HomeMy WebLinkAboutBLD2023-00027 SFR - BLD Application - 1/10/2023 MASON COUNTY COMMUNITY SERVICE*n v` �a`�
PERMIT ASSISTANCE CENTER: �. `
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 JAN 10 2023
Phone Shelton:(360)427-9670 ext 352•Fax.,(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elms:(360)482-5269 i�
BUILDING PERMIT APPLICAWw' ceder Street
PROPERTY OWNER INFORMATION: CONTRACTOR WFORMA ,AL®I
NAME:Ean&Rebecca Hernandez NAME:Armstrong Custom Homes
MAMING ADDRESS:10542 12th Ave NW MAILING ADDRESS:2709 Auburn Way N
CITY:Seattle STATE:WA ZIP:98177 CITY:Aubum STATE:WA ZIP:98002
PHONE 41:(206)800-9627 PHONE:(253)8333355 CELL: (425)5T7-0351
PHONE#2: EMAIL:brendap@armstrang-homes.com
EN1A]L:can@eanh.net L&I REG#ARMSTC•373NO EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑
NAME Bmnda Potts EMAIL brendap@armstrong-homes.com
MAILING ADDRESS 2709 Auburn Way N CITY Auburn STATE WA ZIP98002
PHONE(253)M M55 CELL(425)5n-0351
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)322357500190 ZONING RR5
LEGAL DESCRIPTION(Abbreviated)TR 19 of Survey Vol 1 Pgs 210-213 FIRE DISTRICT Mason Co p 6
SITE ADDRESS 1420 E Timber Tides Dr CITY Union
DIRECTIONS TO SITE ADDRESS a ",a°'" """""""a a. ""T"°"."°°°""�.�"° ",m`d "°°°"°"""°�• "`m""
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RTVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Vacation Home
IS USE: PRIMARY❑ SEASONAL E] NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(wholeBldg)E] YES(Part[s)ofBldg)❑ NO❑
DESCRIBE WORK Construct single family residence,to be used as a second/vacabon home
SQUARE FOOTAGE:(proposed)
1ST FLOOR1401 sq.ft. 2ND FLOOR sq.ft 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.fL COVERED DECK256 sq.fL STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.& Attached[I 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 E] SEWER❑ / NEW 0 EXISTING[I
PLUMBING IN STRUCTURE? YES 2] NO❑ Ifyes,attach completed Water Adequacy Form
PERDAETER/FOUNDATION DRAINS PROPOSED? YES I] NO[] 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 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 pernNapplicalton 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
x fy� COUNTY CODE 14.08.42)
lo 6 1- 7- 2023
Signature of OWNER(Must 11e s red by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT -I1IEC - z•z8,?.3
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
U
4AWANTYCOMMUNM SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL Do D -7
615 W.Alder St-Shelton, WA 985M ^��{-'` A��
www.co.mason.wa.us K L V
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 BAN 2023
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLIPA-WNder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Ean&Rebecca Hemandez NAME;Amstrong Construction
MAILING ADDRESS:10542 12th A"NW MAILING ADDRESS:2709 Aubum way North
CITY:seatue STATE:wA ZIP:98177 CITY:Aubum STATE:wA ZIP:98002
1 11 PHONE:(206)800-9627 PHONE:(253)833-3355 CELL: (425)577-0351
2nd PHONE: EMAIL, :brendap@armstrong-homes.com
EMAIL:ean@eanh.net L&I REG#ARMSTC•373No EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):322357500190 Zoning:RR%
LEGAL DESCRIPTION(Abbreviated):TR 19 of surrey Vol 1 pg5 210-213
SITE ADDRESS:1420 E Timber rides Drive CITY Union
DIRECTIONS TO SITE ADDRESS:
From Belfair follow SR 106 past Twanoh State Park. Left on Timber Tides Dr. Left at"T"at top of hill to property on
left. From Hwy 101 follow SR 106 past the Alderbrook to Timber Tides Dr on right
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric ✓ LPG[ONatural GasODuctless0✓
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs 1 Heat Pump 1
Showers !+' Spot Vent Fan 13
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher 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.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.
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT DEL 2z8-Z3
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
r '
Name Hernandez ���� ''Parcel# 322357500190 BLD# a�a��coa
AN 01p23 Mason County
DSga� e t of Community DevelopmQ U'L®'N
Small Par56ShlIwater 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) B P 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
pand
It inspection as may be required.
X �� (/ ,9 Owner genbContracto (circle one)Date: /M 9- 2 D 2
Page 2 of 2
Name Hernandez Parcel# 322357500190 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 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.
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 =
1 14' X 25.6 = 358.4 Measurements for buildings are taken at the
36 X 29 = 1044 perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X =
300 X 10 = 3000 Length of drive begins at the right of way
X =
Parking Areas X =
20 X 20 = 400 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) 4802
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 proper/ty- for review and inspection as may be required.
X JDf Owne ent/Contracto ircle one)Date: 2.0 2-3
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
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