HomeMy WebLinkAboutBLD2020-01510 SFR - BLD Application - 11/9/2020 MASON COUNTY COMMUNITY SERVICES PermitNo:_bid W-660
PERMIT ASS/STANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 �lL,�
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 66�V f
Bellair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION BUILDING
PROPERTY OWNER 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:98322 CITY: BURLEY STATE:WA ZIP:98322
PHONE#I: 253.208.8136 PHONE#I: 253,208,8136
PHONE#2: PHONE#2:
EMAIL: angie@cedadandforestresources,com EMAIL: angie@cedadandforestresources.com
U
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ _t
NAME foe Cedarland EMAIL info cOcedarlandforestresources.com
MAILING ADDRESS: Same as above CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: _ '\ 2/( //��''\\
PARCEL NUMBER(12 Digit Number) ( �5U � 0 009 ZONING:
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS CITY: Allyn
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%:YES❑NO❑
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,Gauge,Commercial Bldg,Etc)Residence
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pari[sj ofBldg)❑ NO❑
DESCRIBE WORK New Construction-2237 SFR
SO RE FOOTAGE (propose+existing)
1ST FLOOR 1353 sq.ft. 2ND FLOOR 884 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.
ft.DECK sq.ft. COVERED DECK. 212 sq.ft. STORAGE sq.& OTHER sq.ft.
GARAGE 440 sq.ft. Attached❑ Detached❑ CARPORT sq.ft.Attached❑Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH 14
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER / NEW k EXISTING❑
PLUMBING IN STRUCTURE? YES x NO❑ \11ff yes,attach completed Water Adequacy Form
PERIMETERIFOUNDATION 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
nhtainarl normiccinn frnm all tho noraccary nnrtioc inrliAinn anv ancomant Fa-Mar nr narliac of intaract ranoniinn thic nrniar4 Tho ruunar nr lonal
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_2620
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATON: CONTRACTOR INFORMATION:
NAME: J_&J Development
MAILING L: AE)DRESS:
NA J 8 J X 623ENT LLC MAILING ADDRESS: PO Box 623
CITY: BURLEY STATEE::WA ZIP:98322 PO BOX
CITY:BurleySTATE:WA ZIP: 98322
PHONE#l: 253-208.8136 PHONE: 253-208-8136 CELL:
PHONE#2: EMAIL: infoOcedarlandforestresources-com
EMAIL: an9ie@cedarlandforestresources.com L&I REG# JIDEVJD852OW EXP. 12 /6 /2021
PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number): _ C] Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: CITY: Allyn
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS—1 sT FLOOR X 2m FLOOR X BASEMENT GARAGE X OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtucds Fees Fuel Type:Electric LPG X Natural GXas_Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 5 V Furnace t
Bath Tubs 2 V Heat Pump 0
Showers Spot Vent Fan o ✓
Water Heater 1 Propane Tank 1
Clothes Washer I / Gas Outlets 3
Kitchen Sinks I�� Wood/Gas/Pellet Stove 1
Dishwasher I Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent I
Other Sofa:Pancl
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge submission of inaccurate information may result in a slop 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 thatl am entitled to receive this
permit and to do the work as proposed.!have obtained pe.^^i Liar,f o.,a!!Lhe ne ssa,.partaG,irc!udirg ary easement holder ar, 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)fior review and inspection.This permittappiication 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 �7 Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT . 1 �C
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:i 2',12ai,.sN
FuGA
BAY `-C F I V E
ATER
20� -0 15 1 0
�- 2. NOV 0 9 20241
�20 - 03�615 W. alder S �
l (PLANNING :
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
' 1" = 30'
LPROJECTION OF THE BUILDING
9� 35 ' � 30 T10
W i
S
0'0p+ `S $
7�0 00
for 7
T HOUSF Z ?0
4�
00
30 BOK 3
6 Jr� = Al
B�K 37
'5 IQ
Q
1ST FLOOR 1353 SO. FT.
2ND FLOOR 884 SQ. FT 20
GARAGE 440 SO. FT.
FRONT PORCH 120 SO. FT.
