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BLD2019-01294 SFR - BLD Application - 11/14/2019
MASON COUNTY COMMUNITY SERVICES Permit No: 1 - Q aqq PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair.(360)275-4467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATION NOV 14 1019 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 616 W. AJd Street 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: 253-740-4268 PHONE#2: 253-740-4268 EMAIL shawn@harborcustomhomes.com EMAIL: shawn@harborcustomhomes.com L&I REG# HARBOCH813PB ENP. 10/0212021 PRIMARY CONTACT: OWNER® CONTRACTOR x❑ OTHER❑ NAME Shawn Squier EMAIL shawn@harborcustomhomes.com MAILING ADDRESS 11505 Bumham 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) 122185200005 �1 ZONING R-1 R/UGA/R-1 P LEGAL DESCRIPTION(Abbreviated) Amended Plat of Lakeland Village No. 14 FIRE DISTRICT 5 Z SITE ADDRESS 40 E Eugenia Pl CITY Allyn .� DIRECTIONS TO SITE ADDRESS Lakeland Village -Division 14 Q Take WA-3 N to Homestead Dr in Allyn.Take E Soderberg Rd to E Eugenia PI r IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO[3 V y IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ M USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Residence i� IS USE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)® YES(7 a.n[,j q Bldg)❑ NO❑ DESCRIBE WORK Build New Single FamilV Residence SQUARE FOOTAGE:(proposed) 1 ST FLOOR 2077 sq.ft. 2ND FLOOR NA sq.ft. 3RD FLOOR NA sq.ft. BASEMENT NA sq.ft. ov. DECK 0 sq.ft COVERED DECK 197 sq.ft. STORAGE 0 sq.ft OTHERS_sq.ft. Front GARAGE 636 sq.ft. Attached(a Detached❑ CARPORT _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: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER® / 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 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 Sign ture of OWNER(Mu e signed by the OWNER) ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: YJ1DqV1�-0 �9 PERMIT ASSISTANCE CENTER: •BUILDING .PLANNING •FIRE MARSHAL • 615 W.Alder St-Shelton, WA 98584 www.co.mason.wams RECEIVED Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 � ` n ; , � V1 Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 NOV 14 2019 PLUMBING & MECHANICAL PERMIT APPLICATION er Street 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@harborcustomhomes.com EMAIL: shawn@harborcustomhomes.com L&I REG# HARBOCH813PB EXP. 1010212021 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 122185200005 Zoning: R-1 R/UGA/R-I P LEGAL DESCRIPTION(Abbreviated): Amended Plat of Lakeland Village No. 14 SITE ADDRESS: 40 E Eugenia PI CITY: Allyn DIRECTIONS TO SITE ADDRESS: Lakeland Village Division 14 Take WA-3 N to Homestead Dr in Allyn,Take E Soderberg Rd to E Eugenia PI TYPE OF JOB: NEW x ADD ALT REPAIR OTHER USE OF BUILDING Residence LOCATION OF FIXTURES/UNITS—1sT FLOOR x 2M FLOOR BASEMENT GARAGE OTHER 0 PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS J 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 1 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 permitiapplication 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. Signatfire of Owner —� Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS a BUILDING DEPARTMENT J 1 1— PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN Name Harbor Custom Development, Parcel# 122185200005 BLD# SL D 7—a 1 Zq-► 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 surface2. '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 = rea * 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) y 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/Ag t/Contract (circle one)Date: f `// 61 If the Total Impervious Surface Area is GREATER THAN 0 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. RECEIVED Page 1 of 2 jai III rklhlr% NOV 14 2019 615 W. Alder Street Name Harbor Custom Development, Parcel# 122185200005 BLD# Inc 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)X The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed the ir eir 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 oContractcircle one)Date: Page 2 of 2 APPLICATION FOR SEWER UTILITY SERVICE MASON COUNTY UTILITIES & WASTE MANAGEMENT 1.00 W PUBLIC WORKS DRIVE- P 0 BOX 578 SHELTON, WASHINGTON 98584 (360) 427-9670 ext 207, 283, 566 DATE PARCEL# '��` V ��r Db� SITE ADDRESS OWNER NAME BILLING ADDRESS --&4 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: qu Ll Connect Fee S"11 Date �vv 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 1" = 20' SCALE ZONING R-I-R (50% ALLOWED IMPERVIOUS) LOT - 10225.8 S.F. IF QUESTIONS, PLEASE CALL PAT MCCULLOUGH HOUSE - 3280 S.F. (INCLUDING OVERHANGS) (LAKELAND STORM ENGINEER) FRONT WALK - 25 S.F. (EXPOSED) (360)-215-1384 DRIVE - -111 S.F. (EXPOSED) CELL: (360)-204-2356 REAR PAD - 1 S.F. (EXPOSED) TOTAL - 408S S.F. - 40 % IMPERVIOUS COVERAGE DISTURBED AREA - 1915 S.F, 18% (CLEARING LIMITS) 226. ------------------------- ' 14'-0" 4 (\ 10'-0" SANITARY SEWER EASEM T 4 P.V.G. FROM DOWNSPOUT (p — -------- - ----_ �- �- CONNECTION AT -------------------- ------- ---- ------ --- HOUSE Q 5'-O" (� TO STORM C.B. - O m i— ---—--------------—---------------------------— ---- x x x x x m co FACE OF TYP. SILT FENCE (IF NECESSARY) I FACE OF DECK POSTS P.G. STOCK PILE DECK POSTS x Q - -coveRED---- Q O +� DECK0 11 x ! - ED Q it N x LOT #5 D I 20"1'1 °A" GAR. RIGHT � x 4 L.P. 'A5 TANK Q i N 4 _ z _0 I Q l5GREEN W/ - Q w 3 ARSCR-V 4 (Q S i wo T LE55 HOT WATER _ � ENTRY Sy8f (EF .051) '1-1 GARAGE V FACE OF N I I`ov. GARAGE _ R. 4 O n 1 lU FACE OF —1 4 -PORCH '\ `� -5a--'_--- _-i � =p PORCH O \ -t« � Q p F 28'-5" x 20'-0" "y ~ > N 0 Z CONCRETE APRON k - O T W tll O A 8 :CONST, ENTRANCE QOOZ _R 330,00' ASPHAL D 14 03 00 RIVEWAYid Z t i _pn 14' J C� 411 MASON COUNTY DCD PLANNING C-UCIE ---�__ SITE PLAN REQUIRED TO BE ON SITE N�A CHANGES AU13JET TO APPROVAL 11— J 61 PLANNING. U ALL SETBACKS ARE MEASURED u a FROM THE FURTHEST PROJECTION OF THE BUILDING PLAN '• 20-n W - N ELEV. "All L= Revlelom. PLANNING °�� Drawns 10-18-19 wau ' Lakeland Village O Division 14 1 o NORTH Dry bq, wau i �y I Checked by. u A DLt. 10-IG-19 RECEIVED scALE: 1" = 20'-0" rJI'1eet: WM6GACE I s' 2`is '�; O' 10' 20' 60' °""""°E 2 NOV 14 2019 tt Tt „ i 40' 615 W. Alder Street V I " T LOT 5 LAKELAND VILLAGE NO. 14