HomeMy WebLinkAboutBLD2021-00716 SFR - BLD Application - 5/12/2021 MASON COUNTY COMMUNITY SERVICES Permit No: 51d k211 001 0
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
• Phone Sheton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elma:(360)482-5269
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BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: j 2 ?O
NAME:-h"'L NAME:A 6, je rs 615 GI/ �'
MAILING ADDRESS. ` 2 MAILING ADDRESS: ICY(?(-
CITY: STATE: k ZIP: CITY: STATE: ZIP:
PHONE#1:2Si-2 -`6•'7 PHONE: CELL:
PHONE#2: Z 3 -S�6 9-T EMAIL
EMAIL: K�C0 t� L&I REG# EXP.
PRIMARY CONTACT: OWNER C7 CONTRACTOR❑ OTHER❑
NAME _,r p 5x t✓elf'S EMAIL t.!A [ . Sj a;,UWf5G WSty
MAILING ADDRESS 26INW,1 CITY s STATE LJ ZIP 4 Dq9
PHONE 2S73-t?-" -`SS Lk CELL
PARCEL INFORMATION: ��'
PARCEL NUMBER(12 Digit Number) �'1 Z �
1 - Z- 0 t t ZONING {� �- G
LEGAL DESCRIPTION(Abbreviated)1j,1\ /tYtyd a,�ptg}y U t FIRE DISTRICT
SITE ADDRESS 110 r, e Y
DIRECTIONS TO SITE ADDRES
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:Z5' osf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chmkan that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ff ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(R idence,Garage,Commercial Bldg,Fie.) i�+7�lhlrC
IS USE: PRIMARY[/SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS r
HEATED STRUCTURE?
'YES M kBW❑ YES(Parv[s1.fBldg)❑ NO❑
DESCRIBE WORK JVrw Y'C,[ii a&AL.{
SOUARE FOOTAGE:(proposed)
S
I ST FLOOR lI})9 sq.ft. 2ND FLOO&4!f2'- sq.R 3RD FLOOR sq.ft. BASEMENT l o b S'sq.ft.
DECK 3-sq.ft. COVERED DEPK�sq.ft. STORAGE sq.ft. OTHER _sq.R
GARAGE ` sq.& Attached Er 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: 'V9 -
SEWAGE/SEWER SOURCE: SEPTIC SEWER / NEW R( EXISTING❑
PLUMBING IN STRUCTURE? YES Qf NO❑ Ijyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES Q/ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS_�4 TOTAL BEDROOMS
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 8 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 F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
5�74COUNTY CODE 14.08.42) �l?--
x 0".�-
Signature of OWNEflillust be signed by the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT WE& L•IT'Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:6I3&2.4 -oo
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us c
Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 C CEl VcD
• Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION MAY 12 2o21
OWNER INFORMATION: CONTRACTOR INFORMATION: lder Stre t
NAME: ; . .,yers NAME:
MAILING ADDRES : PO -t 10bZ MAILING ADDRESS:
CITY: tC STATE: 1J ZIP: tib-3 -' CITY: STATE: ZIP:
1 s`PHONE: PHONE: CELL:
2nd PHONE: 151 - -2 L3 - S-fe;91 - EMAIL :
EMAIL: tA L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 1 5 L- 0 1 1 Zoning: 1
LEGAL DESCRIPTION(Abbreviated): 1 a L� mr-L.6..4 . 1 lit
SITE ADDRESS: 1 ►O E. PL. CITY: All!,,,
DIRECTIONS TO SITE ADDRESS: W.
cam in n1m
TYPE Og JOB: Z.7 Kay
NEW ADD ALT REPAIR ,,OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-1 ST FLOOR__V 2ND FLOOR BASEMENT V GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets 3 Tyne of Unit No.of Units Fees
Bathroom Sink S Furnace I —
Bath Tubs 2 Heat Pump
Showers 2 Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer ( Gas Ou
Kitchen Sinks 1 Wood/ as ellet Stove i
Dishwasher ( Kitchen exhaust Hood
Hose bibs Dryer Vent
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 I LID�ATEETTHE AP LIGATION.
X Zv Z 1
Signature of OvYner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT FL
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
Nam� I �� Parcel# ) 22 (��1 ` BLD# 2®0 2A 00-7
C I Mason County ®U I LD i l t .
l 1 20�� Department of Community Development
Sall 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 = 3 S 2
X = Measurements for buildings are taken at the
X — perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X = (0)
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)
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-
descr' ed property fo eview and inspection as may be required.
X Owner gent/Contractor(circle one)Date: T-- ( Z— Z a 2-
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.
