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Home My WebLink AboutBLD2025-00220 Porch - BLD Application - 2/24/2025 A$oN co,13 MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: permit No: LD 2-a2S—QO2Z-0 .BUILDING.PLANNING.PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 y Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone BeHair(360)275.4467.Phone Elma:(360)482-5269 RECEIVED 54 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR IORMATI `' 113 NAME: Ap ff 0 At 40� A Y NAME: MA .,IN DDRESS: W MAILING ADDRESS: CITY: I STATE: Wit, ZIP:4fff5Z14 CITY: STATE: ZIP: PHONE#1: 1 62M PHONE: CELL: PHONE#2:( 0) -70— EMAIL: EMAIL: L&I REG# EXP. PRIMARYCONTACT: OWNER CONTRACTOR❑ ,I-OTHER NAME EMAIL tilt l67M MAILING ADDRESS D A! CITY /// STATE a _ Z►P PHONE(WQ2 34/— ZtV CELL Z PARCEL INFORMATION: /W,r� PARCEL NUMBER(12 Digit Number) 2 2 0 `D�1//Z(J ZONING—RA LEGAL DESCRIPTION Abbrevi ) FIRE DISTRICT SITE ADDRESS !LOPbk CITY DIRECTIONS TO SITE ADDRESS ✓L fkffb p/1 3 1 ►^ sel"wd 1-6 8- wen G#A TWOA IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES[] NO e IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION 0;(ALTERATION[I REPAIR[I OTHER Elr USE OF STRUCTURE(Residence,GanrW Commercial Bldg,Etc.)�� W✓&' IS USE: PRIMARY❑ SEASONAL I!� NUMBER OF BEDROOMS t NUMBER OF BATHROOMS HEATED STRUCTURE? YES(WholeBI ❑ YES(Part(s)ofB,*)❑ Owl may, t` �y, �, `,, DESCRIBE WORK 7914 aL 6��YI� COV1, �r T't�ric CA T►'G GAc kof Ire/�"� SQUARE FOOTAGE:(p. +ax w w I ST FLOOR DO N.ft. 2ND FLOOR q o N.ft. 3RD FLOOR sq.R BASEMENT sq.ft DECK N.ft COVERED DECK 2 4" STORAGE sq.ft OTHER sq.ft. GARAGE sq.ft. Attached K 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 SEWER❑ / NEW❑ EXISTING[� PLUMBING IN STRUCTURE? YES❑ NO N( Ifyes,attach completed Water Adequacy Form PERHSAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO9111 EXISTING SQ.FT. EXISTING BEDROOMS 3 PROPOSED BEDROOMS TOTAL BEDROOMS 3 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 i�� COUNTY CODE 14.08.42) x/ Signature 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 FEE'S TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO- TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE SITE PLAN N 90 E Warbler Ct Allyn, WA 98524 Parcel ID: 12208-51-04026 `= Lot area: 0.34 Acres 'c� scale 11y=20' Paper Size: 11N17" \ _ a1. J E War ler Ct _ _ _ centerline_ Property line sidewalk y \ I grass c 1 roofline 0 wall line i I No.90 1 Property line EXISTING, � / I - H0U ' roofline j wall line _ _ - - - septic � -dejk o� _ c J / / fence grass/ / Property line fence ` I J I I sm - I XIS ING SHED 1 r J J J _ rass j / fence $ Prope y line Disclaimer fo.�llurw�vaa.�na°.�ma.c°nd°n / Thia.u�i prvJuc nym uvbUy°nyan. loco un JJw ..WK.va M°. and a' ah°ulJ nor be reAd up°.as Mmy Myallyc 4 V I C I N I T Y M A P 4°:,`ae 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 surface2. '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 = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X = 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 IZ = Z 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) 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 wn /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 SUBMITTAL SPECIFICATIONS AND INFORMATION Site Plan: Site plans must be drawn to scale and at Critical Area: Critical areas include shorelines, flood least 8'/2" x 11". Scale not less than 1"=60'. Checklist plains, streams, wetlands, important wildlife habitat indicating information required on the site plan is listed areas and landslide hazard areas (such as steep slopes on the site plan application. Incomplete site plans may and marine bluffs). The planner may need to visit your cause a delay in the review and approval of your project. site to decide whether a buffer zone is required between the critical area and the proposed structures. Please Construction Plans: Plans must be drawn to scale, mark the corners of the proposed structure with flags or preferred W = 1'. Dimensions must be noted on the stakes. plans. A complete set of plans shall include foundation plan, framing plans, floor plans, cross sections, and Geotechnical Study: A geotechnical assessment or elevations. A complete building plan will give the report will be required if the development is within 300 ft building department enough information on how you plan of a slope 14% or greater. Additionally if the parcel is to construct your project. If you plan to construct a log located within a mapped Landslide/Erosion Hazard Area home, pole building greater than 864 square