HomeMy WebLinkAboutBLD2023-01211 SFR - BLD Permit / Conditions - 10/9/2023 MASON COUNTY re=,�l,�j r • �� a _� �a 1 t
COMMUNITY DEVELOPMENTT -9 2923
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATIOWIder Street r .
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:JENNIFER CHANCELLOR AND ALAN SCHWEN NAME:BLACK HILLS BUILDERS
MAILING ADDRESS:1959 GALENTA DR SIN MAILING ADDRESS:4319104TH AVE SW
CITY:TUMWATER STATE:WA 2IP:98512 CITY:OLYMPIA STATE:WA 2IP:98512
PHONE#1:541-890-8250 PHONE:3sa350-esal CELL:360-783-N31
PHONE#2: III :chad@blackhillsbuilders.net
EMAIL:jenchancellorl9@gmail.corm L&T REG#BLACKHB850JA FxP,4 /2 /25
PRIMARY CONTACT: OWNER EI CONTRACTOR❑ OTHER❑
NAME JENNIFERCHANCEU DR EMAIL jenchancellorl9@gmail.com
MAILINGADDRESS CITY STATE ZIP
PHONE 541-89"250 CELL
PARCEL INFORMATION:
PARCEL NUM13ER(12 Digit Number) 42008a8-90074 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 90 W MEADOWS PLACE CrrySHELTON, 98584
DIRECTIONS TO SITE ADDRESS North on US 101,left at W Dayton Airport Road,travel 3.1 miles,hum right on W Dayton Trails Drive,
travel.2 miss,turn left to stay on W Dayton Trails Dr,turn right on W Meadows Place,site is on the right.
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: (checkan that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Re amwe,Camga Commercial Bldg.Eta),SINGLE FAMILY RESIDENCE
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(whole Bldg)Q YES(Part[,)ofBldg)❑ NO❑
DESCRIBE WORK NEW STICK FRAMED SINGLE FAMILY RESIDENCE
SQUARE FOOTAGE:(proposed)
1ST FLOOR 2116 sq.R 2ND FLOOR sq.1L 3RD FLOOR sq.8. BASEMENT sq.ft.
DECK sq.fL COVERED DECK 550 sq.R STORAGE sq.ft. OTHER sq.ft.
GARAGE 1019 sq.ft. Attached E] 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 0 SEWER❑ / NEW El EXISTING❑
PLUMBING IN STRUCTURE? YES Q NO❑ If yes,attach completed Water Adequacy Form
PERIMETERTOUNDATION DRAINS PROPOSED? YES 0 NO[] EXISTING SQ.FT.
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 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 projecL 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)
XGo�q J!a�?
*1gn.1Lu`rk1 NER(Must be signed by the OWNER) Dam
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT DEL •�•Z3
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No: UV 90 `a I a l 1
MASON COUNTY
COMMUNITY DEVELOPMENT V D
2023
Permit Assistance Center, Building, Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
Ider Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: JENNIFER CHANCELLOR AND ALAN SCHWEN NAME: BLACK HILLS BUILDERS
MAILING ADDRESS: 1959 GALENTA DR SW MAILING ADDRESS:4319 1o4TH AvE sw
CITY:TUMWATER STATE:wA ZIP:M12 CITY:oLrMPIA STATE:wA ZIP:98512
1"PHONE: 54+-em-825o PHONE:3wa 1 CELL: 36o.783-mi
2"d PHONE: EMAIL :chad@biackhllsbuikim.net
EMAIL: lenchanoelbrtg@gmallcom L&I REG#BLACKHBe50JA EXP. a /2 /25
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):42008ae-90074 Zoning-
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 90 W MEADOWS PLACE, SHELTON CITY:
DIRECTIONS TO SITF,ADDRESS:
North on US101, right at W Dayton Airport Road, travel 3.1 miles, right on W Dayton Trails Dr,
travel .2 miles and turn left, follow to W Meadows Place and turn right, site is on the right.
