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HomeMy WebLinkAboutBLD2025-00125 WRI2025-00004 SFR - BLD Application - 1/31/2025 I �,� Permit Nw hw�,A-CO12(2 MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY�� OWNER INFORMATION: CONTRACTOR INFORMATION: // NAME: �Q . NAME: MAILING ADDRESS: AILING ADDRESS: CITY: S STATE: WA ZIP: y CITY: STATE: ZIP: PHONE#1: S tof) 4c1¢9-- 7 �3i PHONE: CELL: PHONE#2: r� EMAIL: EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER,V CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: p� �j PARCEL NUMBER(12 Digit Number) 31 ` 2 2— j'— /q Q©I 2 ZONING /��i LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 2-7 ft CITY DIRECTIONS TO SITE ADDRESS in Q 1 b IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO❑ SNOW LOAD:-Z�psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): ^ SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWS ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ 1 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(noleBldg))( YES(Part(s)ojBldg)❑ NO❑ nn DESCRIBE WORK Z i, SOUARE FOOTAGE: (proposed) 1ST 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❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WI H BEDROOMS BATHS SE ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES`% NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES)4 NOD 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 to the above described property and structure(s)for review and inspection. This permitlapplicaton becomes null 8 void if work or authorized construction is not commenced within 180 days or 9 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) Signa ure of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 1 Label type of roofs stem,rafters, engineered trusses&spacing Headers noted at each location or typical header noted. Roof pitch and covering materials Sheathing types,dimensions and fastening Attic venting ,location and amount Insulation value for roof(R38 vault and R49 ceiling)See Energy Credits for addition requirements, must be indicated on the plans. ENERGY CODE REQUIREMENTS RECIEVD Completed Washington State Energy Code form Plans must indicate fuel source for furnaces,water heaters and other appliances. Manufactures Specifications for each unit or component for HVAC&plumbing Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans PAGE # MUST include all credit information on the plan details such as insulation,ventilation,furnaces, windows etc. Plans must also include the number of credits and which credits are chosen. I verify all required documents,plans, and specifications associated with this application have been submitted and are accurate. Signature of owner or authorized agent Print Name Date r Permit No 6 `�i ' MASON COUNTY D 40 COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning J A N 3 1 2025 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERRTY�� OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:(2� zr 123 AME: MAILING ADDRESS: ING ADDRESS: CITY: STATE: ZIP: 3 Ry CITY: STATE: ZIP: PHONE#1: PHONE: CELL: PHONE#2: EMAIL: EMAIL: Z�ZL&I REG# EXP. PRIMARY CONTACT: OWNERV CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: c�PARCEL NUMBER(12 Digit Number) 3 I 2 Z— ll— / i'Z ZONING Rd-6, LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS S CITY DIRECTIONS TO STTE1ADD SS W 1 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: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWg ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ 1 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(whole Bldg)X YES(Part/sj of Bldg)❑ NO❑ _ DESCRIBE WORK I/t SQUARE FOOTAGE:(proposed) ` 1ST FLOORJ�sq.fL 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❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH H BEDROOMS BATHS SE ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES`d NO❑ If yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES)4 NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS_2 — TOTAL BEDROOMS_2_ 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 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 N 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) X SignafurFof OWNER(Must be signed by the OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH �_e�oo ISmourw Nu or"Eq __—,sa v— I U--. _ W1 Z s _ ------------- _ _ 00 t p . . =W y <LWq N i O Z 3 W O` ti A)Drainfield/Reserve requires E S H ET " ' d BACKS % back from footing/foundations i B)Septic tank(s)requires 5'setback from all footing/foundations —. Q No foundation/perimeter drains within 30'down-gradient of drainfield [D. H APPROVE m F_ reserve areaOD)No cut(s),banks)(greater than 5'&over 45 degrees)within 50' ovosizo2 down-gradient of drainfield/reserve area J or E f 02 TOPOGRAPHY 8 SITE EAST ELEVATION 002 Permit No:3 ld Zb'2-6-GYM i�.J MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center, Building, Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: CctC I A3- NAME: MAILINQ ADDRESS: 2-7 MAILING ADDRESS: CITY: STATE:_ZIPJgCITY: STATE: ZIP: 1 s`PH NE: PHONE: CELL: 2nd PHONE: EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: � ` CITY: {�. r S: 5 Zz I! /J 3 4l asvrr � — �cu- Gle/' .Fto",\ 3lsr �C�o t�as� -Ei°rs�' ho �l�vcu 1zt a�r- TYPE OF JOB: / NEW ADD=ALT=REPAIR=OTHER=USE OF BUILDING S[ [ ! LOCATION OF FIXTURES/UNITS— 1 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=LPGENatural