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HomeMy WebLinkAboutBLD2024-01390 SFR - BLD Application - 11/25/2024 In Permit No: 7 0 MASON COUNTY COMMUNITY DEVELOPMENT NOV 2 5 2024 ia Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C NAME:9V-!5m * kL% 1%zis LL-c- NAME: A-&Iktj l" o-A I-_I 9JL MAILING ADDRESS:b; GO-,4-2-6'"L MAILING ADDRESS:V>O `90toL Z►e-iZ CITY:SVst>L:tur+ STATE:W& ZIP CITY: ►;C t`TD N STATE:W ZIP:f1 D s 8L- v PHONE#I: '?L0 e.1 a q'3<<o PHONE:_'9 W:j2 A 7 CELL:'36e s`13 43z) PHONE#2: EMAIL: EMAIL: A+S1n- L&I REG#_ 4 ka 9 C RLL4 EXP. / /2L- Z PRIMARY CONTACT: OWNERQL( CONTRACTOR OTHER❑ NAME _IA:F=j'S yy E Ct l EMAIL A t],43!1 l-6�--C S t w C/y 44-1KA it de A, MAILINGADDRESS no flaw 'Z.AGiZ. CITY '>�L-Mt4 STATE PHONE IiA�kj-z CELL PARCEL INFORMATION: }r� PARCEL NUMBER(12 Digit Number) 7j Z O`�Z-�Z,- ©p i - ZONING �7 LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Z 1S(z uD _ CITY SI.1-eu-Nn3 DIRECTIONS TO SITE ADDRESS JAWA 3S ''N ►6 2e� . L.ti.�C o Ss= �L�v D I✓*I, IV t G tom.lei D Cyr t C u fd i�t FtL1'r 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: (Cheek art that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW O- ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Reaide=c Garage.Commercial Bldg Ftc.) S �z IS USE: PRIMARY a-SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS-2— HEATED STRUCTURE? YES(what,Bldg)a YES(Paul:)gfmdg)❑ NO❑ DESCRIBE W ORK_ C,0 N S'C-9A Cam" N tZ+ni SC-9— SQUARE FOOTAGE:tprapascdi 1 ST FLOOR103ja_%ft. 2ND FLOOR 3 d" sq.ft. 3RD FLOOR q.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK. 31 S sq.& STORAGE sq.ft. OTHER sq,ft. GARAGE s1 b sq.R Attached g 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 I SEWER❑ ! NEW EXISTING❑ PLUMBING IN STRUCTURE? YES g NO❑ I/yes,attach completed WaterAdegeracy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ N061 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 thal I am the owner and I further declare that I am enilded to receive this permit and to do the work as proposed.I have obtained permission from ail 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 pemkN/appliration becomes null&void if work or authorized construction Is not commenced within 180 days or U 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 PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x i i ;2` ' ignature of OWNER ) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit No: BLj2���-D 13c0 ., COMMUNITY DEVELOPMENT RECEIVED NOV 252 Permit Assistance Center, Building,Planning 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:_ 1-Ipt k 1k.S LLB NAME: &Sk 7-b:Iwt s k MC_ . MAILING ADDRESS:Pp &obc ZIGt Z MAILING ADDRESS: t>c> ux ZI cl Z CITY: "-o. STATE: Nfi/S. ZIP: - CITY: S\.1til tz N STATE: W d ZIP: Is'PHON : PHONE:3(,U `�9 uq-5 CELL: 2°d PHONE: EMAIL: L&I REG# o Rw EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 3Z-9 00 6 Zoning: LEGAL DESCRIPTION(Abbreviated)::C2 L0- aF ww Sw -M C-4 of SPt-TV0 trz-D of S7 Mej� SITE ADDRESS: Z\ Sa 14%rc%.A*rD L-'r %N CITY: &1,EL-toJ DIRECTIONS TO SITE ADDRESS: V"vl .7> S ,1 G(ZH,L, (ZD , �_r-� < Q �.., NlV_L_,�.►3D c� ►S uH (2 tF#!:. TYPE OF JOB: NEW E=ADD=AL=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—I ST FLOOR[ 2ND FLOOR=BASEMENT=GARAGE=OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric®LPGQNatural Gas=Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace I Bath Tubs Z Heat Pump t Showers �— Spot Vent Fan Water Heater Propane Tank Clothes Washer 1 Gas Outlets 3 _ Kitchen Sinks 1 Wood/Gas/Pellet Stove 1 Dishwasher 1 Kitchen Exhaust Hood Hose bibs Z 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 DATE THE APPLICATION. X --� u IZ� f Z ignature of Owner T— ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 6L 2-xS^2 PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 )BN .