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BLD2023-00788 SFR - BLD Application - 7/11/2023
MASON COUNTY COMMUNITY SE f��f �Q�788 I V . PERMIT ASSISTANCE CENTER: .�.y •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MA SHAL n, 615 W.Alder Street,Shelton,WA 98584 Fhone,^/,_"_,: (36C),27-.370 ex:.352•Fax:(360)427-7798 Ph Belfair.(360)275-4467•Phone Elma:(360)482-5269 �������5� •„ BUILDING PERMIT AMMATNWr Street PROPERTY OWNER INFORMATION: n� CONTRACTOR INFORMATION: NAME: 2�hw�egtAQ' C,Wi,A1A&M Lo I to-r.0 NAME: MAILIN RESS:,D1t1p A)-I;. MAILING ADDRESS: CITY' / STATE: ZIP: CITY: STATE: ZIP: PHONE#1: a 3 C 41 '16 t{-4 PHONE: CELL: PHONE#2: 3 &`t I EMAIL: EMAIL: eizo-l( L&I REG# E)(P. PRIMARY CONTACT: OWNER((--CONTRACTOR❑ OTHER - _/ NAME .4utvte 'f- Shuwti&,A 11 Zn EMAILf7Zc�ll rah lyI''CC�a� MAILING/ ✓ADD SS sAr4 CITY S+4r9 E- STAT ( ZIP_St414 PHONE B 4 (a Q 1 7 reU-1 CELL PARCEL INFORMATION: '/ PARCEL NUMBER(12 Digit Number) a2oC 3 So -SD ` 00 ©d ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS_ AJ.E //A/�A) "Lpy , CITY Ira. 4(,y y eL DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 8—SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check anlhaiappty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW O--A-DDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Fae)_(Q S,a -r- IS USE: PRIMARY[a-SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS ! HEATED STRUCTURE? YESt ole Bldg)OYES(Part o,/BW❑ NO❑ DESCRIBE WORK e"') ��= SQUARE FOOTAGE:(proposed) a O ST FLOOq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. Q DECK1.'�Q—sq.fl. COVERED DECK sq.ft.'^STORAGE _sq.ft. OTHER sq.ft. U GARAGE sq.ft. Attached❑ Detached❑ ?33 W 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 8- SEWER❑ / NEW — EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES[- NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS Q— 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 dedare that I am the owner and I further declare that 1 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 8 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 APPL ATIO F 18A DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) SI a re of OWN M I ned b the OWNER) Date ust e DEPA TMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 0 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH � MASON COUNTY COMMUNITY SERVICES Permit No: bLV 20,W- 3 � PBUILDING •IT ASSI PLANNING STANCE *FIRE MARSHALS E C E I V E D 00788 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us JUL 1 1 2023 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair: (360)275-4467• Phone Elm�615)TIAI?Jer Street pe U L PLUMBING & MECHANICAL PERMIT APPLI( ATIO14— OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: MAILING AD RESS: :p I W0 A),E_ t-/A007,J U9 MAILING ADDRESS: CITY:Tom, STATE: ZIP: �/B�gR� CITY: STATE: ZIP: I"PHONE:_ 3 6,Q I -7(eq 7 PHONE: CELL: 2"d PHONE: I EMAIL : EMAIL: p�a�tt aL�-gn('qoA ca_t .y\, L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 2Q 3 30 - SQ - OQq&0 Zoning: LEGAL DESCRIPTION(Abbreviated: SITE ADDRESS: c�2_(0'2,0 0,6• tJouje,k3 CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW=ADD=ALI>=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— I ST FLOOR 2ND FLOOR=BASEMENT=GARAGED OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Eixtures Fees Fuel Type:ElectricOLPC,[ ]Natural Gas=Ductless= Toilets a / Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs � Heat Pump 174 Showers � Spot Vent Fan Water Heater Propane Tank Clothes Washer ��� Gas Ou Kitchen Sinks Woo as/ ellet Stove Dishwasher Kitche xhaust Hood I Hose bibs / Dryer Vent 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. _2 X I Mo%1�k_ gnature of Owner 0 1Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN PLANNING: ALL SETBACKS ARE MEASURED FROM 113 THE FURTHEST PROJECTION OF THE , BUILDING —� c 70 'L 0 ►L 9'A�� Au 1 �s 1110T �.i:�,e �� �=• l�`.''' `�;►fit ��`' fit% �...-�� __ Way / t3 ' A Y 3 i (3\ 3u� _ k � _ APPROVE q° i© MASON COUNTY DC PLANNING SITE PLAN REQUIRED TO E ON SITE CHANGES SUBJECT TO A PROVAL ° By: ' i`� Date: 0 /26/2023 Ci EH Setbac A.) Drainfield/Reserve requires 10'setback fro footing/foundations B.)Septic tank(s)requires 5'setback from all f ting/foundations C.) No foundation/Perimeter Drains within 30ft, owngradient of Drainfield/Reserve area D.) No Cut Bank(s) (greater than 511 and over 45 egrees)within 50ft,down gradient of Drainfield/Reserve area `10 EH APPROVED f Rhonda Thompson 10/05/2023 �- C'.�� `', L~ r' P 2 5 2021 PLANNING SETBACKS Front: 25' Jv. Alder Street Rear and Side: 20' ����� 'Subject to EH Setbacks Name Parcel# — # BLD Mason County Department of Community Development JUL 11 2323 Small Parcel Stormwater Management Application/Worksheet (page I of _L 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 X St, = 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 D = / o 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- 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/S 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� A Owner/Agent/Contractor(circle one)Date: p�(f 1�I � 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: 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) 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 mct 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. J X Owner/Agent/Contractor(circle one)Date: B {f/w Page 2 of 2 R + MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application 02023,� Owner: Telephone: Parcel#: Type of project (r—)-New Residence ( )Addition ( ) Remodel Total Sq. Ft. 1S Floor : 2" floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing O Prescriptive Option see reverse side circle one: I Percentage: Compliance �,_ _ Method O Component Performance , Chapter 5— Calculation worksheets require % Check one:: O Systems analysis, Chapter 4 JUL I 1 202 Whole House Ventilation system Gi t; t Ventilation using exhaust fans&window or wall fresh air O Whole House Ventilation using a eft Recovery Ventilation System (VIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilations ii nli with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) _ ;a Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Roomllocation U-Factor Size Quantity Square Feet Windows: S (0 ! 3 0 �. ! rs D. 2� agS ! 30 i c ede- LEA 0 ( oZ Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window&door area /(divided by)total sq.ft of heated area = %of glazing