HomeMy WebLinkAboutCOM2025-00066 Picnic Shelter - BLD Application - 3/11/2025 MASON COUNTY Permit No
COMMUNITY DEVELOPMEN EwED
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 2025
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI t } }
NAME:Hadstene Pointe Maintenance Association NAME: 61 Cj vv. AI e f Str
et
MAILING ADDRESS:202 East Pointer Drive E MAILING ADDRESS:
CITY:Shahan STATE:WA ZIp:98584 CITY: STATE: ZIP:
PHONE#1:360.414-5072 PHONE: CELL: ING
PHONE#2:�o-4z6•z3oo EMAIL: D
EMAIL:dereka@hpma.org L&I REG# EXP. .9U1
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER I]
NAME DarekHwston EMAIL derek@lrpma.org
MAILING ADDRESS 202 East Polnies Or.E CITY Shelton STATE WA ZIP 98584
PHONE 360.614-5072 CELL 360-483-6727
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121195700046 ZONING RRS
LEGAL DESCRIPTION(Abbreviated) R1W:21N:Sec 19, FIRE DISTRICT 5
SITE ADDRESS HARTSTENE POINTS#10 LOT:46 COMMON AREA CITY Shelton
DIRECTIONS TO SITE ADDRESS Enter Hanstena Pole Ihmugh gale,tum left solo Pdntes Or.West at stop sign.cmainue on POW-one nds.lust pall Wk jwnmer t7rte
to parking lot on the tea.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑/ SNOW LOAD:_psf
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❑ ALTERATION❑ REPAIR❑ OTHER ❑' Replacement
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)Recreation
IS USE: PRIMARY❑ SEASONAL❑' NUMBER OF BEDROOMS t4/A NUMBER OF BATHROOMS NIA
HEATED STRUCTURE? YES(Whole Btdg)❑ YES(Part(s)of Bldg)❑ NO 0
DESCRIBE WORK Picnic Shelter replacement,smatter footprint
SQUARE FOOTAGE:(p.oposm4
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER455.6 sq.ft.
GARAGE sq.ft, Attached❑ Detached❑ CARPORT sq.ft. Attached 0 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 I]
PLUMBING IN STRUCTURE? YES❑r NO 0 ffyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
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 paroles,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 permitlapplication 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 T BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature o 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
0 MASON COUNTY( Permit NO- 0O
COMMUNITY DEVELOPMENT p
Permit Assistance Center,Building,Planning EI �+\,E
BUILDING PERMIT APPLICATION
LIP 20L3
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI t
NAME:Hailstone Pointe Maintenance Association NAME: n A C \n1 �A `I_e r Sir et
MAILING ADDRESS:202 East Pointes Oils,E MAILING ADDRESS:
CITY:Motion STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#1:360-614-5072 PHONE: CELL:
PHONE#2:360-426-2300 EMAIL:________________________________
EMAIL:derck@hpma.org L&I REG# EXP._/......../_
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 9
NAME OerekHouston EMAIL derek@homa.org
MAILING ADDRESS 202 East Polnles Or.E CITY Shelton STATE WA ZIP 98584
PHONE 360-614-5072 CELL 360-483-8727
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121195700046 ZONINGRRs
__ L.
LEGAL DESCRIPTION(Abbreviated) RIW:21N:Sec 19, FIRE DISTRICT 5
SITE ADDRESS HARTSTENE POINTE 610 LOT:46 COMMON AREA CITY Shelton
DIRECTIONS TO SITE ADDRESS Enter Hartstene Pointe through gate,turn ten onto Pointer or.West at stop sign,continue on POW-one mile.Just pest WlntarnmerOrcte
to parking lot on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO9 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 9 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER Q Replacement
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)Recreation
IS USE: PRIMARY❑ SEASONAL❑+ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS N/A
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(of of Bldg)❑ NO❑/
DESCRIBE WORK Picnic Shelter replacement,smaller footprint
SQUARE FOOTAGE:(proposed)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 1.1152 sq.ft. STORAGE sq.fL OTHER455.6 sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached 0 Detached 0
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 0 SEWER❑ / NEW 0 EXISTING 9
PLUMBING IN STRUCTURE? YES❑+ NO 0 !f yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 9 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
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 end 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 permillapplication 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 T BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
,,,i
Signature o 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
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES FLD_____
Building,Planning,Environmental Health,Community Health
615W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd
Phone:(360)427-9670 Ext.352♦Fax:(360)427-7798 MAR 1 1 2O
Flood Development Permit Applicatkmw. Alder Street
Owner's Name: Contractor:
Hartstene Pointe Maintenance Association
Mailing Address: Mailing Address:
202 East Pointes Dr. E
City, State, Zip City. State, Zip
Shelton, WA 98584
Phone: 360-614-5072 Phone:
Email: derek@hpma.org Email:
Tax Parcel Number: Site Address:
121195700046
I understand I am making application for a permit to develop in a designated flood hazard area. The
undersigned agrees that all such work shall be done in accordance with the requirements of the County Flood
Damage Prevention Ordinance,building codes and all other applicable Local, State and Federal regulations.
This application does not create liability on the part of the County or any officer or employee thereof for any
flood damage that results from reliance on this application, or any administrative decision made lawfully there
under.
Owners Signature (required): Date:
Scope work for review: Replacement of exisiting shade structure
A. Description of Work (complete for all work): Assoc. Permit(s): Yl O2S (p(.,
1. Proposed Development Description:
❑ New Residence O New Manufactured home O Bridge/Culvert/Stabilization
O Non-Residential O Fill/grade O Bulkhead (new, repair, replace)
❑ Addition/RemodeVRepair to an existing structure
(includes mechanical, plumbing, and work such as a re-roof).
2. The parcel has been identified in the following Flood Hazard Area:
❑ A O AE O AO VE FIRM Panel/Map 53045C0515E
Base Flood Elevation (BFE): 20
Official Use
3. Habitat Assessment required: O Yes O No, exempt per
If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological
Evaluation, or JARPA Application.
4. Are any other Federal, State, or local permits required? Must attac opies of pe mits.
1 t
❑ Yes ❑ No If yes, list type: a l I
5. Is the proposed development in an identified floodway?
❑ Yes ❑ No If yes, a No Rise Certification must be attached.
B. Complete for Historic Structures (must be on historic registry).
1. Provide documentation of historic registry from Federal or State.
2. Provide a detailed letter requesting a variance.
Letter must include parcel number, address of site, scope of work and mitigation items regarding
wetproofing or floodproofing that are available.
No work can affect or result in increase flood heights or additional threats to public safety.
All mechanical and plumbing must be flood or wetproofed.
No variances will be granted in a Floodway.
C. Complete for NEW or Substantial Improvements Structures and Building Sites: "*
1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor.
Elevation Certificate must be attached.
2. Base Flood Elevation at the building site: feet NAVD 88
3. Required lowest floor elevation (including basement floor): feet NAVD88
4. In flood hazard areas without a base flood elevation (BFE), what is the highest adjacent.
Grade? (HAG)
Structure must be a minimum of two (2)feet above the HAG.
The required finish floor height is
D. Complete for Alterations, Additions, or Improvements to Existing Structures:***
1. What is the estimated market value of the existing structure? $
Attached:
Assessor's Parcel Detail Report OR
Appraisal from a Washington State Licensed Appraiser
2. What is the cost/valuation of the proposed construction? $ Percentage
Attached:
Contractors Bid (FEMA Criteria) OR
County Valuation per Mason County Ordinance
When the cost or valuation of the proposed construction equals or exceeds 50 percent of the market value
of the structure, then the substantial improvement/repair provisions shall apply.
