HomeMy WebLinkAboutBLD2025-00189 Garage, Storage - BLD Application - 4/14/2025 MASON COUNTY Permit No:�1 d 2nAti-601
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:ee14d- /QQ-W41 NAME:
MAILING ADDRESS: to t a ,�" MAILING ADDRESS:
CITY:_ ,!jd," -STATE: (" ZIP:�tiy/ CITY: STATE: ZIP:
PHONE#1: 3�(2 - Ul 3-4 tt�K PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: O� 64��- eft/, co , L&I REG# EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: /�
PARCEL NUMBER(12 Digit Number) .9 1 L) ZONING 9/�
LEGAL DESCRIPTION(Abbreviated) /L ? FIRE DISTRICT
iSITE ADDRESS 101 Vi CITY ft,G�
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 11' SNOW LOADa psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (cheek all that appiy):
SALTWATER❑ LAKE❑ RIVER/CREEK N POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW t�, ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) "�LU�/�fr
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(paHisl oJBldg)❑ NO 9
DESCRIBE WORK c —
SOUARE FOOTAGE:(proposed)
1ST FLOOR sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE_31�_sq.ft. OTHER sq.fL
GE_764 q.ft. Attached❑ Detached 9 CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: * OF THE FLOOR �QUIRED-
-PrMAXE YEAR LE
WIDTH OOMS BATHS SERIAL NUMBER 1
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTfN(
PLUMBING IN STRUCTURE? YES❑ NOR( 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 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 holier 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)
X 6b�a. . 2-0
Signature of OWNEFMMust be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
BLN Dd lBill
HOMER ADAMS RD
DRIVE t000G'L.SEPTIC TANK
DRAINFIELD
STUBOUT'CLFANOUr
OSCAR%02 WA
50'
-PLANNED FOR REMOVAL
O
o� m
XISTING 3 BD RES n
FOOTPRINTS OF REMOVED SHEDS FOURDAT m
AND FOUNDATION SHALL BE
PLANTED WITH NATIVE VEGETATION AT LEAST583 SO FT <
OF THE EXISTING r-
10"t FOUNDATION SHALL r-
m
JF TOcgFfK BE REMOVED
c .
® SCALE-1"=50'-0'
O 1`
00 �
WELL ' _
1
EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations /
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area RR5 STANDARD SETBACKS`
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within P LN Approved
50ft,down gradient of Drainfield/Reserve area Front:25' �r
04/03/2025
Sides:20' Mason County Community Development
Rear: 20' Gavin
PRESSURE TEST N/A-GRAVITY SYSTEM EH APPROVED n
'r. 'unless otherwise stated on the site plan All Changes Subject
t to Approval
Rhonda Thompson 04/08/2025
`all setbacks measured from the farthest Disclaimer
projection of the building Mason County does not require surveys for
ro
p ) g building.As a result,site plans may not reflect
'subject to EH setbacks accurate data.It is the applicants responsibility
Area of Sheds for Removal: to comply with setback requirements.
Shed 1 =621 sq ft JIM HUNTER&ASSOC. CONTRACTOR
Shed 2=364 sq ft P.O.BOX 162,OLY,WA 98507
Total=985 sq ft 753-1226 LOCAL
JHANDASSOCIATES®HOTMAIL.COM INSTALL DATE- 1972
Area of Proposed Garage and Existing Foundation: RECORD DRAWING SITE ADDRESS/LEGAL
H
Proposed Garage:784 sq ft _
OWNER- gOBERT BOVD 1.W OMER ADAMS RD
FINAL DATE- 412/25
Existing garage foundation:1568 sq ft
Amount of existing foundation to be removed: TP1 620"22.DOO,D SITE« 2856
1568-985=583 sq ft
Homer Adams Rd.
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Scale 1:60 Rema/a[_
700
Owner:Robert Boyd
101 W.Homer AdamsRd.
Elma,WA.98541 Building Site
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Name Ii Parcel#t��1�d(� (� 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 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 X =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
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 = 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 roperty for review and inspection as may be required. /
\A, Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
e information provided on page 2 of 2.
Page 1 of 2 � 'l � �1 Pta--up
— owl
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormvvater 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:
htti2Hwww.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
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 stonnwater 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