Loading...
HomeMy WebLinkAboutBLD2024-01099 SFR - BLD Application - 9/11/2024 MASON COUNTY COMMUNITY SERVICES PermitNo: � D ` E IV E D PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98564 • Phone Shelton:(360)427-9670 ext 352•Fm(360)427-7798 Phone S E P 1 1 2024 Bellalr.(360)2754467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: �CGG�'.i 7� Ytz�o /�iry?- NAME: -,5eE- MAILIN9 ADDRESS: Y � MAIL II3(r AL)DRESS: ,D. . I u CITY: /y STATE:w/! ZIP: CITY: I} STATE: ZIP �i7t PHONE#1: ?� �-� 3S PHONE: by �CEL1L: PHONE# : EMAIL: -fr)j)jfl e,�Iir 1� EMAIL: J.54.e Ca'�' L&I REG# )t►(h_ f)U Ems.Z 061-z • PRIMARY' _O � T: OWNER CONTRACTOR❑ OTHER❑ NAME U. EMAIL _- MAILING RESS CITY STATE ZIP PHONE CELL O PARCEL INFORMATION: J PARCELNUMBER(12 Digit Number) 27��/ -S 2- ZONING LEGAL DESCRIPTION(Abbreviated) L(.y(.i!'1D h I L:� I O f 3 I FIRE DISTRI�- SITE ADDRESS -7,9.,0 CITY I(a t!L DIREC ONS TO SITE ADDRESS�` I U(1l I O Il. IfS Virive n) ca � IS THE PROJECT Wr=30 FT OF SLOPE(S)GREATER THAN 14%: YES❑ N01 SNOW LOAD:_l psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (awkalllhar apply): /q6 SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW E7 EDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(aeeda a Gamgs Commor idBldg,Err-) 1.2f IS USE: PRIMARY g--SEASONAL❑ NUMBER OF BEDROOMS -NUMBER OF BATHROOMS 2- HEATED STRUCTURE?? �YES'(Wyhol�eBldg)❑y YES(P-AjofBldg)A NO❑ ' L DESCRIBE WORK. N n4'3w r C1"t[r. I 11 �.( � �J�I= L 14)I(�1 Z f 46rp SOUARE FOOTAGE:(pmpa,4 1ST FLOOR Ir/9f(-sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.$_ DECK sq.fL COVERED DECK �b sq.& STORAGE sq.1 OTHER sq.fL GARAGE- sq.ft.Attached a-Detached❑ CARPORT sq.R Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUMED* MAK MODEL YEAR WMTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: - SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW V EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Form PER KETER/FOUNDATION DRAINS PROPOSED? YES,d NO❑ EUSTING SQ.FT. EXISTING BEDROOMS--0 - PROPOSED BEDROOMS_'3_ TOTAL BEDROOMS j OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.)declare that 1 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,indudmg any easerient 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 permiVappCcation 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 AP (CATION 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 91r� 1 Signature of OWNER(Must be signed by the OWNER) Date 7DFPARTMENTAI._RE VEt : =APPROVED!':= DATE:-.'= DENIFjDri :DATE;`-TAGS/NOTES/C0NDTI1ONS4_ BUILDING DEPAKTMENT 0aI3 - PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 1` 161 ZG - 610q 1 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING -FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 exL 352• Fax:(360)427--7798 Phone Belfair.(360)2754467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION 0WNERdM0PdWAT1W: CONTRACTOR INFORMATION: NAME: -R-r� -,,LJk,4Y. � ti7-7, NAME: MAILING ADDRESS: -.6, MAILING ADDRESS: CITY:A�N STATE: Af V ZIP: `f£fS-2,L CITY: STATE: DP: In PHONE: % 7 - - 5 PHONE: CELL: 2nd PHONE: EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): �2Z2%-,Sz -C CU'3 Zoning. <r+e LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO ITE ADDRESS: � /` �`b wA� .�4, TYPE OF OB: NEW ADD ALT REPAIR OTHER USE OF BUILDING �St LOCATION OF FIkTIJRES/UNITS—1s'r FLOOR ''�2ND FLOOR BASEMENT GARAGE ! OTHER PLUMBING FUTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless Toilets 2-1-1 TjypeofUnit No.of Units Fees Bathroom Sink 2 Furnace _ Bath Tubs 1, Heat Pump Showers ;, Spot Vent Fan Water Heater Propane Tank Clothes Washer —/ Gas Outlets Kitchen Sinks ,L__ Wood/Gas/Pellet Stove Dishwasher ! i Kitchen Exhaust Hood Hose bibs �� Dryer Vent I Other Solar Panel T 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 CONTINUAT • N OFTHIS PEjli& S BY MEANS OF INSPECTION.INACTNITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALID E THE AP CATIO X �.z"Z Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1272016 18N NOT AN APPROVED SEPTIC DESIGN Disclaimer:Mason County does not require a 09/17/2024 Must use SWG 2024-00287 for septic installation survey to obtain a building permit.As a result,site plans may not reflect accurate data. It is the APPROVED MASON COUNTY CD PLANNING applicant's responsibility to comply with setback sem RIJOV.110 requirements. - *�Sd EH Setbacks RRSZoning �,`,,1W m Front Yard Setback.25'. R-6 A.) Drainfield/Reserve requires 10'setback from footing/foundations Side& Rear Yard Setbacks. Residential dwelling B.)Septic tank(s)requires 5'setback from all footing/foundations and accessory structures is 20'. C.)No foundation/Perimeter Drains within 30ft,downgradient of OR 10%width of lot if not more than 100'wide Drainfield/Reserve area OR approved ADV D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area All setbacks are measured from the furthest EH APPROVED 1 projection of the building. 10% MIN 9' SIDE SETBACK Rhonda Thompson 10/08/2024 1u• 1 rw D",LL m�i F i o0o Cn © t R 3 j lo,,SLOtR _ `� c 104 min --- j yt,N 26 \ 1 C4 10% MIN 9' SIDE SETBACK 11V All setbacks are measured from the furthest projection of the building. G Name Parcel#�a 1-53-Q��i BLD# 2v�Z`-I 610 9 Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page I 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-,Comp/efd 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 = 5 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). 18 i 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 ackno ledge that the information provided is accurate and employees of Mason County are granted access to the above- described p erty for revie d 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 Parcel# BLD# 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: Lftp//www.co.mason.wa—us/code/commissioners/index.hiin 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) 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- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2