Is the proposed work a substantial repair/improvement ❑ Yes ❑ No
If yes, complete section C above.
E. Complete for Non-Residential Floodproofed Construction:***
1. Type of floodproofing method:
2. The required floodproofing elevation is: feet NAVD88
3. Floodproofing certification by a registered engineer is attached:
❑ Yes ❑ No
F. Complete for Subdivisions and Planned Unit Developments:
1. Will the subdivision or other development contain 50 lots or 5 acres?
❑ Yes D No
2. If yes, does the plat or proposal clearly identify base flood elevations?
❑ Yes ❑ No
3. Are the 100 Year Floodplain and Floodway delineated on the site plan?
❑ Yes ❑ No
Administrative
Planning Staff Signature: Date:
Approved: Denied:
Building Staff Signature: Date: k2 c2L9
Approved: Denied:
Environmental Health Staff Signature: Date:
Approved: Denied:
Comments/Conditions: �t� 1 O vp An O v-' & 3
***A final completed FEMA Elevation Certificate must provide prior to final inspection.
Mason County Flood Damage Prevention Ordinance#41-17 & International Building Codes
43 � HART5TENE POINTE /
\ ADDITION 10 y
LOT 46 �a
42
44
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11 2�
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45 EASEMENT FOR INGRESS,
EGRESS AND UTILITIES �
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NCH= 193.26 r z \ AREA
C8=5 62°0623' E NE ER c E-•FIE\ \ \ Hartstene
` k CON ION CEO a r� 6' GRAVE 14 Pointe
z \ rc ' PATHWAY
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`,z CON TION .r Shelter
-. t 5,0-DE 202 E Pointes Drive E
EXISTING MAIN �- LJ M1 'DELIp Shelton,WA 98584
DISTRICT SEWER �,� r ,0•Dec,
°'DECD
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HAKT5TENE POINTE MAINTENANCE ASSOC
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\
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b0 f o�, SANITARY SEWER MANHOLE BASIS OF MERIDIAN:
THE PLAT OF HARTSTENE POINTE ADDITION 10
f VERTICAL DATUM ` CONIFER TREE
NAVD 1988 A5 RECORDED IN VOLUME 9 OF PLATS AT PAGE 132•
°J0 } DECIDUOUS TREE RECORDS OF MASON COUNTY WASHINGTON.
Permit
_. _.... 0&30-2024
SITE SURVEY
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\ \ ` \
\ \ ASPHALT PATHS TO REAAIN \ \\ \\ \
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\ EW PICNIC SHELTER \\ \ \
1 \ \ \ / 1110 DARE FEET ,\ \
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\ \ I l ISTING STRUCTURE TO BE REMOVED \ � \ \ \\
1123 SQUARE FEET \ \
I I \ I ALIGN NEW IM ROVEME NORTH 7, j' \ \ \ \
I EDGE OF EXI TING COP(RETE PAVIN \ N N \ \
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( / /G0ANER OF EXISTING CONCRE VII \ \
�G STING CONCRTE PAVING TO BE REMOVED \ \
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/ PATCH STING ASP T PATH T
• / / I r ' / \ P DE ACCESSIBLE ACC WiCCEW SAND ST CONCRETE UNIT PAVERS \ \ \
I I / \ SHE!. EEDED \ 1632 SQUARE FEET GE RESTRAINT -1 3- \ \ \
I \ FUTURE CABINETS SIN TRENCH DRAIN AT DRIP ED ONE SIDE \ \ Pointe
\ ELECTRICCOOK-TOPBY \R / \
\ North Beach
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COORDINATE ROUGH
1 I / \ I \ , \ \ Shelter
202 E Pointes Drive E
\ A / A Shelton,WA 98584
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/ / I / \ 2017 NOAA/USGS
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\ \ \ \ \ — / 04 a i6F Permit
08-30-2024
\ \ \ \ \ 1 \` \ SITE PLAN
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