Loading...
HomeMy WebLinkAboutBLD2019-01119 Garage, Bathroom - BLD Application - 9/11/2019 MASON COUNTY COMMUNITY SERVICES Permit No:�,d�`�—('(�`� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ext. 352• 6 -77, cN Belfair. (360)275-4467•Phone Ell ( 6( 752tyl 1�1 SEP 1 1 2019 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: FNAME: CTOR INFORMATION: NAME: l3F i 101 t�!. -A�MAILINGADDRESS: r: f�c �: i ADDRESTS CITY: S Z4 ,17o o i STATE:C /fig_ZIP:Yg g- CITY: STATE: ZIP: PHONE#1: 0 g/ q_ 7� ¢ PHONE: CELL: PHONE#2: �60-¢_�a 79 4 EMAIL : EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME S,4ftK a — xr EMAIL_M(,�%;� Iy(S� j LOt� MAILING ADDRESS CITY STAVE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) aA �10 R& YR 9 O O - I ZONING R iR LEGAL DESCRIPTION(Abbreviated) LoTr 1 o.G S P .;ot Q y�,-:;PnV77e 2 G 4 FIRE DISTRICT SITE ADDRESS)$-1 .5.4z.PAwt••tJte.., vR. _IVJUNSL6� CITY 514cvM t) `�' �•� DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO ❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEI< ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW P� ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER DGrTG USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) �'✓� (��+' LZ IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS O NUMBER OF BATHROOMS HEATED STRUCTURE? YES (Whole Bldg) ❑ YES(Part[s!of Bldg)K NO❑ DESCRIBE WORK t^ T -re-� �O ��D C� t4'.c-r o 1 QA-T l4 0&C'M SQUARE FOOTAGE: (proposed) IST FLOOR sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq, ft. COVERED DECI{ sq.ft. STORAGE sq.ft. OTHER sq. ft. GARAGEOZT sq. ft. Attached❑ Detache 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 SEWER ❑ / NEWY EXISTING PLUMBING IN STRUCTURE? YESX NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS ® PROPOSED BEDROOMS O 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 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. (MASON COUNTY CODE 14.08.42) Signature o NER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH V R "ram. .�... :.. .._......_ l- n. 19 4N - _ o 00 y. 5 � l 71 µ _ ag .� « 1 1 2019 - TOPOGq"6V P ` - . .f f (473 Direction: Scale: Approval: for office use Building Permit number:,,,, Building: Owner/Applicant: 0� 1�iL�- Date of Planning: application: Env. Health: Parcel Number: 3�?q�® a I -g -0 ' � l V Ajo ' � � _.��_' _. _5.11;c'�t LAN.-.f�EQ, T.©.�•B€--0At-•�E�------�---1 + - i' • s CHANGES SU4J TO APPROVAL i3y bates .. All, _ � I Afth ALL q�F tee•- ____ __ s- 43 ._ . _ t.,�;,,_,�;..�,.e..-..._- - —..«..._..__-...�. _.. � C�„d_.-�?�� ��•.^�,•�.' —._tom-__ �.�...... .. IV Aq _CM [ . T0P0G645lMP w%rb8L5_ -og.!� v w i 6"Se f 170 (473 I_j + 140 Direction: Scale: , Approval: foroffice use Building Permit number: Building: Owner/Applicant: QCFaT ( !XL -w-N/ Date of Planning: �ao a� 3,9Q00 � , ;• application: Env. Health: Parcel Number: ; J f Mason County WA GIS Web Map �,r. ""'�•�•. ,.�� ��„ �`fL E C�A�;i rJ�l E;"•�. F E�:T � / / .,�' ~;< .�� w- _ r - SE CAA'"" rJV'IE'A L 1 � f 8/23/2019 11:30:14 AM 1:1,536 0 0.01 0.03 0.05 mi L-J' County Boundary 0 0.02 0.04 0.08 km Site Address (Zoom in to 1-5,000) Tax Parcels (Zoom in to 1-30,000) Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNES/Airbus IDS,USDA,USGS,AeroGRID,IGN,and the GIS User Community Contours 5 ft /V OT " GF_O 1,© C A L /� S'�ss 1 •t • C--ram '13,Q hJ6, Pg CF6 p4td 4ason County WA GIS Web Map Application LL�� R v9�1�T1/1 1.l/1`•ram T � 1\+/�i 1rJ�i w i 1�' K'��w/'i` ,'l��J Richard Diaz I Earthstar Geographics I .�.., ': ��'' - ?