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Home My WebLink AboutBLD2020-01564 SFR - BLD Application - 11/9/2020 • MASON COUNTY COMMUNITY SERVICES Permit No:old 202y-D (SLeq PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(3601427--9670 ext.352•Fax:(360)427-7798 Phone Imo' S" UI L Belfair.(360)275-4467•Phone Elma:(360)482-5269 • NOV Q 9 s�0j0 BUILDING PERMIT APPLICATION�5 W. Ali PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: g NAME: J&J DEVELOPMENT LLr NAME: J&J Development,LLC MAILING ADDRESS:PO BOX 623 MAILING ADDRESS: PO BOX 623 CITY: BURLEY STATE:WA ZIP:98322 CITY: Burley STATE:WA ZIP:98322 PHONE#1: g 8136 PHONE: CELL: 253.208.8136 v �5320 PHONE#2: EMAIL:angie@cedarlandforestresources.com EMAIL: angie@cedarlandforestresources com L&I REG#__ jDBL p852ow EXP. 12fb12021 I T PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME Ioe Cedarland EMAIL info a cedarlandforestresources.com MAILING ADDRESS: Same as above CITY STATE ZIP PHONE CELL PARCEL INFORNATION: PARCEL NUMBER(l 2 Digit Number) I o` lJ �JIJ� ZONING: LEGAL DESCRIPTION(Abbreviated) - FIRE DISTRICT SITE ADDRESS CITY: Allyn DIRECTIONS TO SITE ADDRESS 4� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%:YES[]NO❑ 1^ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check-all that apply): 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: PRIMARRYY ( SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 3 HEATED STRUC YES(Whole Bldg)❑ YES(Part(sj ofB1dg)❑ NO❑ DESCRIBE WORK New Construction—2237 SFR SQUARE FOOTAGE: (propose+mistingl 1 ST FLOOR 1353 sq.ft. 2ND FLOOR 884 sq.ft_ 3RD FLOOR sq.ft. BASEMENT sq. ft.DECK sq.ft. COVERED DES 212 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 440 sq.ft. Attached❑ Detached❑ CARPORT sq.ft.Attached❑Detached❑ MAN FA .TURF.D HOME INFO TION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER // NEW`< EXISTING❑ PLUMBING IN STRUCTURE? YESk NO❑ ZIfyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ,FT. EXISTING BEDROOMS PROPOSED BEDROOMS 4 TOTAL BEDROOMS 4 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 nhtainorl normiccinn from ail tho naroccary nartiac inrbir♦inn nnv oacomont hnirlor nr narfiac of intoroct ronnrriinn thic nrnior-t Tho Humor nr lonal f `9A ._ PING 615 kN. Ai'o'-i_. �Icl 2ozo 6 i so4 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: J&J Development _ NAME: J&J QE7fEL4 AW LLC MAILING ADDRESS:PO Box 623 MAILING ADDRESS:PO BOX CITY:Burley STATE:WA ZIP: 98322 CITY: BURLEY STAATE:E:WA 7.1P:98322 PHONE#L 253 ZpB•g136 - PHONE: 253-208-8136 CELL: PHONE#2: EMAIL : info a,cedarlandforestresources"com EMAIL: angle(acedarlandforestresources.com L&I REG# JJDEVJD8520W EXP. 12 /6 /2021 PARCEL INFORMATION: _ PARCEL NUMBER(12 Digit Nrmrber): �� Zoning- LEGAL DESCRIPTION(Abbreviated): I �� SITE ADDRESS: CITY:Ally DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING Residence LOCATION OF FIXTURES/UNITS—1&T FLOOR X 2'''r'FLOOR X BASEMENT GARAGE X OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fi es Fees Fuel Type:Electric LPG X Natural GXas Ductless Toilets 3 Type of Unit No.offUU is Fees Bathroom Sink 5 Furnace i V Bath Tubs 2 -/1 Heat Pump 0 / Showers 2 Spot Vent Fan —66 — Water Heater 1 Propane Tank �I ✓� Clothes Washer 1 / Gas Outlets 3 V Kitchen Sinks I Wood/Gas/PelletStove 1 Dishwasher I Kitchen Exhaust Hood 1 Hose bibs 2 Dryer Vent 1 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 a!l the necessary pa rtwc,including any easoment 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 � gnature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL LID F ER ✓ L,i WATER ✓ NOV0 n �n�� i'v . . iNG '`I Y J 0PLA2-6 - 0 5 Lo4 615 W. Alder Street �F-�LA WN I�NG�-. 