TYPE OF JOB:
NEW 0 ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1sT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electricc0LPG0Natural Gas[ D ctless=
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 5 Furnace 1
Bath Tubs 1 Heat Pump 2
Showers 2 Spot Vent Fan 5 r„
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas tiets 3
Kitchen Sinks 2 oo Gas/Pellet Stove 1
Dishwasher ? Kitchen Exhaust Hood 1
Hose bibs 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 APPLICATI7,'
X_ Cim!"a- (0 12.,0 2,
nature o ner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT OEC- i! bZ3
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1BN
SNORT ':PLAT No. 2380
I L
�l _ .7J0,_��{CORNER j/'1� �/j /'S
LOT 4
��p��p p rrypg��egr/n�. MASOX COUNTY \
GT6MB. L AdQ.!'VILJCtl AJVyV — 2�I — A7tR REI£R 80XES
G APPLICANT �. -� - S 88 JB'30"E
rrn.•fzr�wuelbrIAla\5ck*kAI
rMs BLUEGRASS CT -L T4 .
-WWAM PARNELLPARNELL ENGINEERING, LLC10623 HUNTERS LN. S.E.a wpiA, wA, 98513SITE ADDRESS A.
1� :
90 W MEADOWS PLACE, w 1p' fo
SHELTON, WA 98584 I I Planning Setbacks
LP.N.: 42008r-78-90074 I �p T 49. Front:25'
^ I
hi PERMIT NUMBER.- 20'I h41 \ ��—
� 37S`Rear.20'
WATER SUPPLY. __ all setbacks measured from the farthest
MASON COUNTY PUD /I O I j projection of the building
I I 'subject to EH setbacks
_ _-
0
►; PLN Approved
_
o^ 9,.A,1iY I I 3 30 10/30/2023
Mason County Community Development
Gavin Scouten
All Changes Subject to Approval
If/f
a Ex�sk rivalr (1� -_ -
nti�ay 38� EH Setbacks
d $ \ A.) Drainfield/Reserve requires I U'setback from footing/foundations
' ff
' No B.)Septic tank(s)requires 5'setback from all footing/foundations
lag i C.)No foundation/Perimeter Drains within 30ft,downgradient of
FAIT,64 , i I Dr ainfield/Reserve area
a i tlrll.-I"a�Gt / r D.)No Cut Bank(s)(greater than 5111 and over 45 degrees)within
IV — _ — — — �—'� 50ft,down gradient of Drainfield/Reserve area
3 r:
.VICIMT°1''' MAP. 101V p I - EH APPROVED
N75 C I O 1 / SCALE 1-40 FEET Rhonda Thompson 11/15/2023
TEEL FENCE POST 0 20 40 80
w 2 x 2 wfxtE SPIRE
,.. `�]W - •q <q �y.� , 3314�' _ •�y <.,-..._._...._.a... .�,.....�.-..�._.s�_.-
11 �y
MASON COUNTY BLD na $CAM P
COMMUNITY DEVELOPMENT
nr%T
Permit Assistance Center,Building,Planning 7A
APPLICANT INFORMATION(please print clearly)
Name of Applicant: Jennifer Chancellor and Alan Schwen Parcel Number: 42008-78-90074
Site Address: 90 W MEADOWS PLACE, SHELTON
This checklist must be completed and signed by the owner or owners authorized agents at
time of submittal.
Incomplete applications will NOT be accepted.For a complete application, all items on this checklist
shall be submitted, unless waived by Staff.
PERMIT APPLICATION N/A Provided Staff
Provide a completed and signed(by owner or authorized representative)application ❑
and applicable fees are due at submittal.
Provide a completed plumbing and Mechanical Application ❑
SITE PLAN
Provide one(1)copy of proposed site plan.Drawn to scale of either ❑
91
1"= 10' or 1"=20' depending on lot size.
North Arrow, location and dimensions of all property lines and easements. ❑ Ej
Vicinity map showing location and names of all roads and easements.(public and ❑ El
private)
Show distances to all structures,septic tanks,drain fields,property lines,top of ❑
slopes or cuts and easements.
Zoning(indicate):
Rural Residential: ❑2.5 ❑5 ❑10 1120 ❑Other:
Urban Growth Area: Zone:
Front yard: Direction: Side yard: Direction:
j
Rearyard: Direction: Sideyard: Direction:
All access points,width of access. easements and driveways). ❑
Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website ❑
Building height shown on elevations at all four corners of structure. ❑
Flood lain boundaries and setback distances. See Plans for additional requirements. ❑
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland ❑
report may need to be submitted.
Is the site near a Shoreline stream,creek,lake,saltwater if yes,please indicate? ❑
Name of shoreline:
Shoreline designation:
Stream F, S,Ns,N :
Is the proposed site within 300 feet of a slope 15%of greater?If yes,a geological 1�3 ❑
report or assessment may be required.
