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Home My WebLink AboutBLD2021-01406 Detached Garage - BLD Plot / Site Plans - 6/22/2022 uucuoign Crivwupu iu.liOl.f-LffJU'MLVC-41,1.Y`J-D.7LC-OOVl+H04LHr DL 1 I MASON COUNTY COMMUNITY SERVICES Permit No: IVlS 40— PERMIT ASSISTANCE CENTER. e BUILDING a PLANNING a PUBLIC HEALTH a FIRE MARSHAL t 615 W.Alder Street,Shelton,WA 98584t-- Phone Belfair(360)2 57446-Phone Elma(360)482-5269 Phone 4 2 BUILDING PERMIT APPLICATION 615 VV. Id er tree t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Kary Roumeliotis NAME:SOUTH SHORE CONSTRUCTION INC MAILING ADDRESS: 4420 75th Street SW MAILING ADDRESS:PO BOX 963 CITY:Mukilteo STATE:WA ZIP:98275 CITY:BELFAIR STATE:WA ZIP:98528 PHONE#1: 1-425-773-7484 PHONE:360-275-0818 CELL: PHONE#2: EMAIL:southshore@q.com EMAIL:karyrl @hotmail.com L&I R.EG#SOUTHSCO16NL EXP./ PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: U PARCEL NUMBER(12 Digit Number) 22330-50-00336 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) HAVEN LAKE TR. 336 FIRE DISTRICT SITE ADDRESS 750 NE Haven Lake Dr CITY Tahuya DIRECTIONS TO SITE ADDRESS Follow WA-3 N to WA-300 Win Belfair(23.4 mi),Turn left onto E Pine St 1.6 mi,Continue onto WA-3 N 21.8 ml,Follow WA-300 W,NE Belfair NE Belfair Tahuya Rd and NE Haven Way to NE Haven Lake or(9.2 mi),Turn left after Dairy Queen Grill&Chill(on the left)0.2 mi,Turn left to stay on A-300 W 3.3 mi,Continue onto NE North Shore Rd 0.1 mi-Turn right onto NF Relfair Tahuya Rd 4-0 mi.Turn right onto NF Haven Way 1 5 mj,Zum]aft onto NF Haven I aka or Destination will ha on the left 9519ft IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOV SNOW LOAD:25 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 J/ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.). G IS USE: PRIMARY SEASONAL ❑ NUMBER ONBEDROOMS—_ NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)il YES(Part(s]of Bldg) ❑ NO❑ DESCRIBE WORK Gc�►S1Yu.�t" G SQUARE FOOTAGE: (proposed) 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 1600 sq.ft. Attached❑ - Detached CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIItED* MAKE_ MODEL - YEAR LENGTH WIDTI BEDROOM! BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ % NEW V EXISTING ❑ PLUMBING IN STRUCTURE? YESV NO ❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NOV EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 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 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 Docusigned by: COUNTY CODE 14.08.42) tz En I�atAwtt,(.tof1S 7/16/2021 X a7nRAd1AdPA 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 PLAN G' ALL SETBACK RE MEASURED FROM E FURTHEST PROJCTI N OF THE gUILaiNG E LANNING NE HAVEN LAK DR t1w 75' 100' DIUS 50'RADIUS WE 20' PROPOSED EC E N E D G 27'X 64'MH ' 4. JUL 2 2 2021 N 615 W.Alder Street 00 149. 6' 1�2a21 '0�`�� ° °°° KAR ROUMELIOTIS d- PARCEL: 22330-50-00336 750 NE HAVEN LAKE DR APPROVED a TAHUYA, WA 98588 MASON COUIV r ,.� PLANNING SITE PLAN SITE PLAN REQI ! ;` pc BE ON SITE SCALE: 1"=40' CH NG SUB r;,'T 1-J APPROVAL - s o - _ Date_ _ _• - M PROPOSED o N 40' 40' M GA GE M '].5 Ati 17.5' -� +'tY+1k 17.5' •CJ A 6n 24 .31' RV HOOKUPS 141.74' OPOSE DRAINFIEL ------ ----- 900 Q FT DRI DF RES RVE ----- Name u11\Lb Parcel# 7[$ --T/ —00 l 34t BLD# ZZ2A —01 qOW BU I L D I N C� Mason County epartment 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 40 X 40 = 1600 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 = Parkinq 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) 1600 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 inform tion provided is accurate and employees of Mason County are granted access to the above- described pronerty for eview an,44spection as may be required. X Xor Owner/Agent ontractor circle one)Date:7/21/21 If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please re zMwledgre,and sign the information provided on page 2 of 2. - y Page ] of 2 JUL 2 2 2021 age; I 'der Stre,, i�r --=-- ,. �Sr� vilt -K4vN dot t•-rl�ot 'S ,��zt#�ZZ33a 50-0033b $p Ekfsi. 750 NF HatiPnLek Dr 222�xQpev' /qj S6OLI-( 1"-, ' S `IQyQyI.yY11� � N „T• I �i I 1 � Q `ILGI o � o 01 Au�o-Yza e3 Ai€am ' O :kearrnst 51ttv2wa-'YT,rl� tt'. 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