HomeMy WebLinkAboutBLD2018-00431 SFR - BLD Application - 5/1/2018 MASON COUNTY COMMUNITY SERVICES Permit No: r t✓I
PERMIT ASSISTANCE CENTER:
BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL CF
190 615 W.Alder Street,Shelton,WA 98584 /
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone /��tJ, `O
Belfair.(360)275-4467•Phone Elma:(360)482-5269 41
BUILDING PERMIT APPLICATION S 1?01,9
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 71
NAME. Pioneer Builders, Inc. NAME: same tS
MAILINGADDRESS:PO Box 1094 MAILING ADDRESS:
CITY:Port OrcharcBTATE:WA ZIP: CITY: STATE: ZIP:
PHONE#1:3 6 0 3 4 0 19 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:pi oneerbuildersinc@yahoo.com L&I REG#PIONEI*222KE EXP. 6/ 8 / 19
PRIMARY CONTACT: OWNER® CONTRACTOR❑ OTHER❑
NAME EMAIL BMW
MAILING ADDRESS CITY STATE 2221
PHONE CELL
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PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12 2 0 8—51—0 5 0 4 8 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS__ E. Cardinal Court CITY Allyn
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 140/6: YES" NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all rhm apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Cowwrrial Bldg,Etc) Residence
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(WholeBkfg)® YES(Part[sjofBldg)❑ NO❑
DESCRIBE WORK Construct new SFR
SQUARE FOOTAGE: (pmpase+wrong)
1ST FLOOR 1, 0 92 sq.fL 2ND FLOOR_LQgQ sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft.
DECK sq.ft COVERED DECK 110 sq.ft STORAGE sq.ft. OTHER sq.ft.
GARAGE7ZN 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 Rf EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE EXISTING SQ.FT. n/a
EXISTING BEDROOMS n/a PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 perrmitlapplication 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
COUNTY CODE 14.08.42)
x A' '1.2s•I�6
ignature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J7Z / Z&, ek
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: 1 -voVS
PERMIT ASSISTANCE CENTER: ^�
•BUILDING •PLANNING v FIRE MARSHAL '� ce
615 W. Alder St-Shelton, WA 98584 �/�
www.co.mason.wa.us C�
r
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 A ?01,
Phone Belfair(360)275-4467• Phone Elma:(360)482-5269 eiJr W
PLUMBING & MECHANICAL PERMIT APPLICATION Aider Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Pioneer Buiiders, Inc. NAME: same
MAILING ADDRESS: PO Box 1094 MAILING ADDRESS:
CITY:Port OrcharWATE:WA ZIP: CITY: STATE: ZIP:
1"PHONE: 3603403319 PHONE: CELL:
2°1 PHONE: EMAIL :
EMAIL:pioneerbuilders inc @yahoo.com L&I REG#PIONEI*222KE EXP. 06/ / 2019
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12 2 0 8-51-0 5 0 4 8 Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 91 E . Cardinal Court CITY: Allyn
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW x ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1sT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless x
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace
Bath Tubs 1 Heat Pump 1
Showers 1 Spot Vent Fan 4
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Out is 2
Kitchen Sinks 1 Woo G ellet Stove 2
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent 1
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. 1 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.
ignature of Owner Oate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
-
_. T3T A hTATTATjrn
PRIMARY DRON 45LD
DPRIM IRRIGATION DRAIN 450 LF AY O 1 f
PROJECT DESCRIPION: �� I ?0/E
CONSTRUCT NEW 3-BR SFR WITH PRETREATMENT/DRIP IRRIGATION OSS.
LIZ SOIL LOG INFORMATION 2/7/17: \ e tS
AIR/VACCUUM RELIEF VALVE
t----19' � SL1:TYPE 4/0.6/GAL/FT2/DAY \ V 1
ft 0
PRIMARY ORMNFIELD :-3":DK BRN SANDY LOAM
-- SL2 gRIPIRRICA710N 450iF �'L9" —,�-5'-.�— 3'-27"+:REDDISH-BRN SANDY LOAMO1
WATER TABLE AT 23" V ` QQ
tOD IP IRRICAT DN 45O ELD ----- Q�1y�G,�a�
qR RESERVED ii6DLF - -- SL2:TYPE 4/0.6/GAL/FT2/DAY —
- I 0:-3":DK BRN SANDY LOAM
PUMP TANK Q b 11" 24++RGRAVELLYB COARSE SAND
RN SANDY M
PANEL SL3 WATER TABLE AT 23"
i; S1_3:TYPE 4/0. GAL/FT2/DAY
0"-5":DISTURBED SOIL O\ `J C,J SITE P N 0 �nDwoRKs g1`-27"+RGRAVELLOYMEDSANDAMY FINE A A�P� SCAL =20I FV�5
O WATER TABLE AT 19".ROOTS TO
;y SHTANK 3R BR SFR G 0' 10 20' 39 40' 59
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PROPERTY OWNER NOTE:
A Coretully review ALL aspects of this septic
C/0 v� this design o terosubmilt onto MCHD and aev.Eng.
r , .,,design the
sale responsibility of the property owner.
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Zo w/DD¢2G18-oeey& VICINITY MAP
w.
water
f )Ec,URCH J l� 5 M.3
I Laerence N.Purdum
iICENSED'DE IGNER'
:\ M EXPIRES 2/25/2019
APPROVEED
ECMal—W MC PUBLIC HEALTH
PLANNING: SITE SEP 13 2017
ALL SETBACKS ARE MEASURED ALP
FROM THE FURTHEST
PROJECTION OF THE BUILDING LEGEND CLIENT:
Q=SOIL LOG PIONEER BUILDERS
(360)874-2311
NOTE
TIM PROPERTY INFORMATION: ®�>��►
THE DIRT PROFESSIONAL IS RESPONSIBLE FOR THE SOIL PN: 1 ZZOS—51—OSO48 LOT 50)
CONDITIONS ON SITE AT THE TIME OF SYSTEM INSTALLATION
SITE ADDRESS:XX E CARDINAL CT
THIS IS NOT A SURVEY.ALL PROPERTY LINES BOUNDARIES
HAVE BEEN DEMONSTRATED BY THE PROPERTY OWNER/AGENT. SEPTIC DESIGN, LLC -
SUBMITTAL OF THIS SEPTIC DESIGN TO MCHD IS NOT A GUARANTEE OF APPROVAL DRAWN: LP,14 AUG 2017 PAGE 1 OF 4 PO Boz 801,Gig Harbor,WA 98335 253.509.9922
Name Pioneer Builders, In@arcel# 12208-51-05048 BLD# GIV1�—�'�J/
Mason County
Department of Community Development nim -pt,
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 2.
'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.
ZCommon 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 (o =
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) Z 12 E,
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 z Owner/ ge ontractor(circle one)Date: L4 5 J
40,
If the Total Impervious Surface Area is pleanWd,acknowledge and sign
the information provided on page 2 of 2. tCEI
V
Page I of 2 MA/ Q
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ta,� IN
Alder, ,.-
A
Name Pioneer Builders, Inrrcel# 12208-51-05048 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
t1heir 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) x 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 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/ gent/ ntractor(circle one)Date: •i�5� '/
Page 2 of 2