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HomeMy WebLinkAboutBLD2024-00051 FLD2024-00003 DEMO, Replace SFR - BLD Application - 1/12/2024 Rom 4-� FLDa -©(x) Permit No:�LD,�Oa�-00061 MASON COUNTY ca COMMUNITY DEVELOPMENT RE�EIVL-.fir C Permit Assistance Center,Building,Planning JAN 12 2024 BUILDING PERMIT APPLICATION 615 W.Aider Street r PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Lake Dew aoc LLC NAME:N1A Z MAILING ADDRESS:912EMUP-RoadSE MAILING ADDRESS: CITY:armor STATE:wA ZIP:98513 CITY: STATE: ZIP: PHONE#1:3e1-790-010 PHONE: CELL: PHONE#2: EMAIL: EMAIL:d9^- m@yal .— L&I REG# EXP. PRMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME D." -- EMAIL °a .•p.n tgye w•.wm MAILINGADDRESS °1281"inRoi°gE CITY °yn• STATE wn ZIP91513 PHONE 3"'9D01'1 CELL'°""D°10 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12207s0-00019 ZONING m" LEGAL DESCRIPTION(Abbreviated) Lakewood Pu`m FIRE DISTRICT 3 SITE ADDRESS 1e1 E Lucky Lane CITY AJ,'n DIRECTIONSTOSITEADDRESS Take ELake Devereaux DfcfEWA,30rn1e11m ELUGYLana IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO ff SNOW LOAD:!psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check a0 dtat applv): SALTWATER❑ LAKE 1& RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑R.proe.wak0awrp USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)aaete— IS USE: PRIMARY 0( SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(whole Bldg)0� YES(Pan[a]ofB/de❑ NO❑ DESCRIBE WORK Remove and replace a Wlnp dwenmg wxh a new dmlkg SQUARE FOOTAGE:(proposed) IST FLOOR 7280 sq.ft. 2ND FLOOR 7T80 sq.ft. 3RD FLOOR sq.ft. BASEMENT 12w sq.ft. DECK3m sq.ft. COVERED DECK 11$ sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 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: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING, PLUMBING IN STRUCTURE? YES 0i NO❑ If yes,attach completed Rater Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES I% NO[] EXISTING SQ.FT.•ou° 00rmw.•°.a EXISTING BEDROOMS I 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 ff 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 COUNTY CODE 14.08.42) ignature of OWNER(Must be signed by the OWNER) Date l DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT �, 3a/3•Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit No: U5/ COMMUNITY DEVELOPMENITIECEIVED N C Permit Assistance Center, Building, Planning JAN 12 2024 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Nder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Lake Devereaux LLC NAME:NIA MAILING ADDRESS:9126 Mulen Road SE MAILING ADDRESS: CITY:ay-oe STATE:wA ZIP:98513 CITY: STATE: ZIP: 15k PHONE:350-7- 11t, PHONE: CELL: 21 PHONE: EMAIL : EMAII,:dan_ser9ent@yahoo— L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):1--5aoom9 Zoning.RR5 LEGAL DESCRIPTION(Abbreviated):Lakewood Rat SITE ADDRESS:181 E 1�cky Lane CITY:am DIRECTIONS TO SITE ADDRESS: Take E Lake Devereaux off of E WA-3 then left on E Lucky Lane TYPE OF JOB: NEW ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residential LOCAT N OF FIXTURES/UNITS— IST FLOOR 2ND FLOOR=BASEMENT=GARAGE=OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas[�Ductless= Toilets 2 Type of Unit No.of Units Fees Bathroom Sink 2 Furnace Bath Tubs 101 Heat Pump 1 Showers 2 Spot Vent Fan 2 Water Heater 1 Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks 1 Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood 1 __ Hose bibs 2 Dryer Vent y Q 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALI TE THE APPLICATION. x f �� Sign re of Owner Da DEPARAIENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PEG 5.t3.z l PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN Namrl ___eyeA,(t c " Ut,Parcel#199t)71—�O_ —000(9 BLD# —DDC 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: hup//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 signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the informatio provided is accurate and employees of Mason County are granted access to the above- described pr a for review ns tion as may be required. Owner/Agent/Contractor(circle one)Date: Z ( �3 /Zi Page 2 of 2 Name Lake Devereaux LLC Parcel# 12207-50-00019 BLD# 2W+-0QC61 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 surfacez. '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 X = New Structure 33 X 45 = 1485 Measurements for buildings are taken at the Existing Structure 10 X 60 = -600 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 = 5 X 45 = 225 Any paved, gravel or packed area per definition above table 12 X 50 = 600 Others X = Existing Patio/Deck 10 X 40 = -400 If the total impervious area of the proposed site X = development is greater than 2000 square feet a I i Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) 1310 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: 