HomeMy WebLinkAboutBLD2021-01087 SFR - BLD Application - 4/1/2021 MASON COUNTY COMMUNITY SERVICESe millQol
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL APR 01 2021
615 W.Alder Street,Shelton,WA 98584
Phooe "' :(360)427-9670 ext.352•Fax.(360)427-7798 Phone 615 W. Alder Street
� (360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROP OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Robert Begin NAME: Josh Simpson
MAILING ADDRESS: PO Box 3605 MAILINGADDRESS: 2281 E. Mason Lk. Dr. W
CITY: Sequim STATE: WA ZIP: 98382 CITY:Grapeview STATE:WA ZIP: 98546
PHONE#I: 270-366-7836 PHONE: CELL: 360-463-0227
PHONE#2: 360-463-8155 EMAIL : simpsonbuilderswahoo.com
EMAIL: L&I REG# SIMPSC*952LO EXP.-U/-Ga/�
PRIMARY CONTACT: OWNER❑ CONTRACTOR& OTHER❑
NAME Josh Simpson EMAIL
MAILINGADDRESS 2281 E. Mason Lk. Dr. W CITY Grapeview STATE WA Zip 98546
PHONE CELL 360-463-0227
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12119-5 4-0 0 0 0 2 ZONING ??
LEGAL DESCRIPTION(Abbreviated) Harstene Pointe #7S 3 4/12 7 LOT:2 FIRE DISTRICT ??
SITEADDRESS 149 E. Nantucket Rd. CITY Shelton, WA
DIRECTIONS TO SITE ADDRESS Hwy 3 to E. Pickering Rd. Cross bridge dge > Harsti ne Ts. T.eft <
E.N.Island Dr 4.7mi. Traffic crcle, 1st xit, right > E.Pointes Dr.O.lmi Rt>Ntkt,O.lm on R .
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[3 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) SFR
IS USE: PRIMARY [R SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part(,)of Bldg) Pq NO ❑
DESCRIBE WORK Complete home construction from clear timber to finished residence
SQUARE FOOTAGE: (proposed) z4utp
1ST FLOOR��sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK_ _sq.ft. COVERED DECK 4 5 _sq.ft. STORAGE 11 sq.ft. OTHER sq.ft.
GARAGE 680 sq.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 ® EXISTING❑
PLUMBING IN STRUCTURE? YES ® NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES X] NO❑ EXISTING SQ.FT. 0
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 cnnstruction is not commenced within 180 i
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 APPLIC TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42) '-7.�5U b rn Uf+.e C t
x 0. z -4 -!"Z0Z 1
Si nature R(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 COMMUNITY SERVICES Permit No`-(,�242�-d�Of q
PERMIT ASSISTANCE CENTER: r
.BUILDING •PLANNING -FIRE MARSHALRECEIVED
615 W. Alder St- Shelton, WA 98584
.co.mason.wa.us APR 01 2021
of Shelton:(360)427-�670 ext. 352• Fax:(360)427-7798
e Belfair:(360)275-4467• Phone Elma:(360)482-5269 6AN6A60CJ&Aet
`�14LUMBING & MECHANICAL PERMIT APPLICATION
4
OWN INFORMATION: CONTRACTOR INFORMATION:
NAME: Robert Begin NAME: Josh Simpson
MAILING ADDRESS: PO Box 3 6 0 5 MAILING ADDRESS:2 2 81 E. Mason Lk. Dr . W
CITY:Sequim STATE: WA ZIP: 98382 CITY:Grapeview STATE: WA ZIP: 98546
IS`PHONE: 270-366-7836 PHONE: CELL: 360-463-0227
2°dPHONE: 360-463-8155 EMAIL : simpsonbuilders@yahoo.com
EMAIL: mrwizard@cognizort.com L&I REG# SIMPSC*952LO EXP. 01/03/ 22
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12119-5 4-0 0 0 0 2 Zoning:??
LEGAL DESCRIPTION(Abbreviated): Harstene Pointe #7S 34/127 LOT:2
SITEADDRESS: 149 E. Nantucket Rd. CITY: Shelton, WA
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING SFR
LOCATION OF FIXTURES/UNITS—1sT FLOOR X 2ND FLOOR X BASEMENT GARAGE OTHER__
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS /
Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG X Natural Gas Ductless
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink _ f _ Furnace
Bath Tubs 1 Heat Pump 1 _
Showers 1 Spot Vent Fan
Water Heater 1 Propane Tank 1 __
Clothes Washer 1 Gas Out s
Kitchen Sinks 1 Woo a ellet Stove 1
Dishwasher 1 Kitche xhaust Hood 1
Hose bibs . 1 _ Dryer Vent 1
Otherli 1 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 O IS RMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 YS
WILL INVALIDATE A (CATION. �t)10 W)L {,4 Q
x
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
• y
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
j WSEC/Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instruRi )I V EDI
ner: Parcel#: Type of pro'ect:50301 2021
Total Sq. Ft. 1st Flopr. 2"d floor �� YS ! �a �ltreet
of heated area::
Heating System Type: EI all heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electr' O Heat pump with gas furnace •,Ductless Heat Pump
O Boiler, specify fuel' O Other.