Gas=DuctlessE:]300' Toilets ✓ Type of Unit No.of Units Fees Bathroom Sink / ✓ Furnace Bath Tubs / ✓ Heat Pump ✓ U�llh�11 Showers 1 ✓ Spot Vent Fan ✓�- vv ., f it Water Heater ✓ Propane Tank Clothes Washer ✓ Gas Outlets Kitchen Sinks ✓ Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood �✓ Hose bibs ✓ Dryer Vent ,I 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 permitlapplication 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 INVALIDATE THE APPLICATION. Signat re of Owner Date DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 1 B N Name �2rpV-JJqt&JaParcel# � BLD# ID 2-5 -001?,5 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: 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) COThe relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in th fr 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. , / XC Agent/Contractor(circle one)Date: � —Z(wne2r �r Page 2 of 2 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 stornwater 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 (n X / = dZg X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Driveways X ZOO 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 = PatiosMalks 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) 2//Zy 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. }{ Owner/Agent/Contractor(circle one)Date: Z - 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. Pagel of 2 Small parcel Storm Water Site Plan Written Description Carl Brownstein Mason County Tax Parcel 31922-11-90012 This project is a 588 sq ft small house with two bedrooms. Located on 7+acres. The storage shed is 96 sq ft and the driveway is 150 x 8 for 1200 sq ft. the total impervious area is 2124 sq ft. The new building site is located on the former foot print of a single wide mobile home that has been on this site since 1987.The site is forested with less than a %acre of mowed grass in the area of the septic tank and storm water runoff has been observed and managed during that time. Sheet flows of storm water runoff the driveway, and migrate through brush and trees. Water flowing downhill towards the house will be captured by a standard perimeter drain with 4" drain pipe, washed rock and soil fabric. The water will be diverted west away from the septic tank. Water from the roof of this small dwelling will be caught in a gutter and the down spout will divert the water down hill,west, away from the septic tank via a splash block. The septic system has been recently inspected and is fully functioning.Vegetation on the site is well established and abundant. WP-1 20 Z�- DDaa J 2221203 MASON CO WA M lOTCE B`ROWNSTEIN #20600i Relc Fee $304 50IIPages 2 Return To 0AA, t�7rouin� ht✓L � '_ � Grantee(s): (1) PUBLIC Legal Description (1) (Abbreviated form:i.e. lot, block,plat or section, township, range) Assessor's Tax Parcel: (1):!�--L AL 2—-AL-_-L J—_ Q ! ( a TITLE NOTIFICATION OF WATER RESOURCE INVENTORY AREA (WRIA) I (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: Maximum Annual Average Gallons Per Day: I�o _gallons Dated on this, � day of , 2025 Signature of Grantor(s): (1) (2) State of Washington ) County of Mason ) Page 1 of 2 I, the undersigned, a Notary Public in and for the above named County and State, do hereby certify that on this 'evtday of 20 4 person Ally appeared before me, who is known to be signer of the above instrument, and acknowledged that he (she) (they) signed it. GIVEN under my hand and official seal the day4anye last above itten. E �e�.,ti\Sg10N'FQub is in and for e State of Washington, :u NOTARV residing at 23038426 _ 'QUg p2 G0 My commission expires: rJp? ••• . OF UI/ASN�� '"'/////11111/1`'` Page 2 of 2 S Total Balance Due: .S. 5q .77 Permit M. _gLD�RDR5-001,25 Applicant: ns�e l V\ Checked Contractor's Registration. "o w' ais contacted?:, .` .:.Date Contacted:: Via Plapjne or Rniaii? :Contacted b- . CCv Other'-A►ssodated'Cases' : Fee Amount BLDa0a5-001Ps -7 v�P--Ta,oa5-0o004 D (0MASON COUNTY � COMMUNITY SERVICES •uid�Plamig Enwmmemd Nedth Comnxn' edN Nam Permit#:_ I Zr�Z — Q� a 5 FEE CALCULATION WORKSHEET (eff.2024) Valuation Determination under 2021 IBC Occupancy Type Square Footage Valuation Amount Total Valuation (vB) (sq. ft. x valuation) Residence/Addition/Basement $167.37 $ Garage/Storage $66.48 $ Unfinished Basement $31.50 $ Deck $17.00 $ Carport/Covered Deck $24.00 $ Other $ TOTAL VALUATION $ g .4 Estimated Plan Review Fee: $ U • . 52— Planning Dept. Review Fee [$275, $450, $100]: $ U Environmental Health Review Fee: $ 1.40 ©o Fire Access & Grade Review Fee [$97.00]: $ — 1 ADD - Address Application Fee [$185.00]: $ EXISfin GEO - Geo-technical Review Fee [$300.00]: $ -- ADV - Review Fee[$130.00] $ WAT SWAT Fee: Other: I A)Ed A - z AZ S - we •IT TOTAL DUE WHEN PERMIT IS SUBMITTED: , $ j The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees,and plumbing permit fees will be calculated during plan review. The balance of all other fees will be collected when permit is issued. ESTIMATED BUILDING PERMIT FEES Building Permit Fee (ICC, Table 1 — Building Valuation Data) $ Estimated Mechanical Fees (U.M.C., Table 1-A). $ Estimated Plumbing Fees (U.P.C. ,Table 1-1) State Fee: $25 $6.50 $ Technology Surcharge: fI 00 Chn - �rl C Cud . E1/ I etk� $Building Permit Fees WI-101 PERMIT IS READY for pickup: $ (*all fees subject to change w/o notice) GRAND TOTAL $ �{