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HomeMy WebLinkAboutBLD2024-00913 SFR - BLD Application - 7/26/2024 MASON COUNTY Permit No: N —00gl3 COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center,Building,Planning JUL 2 6 G0!/A BUILDING PERMIT APPLICATION C e_ PROPERTY OWNE er Sire INFORMATION: CONTRACTOR INFORMATION: r—" Kc4c k-l-tvt 5 r 0^1 +1 NAME:ion Obv ne- Van Berk-oNt NAME: 05ul o"- (rVnitrLZ 1d0A , L LC- MAILING ADDRESS: P.CC). t3vtt S'3 7'3 MAILING ADDRESS: R.p., CITY: STATE: ZIP: I-L CITY:$rrwl crlu✓l STATE:ZIP: c1 631 Z PHONE#1:3c L)-cer33-(plo'i S PHONE: L1 , �ELL:�6zi>-la ~(tlol�S- PHONE#2: EMAIL,: YYIG I wt r��:�c.1nG U,c,t v1 EMAIL: - mr �t;.hc,G.LGv�n L&I REG#�d}�j�� 3pal EXP.AZ G) PRIMARY CONTACT-,1 OWNERXI CONTRACTOR❑ OTHER❑ NAME Mc�rLl. �.�.,+c0'v'V1 EMAIL Ma tht( J�.t'IOJ.C�1Yl MAILING ADDRESS ��^ C� ' CITY BttYhtyft�✓1 STATE Z ZIP!g831 PHONE CELL PARCEL INFORMATION: Y PARCEL NUMBER(12 Digit Nwnber) ZONING f i 1-t-1 ye-I 4u.k LEGAL DESCRIPTION(Abbreviated)l'vJ4noY1 litAG� &feI 1 FIRE DI$MCT 3 SITE ADDRESS 1110 0 Mi,al.V C2 VI r..,,VS gir CITY DIRECTIONS TO SITE,ADDRESS-r,j - -6 h:i l r a IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YE% NO❑ �SNOW LOAD: IS PROPERTY WITHIN200 FT OF THE FOLLOWING: (Check all Awopply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 9 ADDITION❑ ALT�/ERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Reside ce,Garage,Commercial6i Bldg,Etc) h i In IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS Z NUMBER OF BAT-BROOMS_2� HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parr(a/ofBNg)® NO❑ DESCRIBE WORK n (O C. ^ SQUARE FOOTAGE:(proposed) 0 &5 1ST FLOOR .OJ° L seq.ftt.. 2ND FLOOR f + s ft. �3RD FLOOR sq.ft. BASEMENT sq.ft. DECK J. .`COVERED DECK _bsq k-S§TORAGE I OTHER sq.ft. GARAGE Cfa�)ft.Attached 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❑ EXISTINGg PLUMBING IN STRUCTURE? YES a- NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES gL 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 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 fora rbtl of 180 days. PROOF OF CONTINU ION O ORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE MI APPLICAT N OFi 80 DAYS OF MORE WILL CAUSE THE APPLI ATION TO BE EXPIRED.(MASON Wi COUNTY CODE 14.08.42) Sigh tUr@ 0 OWNE (Must be signed by the OWNER I Date DEPARTMENTAL REVIEW OVED IIATE, DENIED DATE TAGS/NOTES/CONDITIONS BUDDING DEPARTMENT (/1 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: ­00"/13 ,lei MASON COUNTY COMMUNITY DEVELOPMENIECEIVED NMFPermit Assistance Center, Building,Planning JUL 2 6 2024 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Pier S OWNER INFORMATION: CONTRACTOR INFORMATION: NAMEA rk- A kru NAME: Mc4j Qnoj GanS 0y) MAILING ADDRESS: 9.0, L3 OA 67-3"13 MAILING ADD SS: JP,©, ►3 „c 'tYD CITY: &4yWj(4uvi STATE: WAr ZIP:c?1331 Z CITY: &Zyx-t4h�/1 STATE:_ZIP: '-lb3 i Z 1st PHONE: r PHONE: CELL: 2nd PHONE: EMAIL : /J" lMy- lI �tap„c�t�Wl EMAIL: �Vu 14GO,CDC L&I REG#-p4FAD — EXP. _Z �/Z5 c'S C923 W PARCEL INFORMATION: PARCEL NUMBER(12 Digit 1Vitmber): 'Z11_L05_(0 I 0 i•1 Zoning: j2,�c, LEGAL DESCRIPTION(Abbreviated): h- p ; SITE ADDRESS: I JC> V,7 12r44� CITY: I DIRECTIONS TO SITE ADDRESS: jv,.,n �,,, E '11.�t�✓�oVt rJC5or �o Fc,ilac�> U��":1� w ia+ Il cH r:5�,� i�,c.�►c� S�c�t �� �vF-�c:�. TYPE OF JOB: NEW E=ADD=AL=REPAIR=OTHER USE OF BUILDING CN b t Vl LOCATION OF FIXTURES/UNITS- I sT FLOOR 2ND FLOOR BASEMENT=GARAGE[K]OTHERQ PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNIT Type of Fixture No.of Fixri s Fees Fuel Tvpe:Electri P Natural Gas=Ductless= Toilets �- Tvue of Unit o.of Units Fees Bathroom Sink — —EC6 Furnace Bath Tubs Heat Pump Vent Showers � Spot Vent Fan Water Heater Propane Tank I / Clothes Washer I Gas Outlets 'L Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher I / Kitchen Exhaust Hood 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 OF IS P IT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL IN A ATE TH APP TION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED QATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL SITE PLAN REQUIREMENTS: A complete, accurate and detailed site plan is important to avoid delays in the review and approval of your project. Use the checklist below as a tool to help you complete the site plan. 1. Scale: A scale of 1"=20', is typical but other scales such as 1"=10' or 1"-40' are also acceptable. Do not exceed 1"=60. 