1 SETBAC7CS ARE MEASURED ROM ThE FURTHEST / - TION OF THE BUILDING �� _ 30) eCK 3s 1 W 30 �Or 7 S 73 1 1 „ o Do, 00 i/V q SOT >• C� ca 1 NOOSE 20 tv GARAGE oQ, .o 21' 1,2p 00 I 3 8QK 36 elk 3,, T s is �5� Q 1ST FLOOR 1353 SO. FT APPROVED �AGGE W SQ. F 2a MA93M COUNTY DCD Pf.J Aw PoRcH 12o so. FT SIT. ETD TO BE PORCH 92 SO. FT C��BUBIT�APPROVAL By - D+�h -2- ' LEGAL DEscR►PnoN J J DEVEL"ENT LOT 6 BLOCK 36, E BLACKKU STREET P.O. BOX 2264 PLAT OF ALL YN, ALL YN, WA. 98524 9C HARBOR, WA 98335 VOLUME 1 OF PLATS, PAGE 17 (253) 208-8136 AP No. 12220-50-36006 CED 2237 �.BEcNT SITE PLAN MAP AGATE LAND SURVEYING, PIM PROFESSIONAL LW SURVEYOR of wASy O FOR26W E AGATE RD. - P.O. 80X 246 ,c)� J & J DEVELOPMENT TON 584 WA 98 - (360) 426-4172 IN THE DRAWN BY DATE. 11/08/2020 4148JOB N 3606 26237 '' NW114 NE1/4 MJB O�CER 4� SCALE.SCALE.� 1 INCH = 30' SHEET: 1 OF 1 7ST CHECKED BY S�nAL LAN SEC 20, T22N, ROI W, W.M. SGB R1.E NO: 4148-3606_JJ_SITEPLAN.DWG F R ✓ v WATER i�+v I a N iV� N TA L NOV 0 2020 ) 20 ,o t5 u� HEALTH / n 615 W. Alder Street � � 2�Y -.go-_ 11 r 30' /~ 3 BVf 3S r O COTsil 7 v / p z O >. T r/(Z:. HOSE 2 O r -Za%d g GARAGE o ,o I �20.00 30 & T S 6 s 3> p Q PPROVED1ST FLOOR 1353 SQ. FT. A 2N0 FLOOR 884 SQ. FT. 20 GARAGE 440 SQ. FT. 12 ?!171 RE PORRCH 192 SO Fir. ,,ASON COUNTY EN I C N NMENTALNEALT LO& DES(_TION ADDRM J A J DEVELOPMENT LOT 6 BLOCK 36, E BLACKWELL STREET P.O. BOX 2264 PLAT OF ALLW, ALLYN, WA. 98524 CX HARBOR, WA 98335 KXuAjE 1 OF PLATS, PAGE 17 (253) 208-8136 AP No. 12220-50-36006 CEO 2237 H S1 TE PLAN MAP AGATE LAND SURVEYING, PIM c,BEc of WASIf �° FOR 26W EE AGAIE RD. - P.O. 9OX 246 J & J DEVELOPMENT 5jaWN. WA 98W4 - (360) 426-4172 JOB NO: 0 1N THE DRAWN BY DA7E. 11/08/2020 4148-3606 28— �o ,' NW114 NE114 MJB SCALE. 1 INCH = 30' SHEET 1 aF 1 s ECISTER 4' �J�AAL LAN SEC 20, T22N, R01 W, W.M. CHECKED BY FILE N0: 4148-3606_JJ_SITEPLAN.DWG SGB r Name I Parcel# I 001D � ;�(�U� BLD# J�evelu e,� �EIVE® Mason County Department of Community Development NOV 0 9 2020 Small Parcel Stormwater Management Application/Worksl W IL !d2 Based Upon the information you have provided a Stornwater 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 14.49.70).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 AM 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 U4DICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SrrE A) X 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,paroeL 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 septicldrainfield 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-%70 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,ownees 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 inspectionas m be required. X r Owner/Agent/Contractor(circle one)Date: ` I ! �C7` Page 2 of 2 Name v 5 J Parcel# I JXC SO'J�000 BLD# eve �pr�en-� 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'_ '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 56 X 26 = 1456 20 X 22 = 440 Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eavesigutters) X = Driveways 21 X 20 = 420 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 = PatiosfWalks 22 X 4 = 88 Q X 1 1 = 99 Any paved, gravel or packed area per definition above table X = 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) 2503 If the Total Impervious Surface Area is i.RSS 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 1 of 2 MASON COUNTY PUBLIC WORKS XSewer J Water Per it Permit No. Date 411512,1 Owner � V Contractor Job Description Job Location Nalwf ` Inspected By Approved for Cover Date Remarks Applicant Must Call 1 Utilities & Waste Management Issued By For Required Inspection 360-427-9670 Post this card in a conspicuous place Ext. 652 at Front of Premises Public . Health c�T 2 C Always working for a safer hea USier Mason County 415 N.6th Street,Bldg 8,Shelton WA 98584 UTli 360-427-9670 or 360-275-4467,extension 400 Application for Determination of Sewer Adequacy Instructions: 1.Complete Part 1 of application. Permit number may be added at later date. 2.Take application,Site plan,and any other associated information with the proposed development to the Sewer System Manager or Designated Employee for approval. 3.Submit completed application and infomlation to Permit Center or Mason County Public Health for review_ (VOTE:You must supply the System Manager with a site plan for the project,showing all existing or proposed sewer components and lines in relation to proposed development and property. Part 1:Applicant/Parcel Information Applicant: J $J Development, LLC Date: 10/26/2020 Mailing Address: PO Box 623 City, State,zip: Burley, WA 98322 Site Address: Block 36, Lot 6 Phone: 253-208-8136 Parcel Number: 12220-50-36006 Permit Number: Part 2: Sewer System Information Name of Sewer System: NBC 1 Site Plan attached? Official use only: Sewer System Manager or Designated Employee is to complete. New Connection: I have reviewed the applicants infomration and have no issues with Mason County Public Health approving the corresponding Mason County Permit ❑ Existing Connection: I have reviewed the applicants information and have no issues with Mason County Public Health approving the corresponding Mason County Permit ❑ I have reviewed the applicants information and have determined sewer connection is currently NOT available to this property. Please add the following condition(s)on the corresponding Mason County Permit(optional) t�=�f�?e-��=='4�41-3�2.6_die--b�o-re-permit issued Michele Remmen 10/26/20 Primed Name or System Manager/Employee Signature of System Martagerl Empioyee Date Part 3: Mason County Public Health Review/Approval ❑ Satisfactory ❑ Unsatisfactory Signature of Environmental Health Specialist Date This form may be scanned and available for public view on the Mason County Web Site. REV1WE)10r%M15 • 1 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 6ep 12A PARCEL# `�� ✓- �� SITE ADDRESS OWNER NAME BILLING ADDRESS onna� Vv 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: ` 1 Connect Fee ` \,-kj \ I J Date4li6W Receipt# Grinder Pump Date Receipt# Vacant Lot Fee Effective Monthly Sewer Rate Effective Building Permit # Date Issued Date Final