Specify:
❑ Prescriptive Option Table R402.1.1 (see table on previous page)
Compliance
Method ElComponent Performance, R402.1.3 — Calculation worksheets required
Must Check one::
❑ Other (Specify):
Check one ❑ Whole House Ventilation system ❑ Whole House Ventilation
Ventilatio using exhaust fans &window or wall Integrated with a Forced Air ❑ Other, describe:
fresh air vents (101507.3.4). If using System (101507.3.5)
n System window vents be sure to order
windows with vents.
Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units
must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to
comply. If the table is not attached to this form you can access the table on our website at
http://www co mason wa.us/forms/ mason wa.us/forms/Communi�Devfiecc wsecpdfwsec.pdf
Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor
area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc).
Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor
Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits
ents b) Medium dwelling units that are not included in (a) above {small dwelling}, OR(c) below
Energy {large dwelling) Requires 3.5 credits
credits
EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5
required. credits. See page two for description.
�.5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled
floor area. Requires 4.5 credits
d) Additions less than 500 sq feet. Requires .5 credits
(Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque
doors, lazed-doors that include products with glass and non-glass glazing materials.
Describe Energy Credit Option(s):
Using Option —Doc; .G'5 f— �� (�
number(s): T
2A -5a-•
3
i
Name Parcel# BLD#
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.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area 'All dimensions in feet
Buildings X =
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 =
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)
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 1 of 2
, 11 -
Name Rarcel# 1 p� I I�1 J``t-OWP-2
1P Mason County
` De artment of Community Develo Ifiigt01 2021
Sm Z'le Stormwater Management Application/Worksheet Wage :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:
httpHwww.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"
PLE E 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
100 W. Public Works Dr
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 400
415 N.6th St-Bldg#8 lower level
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 property'for" view and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: L4- 202
Page 2 of 2
RECEIVED
N EXISTING Z
APR 01 2021 ( POWER Z
0
PLA 615 W. Alder Street e " U
N ING _ N
w
PROPOSED �' i I� co
TRENCH / PROPOSED Z,
PROPANE'
TANK / : _ -- — — TRENCH EXIST��1 LARGEING °�
W
�� STREET w
CULVERT a
SjOR SAFETY ZONE �� {- / �—"� Z
M(yq CABLE
Fib Rv
PEDESTAL
NoFF
EXISTING w
WATER 124' SMALL
DRIVEWAY ? t6
,
550 CULVERT N p
4
GUTTER / \ / / j 48
' _
TO SETBACK < 50 _ _ _ —_— _ _ _ — _ — _ _ — — APPROX LOCATION
UTILITY DISTRICT
\ — PROPOSED SEWER LATERAL
HEAT PUMP \ TRENCH
CONDENSERin
\ �
�c
c
RETAINING WALL 5' APPROVED z o
LANDSCAPE BLOCK A�SONOWU "' DCD PLANNING�� / NT LLl
(PREVENT EROSION) v
.f'` � SETBACK N
' SITE PLAiJ REQUIRED TO BE ON SITE
EQUIRED
DRAINAGE DITCH U ;CHANGES SJtCT.TO APPROVAL
p .. 0 90, BY Date
—
' PERIMETER
East Nantucket Rd. _
t�' n
S / N o m
m m
Q o a-
(� m
v
O
SURVEY PINS 3
5X INCLUDING CENTER
PLANNING:ALL SETBACKS ARE MEASURED. _ _
t, - - - - - SEWER .
�`om('1')U n 1. Ux-tPJL O/ DATE:
FROM THE FURTHEST — GUTTER
— - - -
PRO,JECT!Or OF THE BUILDING -?Ad 202,1 10 8 - — FOUNDATION
o4/Zi�zozi
LEGEND : UNDERGROUND DRAINS SCALE:
0 SCALE oc)-�A4
FT
SHEET:
10 20 30 40 50 100 Of 2
ce\users\pub[lc\documents\pdfllos\arch[torture\NtktHau**Slt*PlanOla.pdf