� • 't. ,: :� MASON COUNTY COMMUNITY SERVICES B �'L® ppp Building,Planning.Environmental Health Community Health I N 1.G Physical and Mailing Address: 615 WAlder St., Bldg 8,Shelton, WA 98584 Shelton Phone: (360)427-9670 ext 352 •'e Fax (360)427-7798 [O� PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: �IO�OII1 l OWNER NFORMATION: CONTRACTOR INFORMATION: NAME:_4�LU i NAME: MAILING ADbRESS993 5.6. MAILING ADDRESS: CITY: 5&L7-0o j STATE:&(_)A ZIP:YFQPr� CITY: STATE: ZIP: 1st PHONE: PHONE: CELL: 2nd PHONE�__Z0- J - 7$43 EMAIL: EMAIL: L&I REG# EXP. / / PARCEL INFORMATION:PARCEL NUMBER (12 Digit Number): Z�20an 3a!JW a I Zoning: RIP k�5 LEGAL DESCRIPTION (Abbreviated): L�-"7_.' -t-IV S.10 4r-a q6 5- 407 11/T K a 6•L SITE ADDRESS: �98J S, L DAuj -O t Ems„ D fz . CITY: 29,5-8 4- DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER Dj:-rthLTcffli,i) A 6�- USE OF BUILDING VI "IL �L" 04,^�e�dp,3 S-TO&A-4 PLUMBING FIXTURES MECHANICAL UNITS 'K Electric in-wall heaters(none) Type of Fixture No. of Fixtures Fuel Tyne Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) �— Fumace [E/G/LPG] Bathroom Sink(s) 1 Heat Pump [E/G/LPG] Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) I Spot Vent Fan Water Heater(s) 1 [E/G/LPG] Propane Tank gal.] Clothes Washer(s) ( [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) �— Dryer Vent —� Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges 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 OF WORK IS BY MEANS OF INSPECT N.INACTIVITY OF THIS P MIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 9 - s-r9 Signature of Applicant Date X W12I?te—, AlL�I(t( f f-f Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building Tee, '1-11, O Fire Marshal 1 O Permlt Tech (OTC permit only) VIS;i lL 011-hn;,' 1tttp.,/www,cO.il1ZSOn.wa.LISJCOnlnlun:tV Ciev/ Rev:3/08/2017 NameM)iSiFeZ—ia Jrt✓Parcel# d o�� qOO� f BLD#a O�" t-D 19 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 60 X = pQ X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Driveways 6,0 X A _ v O X = Length of drive begins at the right of way X = Parking Areas to X 60 = 6 O O X = Any paved, gravel or packed area per definition above table X = Patios/Walks o?© X , Q 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) i� �0O 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 1V0T 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- describ d property for review and insp on as may be required. p X4lk-f ff Owne 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 I 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: 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)-�—( 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 450 100 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 400 415 N.6th St—Bldg#8 lower level 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 pr erty or review an pection as may be required. X Owne Agent/Contractor(circle one)Date: Page 2 of 2 RO r n _ �� __.._. � .. fit,.'_�.-'_ .r....��:�._.' � . _. •C �. • ._. _ � .. �....�___ Ft r _DEC 10 2019 r _ i 1 1 _... 1 N'- r -..�'.._,.. � ..'.Y-u,ice►._ h.....�-.-1 ...4 Gq, V f- 1.70 Direction: j Scale: , Approval: for office use Building Permit number.. `4 L( Building: Owner/Applicant: 0+' .1a ULCrl\/ Date of Planning: �[�0 application- Env. Health: Parcel Number. R 3RJ200 a ' �- 5891-711 DAWNVIEW DR -I� � \P� \ �\ \� w oI PROPOSED / GE W/ I OX. 1 GA / t BATHROOM WELL EXISTING SEPTIC SYSTEM PROPOSED 7Q i 'f J GRAVITY SYSTEM ATTN. ram/ �\ ZONE r� \ r DOWNGRADIENT NEIGHBORING WELL IS OVER 30OFT FROM PROPOSED DRAINFIELD .. w MASON COLJNIY ENVIRQi' 4ENTP.L HEALTH KLE out vase INSTALLATION DESIGNERSIGNOFF/ASBVILT FEE WILL J % �, e-i� 1y1 Aj 'Coy EXPIRES BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING INC. CUSTOMER: ROBERT MULLEN �I I I:100 PARCEL#:22028-32-90021 TEST FIJLL I: I FST HOLE 2: SEPTIC._ DESIGNS ADDRF_%. 282 SE DAWNVIEW DR 0-31 GLS 0-41 GLS 31+COMP. 41+COMP. 3083 E.MASON BENSON IW GRAPEVIEW,WA 98546 DESIGNER: ROBERT PAYSSE PO-,)TS-31 RO�YI'S-41 OFFICE-360 426-1803 FAX-360-427.2353 DFSIGN PAGE ! OF