feet, or a metal, masonry, or concrete structure, calculations and Wetland: Areas that are inundated or saturated by plans, stamped by a Washington State licensed surface water or ground water at a frequency and engineer may be required. The building official may duration sufficient to support, and that under normal require additional drawings, details, sections, or circumstances do support a prevalence of vegetation stamped-engineered calculations and/or details. typically adapted for life in saturated soil conditions. Wetlands generally include swamps, marshes, bogs, Directions to Site: Provide accurate directions to your and similar areas. project site. This information will be used by staff when they review the project and by building inspectors Buffer: An area of land or designated for the purpose of insulating or separating a structure or land use from a Structural Engineered Calculations: Will be critical area or resource land in such a manner as to required if the proposed structure does not meet reduce or mitigate any adverse impacts of the developed conventional construction standards. Include 2 sets of area. calculations with your permit application. Parcel Number: a 12-digit tax assessment number Driveway Access Permit: May be required if assigned to each parcel by the Assessor's Office. accessing a public road or right of way. Contact Mason County Public Works at(360)427-9670, ext. 450 Legal Description: This describes the parcel of land identified by the 12-digit tax identification number. It is Washington State Energy Code: WSEC Energy acceptable to submit a legal description of the parcel as envelope calculations and air quality compliance. it appears on deeds, real estate contracts, and statutory warranty deed, or in records at the Assessor's office. Existing On-Site Sewage System: Documentation Legal descriptions are used to check the dimensions of a of approved on-site sewage system and satisfactory parcel and any underlying restrictions (such as setbacks operation and maintaince report within last 3 years. from property lines or easements, lot coverage, or height Septic Approval or Sewer Permit: Septic design of buildings). application must be approved by the Mason County Address: Site addresses are assigned through the Public Health prior to permit issuance for all Mason County Department of Community Development; development with septic systems. If sewer is available, call (360)427-9670 ext. 352 for more information. sewer permits can be obtained by calling Mason County Utilities. Contractor Registration Number: Contractors must be licensed with the state. The contractor license Water Availability: The water system manager must number can be obtained from the general contractor that complete a Water Adequacy application if the project will will be performing the work or through the Labor& be connected to a public/community water system. Industries website at: Private wells systems require a water well report, or https://wws2.wa.,-,ov/lni/bbip/contractor.asp an owner can capacity test, and bacteriological test within last 12 be an owner-contractor when building on his or her own months. property. RLC/Pre-Inspection: Pre-site inspection may be SEPA: The State Environmental Policy Act, 43.21 c necessary for application. A site visit completed by a RCW and implementing State and County administrative planner to identify critical areas and setback on the site. rules. Aquifer Recharge Areas: Areas where water infiltrates the soil, and percolates through it and surface rocks, to the groundwater table. These areas are mapped with Mason County Community Development. MASON COUNTY COMMUNITY SERVICES Buadl%PL..1 yEndrmm 4Heald,C—ityH-1th Name_/AR.N69, Permit#: bL QQ-QZ'F3- 00220 CALCULATION • Determination under 2021 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 e $24.00 $ -4, 5to0 . Q0 Other $ TOTAL VALUATION $ Estimated Plan Review Fee: $ 01-1 . 00 Planning Dept. Review Fee [$275, $450, $100]: $ 2.-I cj .00 Environmental Health Review F Fire Access & Grade Review Fee [$97. ADD - Address Application Fee [$185. GEO - Geo-technical Review Fee [$300. ADV - Review Fee($130. WAT - WAT Other: TOTAL DUE WHEN PERMIT IS SUBMITTED: $ 31 2• • d� 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) $ I cj to Estimated Mechanical Fees (U.M.C., Table 1-A). Estimated Plumbing Fees (U.P.C. ,Table 1-1) State Fee: $25 $6.50 $ kp . cj Q Technology Surcharge: Gj • p �p Other: $ Estimated Building Permit Fees WHEN PERMIT IS READY for pickup: $ (`all fees subject to change w/o notice) GRAND TOTAL $