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Home My WebLink AboutBLD2024-00013 SFR - BLD Application - 1/4/2024 Permit No: ?aAQ- -o061r.J MASON COUNTY RECEIVED COMMUNI Y DEVELE}PMENT JAN 0 4 2024 FermitPssistrtceCenfer,8uilc#ing planming U3 BUILDING PERMIT APPLICATION 615 w. Akler Streit C PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: lam NAME:Judy Chang NAME: MAILING ADDRESS:9315 N Fortune Ave MAILING ADDRESS: p CITY:Portland STATE:OR ZIP:97203 CITY: STATE: ZIP: toots PHONE#1:503-507-6249 PHONE: CELL: PHONE#2: EMAIL: EMAIL:jchang.jc96@gmail.com L&I REG# EXP. ! / G) PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER NAME Tam Snyder EMAIL waisheng@gmail.mm MAILING ADDRESS 3622 N Farragut St CITY Portland STATE OR ZIP 97217 PHONE 971-533-OM CELL, 971-533-M3 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12119-50-00020 ZONING 91 LEGAL DESCRIPTION(Abbreviated) HARTSTENE POINTE,Lot 20 S 50974 FIRE DISTRICT 5 SITE ADDRESS 108 E Liberty Rd. CITY Shelton DIRECTIONS TO SITE ADDRESS At the gate to Harstine Pointe take the first right onto East Pointes Dr E 436FT,turn right onto E BamadeBoulevard 361ft Turn right onto Liberty Rd. Parcel is on the left. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YE SO NO ZkNOW LOAD:25 psf 1S PROPERTY—WITHIN 200 FT OF THE FOLLOWING: eckall that app SALTWATER LAKE RIVER/CREEK POND E]WETLANDI I SEASONAL RUNOFF❑ STREAM TYPE OF WORK: NEWW] ADDITION❑ALTERATIONS REPAIR❑ OTHERI—I USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residential.Home p IS USE: PRIMARYZ SEASONA NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole B YES(ParQsJojBldg)❑ NC❑ DESCRIBE WORK New home construction SOUARE FOOTAGE:(proposed) I ST FLOOR 1311 sq.ft. 2ND FLOOR 487 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.ft. COVERED DECK sq.ft. STORAGE 106 sq.ft. OTHER sq.ft GARAGE sq.ft. Attache Detache CARPORT 308 sq.ft. Attache Detache 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❑ PLUMBING IN STRUCTURE? YES NOF—] dyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES Nt[:] EXISTING SQ.FT. 0 EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 OWNER acknowledges that submission of inaccurate information may result in a stop worst 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 permittapplication becomes null 8 void I 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 BEEXPIRED.(MASON COUNTY CODE 14.08.42) Signature of OWNER(Must be sipiKed bV the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE. TAGS/NOTES.../CONDITIONS BUILDING DEPARTMENT rac I� PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No:��p�0��r" w`�'13 MASON COUNTY COMMUNITY DEVELOPMENTRECEIVED §, Permit Assistance Center, Building,Planning JAN 0 4 $024 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Shot OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Judy Chang NAME: MAILING ADDRESS:9215 N Fortune Ave MAILING ADDRESS: CITY: Portland STATE:OR ZIP:972m CITY: STATE`. ZIP: Is'PHONE: 503-507-6249 PHONE: CELL: 2nd PHONE: EMAIL : EMAIL: IChanA.lC96(a�gmaiLcom L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 12119-50-00020 Zoning: LEGAL DESCRIPTION(Abbrev :Hartstene Pointe, Lot 20 S 50/74 SITE ADDRESS:1oe E Liberty Rd.sheltai we seeea CITY: Shelton DIRECTIONS TO SITE ADDRESS: At the gate to Hartstine Pointe-take the first right onto East Pointes Dr E 436FT,turn right onto E BamacleBoulevard 361 ft.Turn right onto