REAR PORCH 92 SO. FT. A P P P O\I E D
M,&.90M COUNT-- r,CC PLANNING
91T'E ol.Ak REOUI? C_ iO BIE ON SITE
CHA ES SUB JET i"O APPROVAL
By_4L_j�'I Daft j L Z
LEGAL )ESMPTION ADQE�2 J k J DEtt OPWNT
LOT 9 BLOCK 36, E BLACKWELL STREET P.O. BOX 2264
PLAT OF ALL YN, ALL YN, WA. 98524 GIG HARBOR, WA 98335
yaUME 1 OF PLATS, PAGE 17 (253) 208-8136
AP No. 12220-50-36009 CED 2237
�.BEck SITE PLAN MAP AGATE LAND SURVEYING, PLLC
PROFESSIONAL LAND SURWYOR
�4 ,oY WAS � FOR 2650 E. AGATE RO. - P.O. BOX 246
& J DEVELOPMENT SHaTON, WA 98584 - (360) 426-4172
�o IN THE DRAWN BY DATE: 1 /OS/2020 JOB No-
4148-3609
28237 NW1/4 NE1/4 MJBOF 1
�r 1 R�GISTER�O 4 SCALE" INCH = 30' $HEFT'
S10A'AL LA1110 CHECKED BY
SEC 2�, T22N, ROl W, W.M. SG8 FILE NO, 4148-3609_JJ_SITEPLAN.DWG
PORNORTH BAY wA,� RECEIVE
ALL T UGA R.2 2JZD - 15 D
o37H NOV 0 9 2020
/ + 615 W. Aber n —�—
ENVIhUN1�IENTAL
HEALTH n
1 = 30
ez,t- 35 l � ° toT 70
Ll� W s
173
7 00
Q
cy.
l NOSE 20
20'44-4 s cgRA�E a o
/ 30000. �• J
0
l 30 BOK 8s
)48 4
�48A
I
1ST FLOOR 1353 SO. FT.
2ND FLOOR 884 SQ. FT. ?°
GARAGE 440 SQ. FT.
FRONT PORCH 120 SQ. FT.
AP P R O V E[REAR PORCH 92 SO FT.
JAN 14 2021
MASON COUNTY ENVIRONMENTAL HEALTH
LEC,a1 DESCRIPTION RET dQEa J & J DEWLOPYENT
LOT 9 BLOCK 36, E BLACKVWU STREET P.O. BOX 2264
PLAT OF ALLYN, ALLYN, WA. 98524 GIG HARBOR, WA 98335
VDLUME 1 OF PLATS, PAGE 17 (253) 208-8136
AP No. 12220-50-36009 CED 2237
Sl TE PLAN MAP AGATE LAND SURVEYING, PLLG
GI BECj�rT PROFESSIONAL LAND SURVEYOR
()if WAS FOR 2680 E. AGATE RO. - P.O. BOX 246
& J DEVELOPMENT SHELTW WA 98984 - (360) 426-4172
� 1N THE DRAW BY DATE: 11/08/2020 Jae No-4148-3609
NW114 NE114 MJs
�S �EGISTER'�'O 4, SCALE 1 INCH = 30' SHEET 1 OF 1
r��hAL LAND SEC 20, T22N, R01 W, W.M. CHECKED BY
SGB FILE No: 4148-3609_JJ—SITEPLAN.DWG
Name T" Parcel#_{ �O" �l1 ` BLD# o;Z&R6 - 01 l 10
Dc�
eve pmen�-
Mason Count' I L D I N IECEav
Department of Community Development POV Small Parcel Stormwater Management Application/Worksheet 2 jA
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 14.49 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 INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) X The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Swrmwater 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 1950,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-%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,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 be required. (�
X Owner/Agent/Contractor(circle one)Date: 1
Page 2 of 2
Name -11 T Parcel# O a— (o-5b L-op BLD#
D e� I(ern
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.
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 = 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 = 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 =
Patios/Walks 22 X 4 = 88
X I I = 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 LESS THAN 2000 Sguare 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. 1 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,Nguare Feet please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
MASON COUNTY PUBLIC WORKS
Sewer
Water Permit
VlInOwnerC.Z.— Date- 22 Zhermit No. �����
Contractor
_ 1
Job Description 1�
Job Location h
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
100 W PUBLIC WORKS DRIVE- P 0 BOX 578
SHELTON, WASHINGTON 98584 (360) 427-9670 ext 207, 283, 566
DATE U l22) 2i
PARCEL# `lfu - •,2;u 6� t
SITE ESSO?Avia 5, (• J�W K i
OWNER NAME J
BILLING ADDRESS
ANTICIPATED DATE FOR.SERVICE TO BEGIN
I agree to the terms anal 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 rl � �!l ,C Date Receipt
Grinder Pump Date Receipt#
Vacant Lot Fee Effective c, Monthly Sewer Rate Effective
Building Permit # ti����D�b` J(QDate Issued Date Final
NOTES CElp DA E "° 369777
RE � �
RECEIVED FROM Wv
. 2
ADDR SS $
FOR
ACCOUNT HOW PAID '\ 2 f ^
AMT.OF CASH
ACCOUNT
AMT. CHEOC
PAID MONEY B 02005roan®BL810
BALANCE ORDER
DUE _