HomeMy WebLinkAboutBLD2022-01551 SFR - BLD Application - 12/19/2022 4 MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
• Phone Shelton:(360)427-9670 ext 352•Fax.,(360)427-7798 Phone J�
Beflair.(360)275-4467•Phone Elma:(360)482-5269 RC
BUILDING PERMIT APPLICATION V�D
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
j f,41v1E:Reagan and Christopher Carosino jQANE:Adair Homes,Inc,
MAILING ADDRESS:15205 3rd Ave NE MAILING ADDRESS:1311 SE Cardinal Court,Suite 100
CITY:Duvall STATE:WA ZIP:98019 CITY:Vancouver STATE:WA ZIP:98683 S
PHONE#1:(206)409-5659 PHONE:(360)516-5019
CELL:
PHONE#2: EMAIL:jschmid@adairhomes.com
ENlA L:chriscarosino@gmail.com L&I REG#ADAIRH-262RZ EXp.01 99 23/
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑
NAME Chris Camsino EMAIL chriscarosino@gmakcom
MAILING ADDRESS 15205 3rd Ave NE CITY Duvall STATE WA ZIP 98019
PHONE (206)4095659 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121195300104 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) HARTSTENE POINTE#4 LOT:104 FIRE DISTRICT 5
SITE ADDRESS 399 East Pointes East C1TY Shelton
DIRECTIONS TO SITE ADDRESS Upon Crossing E Harstone Bridge Rd,turn left onto E North Island Dr.At the traffic circle take the first exit am
stay on E North Island Dr.Turn right onto E Pointe Dr E,turn left onto E Bos'n Road and turn right into the proposed driveway.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:35 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 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(whole Bldg)0 YES(Pat[s]of Bldg)❑ NO❑
DESCRIBE WORK New construction of a 4 bed,2 bath single family residence with an attached garage
SOUARE FOOTAGE:(proposed)
1 ST FLOOR 1631 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 193 sq.ft.
GARAGE 396 sq.ft. Attached 0 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 0 / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.0
EXISTING BEDROOMS PROPOSED BEDROOMS 4 TOTAL BEDROOMS 4
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 penult 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
COUNTY CODE 14.08.42)
12 22
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT .2
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: AW Z-olssr
PERMIT ASSISTANCE CENTER:
BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St- Shelton, WA 98584 R
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 V
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
`DC 19 2�22
PLUMBING & MECHANICAL PERMIT APPLICATION VV I
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Reagan and Christopher Carosino NAME:Adair Homes,Inc.
MAILING ADDRESS: 15205 3rd Ave NE MAILING ADDRESS:1311 SE cardinal Court,Suite 100
CITY:Duvall STATE:WA ZIP:98019 CITY:Vancouver STATE:WA ZIP:98683
1"PHONE:(206)409-5659 PHONE:(360)516-5019 CELL:
2°d PHONE: EMAIL :jschmid@adairhomes.com
EMAIL:chriscarosino@gmail.com L&I REG#ADAIRH'262RZ EXP. 01 /09 /23
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 121195300104 Zoning:RR5
LEGAL DESCRIPTION (Abbreviated):HARTSTENE POINTE#4 LOT:104
SITE ADDRESS:399 East Pointes Drive East CITY:Duvall
DIRECTIONS TO SITE ADDRESS:
Upon Crossing E Harstone Bridge Rd, turn left onto E North Island Dr. At the traffic circle take the first exit and stay on
E North Island Dr. Turn right onto E Pointe Dr E, turn left onto E Bos'n Road and turn right into the proposed driveway.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residential
LOCATION OF FIXTURES/UNITS— I ST FLOOR=2ND FLOOR=BASEMENT=GARAGF=OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.o Fixtures Fees Fuel Type:Electric=✓ LPG[O atural Gas=Ductless=
Toilets 2 Type of Unit No—of Units Fees
Bathroom Sink 33 e Furnace 1i
Bath Tubs Heat Pump 1
Showers 2,1 Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood
Hose bibs 2 Dryer Vent 17
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 INVALIDATE THE APPLICATION.
--
9
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev 1/27/2016 JBN
BLD2022-01551
SITE PLAN
399 PDE / CAROSINO
PARCEL:121195300104
O
5
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DRIVEWAY 12' +/- 5' SETBACK
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29'X 12' PAVER PATIO i
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EH APPROVED /40'
12/30/2022
A THE PROPERTY LINES IN THIS MAP ARE APPROXIMATE
BUILDING DISTANCES FROM FARTHEST PROJECTION 0 iD 20 40
NameFhris and Reagan Carosino Parcel# 121195300104 BLD# 207,'0ISS
a Mason County
Department pment
SIA11 Marcel Storm aterManagement Applia t on/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 =
60 X 22 = 1320 Measurements for buildings are taken at the
54 X 19 = 1026 perimeter of the farthest projections (example:
eaves/gutters)
30 X 6 = 180
Driveways X
35 X 12 = 420 Length of drive begins at the right of way
26 X 18 = 468
Parking Areas X =
incl in driveway X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
29 X 12 = 348 Any paved, gravel or packed area per definition
above table
3 X 50 = 150
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) 3912
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 �Agent/Contractor(circle one)Date: 9 CL 2Z
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
Name Chris and Reagan Carosino parcel# 121195300104 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:
hqp//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) 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 ?!�P!Agent/Contractor(circle one)Date: E grc:
Page 2 of 2