Existing/proposed on-site septic system and reserve areas,providing setback to ❑ ❑
structures.
Existin proposed wells show 100 ft well radius,with distances to structures). ER ❑
Existin and proposed stormwater controls(downspouts,dry wells,etc. ❑ ❑
Exterior storage tanks(propane)and HVAC equipment. ❑
PLANS N/A Provided Staff
Provide two 2 copies of plans 1 full size min. 18"x 24"and 1 small size and ❑
one(1)copy of all specifications and engineering.Plans must be drawn to scale of
'/a"= 1'.All notations and drawings must be clear and legible.All Engineering ❑
callouts must be on plans.
Engineered plans must provide calculations/analysis.Analysis must include the
following information:
• 2018 International Building Code
• Snow load(by location) ❑
• Seismic zone(D-2)
• Exposure(by location and topography)
• Wind speed 85 MPH basic and 110 ultimate w/3 secondgust)
If project is in a flood hazard area,the submittal must include an Elevation
Certificate,flood venting compliance and an elevation detail indicating the location ® ❑
of finished floor relative to the Base Flood Elevation or Design Flood Elevation as
designated by surveyor or engineer.
FOUNDATION PLAN
Plan view of foundation/footings/pads ❑
Type,size and location of footing(stepped foundation provide detail ❑
Elevation view of foundation steps,with final grade ❑
Cross-sections of footing and foundation(including height of wall). ❑
Floor joist andspacing each floor). ❑
Show location of flood venting and detail the method and compliance for venting. ® ❑
Type and locations of hold-downs and anchors. ❑
Crawl access location and size. ❑ El
Insulation value for foundation(if slab or basement). See Energy Credits for ❑
additional requirements,credits must be indicated on the plans.
If project is in floodplain provide flood venting compliance including vent
locations,vent type,elevation detail for venting location interior and exterior of the ® ❑
crawls ace.
FLOOR PLAN
Square footage of each floor ❑ 91
Use of each room ❑ 21
Location and size of attic access ❑
Dimensions of building and rooms. ❑
Location and type of furnaces,water heaters,smoke detectors,and carbon ❑
monoxide detectors.Include location of bollard for appliances located in garage.
Plumbing fixture locations ❑
Location of doors,windows include size,egress,tempered andskylights) ❑
Insulation value in floor. See Energy Credits for additional requirements,must be ❑ ❑
indicated on the plans.
Location of ventilation fans and CFM for each. ❑
Location of whole house fan and CFM continuous or intermittent ❑ ❑
Location,side and type of brace wall or shear-wall panels. If structure is ❑ ®.
engineered,' must supply two copies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts,ledgers. ❑
Plan MUST include size grade,spacing,length andspecies or type of material
ELEVATIONS AND WALL DETAILS
T ical and rated walls(garage separation) ❑
Listing of fire-resistive wall designs(duplex or townhouse [� ❑
Building elevations-all 4 sides Show distance from grade at each comer. ❑
Exterior wall details when distance between overhangs is less than 5 feet. ❑
Insulation value for walls.See Energy Credits for additional requirements,must be ❑
El
indicated on the plans.
If project is in floodplain must provide Elevation detail indicating the location of ❑
finished floor relative to the Base Flood Elevation or Design Flood Elevation as
A
designated by surveyor or engineer. ❑
ROOF PLAN
Layout of roofs stem ❑
Label type of roofs stem,rafters,engineered trusses&spacing ❑ 191
Headers noted at each location or typical header noted. ❑
Roof pitch and covering materials ❑
Sheathing es,dimensions and fastening ❑ 19
Attic venting a location and amount ❑
Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for ❑
addition re uirements,must be indicated on the plans.
ENERGY CODE REQUIREMENTS N/A Provided Staff
Completed Washington State Energy Code form
Plans must indicate fuel source for furnaces,water heaters and other appliances. ❑
Manufactures Specifications for each unit or component for HVAC&plumbing ❑ Ej
Compliance to the Washington State Energy Code and required Credits.
Construction drawings/plans MUST include all credit information on the plan ❑
29
details such as insulation,ventilation,furnaces,windows etc.Plans must also
include the number of credits and which credits are chosen.
1 verify that all required documents,plans, and specification associated with this application have been submitted and are
accurate.
A �Van 6a— T,6ft 4-of o er or thorized agent Print Name fDate