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Home My WebLink AboutBLD2024-01382 SFR, Patio - BLD Application - 11/28/2024 MASON COUNTY COMMUNITY SERVICES Permit No: V' �LJ PERMIT ASSISTANCE CENTER: -BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 352-Far(360)427-7798 Phone N 0 V`'1® 2024 Betfalr.(360)2754467-Phone Eme:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: -t . & c NAME: 1'�l Lr�L�"� MAILING ADDRES �21P: _) MAILIN ADDRESS: 6 , • t b X I_ CITY: L-11 I 1 L(J TATE: CITY: It� STATE: ZIPPHONE#1: ) `1 PHONE: CELL: PHONE#2: EMAIL EMAIL.: L&I REG PRINIIARV VAX"a nT_ ❑ CONTRACTOR - OTHER NAME— _ 1 - EMAIL Ti MAILING D S CITY STA E ZIP PHONE � 1i CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) �� ' JI O CJC)�C� ZONING _- LEGAL DESCRIPTION(Abbreviatcd) FIRE DISTRICT sTTEADDREsd ' n ') CITY �--r I I i GNU 7 D ON TOsrmAD ss IV,') 1111 012,2 (16 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: (Ch—ko111harapp1y): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWe ADDITION❑ ALTERA^TION❑ RE(PAIR❑ OTHER ❑ USE OF STRUCTURE(A do,cS Garcga CommacW Bid&Ftc) F 1 C I/ll r IS USE PRIMARY,Qi SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(WhokBldg) YES(Part[r]ofBLt)❑ NO❑ •+ j DESCRIBE WORK J -I 0 CU U P 16- t i ) SOUARE FOOTAGE:(propwe4 1ST FLOORS sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.fL COVERED DECK�sq.fL STORAGE sq.ft. OTHER sq.fL GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES Ol OR REQumED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS n:� SERIALNUbMER ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ 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 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 structure(s)for review and inspection.This pernitlappfication 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 P APPUkAT17 181 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Sign of O (Must be-skmexrby the OWNER A Date �FPAR.__-•. AL___ W u;;-t. :APPROVED':`- DATE``,= =_DIIQIED DATVr TAGS/NOTES/COND_ITTONS�: BUIL UING DEPARTIE NT PLA24M NG DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: -�1C/.AU �bZ f , n MASON COUNTY COMMUNITY DEVELOPMENT ' Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION CONTRACTOR INFORMATION: NAME:_ NAME: AlAha. Ck'&LCt MAILING ADD SS: I MAILING ADDRESS: *o &)X (3 CITY: IW&A&40 STATE: Wry ZIP:41850 CITY: r STATE: WA ZIP: 91rS49 I sc PHONE:QDW all- Ll0-0-6-- PHONE: CELL 0 2°d PHONE: EMAIL :,5pjL4%Sxt-AcJ ra &Dalai J.Coal EMAIL: L&I REG#CC-eyLk4-k 5C8a1 iCf EXP._L 30 /.2S PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): .3�30`1 - 3 0003 0 Zoning: LEGAL DESCRIPTION Abbreviated): SITE ADDRESS: .3 N. Skar Lanz CITY: L i lliw � DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADDC---1 AL"I=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 IT FLOOR[T]2ND FLOOR=BASEMENT=GARAGE=OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fi;,lures Fees Fuel Type:Electric=LPG=Natural Gas�Ductless�] Toilets Type of Unit No.of Units Fees Bathroom Sink 2 Furnace Bath Tubs I _ Heat Pump Showers Spot Vent Fan Water Heater I Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks 1 Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood I 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 sign6iure 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 axess;to the above described property and structure(s)for review and inspection.This permitlapplication becomes null&void if work or authorized construction is not cornenced 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 INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENTC- /Z3G 2y PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN MASON COUNTY COMMUNITY SERVICES Permit No: '1/I rift PERMIT ASSISTANCE CENTER: BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL N 0 V 4 2024 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone Belfair.(360)27S-4467•Phone E/ma:(360)482-5269 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: (gin,) U►7 (� (� NAME: . t' l�' NAME: i .1 r • C.re_A" Ei5piftMET MAILIN ADDRESS: 1 U • + 0 A STATE: A! ZIP: , i PHONE: CELL: PHONE#2: EMAIL EMAIL: L&i REG n PRIMARV f.nWT-V i nT. - ❑ CONTRACTOR THEREI NAME rb to ja EMAIL f f l ' z.( Ott LU 4`,00flook..' 1 MAILINGA]'D SS CITY S A ZIP PHONE -j 1 1 CELL PARCEL INFORMATION: PARCELNUMBER(12DigitNumber) 3A 1 ' ,3_4 660.30 ZONING LEGAL DESCRIPTION(Abbrcviated) FIRE DISTRICT SITE ADDRESS,J-4 I"1 . C= I t c.CLt-) 7_ DUZEON$IO SITE ADP SS U r`9 H Il P 1 ,-1—LIAAA I4 THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (C6eckaBrharapp7y): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE -tea G-ags Co---1 B7dg,Erc) IS USE PRIMARY�Qi SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg))YES(Partly]ofBldg)❑ NO❑ DESCRIBE WORK 7 11) SOUARE FOOTAGE:0,rap.4 1ST FLOOR ICWL sq.R 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEII= sq.R DECK sq.fL COVERED DECK�sq.fL STORAGE sq.