Paget of 2
Parcel# ZZ t COCA 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
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
100 W PUBLIC WORKS DR
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
615 W ALDER 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-
describe roperty for review and inspection as may be required.
X +� Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
pm,,, i i
i i:
Aegis Land Title Group CERTIFIED TO BE A TRUE AND ALTA Buyer's Final Settlement Statement
23554 NE State Rte 3,Suite 2 CORRECT COPY OF THE ORIGINAL
PO Box BY:
Belfair,WAA 98528
(360)275-9160 AG LTG
File#: 2021-22928-BF Property 110 E Eugenia Place Settlement Date 02/08/2021
Prepared: 02/08/2021 Allyn,WA 98524 Disbursement Date 02REC E I V E
Escrow Officer. Colleen M.Reamer Lot 11,Amended Plat of
Lakeland Village No.14
Buyer Daniel Saywers and Karis MAY 12 2021
Saywers
Seller Anderson&Sons,Inc 615 W. Alder Str
Lender @ t
Description Buyer
Debit Credit
Primary Charges&Credits
Sales Price of Property $84,000.00
Deposit $2,500.00
Deposit to Close $83,145.13
Prorations/Adjustments
County Taxes 02/08/2021 to 07/01/2021 $160.14
Lakeland Village Community Club 02/08/2021 to 04/01/2021 $30.63
Government Recording and Transfer Charges
Recording Fees $106.50
---Deed:$106.50
Title Charges
Title-Sales Tax to Aegis Land Title Group($0.00 POC by Others) $42.50
Title-Settlement or Closing Fee to Aegis Land Title Group $500.00
Title-E-Recording Fee to Mason County Recording Office $4.36
Miscellaneous Charges
Homeowners Association Transfer Fee to Lakeland Village Community Club $350.00
School Impact Fee to North Mason School District $450.00
Debit Credit
Subtotals $85,644.13 $85,645.13
Due to Buyer $1.00
Totals $85,645.13 $85,645.13
Produced by Aegis Land Title Group -
using Qualia Page 1 of 1 2021-22928-BF
Printed on 02/08/2021
2' increments 108.01
RECEIVED N
E. EUGENIA PL. MAY 12 2021 CONTACT INFORMATION:
CUL-DE-SAC. CELL:253-278-8311 .
615 W. Alder Street EMAIL:
DANIEL.SAYWERS@WSU.EDU
PLANfNMG
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1 4 . 5 FT
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_ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ . _ _ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - w
185.8' CD_ -j
STORMWATER DRAIN AppikoVED
WATER METER - gnM CMM;n. n-t`D PLANNIII IG
1TE PLAN REQUIRED TO BE ON Si- E
CNAN S SUSJET 10 APPROVA
5FT SIDE IO'EASEMENT Ey t?st+a� �� a
0
SETBACK EXISTING
SEWER
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• m
REMOVE TREES
- - • - ,
KNOCK OFF EXISTING FIRE HYDRANT o
a PAD
01, EXISTING UTILITIES
5FT SIDE SETBACK
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Site Plan 11x17
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - •
20 FT REAR SETBACK z ALDER TREES AND GENERAL SCALE: I"=20'
c. BRUSH TO BE REMOVED
STORMWATER RUNOFF TOTAL IMPERVIOUS AREA INCLUDING DRIVEWAY= 4504 FT-2
t DITCH TO DRAIN DIRECTION
EXISTING STORM DRAIN PROPOSED
GRINDER PUMP �I
E. EUGENIA PL. ' ` COONTAC INFO INFORMATION:
CELL: 8-8311
WATER METER EMAIL:
• CUL-DE-SAC. DANIEL.SAYWERS@WSU.EDU
/- - - - - - - - - - -
EL. 200 FT. ; i : Nb EXISTING SEWER
;• CONNECTION
P POSED DRIVEWAY
:• EXISTING UTILITIES
FIRE HYDRANT POWER AND INTERNET N
• ••
• •
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• L -
••• •0 Osseo LLJ
•• W
so CD
SETBACK PROPOSED DRAINAGE LP GAS TANK
SURROUNDING HOUSE EL. 220 FT.
SILT FENCE OR AS RECOMMENDED ROUTED TO STORMWATER
w
DRAIN. Q
0
m
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0
4FT RETAINING E-
WALL "
4FT TERRACED RETAINING o
WALL =
w
3I'-5 3/8"
43'-9 3/8"
Site Plan Elevation
80'-3 3/8" owl 11 x17
103-8 3/16" SCALE: I"=20'
110'-9/16"
116'-13/16"