HomeMy WebLinkAboutBLD2019-01293 SFR - BLD Application - 11/14/2019 MASON COUNTY COMMUNITY'SERVICES Permit No: -
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98594
Phone Shelton:(360)427-9670 ext.352-Fax.(360)427-7798 Phone E C E I V
OF Belfair.(360)275-4467•Phone Elma:(360)482-5269 R E
BUILDING PERMIT APPLICATION U
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 4 2019
NAME: Harbor Custom Development.Inc NAME: Harbor Custom Development,Inc 61`5 W. er Street
MAILING ADDRESS: 11505 Bumham 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 arborcustomhomes.com
EMAIL: shawn(dharborcustomhomes.com L&I REG# HARBOCH813PB E)(P. 19 02/2021
PRIMARY CONTACT: OWNER® CONTRACTOR® OTHER❑
NAME Shawn Squier EMAIL shaven@harborcustomhomes.com
MAILING ADDRESS 11505 Burnham Dr NW CITY GIL Harbor STATE WA ZIP 98332
PHONE 253-649-5216 CELL 253-740-4268
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122185200004 ZONING R-1 R/UGA/R-1 P Z
LEGAL DESCRIPTION(Abbreviated) Amended Plat of Lakeland Village No. 14 FIRE DISTRICT 5
SITE ADDRESS 30 E Eugenia Pl CITY Allyn Q
DIRECTIONS TO SITE ADDRESS Lakeland Ville-Division 14
Take WA-3 N to Homestead Dr in Allyn.Take E Soderberg Rd to E Eugenia PI J
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Ig
IS PROPERTY WIrMIN 200 FT OF THE FOLLOWING: (Check all 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® SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldgl® YES(Part[,]of Bldg)❑ NO❑
DESCRIBE WORK Build New Single Family Residence
SQUARE FOOTAGE:(propose
1ST FLOOR 2077 sq.ft. 2ND FLOOR NA sq.ft. 3RD FLOOR NA sq.ft. BASEMENT NA sq.ft,
DECK 0 sq.ft. COVERED DECK�q.ft. STORAGE 0 sq.ft. OTHER_ _sq.ft Cov.
Front
GARAGE 636 sq.ft. Attached[3 Detached❑ CARPORT 0 sq.ft. Attached❑ Detached❑ Porch
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 N / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NO[] EXISTING SQ.FT.
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 pernitlapplicafion 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 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X /1/i311
Sigrfature of OWNER( st be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDrrIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING .FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us , ` C�1V
Phone Shelton: (360)427-9670 ext. 352• Fax:(360)427-7798 C
• Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 Nov y ?019
PLUMBING & MECHANICAL PERMIT APPLICATION615 W,q�der
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
I'PHONE: 253-649-5216 PHONE: 253-649-5216 CELL: 253-740-4268
2nd PHONE: 253-740-4268 EMAIL : shawn(d,)harborcustomhomes.com
EMAIL: shawnAharborcustomhomes.com L&I REG# HARBOCH813PB EXP. 10 /02/2021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 122185200004 Zoning:R-1 R/UGA/R-1 P
LEGAL DESCRIPTION(Abbreviated): Amended Plat of Lakeland Village No 14
SITE ADDRESS: 30 E Eugenia PI CITY: Allyn CD
DIRECTIONS TO SITE ADDRESS: Lakeland Village-Div. 14
Take WA-3 N to Homestead Dr in Allyn,Take E Soderberg Rd to E Eugenia PI
S TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING Residence �..
LOCATION OF FIXTURES/UNITS—1sT FLOOR X 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS m
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG X Natural Gas Ductless_
Toilets 2 Type 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 I Gas Outlets 5
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1 -Fireplace
Dishwasher 1 Kitchen Exhaust 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 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 �"S Gltc-/.JQt �X'
Signature of O&ner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Name Harbor Custom Development,Inc Parcel# 122185200004 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 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.
'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 = G
X = Measurements for buildings are taken at the
perimeter of the farthest projections (example:
X = 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) y L 1
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. RECEIVED
Page 1 of 2 NOV 14 2019 BUILDING
615 W. Alder
Name Harbor Custom Development,Inc Parcel# 122185200004 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 Qir 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/Age ontractor circle one)Date: /V/�J
Page 2 of 2
APPLICATION FOR
SEWER UTILITY SERVICE
MASON COUNTY
UTILITIES & WASTE MANAGEMENT
100 W PUBLIC WORKS DRIVE— P O BOX 578
SHELTON, WASHINGTON 98584 (360) 427-9670 ext 207, 283, 566
DATE
PARCEL# 122�� D DOD
SITE ADDRESS l�
W az
OWNER NAMEA0,U(
BILLING ADDRESS `\1565
r-AO', Ayv\mc
ANTICIPATED DATE FOR SERVICE TO BEGIN
I agree to the terms and conditions of the Mason County Codes and/or
Resolutions. (Copy available upon request.)
SIGNATURE `
A COPY OF CONSTRUCTION SITE PLAN MUST ACCOMPANY THIS
APPLICATION.
----------------------------------------------------------------------------------------------------
FOR OFFICE USE:
Connect Fee Ik Date Receipt#
Grinder Pump Date Receipt#
Vacant Lot Fee Effective Monthly Sewer Rate Effective
Building Permit # Date Issued Date Final
NOTE: PRINT ON 11" x 11" PAPER TO ACHIEVE i" = 20' SCALE
ZONING R-1-R (50% ALLOWED IMPERVIOUS) LOT ■ 11063.4 S.F.
IF QUESTIONS, PLEASE CALL PAT MCCULLOUGH HOUSE = 3302 S.F. (INCLUDING OVERHANGS) m T
(LAKELAND STORM ENGINEER) FRONT WALK = 25 S.F. (EXPOSED) C71(360)-215-1384 DRIVE = S44 S.F. (EXPOSED) I ' 1
CELL: (360)-204-2356 REAR PAD - 1 S.F. (EXPOSED) 0
TOTAL = 4218 S,F, = 38.61 % IMPERVIOUS COVERAGE s m
c� C
N
DISTURBED AREA = 1110 S.F, 10% (CLEARING LIMITS) C0 o m
54'-0" to M
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2S0 -le- tat,
Q 230 10'-0" SANITARY SEWER EASEMENT
96
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PROJECTION OF THE BUILDING N RTH' ors"by ,yu,
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Date,10-16-19
u" SC-ALE: = 20'-OII
Sheet:
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DI AkIkIlkli: LOT 4 LAKELAND VILLAGE NO, 14
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