HomeMy WebLinkAboutBLD2019-01408 SFR - BLD Application - 12/11/2019 MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL U
y■� (�615 W.Alder t,
ILINC
Phone Shelton:(360)427-9670eext 352toFax.,(360)427-7798 Phone O�V 2019
Belfair.(360)275.4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Harbor Custom Development,Inc NAME: Harbor Custom Development,Inc
MAILING ADDRESS: 11505 Burnham Dr,Ste 301 MAILING ADDRESS:11505 Burnham Dr,Ste 301
CITY:Gig Harbor STATE: WA ZIP: 98332 CITY: Gig Harbor STATE: WA ZIP: 98332
PHONE#1: 253-649-5216 PHONE: 253-649-5216 CELL: 253-7404268
PHONE#2: 253-740-4268 EMAIL: shawn@harborcustomhomes.com
EMAIL: shawn@harborcustomhomes.com L&I REG# HARBOCH813P6 EXP. 10/0212021
PRIMARY CONTACT: OWNER® CONTRACTOR 0 OTHER❑
NAME Shawn Squier EMAIL shawn@harborcustomhomes.com
MAILING ADDRESS 1 1505 8umham Dr,Ste 301 CITY Gig Harbor STATE WA ZIP 98332
PHONE 253-649-5216 CELL 253-740-4268
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122185200017 ZONING R-1 R/UGA/R-1 P
LEGAL DESCRIPTION(Abbreviated) Amended Plat of Lakeland Village No. 14 FIRE DISTRICT 5
SITE ADDRESS 60 E Virgil Dr CITY Allvn
DIRECTIONS TO SITE ADDRESS Lakeland Village Division 14
Crossroads: Soderberg Rd and E Eugenia PI/E Virgil Dr
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO[R
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall thatapply):
SALTWATER❑ LAKE❑ RiVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residence
IS USE: PRIMARY R SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)® YES(FaH[s]of Bldg)❑ NO❑
DESCRIBE WORK Build New Single Family Residence
SQUARE FOOTAGE:(propose
1ST FLOOR Z C7 y sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft BASEMENT 0 sq.ft
DECK sq.ft COVERED DECK Z6D sq.ft. STORAGE 0 sq.ft OTHER sq.ft.
GARAGE-7SO sq.ft. Attached Detached❑ CARPORT 0 sq.ft Attached❑ Detached El
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 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FF.
EXISTING BEDROOMS 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 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)
x 'ha-1 /;;-o& 0& 9
Signature of OWNER(M&be signed by the OWNER) / /Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT !�L•l Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No.-?)1Gt'a 6(q •Q(�°�j
• PERIT BUILDINGSI PLANNING STANCE CENTER.
MARSHAL n.r D I L D
• 615 W.Alder St-Shelton, WA 98584
www.co.mason.wams
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 DEC 1 2019
• Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
615 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Harbor Custom Development, Inc NAME: Harbor Custom Development, Inc
MAILING ADDRESS: 11505 Burnham Dr.,Ste 301 MAILING ADDRESS: 11505 Burnham Dr,Ste 301
CITY: Gig Harbor STATE: WA ZIP: 98332 CITY: Gig Harbor STATE: WA ZIP: 98332
111 PHONE: 253-649-5216 PHONE: 253-649-5216 CELL: 253-740-4268
2nd PHONE: 253-740-4268 EMAIL : shawnC@harborcustomhomes.com
EMAIL: Shawn@harborcustomhomes.com L&I PEG# HARBOCH813PB EXP. 10/02/2021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 122185200017 Zoning: R-1 R/UGA/R-1 P
LEGAL DESCRIPTION(Abbreviated): Amended Plat of Lakeland Village No. 14
SITE ADDRESS: 60 E Virgil Dr CITY: Allyn
DIRECTIONS TO SITE ADDRESS: Lakeland Village Division 14
Crossroads: Soderberg Rd and E Eugenia PI/E Virgil Dr
TYPE OF JOB:
NEW x ADD ALT REPAIR OTHER USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS—IsT FLOOR x 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG X Natural Gas Ductless_
Toilets 2 Twe of Unit No.of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 2 Heat Pump
Showers 1 Spot Vent Fan 4
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outl is 5
Kitchen Sinks 1 Woo as ellet Stove 1 -Fireplace
Dishwasher 1 Kitchen aunt Hood 1
Hose bibs 2 Dryer Vent 1
Other-Laundry Sink 1 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 permittapplication 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 Ownerl D to
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J%L
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Name Harbor Custom Development Parcel# 122185200017 BLD#,�i D I Q • � I�08
Inc � • L I N Li
Mason County DEC 1 1 2019
Department of Community Development yy, Alder S� eet
Small Parcel Stormwater Management Application/Worksheet (page Pl
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) keir
The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in 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/Agent/Contractor(circle one)Date:
Page 2 of 2
Name Harbor Custom Development, Parcel# 122185200017 BLD#
Inc
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 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
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) �-i 1 1 J?
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 Owner/Agent/Contractor(circle one)Date:
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 I of 2
NOTE: PRINT ON 11" x 11" PAPER TO ACHIEVE 1" = 20' SCALE
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HOUSE = 3498 S.F. (INCLUDING OVERHANGS) �P e m�
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DRIVE = 536 S.F. (EXPOSED)
REAR PAD = 11 S,F, (EXPOSED) hQ
TOTAL = 4113 S,F, = 31.13 99 IMPERVIOUS COVERAGE
DISTURBED AREA = 8600 S.F, 659s (CLEARING LIMITS) ut r_
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LOT - 13213,1 S.F, o�y o
HOUSE It34W S,F. (INCLUDING OVERWANGS) �p of
FRONT WALK - (o(o S,F, (EXPOSED) U 2
DRIVE Is 538 S.F. (EXPOSED)
REAR PAD - 11 S,F, (EXPOSED)
TOTAL - 4113 S,F, - 31,13 96 IMPERVIOUS COVERAGE
DISTURBED AREA Is 8600 S,F, 6596 (CLEARING LIMITS)
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