& OTTER sq.I GARAGE sq.&Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ AIANUFACTURED HOME INFORMATION: *4 COPIES O] LOOR REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS SERTALNUIvMER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Farm PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] 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.Admowledgement 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 representadve,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 P APPLI 10 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 74.08.42) - ` lZ Z_ x Signaft0d of O ust be3ignelTby the OWNER T— Date .DEPAR.--... AL--- W APPROVED":'- DATE` DF�TVI1D - :.DATE.r'TAGSINOTES/CONDITIONS}' BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH f BLD2024-01382 5 I 5ptem For hew 5 88'34-30"E / 1. Inve TleS or but 2. WBf r dwe Q TOAD EA5EMENT Front-North fib^ w_---------------W w Redo" i RETAINING at 50 1 WALL— f ' 50G1:10r _ 25'f:20NT moxknx r i 5E-TB-AGK 2.1 cind All who MI505: 'JI/ 32304-34-00030 ( 545Kermit V I I I ventllat EXISTING k_. i� Ob5. s t;l SEPTIC Ir- T-20'SIOE SETBACK Dvctle5 T 1�ii ANK I 325CM 00025 '$ pl _ 2O' 35 mint-spi ` 1 shall)be f a ' haishg ni� All of t SETBACK FROM unit anc OF SLOPE 1. Disf /� 7.1 Dist T fn 3230q-34-00040 3.2. Rat' SLOPE I vi 4 EXISTING -ry� BIOFILTER PRIMARY i I I}. I I 535 540 TABLE 4 RE5ERVE—=ter-> _ 1 - \\ I �� SMALL DWELLING 530 DWELLING UNITS L 1 n WITH LESS THAN° / w 525 FENESTRATION Ai I EH APPROVED Rhonda Thompson 03/03/2025 --� - -500 / -4q0� -4b5— IL - � p Front-South '�L - L.-475-._. 470— /ROAD ANT r- , -4b5-_- EH Setbacks ` 5440— A.) Drainfield/Reserve requires 10'setback from footing/foundations -435 - - B.)Septic tank(s)requires 5'setback from all footing/foundations —450— C.)No foundation/Perimeter Drains within 30ft,downgradient of ,—425- - - Drainfield/Reserve area - r- -420— D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 415- - - 50ft,down gradient of Drainfield/Reserve area _ Ail-- -.T-.-. 41 APPROVED -.�- MASON COUNTY DCD PLANNING l _ SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL By: /' � Date:01/27/2025 '- Disclaimer: -I —3b5p= PLANNING SETBACKS jMason County does not require a survey to obtain a 1` -L Setbacks measured from building permit.As a result,site plans may not reflect i` 350 . farthest projection of structure accurate data.It is the applicant's responsibility to comply with setback requirements. J �' .3ao Front North:25' L.r 335-330— Front South:25"' - + / - Side:20,..° �I50.0�% 325 Subject to EH Setbacks / / / _ iS bb°34'30•�T`�' �32Q- "Must adhere to a 5'slope setback per Geotech. 315-" -Uncovered concrete slab not required to meet setback.Any roof cover or structural component must meet setback. cu N X UJ 1 I 1 \� 208.16 \ ` (00.0 — . — 26q.Q4' 0.0' 20' SIDE 5ETBACK LINE Ti \ 1 4 \ \ \ \ \ \ \ \ \ \ ► \ ► i ? zj \ \ \ \ \ 4�\ \ \ _IQ z y UJ C) $ ,0 1I o pig I I M I4 Ig6.22 _ I _I _ 60.0� _I— — — 282.43' 0_O 1 I I rt I I 5 000 05' 14" E — u► 1 u► � cu � I I I I � , ) � , I � , � , I ( � Q Q , I u► �. u,I c�'. u► � � u► I cu � I .A. � -� I -� I � � `. I �. ! �.I I v► cn cn v, v, � � \, I OI $ ,O101 O O ,Io O lOj 0 C O MT 71 0 0 � 0 3 7C NZV N Nn1 -i 4W N � D b ZN r Ln M ,� 6T�5 (O � o � CttT Name Parcel# 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'. '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 -'�5 �-- _ _ '� = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways Al, P, = Length of drive begins at the right of way X = Parkin Areas _ Any paved, gravel or packed area per definition V X _ above table PatiosNValks 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 Fe t, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS N re fired for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may r stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's le epresentative,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 Name (J H n�3 1�c�,� ,r vim, Parcel# (J 'DOOU } BLD# IZD 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: httpHwww.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)X_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' a' n rovided is accurate and employees of Mason County are granted access to the above- described operiy for re p on ay be required. Owner/Agent/Contractor(circle one)Date: Page 2 of 2