-206-595-0361 PHONE:360427-4440 CELL:
PHONE#2: EMAIL :6�15(?&0,r,(,01`1 DA 4,)WI k(.Go w^.
EMAIL: michaeldparker2l @gmail.com L&I REG#601928830 EXP.
PRIMARY CONTACT: OWNER ❑✓ CONTRACTOR,[] OTHER❑
NAME6-)I lI I,aI,f3a-' EMAIL IVl l 12- a�� ��t�(tc yy�� —�t�`C(/1►+mac t�T� LUI�
MAILING ADDRESS D '5t5)t- 101— CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 220055-20-0060 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) Phillips Lake Div. 3 TR 60, S 48/141 FIRE DISTRICT
SITE ADDRESS 2860 Phillips Lake Loop Rd. Shelton CITY Shelton
DIRECTIONS TO SITE ADDRESS North on WA-3 N, Right on E. Pickering rd.
Right on E Philips Lake Loop Rd. Site is on the left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that ry;ply):
SALTWATER❑ LAKE E] RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW Q ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ REPLACEMENT
USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc)Cabana (Unconditioned)
IS USE: PRIMARY E] SEASONAL ❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[s]of Bldg) ❑ NO Q
DESCRIBE WORK Construct new cabana to replace existing.
SQUARE FOOTAGE: (proposed) e
IST FLOOR sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK sq. ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MAHj444LLUE INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBE
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER ❑ / NEW EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑ NO 0 If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO[] EXISTING SQ. FT.
EXISTING BEDROOMS n/a PROPOSED BEDROOMS n/a TOTAL BEDROOMS N/A
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 prop066d. 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. (MASDIV
COUNTY CODE 14,A%A2)
X ��r z- f-v-�
Signature of gent
Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT ��L ZS2
FIREMARSHAL
DEPARTMENT
ALTH
Name Michael Parker Parcel# 220055-20-0060
Mason County RECEIVED
�-� Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (pagt Lof
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a 1ii115i4;apWid1"roGh"eet
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
Replacement Cabana X = 263 sF 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) 263
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 1 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 m bbe r uired.
X Owner/1ontractor(circle one)Date:
I f t he 'Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Pagel of 2