Liberty Rd. Parcel is on the left. TYPE OF JOB: NEW®ADD=AL1=REPAIRD OTHE USE OF BUILDING Residential LOCATION OF FIXTURES/UNITS—Isr FLOOR 211D FLOORE=BASEMENT D GARAGED OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric�PCONTatural GasODuctless[= Toilets 2 TWe of Unit No.of nits Fees Bathroom Sink 2 Furnace Bath Tubs 1 Heat Pump 1 Showers 1 Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer 1 Cac Outlets Kitchen Sinks 1 oo Gas/Pellet Stove 1 Dishwasher 1 Kitchen Exhaust Hood 1 Hose bibs 3 Dryer Vent 1 Other Solar Panel Other HRV 1 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. X p//03/z0�'q Signature of Ow er Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT DAL /-Z2-z PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2L1ri JBN Name U^Q^C,\ Parcel# 12 I c� c�— O J J ZU 1I D# 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'. '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. 77 - -- To Calculate Impervious Surfaces Please Complete This Ta 1.-- ---- — -- G Surface Type Length X Width = Area *All dimensions in feet Buildings D,3 X 1-1J.Z5 = ( b l '3Z,S X Zt = M Measurements for buildings are taken at the X - perimeter of the farthest projections(example: eaves/gutters) X = Driveways 12 X 2-t X = Length of drive begins at the right of way X = Parking Areas 31 X I S = `-I`� ,S 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 j2 S X q,S - 0-6. 7 X t = IZ l li the totai impervious area of trze proposer :te X _ development is greater than 2000 square feel a Small Parcel Stormwater Site Plan is Require# Total Impervious Surface Area{sum of all areas} �2� y.o 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 property for review and 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 I of 2 { Name_ �- � Parcel# 11H1-Su-,DOO2_O 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) eThe 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 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 pro for re=dinspection as may be required. X Owner gent/ ontractor(circle one)Date: O//O 3/20 Page 2 of 2 C 7 Q. O 1 � \\ \\ \ E North Island Dr AM 17 , '�sI diDr Harstene Point Clubhouse --- -- Hartstene Pointe -- ------------ ,�� Maintenance O :: - CLM h, 8 - Libe ad - // /� CL I I / w g d ,ea.w 1 .m.rsak. Ci ► / `- 1 , Take E Harstine Bridge Rd onto Harstine Island 0.6 mi Turn left onto E North Island Dr 4.7 mi -531r ; At the traffic circle, take the 1 st exit and stay on E North Island Dr 371 ft \\ Turn right onto East Pointes Drive East 436 ft Turn right onto East Barnacle Boulevard 361 ft — \ C19 Turn right onto Liberty Rd. Parcel is on the Left. _ \ Tr,e UstPublic sewer and water \ 1. Cedar 24- Keep ..�...w.ra 2. Cedu R 17 emave 3. Fr 12' Remvw ,. Cedar 3Y Remova \ ---` B. Cedar B' Remove _----__ e. R 10• Remove \ _ — 7. Cedar ,' Rvmow \ — -- B, Fir le Remove i — R.mow PLANNING SETBACKS: 10. Cedar 1Y R artnw 11. Fr 30' Remove J % � \ 12. Cedar 20' R.movv F \ `\ 13. Fr10' Remave 5 AII Directions �--� 14. Cedar 30, Keep 18, F.dar ?- R:'o * all setbacks are measured form \ 17. Cedar 1,• Rvmovo + 1 � \ 1E. Cedar 18' Keep 135 the furthest projection of the building 1 / ,' `\ `\ 20 Cedar 1B' K..p �, C.d. 14' Raempava subject to EH setbacks .. .. ...... . . . ... ......... .._. PLN Approved Site Plan y�1i1i 01/05/2024 EH APPROVED Mason County Community Development Gavin Scouten C 1 Rhonda Thompson 01/25/2024 All Changes Subject to Approval