11" f the Total mpervious 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 MASON COUNTY COMMUNITY SERVICES • 6.9dmg Planning EnWronmeind Hcxlth Commoniq Hmld Name���� i_C U&)C Permit#: YEE CALCULATION O- Determination Occupancy Type Square Footage Valuation Amount Total Valuation (sq. ft. x valuation) Residence/Addition/Basement p�j�,Q $166.08 $ b. Garage/Storage $66.48 $ Unfinished Basement IV-boa3-a0 $ oZ-1 DO Deck 307 $15.00 $ ao Carport/Covered Deck $22.00 $ l�Cc7d .dC? Other $ TOTAL VALUATION $ �5g Estimated Plan Review Fee: $ 3 a q(p Planning Dept. Review Fee [$240,$380,$80]: $ OCR Environmental Health Review Fee: $ 6, Oa Fire Access & Grade Review Fee [$80.00]: $ ADD - Address Application Fee [$185.00]: $ GEO - Geo-technical Review Fee [$300.00]: $ ADV - Review Fee[$130.00] $ WAT — WAT Fee: 3 00 Other: ll ,^, 2 TOTAL DUE WHEN PERMIT IS SUBMITTED: $ a lY 53 .q('P The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees, and plumbing permit fees will be calculated during plan review. The balance of all other fees will be collected when permit is issued. ESTIMATED BUILDING PERMIT FEES Building Permit Fee (ICC, Table 1 — Building Valuation Data) $ 40 40 Estimated Mechanical Fees (U.M.C., Table 1-A). $ Estimated Plumbing Fees (U.P.C. ,Table 1-1) / $ State Fee: $25 $6.50 Technology Surcharge: 1950.00 Other: $ Estimated Building Permit Fees WHEN PERMIT IS READY for pickup: $ 596 90 ("all fees subject to change w/o notice) GRAND TOTAL $ 610 i 2 [I 3 _ 4 5 u �� PROJECT INFORMATION SHEETINDEX LAM DIFWB '_LLC 0 CD GENERAL NOTES B ALDER STREET LEGEND 01/30/2024 APPROVED RR5Zoning O 'MASON COUNTY DCD PLANNING Side 8 Rear Yard Setbacks.Residential dwelling Ffont Yard Setback.25•. SemR VEDY.110 EH Setbacks r lling LOT14 a�wampiaa«sn»er«o«�r«E ro'wmaa no",ioon,giwn4�uo«s ....... �� « 9°S.pec�ap�;.,,.«.,,n s w,�>„r� ,m."yw«m.wp and accessory structures is 20'. D;9ayy OR 10%width of lot if not more than 100'wide praitipp0.«s«rva ana � —ua— ECWCNo;,owEn OR approved ADV bysood EH APPROVED"'^PwR«nr of prnnel0.Heaarva erw CD LOT IS EA9r9M ._...__"4 MRESDEMCEG �p PROPEp�Y LwE NSB',3e0'E.M a9 — — ,__ d. n_zm�nmunu�® J ' m 2y _ aC p Trr EA6f a F • C JxLE �F wa.pa.,ror.. , 1 y,9 ,� oMAOE LOT 16 _ Q�[ I ..... ❑ -- -._ E=T na4x0 o:.f,:oi, • �, 1 'FTt'T`-`--, euerorrr --- 4 ..i .--",.• _ 30'O' 1 ' ----- b ---- —_-- 1531E 3 L �� — � LL11 :1 3 orwEwa PROPERTY LINE NS¢11'39£.3]01T � %• -�-'-�\ - � �i p»roa Grs�eu,urnv'�' PL/PUpMENw N 210 5234529 jW r c \ 4 E6BASE sTErLOT17 SITE NE,GNEiM,a,G U «e»sEsx oo - RESIDENCE a[aua. a `�sE•MEC[s pc c¢1u.. `PFYCS=S Ew�P f xEwwro»En _... D ..- uu.E, aNm EMV ' AO 1 pg SCALE'I' P : v tra �,n?-JF.d s wt7•I�-^ 7{4 y,®menl tra"Ibu S S O 1 7 2 ❑ 3 L) 4 O 5 ❑ �� Common Line Mitigation Plan Lake Devereaux Cabin 181 East Lucky Lane Allyn, Wa. 98524 Lakewood Plat `M', Lot 16 Assessor's Parcel No. 122075000019 ( Existing Building NV NV � -- ---� �— — — sting Doc and Bulkhead Pavers — — Garage Devereaux , `— Carport \ I ► —- -__ __ I $ E � ! 1 I Lake a 3 NV °�1. I t`. I�\ N in o i L I c1*11dl j 1 $ I I I I a Gravel Parking Mitigation rrft'� — —�— — --�- — tliiitigation — Area I Existing Building 1 Legend EM Area Cleared within Buffer North 0 Existing (to remain) Scale: V =20' En Mitigation Area 1 ® Existing Native Vegetation to remain (NV) Owner: Devereaux Lake, LLC (to be protected during construction) I Page 1 of 2 Dan Sargent,Manager Date 9 � New Structures I Y Common Line Mitigation Plan Lake Devereaux Cabin (cont) Species List Number Small Trees(12'o.c.) Development(Disturbed)Area-Total 2,203 sf Pacific Dogwood, Cornus Nuttallii 2 Current Condition - Substantially free of vegetation Vine Maple,Acer circinatum 1 Large Shrubs (8'0.c.) Mitigation area required (1/2 of development area)-Total 1,104 Beaked Hazelnut, Cornus cornuta 3 Mitigation Area Proposed Pacific Rhododendron, Rhododendron macrophyllum 7 South Property line area within Buffer(A)-609 sf Small Shrubs(5'o.c.) South Property line area outside Buffer(B)- 126 sf Evergreen Huckleberry,Vaccinium ovatum 3 Southeast area outside Buffer(C)-488 sf Red Huckleberry, Vaccinium parvifolium 2 Total area proposed for mitigation area - 1,223 sf Kinnikinnick,Arctostaphylos uvarsi 4 Fernstsmall plants(3'o.c.) Sword Fern, Polystichum munitum 8 Legend Deer Fern, Blechnum spicant 3 Oregon Grape, low, Mahonia nervosa(pursh) nun 7 Q Existing (to remain) Q Existing to be removed Q Existing Native Vegetation Within Buff r Existing Development (vegetation Outside buffer not shown) 1 1 Existing Building I J ` NV NV 1 ��..✓✓// �\ ShedDoj 1 k and Bulk d PaversPNV �o�� � Garage I r1 Tank_l gC 1 co Covered and Uncover Deck Carport a c Devereaux Lake Existing Dwelling i (`\ ( Gravel Parking Area t Existing Tree t North f Existing Building Scale: 1" = 20' Page 2 of 2