HomeMy WebLinkAboutBLD2023-00948 SFR - BLD Application - 8/9/2023 MASON COUNTY COMMUNITY SERVICES Permit NO:' IGJ�,���J
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R E ,-_ E D
615 W.Alder Street,Shelton,WA 98584 r v
Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone
Belhair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION A U G 0 9 2023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO . 5 W. Alder Street
NAME: ROD L PURYEAR NAME:ARMSTRONG HOMES
MAILING ADDRESS: 17202 87TH AVE CT.EAST MAILING ADDRESS:2709 AUBURN WAY NORTH
CITY:PUYALLUP STATE:WA ZIP:98375 CITY:AUBURN STATE:WA ZIP:98002
PHONE#1:206-830-7696 PHONE:253-833-6666 CELL: 253-797-0210
PHONE#2:253-376-7907 EMAIL:Office@armstrong-home.com
EMAIL:Roo@WESTTOOL.COM L&I REG# EXP.
PRIMARY CONTACT: OWNER❑+ CONTRACTOR❑ OTHER❑
NAME ROD PURYEAR EMAIL ROD@WESTTOOL.COM
MAILING ADDRESS 17202 87TH AVE CT EAST CITY PUYALLUP STATE WA ZIP 98375 V
PHONE PRIMARY CELL 206-M9-7696 CELL 25137E-7907 ALTERNATE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121195000066 ZONINGT2IN-R1W
LEGAL DESCRIPTION(Abbreviated)HARTSTENE POINTE LOT:66 SURVEY 291171 a 301147Slu in A s:0.15 FIRE DISTRICT CENTRAL MASON r
SITE ADDRESS 333 EAST POINTES DRIVE EAST CITY SHELTON
DIRECTIONS TO SITE ADDRESS FROM HWY 3 TURN ONTO E PICKERING ROAD,FOLLOW TO THE HARSTINE ISLAND BRIDGE.
AT THE T,TURN LEFT ONTO E NORTH ISLAND DRIVE,FOLLOW TO THE HARTSTENE POINTE COMMUNITY GATE,TURN RT ON E POINTES DR E TO 333 ON THE LEFT
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO[] SNOW LOAD:2_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all rhm apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑+ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Gamge,ConWemw Bldg,Ex.)RESIDENCE
IS USE: PRIMARY❑ SEASONAL❑� NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parr[s]ofBldgl❑� NO❑
DESCRIBE WORK CONSTRUCT NEW 2 BEDROOM 2 BATHROOM STICK FRAMED HOUSE ON CONCRETE FOUNDATION WITH CRAWLSPACE,WITH UNHEATED COVERED PORCH
SQUARE FOOTAGE: (proposed)
I ST FLOOR 1,085 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 205 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACT N: *4 COPIES OF THE FLOOR PLAN REQUIRED*
PTH__
MODEL AR LENGTH
BEDROOMS BATHS SERIAL NUMBS
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER(] / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES❑+' NO❑ I,fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO[] EXISTING SQ.FT.N/A
EXISTING BEDROOMS NIA PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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 permitlapplication 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
PER IT At/' ICIION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
,NPPLCOUNTY CODE 14.08.42) z
x 7,�4 Zt�23
Signature of OWNS (Must be signed by the OWNER) ate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 2 'Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
/�- MASON COUNTY COMMUNITY SERVICES Permit Nolb1A -zb?- - W LIE!>
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton: (360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair(360)275-4467• Phone Elma: (360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:ROD PURYEAR NAME:ARMSTRONG HOMES
MAILING ADDRESS:17202 87TH AVE CT EAST MAILING ADDRESS:2709 AUBURN WAY NORTH
CITY:PUYALLUP STATE:WA ZIP:98375 CITY: AUBURN STATE:wA ZIP:98002
1st PHONE:206-839-7696 PHONE:253-833-6666 CELL: 253-797-0210
2r,d PHONE:253-376-7907 EMAIL : Office@armstrong-home.com
EMAIL:Roo@wEsTTOOL.COM L&I REG#0 8l$"19 D& EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):121195000066 Zoning:T21N-R1W
LEGAL DESCRIPTION(Abbreviated):HARTSTENE POINTE LOT:66 SURVEY 29/171&301147Size in Acres:0.15
SITE ADDRESS:333 EAST POINTES DRIVE EAST CITY:SHELTON
DIRECTIONS TO SITE ADDRESS:
FROM HWY 3 TURN ONTO E PICKERING ROAD,FOLLOW TO THE HARSTINE ISLAND BRIDGE.AT THE T,TURN LEFT ONTO E NORTH
ISLAND DRIVE,FOLLOW TO THE HARTSTENE POINTE COMMUNITY GATE,TURN RT ON E POINTES DR E TO 333 ON THE LEFT
TYPE OF JOB:
NEW=✓ ADD=AL-I=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 ST FLOOR=2No FLOOR=BASEMENT=GARAGE=OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=✓ LPC=Natural GasODuctless0✓
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs 1 Heat Pump 1
Showers 1 Spot Vent Fan _
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas e�Stov1
Dishwasher 1 Kitchen Exha 1
Hose bibs 2 Dryer Vent 1
Other UTILITY TUB 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.
X ��° � 23
Signature of Own& Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J Z
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1;27/2016 i13N
REVISIONS
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Name Rod L Puryear Parcel# 121195000066 BLD# 20/�3 00I LI5
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.
'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 =
46' X 34' = 1,564 sq ft Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X =
N/A X N/A = Length of drive begins at the right of way
X =
Parking Areas X =
24' X 14' = 336 Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
0 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) 1,900 sq ft
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-
describN grope for review and inspection as may be required. -71
X �� caner gent/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 1 of 2
n )
Name (� P, ,p'f�� Parcel# , Z 1 _1 q
50100 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) 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 perry f r r ew and inspection as may be required.
X �T(.t/u Owner gent/Contractor(circle one)Date: d
Page 2 of 2