2. North arrow 3. Property line location and dimensions. 4. Label abutting streets 5. Shoreline/Surface water: Indicate creeks, streams, lakes, ponds, wetlands and other bodies of water within 300 ft of the proposed project. 6. Wetlands and Seasonal Drainage: Show setback distances from wetlands or seasonal drainage. 7. Easements: Indicate location and size of road, utility, and private easements. 8. Show All Existing Development: Identify existing and proposed structures. Include porches, decks, roof overhangs, cantilevers, and structures that will be demolished. 9. Proposed Building Footprint: Use scale to show distances to property lines, existing structures, septic tank and drainfield. Stake or flag footprint of proposed structure. 10. Sewage Disposal System: Identify septic tank location and drainfield. 11. Existing and proposed Buffers: Include open space, fences, sidewalks and parking areas. 12. Retaining walls: Proposed and existing. 13. Slopes/Site contours (Topography): Identify any slopes greater than 15%, fills or cuts greater than 4ft. that are located within 300ft. of the proposed project. Use Contour lines or arrows to show the direction of the slope. 14. Wells: Show existing and proposed, need to include all wells located within 100 ft of property. 15. Waterfront projects: Show all structures on adjacent property. 16. Driveway/ Site Access 17. Stormwater Run-off Path: Identify stormwater run-off path and direction of flow. 18. Land modification/Grading permits: Site applications for land modification permits must show topography before and after the proposed work. NoRTµ �R��� ZZ�Zo3�aa EH Setbacks I A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations ��RL� ��� 1C�r C.)No foundation/Perimeter Drains within 30ft,downgradient of EH APPROVED Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within No perimeter/foundation Rhonda Thompson 04/14/2025 50ft,down gradient of Drain,field/Reserve area gLb9,p'�-14-009 13 � I drains within 30ft of upgradient .,IyAS�"VVyrI�/0U1 � pl'-VA ! drainfield :--I--------------------------- -- - .. i j � I i far Rg &>t Lv, BRA\t4FfE1.C�t` � t 10' miur- CtS 15`X Zoe � G IN PFs>PoSEi> 'I F- a : patv�wt F f5 t zo' pR�4lti1F1rsL� j"+ � l�I L C 71! j?4 L ZZZZ..ai:o I C>I(o NoIZTTN L���✓��Ik,�'1 W1' �{TVh �35� N1w 5FPL vOl 9axar w_ \ r7Nw a39 Zo` r P�ot�SG l7 LIS 15 X Zo Q 0 J— ptt%\SSWAy 2 --.—_3cl --- 1 LA PlP.c e 1_ 2ZZ20�to i v iCv ACCESS & GRADE INSPECTION BLD ADDRESS: Ito TW-Mp. TfG��?j INSPECTOR 4&,-�;� DATE OF INSPECTION: FIRE SPR \TK .RR REQUIRED? (circle) NO IF fire sprinkler required,was notification letter mailed? DATE MANED: DRIVEWAYACCESS �G, ���� -'3 I'd-S2 ( ) need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY `6. 2 OF ROAD % ROAD ACCESS Length: Width: Surface: Condition of Shoulders: Vertical clearance: BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. L—� LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES Z X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: J�sr S, a� �res; ��( ��l a� %w•v�Sr P� �A I I Name/�n,,r Parcel 4 Z XI?Z to I D 1:l BLD# `ODql3 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 3G1 X L = 06!1 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 2 U X I S = 300 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 = 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 Z. 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 acknow dge that the info tion provided is accurate and employees of Mason County are granted access to the above- describe pr erty for view inspection as may be required. X Owner/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 � II Name M y cwk �i��U5��z7 Parcel# ' L7 -LOr J D!U 1:7 BLD# &;?-4-00�/3 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 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 si re below.I declare that I am the owner,owner's legal representative,or the contractor. I further ac ow dge that a info ion provided is accurate and employees of Mason County are granted access to the above- describ pr rty for r . iew spection as may be required. X Owner/Agent/Contractor(circle one)Date: 61— Page 2 of 2