� F Rom. f y I S�a et.�a ,A,a C q"rt H. `j ob i,* i w f 1 EH APPROVED .�:. Anderson .. : D.A 12/26/2024 ' EH SETBACKS 26! 1 . 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/ t reserve area f ) o cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drainfield/reserve area NOT AN APPROVED SEPTIC DESIGN _ t Use approved septic design for septic system installation N �. PLN Approved 12/13/2024 Mason County Community Development qGavin Scouten — St All Changes Subject to Approval J (f � I Disclaimer f Mason County does not require surveys for building.As a result,sit plans may not reflect accurate data.It is the plicant's responsibility to comply with set ack requirements. RR5 STANDARD SETBACKS* S� ront• 25' Y '. ides:20' 0 Nell =Rear. Rik20' NellW 4 'unless otherwise stated on the site plan 'all setbacks measured from the farthest ,•.�;,, ,�-. . .....�. _J 0 projection of the bu)lding " _ 4 'subject to EH set cks :::•. ...�_,.�•,..". :: ........... . .. •:'.::. f r.: r. „ . ;•: F �,y�; f :f': h'. !• }:, { }.l;: '' ; .: ;;y��33 .. .. .:.......:..:.....r,: . .. R' , : '.'. 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'�0 IMO Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Storm water 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) 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) PC 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- descriZdperty for review andi pection as may be required. X �1 Owner/Agent/Cor(circle one)Date: ZS 17A— Page 2 f 2 ow AA Namej)a(,V, wry T'1&d1njQ$ Parcel# ' 3� T BLD#-R0;1q—Q'3T 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 Q� X = y 3 Z Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = 3 2-o 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 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) Zi� I Aj 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 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 1, the undersigned, No Publi i and fo the above n d County and State, do hereby cent' that on this of 20 personally app ear e before me, who is known to be signer of the above instrument, and acknowledged that he (she) (they) signed t. GIVEN under my hand and official seal the day and r last ove wr' en. o ublic in a ert, Stic of Washington, NOTARY residing at 23038426 PbgLtC, ' My commission expires: !J OF WASN\a ` '////11111111111j11 Page 2 of 2 ' ~ 2218807 MASON CO WA 11/25/2024 10 36 AM NOTCE AUSETH. CHRIS #203972 Rae Fee $304 50 Pages 2 IIIIIII IIIIII III lit IIIIIII Will IIII IIII 1111111 IIIIII III IIIII ul!IF Retum To Q)�<&LA-bQ WA- �GT Grantor(s): (1) aITZ� �rVSe c (2) Grantee(s): (1) PUBLIC Legal Description (1)Ttz, -Cj pF Nw Tr0r, C of SP a 71, to P of S!'�' 2-3'J (Abbreviated form:i.e. lot, block, plat or section, township, ranqe) Assessor's Tax Parcel: (1)3—-.2--0— 3 2-- -3—-2- --�-Q- TITLE NOTIFICATION OF WATER RESOURCE INVENTORY AREA (WRIA) (We), the undersigned grantor(s), hereby place this notice on record that the described real estate situated in Mason County, State of Washington is subject to water use restrictions and conditions set by Washington State Senate Bill 6091 and Mason County Code 6.68. These restrictions and conditions are based on location of property and/or Water Resource Inventory Area or WRIA. WRIA: 14 Maximum Annual Average Gallons Per Day: 9GO gallons Dated on this ZS day of NO 201J_. Signature Grantor(s): (1) ` (2) State of Washington ) County of Mason } Page 1 of 2