HomeMy WebLinkAboutBLD2020-01506 SFR - BLD Application - 11/9/2020 MASON COUNTY COMMUNITY SERVICES Permit NO:�IeI 2n > I�JO(to
PERMIT ASSISTANCE CENTER:
•BUILDNVG•PLANNING•PU&,CWEALTH•RRE MARSHAL
i
615 W.Alder Street,Shelton,VVA 985M NOV 0 9
Phone She)ron:(360)427--,WM ad 3W•Far r")427--1'10 Phone f:vLl
BbMair.(,W)275-4467•Ptorw Elea:(3d0yt8-SM
615 oi;� t Irk, S I N G
BUILDING PERMIT APPLICATION fL..
PROPERTY OR'NER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J DEVELOPMENT LLC NAME: J&J Development LLC
MAILING ADDRESS:PO BOX 623 MAILING ADDRESS: PO BOX 623
CITY: BURLEY STATE:WA ZIP:90322 CITY: Burley STATE:WA ZIP:9tI322
PHONE#I: 25120p136 PHONE: CELL: 253-2osms
PHONE#2: EMAIL_angieacedadarrdforastresoureas Rom
EMAIL: angie@cedadandforestresources.com _ LBt:I REG# J IDEy INS20W EXP. 12WM21
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ (Y�
NAME JOE CEDARLAND EMAIL ioeQoedarlandfofestresoumes com
MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
PHONE CELL 25320&81J6
PARCEL INFORMATION: ++ _ /�(
PARCEL NUMBER(12 Digit Number) I. �<] .?klbuo ZONING
LEGAL DESCRIPTION(Abbreviated) ` r_ L FIRE DISTRICT I
SITE ADDRESS CITY ALLYN
DIRECTIONS TO SITE ADDRESS ^
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[] IU/ Jl
IS PROPERTY WITHIN 200 Fir OF THE FOLLOWING: (Chen all rGm apply):
r SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
j TYPE OF WORK: NEW K
ADDITION❑ ALTERATION❑ REPAIR❑ OTHER I 1
CUSE OF STRU (Residurce.Garage,Commercid Btdg,Erc.) RESIDENCE
1S USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BAT HRoomS 3
HEATED STRUC=? YES m viee ) YES(Rvt(sl 1 NO
I +dg ❑ elBGg ❑ ❑
DESCRIBE WORK NEW CONSTRUCTION-1&W SO Fr
SQUARE FOOTAGE:(propme+Rusting)
I ST FLOOR 1212 sq.R 2ND FLOOR 645 sgAL 3RD FLOOR sq.R BASEMENT sq.R
DECK sq.ft. COVERED DECK 220 sq.R STORAGE sq.tL OTHER sq.ft
GARAGE 4W sq.ft At It Detached❑ CARPORT sq.R Attacked❑ Detached❑
MANUFACTURED HOME INFORMATION: s4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: I
`� t
SEWAGE/SEWER SOURCE: SEPTIC[ISEWEI. NEAkted
EXISTINGPLUMBING IN STRUCTURE? YES)( NO❑ NNNGGGf yes,attach Water Adequacy Form t
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EMSTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS_g TOTAL BEDROOMS _
OWNER admowledges that submission of inaccurate information may result in a stop work order or pemk revocation.Acknowledgetnerd of such is by
signature below.I declate that I am the ommr and 1 further declare Mat t am erditled to receive this permR and to do the work as proposed.)have
obtained pemtssion from all the necessary parties.including any easenent holder or parties of Merest regarckV this project. The owner or legal
representative,represents Bmt the irdometion provided is accurate and grants employees of Mason Courtly access to the above described property
and sirudure(s)for review and inspection. This permit/application becomes null 3 void if work or a Werized construction is not caranenced widin Ott
days or I 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 14.08A2) i
nature of OWNER(Mast be signed by the OWN ERI Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:e�1GI'�D7fj..b(G�b�
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING•FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us NOV 0 9
Phone Shelton:(360)427-9670 ext.352• Fax.(360)427--7798 C i�
• Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION N G
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J DEVELOPMENT LLC NAME: 1&.1 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#I: ra-208, 136 PHONE: CELL: 253-208-8136
PHONE#2: EMAIL : angie@cedadandforestrewurces.com
EMAIL: angie@cedarlandforestresources.com e@cedadandforestresources.com
L&I REG# JJDEVJD852OW EXP. 12IS12021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): (� — Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS—I ST FLOOR X 2ND FLOOR X BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG X Natural Gas Ductless_
Toilets Type of Unit No. ffUUm Fees
Bathroom Sink a %e Furnace I
Bath Tubs 2 Heat Pump 0
Showers 2 Spot Vent Fan
Water Heater 1 Propane Tank I
Clothes Washer Gas Outlets 3 ✓
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher I Kitchen Exhaust Hood 1
Hose bibs 2 ✓ Dryer Vent 1
Other Solar Panel 0
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 1 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 holier 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
Sig ure of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
REGdl,mc�i✓ i.✓
PLANNIN NOV 0 9 '202.3
Ltd 20 - t5o�
1W7mImYsE wA1 PLANNING :
��o��.�►
ALLYN UGA R.2 -.Fvov-+ ly
,��, �� i
ALL SETBACKS ARE MEASUREDFROM THE FURTHEST
�Icl�cy _5
'i uA-. �b�r, a no4 ROCTION OF THE BUILDING
30
" = 30'
BCOOk 36
9 20
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W
00,.
�C�i o 0 72C?00
30 8
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6�Q s �3Q0 00. Zl• �°
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z
15 4A ?o e4°C,k 3�
HOUSE 1212 SO. FT.
GARAGE 400 SQ. FT.
FRONT PORCH 132 SO. FT.
REAR PORCH 88 SQ. FT.
LEGAL ON DESCRIPA ADDRESS-
LOT 8 BLOCK 36, E BLACKM£LL 5T.
PUT T OF ALL YN, ALL YN, WA. 98524 J do J DEVELOPMENT LLC
VOLUME 1 OF PLATS, PAGE 17 P.D. BOX 2264
AP No. 12220-50-360D8 GIG HARBOR, WA 98335
CEO 1657 (253) 206-813B
�EcN SITE PLAN MAP AGATE LAND SURVEYING, PIM
pRaE-rgwAL LAND SURVEYOR
3F WASyj,O FOR 2680 E AGATE RD. - P.O. BOX 246
J&J DEVELOPMENT LLC S"aTON, WA 98W ' (360) 426-4172
IN THE [DRAWN BY ATE:10/26/2020 toe No-4148-3608
� NW1/4 NE1/4 "AJe SCALE• 1 INCH =30' EET 1 OF 1
STER `}�L LAB SEC 2�, T H/� ECKED BY
�; SGB FILE N0 4148-3608_JJ_SITEPUw.DTMG
MA90M CAUNn.MD PLANNIN
s�P TO pPR�AL ON E �L
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Ctiwa!OLE T,�
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ENVIRONMENTAL
HEALTH NOV 0 9 2020
l�'?,020-0037o
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JAN 14 2021 1 30'
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HOUSE 1212 SO. FT APPROVE
GARAGE 40O SQ. FT
FRONT PORCH 132 SO. FT JAN 14 2021
REAR PORCH 88 SQ. FT. MASON COUNTY ENVIRONMENTAL HEALTH
LEGAL DESCR1P71ON A
MKSS
REr
LOT 8 BLOCK 36, E BLACKWLL ST.
POT T OF ALL YN, ALL YN, WA. 98524 d & J DMOPMEN T LLC
VOLUIJE 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-36008 GIG HARBOR, WA 9B335
CEO 1857 (253) 208-8136
BEcN SITE PLAN MAP AGATE LAND SURVEYING, PLLC
? PRQFES70NAL LAND SURVEYOR
of WASH,�O FOR 2680 E AGATE RD. - P.O. BOX 246
�P SHELToN, WA 9M — (360) 426-4172
J&J DEVELOPMENT LLC ,ioB No-
o
IN THE DRAWN BY ATE:10/26/2020 4148-3608
28237 E� w NW114 NE114 "A3B SCAff. 1 INCH =30' EET.•1 OF 1
ss ��TSTER \}4.
lCMAL LAIA SEC 20, T22N, R1 W W.M. �SGB BY FILE NO:4148-3608-M-SITEPLAN.DWG
f-'3
Name MIC Parceii�0-50 ,3I0W� BLD# ZoID
VC ..Mason County m�
Department of Community Development NOV 0 9 20M
Small Parcel Stormwater Management Application/Worksheet(page Z +of 2) y
Based Upon the information you have provided a Stornovater Site Plan LS 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/Iwww.co.mason.wa-AWcode/commissioners/mdex.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 IIVITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) X The relevant details from Managing Storm Drainage on Small Lots, Ae 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.
Acknowledgment 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 ma required_ f (�
X Owner/Agent/Contractor(circle are)Date: Y I I 1
JOI-
Page 2 of 2
Name���� Parcel#��;2=20 (� � � BLD#
Duel`fi"rnc0- 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.
'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 50 X 26 = 1300
Z0 X 2p = 00 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
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 =
PatiosNValks 22 X 6 = 132
8 X 11 = gg 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) 2340
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
MASON COUNTY PUBLIC WORKS
Sewer LJ Water Permit
Permit No. �1011 - A Date Z Owner �J
Contractor
Job Description VC.
Job Location
Inspected By Approved for Cover
Date
Remarks }
Applicant Must Call
Utilities & Waste Management Issued By
For Required Inspection
360-427-9670 Post this card in a conspicuous place
Ext. 652 at Front of Premises
APPLICATION FOR
SEWER UTILITY SERVICE
MASON COUNTY
UTILITIES & WASTE MANAGEMENT
1-00 W PUBLIC WORKS DRIVE- P O BOX 578
SHELTON, WASHINGTON 98584 (360) 427-9670 ext 207, 283, 566
DATE
PARCEL# 0;) D CPb '
SITE ADDRESS
OWNER NAME
BILLING ADDRESS
v�
ANTICIPATED DATE FOR.SERVICE TO BEGIN
I agree to the terms a6d conditions of the Mason County Codes and/or
Resolutions. (Copy available on request.)
SIGNATURE
A COPY OF CONSTRUCTION SITE PLAN MUST ACCOMPANY THIS
APPLICATION.
FOR OFFICE USE:
Connect Fee 1\t�Y��'�X Date l I� Receipt#
Grinder Pump Date Receipt#
Vacant Lot Fee Effective Monthly Sewer Rate Effective
Building Permit# Date Issued Date Final
P-r Z NO. 369777
NOTES CE' A E � �p
RECEIVED FROM �' 1 Wv
� 2
ADDR SS $
FOR
ACCOUNT HOW PAID
AMT.OF CASH
ACCOUNT
AMT. CHECK
PAID MONEY B ®2005 W ®$L810
BALANCE ORDER
DUE _