HomeMy WebLinkAboutBLD2020-00120 SFR - BLD Application - 2/4/2020 MASON COUNTY COMMUNITY SERVICES Permit No: f5i 02Z (Z(ZD
PERMIT ASSISTANCE CENTER:
( * •BUILDING•PLANNING•PUBLIC HEALTH•RRE MARSHAL p�
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)127-9670 ext.352•Fax:(3617)427-7798 Phone �
Beftair.(360)275-4467•Phone Efma:(360)4823269
®
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1$ VV
2�
MAILING ADDRESS:PO Box 2264LLC MAILING ADDRESSe1PO B 62L3LC 1cfer Street
CITY: Gig Harbor STATE:WA ZIP:98335 CITY: Burley STATE:WA ZIP:98322
PHONE#1: 253-208-8136 PHONE: CELL: 253-208.8136
PHONE#2: 253-732-5115 EMAIL:angieQcedarlandforestresources.com
EMAIL: angle®cedarlandforestresources.com L&I REG# J IDE% ID852(2W EXP. 12$12021
PRIMARY CONTACT: OWNERX CONTRACTOR❑ OTHER❑
NAME JOE CEDARLAND ' EMAIL ice(9cedariartdforestresoutces.com
MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
PHONE CELL 253 2118 8136
PARCEL INFORMATION: 11(JILDING
PARCEL NUMBER(12 Digit Number) 12220-50-52010 ZONING
LEGAL DESCRIPTION(Abbreviated) _ALLYN BLOCK 5Z LOT 10 FIRE DISTRICT
SITE ADDRESS CITY ALLYN
DIRECTIONS TO SITE ADDRESS
L
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thwappty):
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 3
HEATED STRUCTURE? YES(WhokBidg)❑ YES(F�t[s1o,`^'—rI NO
DESCRIBE WORK NEW CONSTRUCTION- J)�pI0
SQUARE FOOTAGE:(propose+existing)
1 ST FLOOR936 sq.ft. 2ND FLOOR 964 sq.ft. 3RD FLOOR sq.& BASEMENT sq.&
DECK __sq.fL COVERED DECK 250 sq.ft. STORAGE sq.& OTHER sq.fL
GARAGE_ sq.ft. Attached❑ Detached CARPORT sq.ft. Attached❑ Detached❑
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 / NEW[ EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ V If yes,attach completed Water Adequacy Form
PERD61EITANOLTNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS -3 TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledge rnerd of such is by
signature below.1 declare that I am ft owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained percussion from all the necessary parties,including any easemant holder or parties of irderest 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 pemniVapprxation becomes null 8 void if work or aufhor¢ed construction is riot commenced within 180
days or lt 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 OFMPBE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
1!,51,2COUNTY CODE 14.08.42)
X � % Z 2d
Ignature of OWNER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J Z 5'ZO Z)
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
r
II n,
MASON COUNTY COMMUNITY SERVICES Permit No: B`� —w ZV PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584 •, �^
' t r
www.co.masonma.us
Phone Shelton:(360)427-9670 ext 352• Fax:(360)427--7796 ��8 �FO
• 0
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
s'S ?oho
PLUMBING & MECHANICAL PERMIT APPLICA-noWvq,,
OWNER INFORMATION: CONTRACTOR INFORMATION: %t
NAME: CEDARLAND HOMES LLC NAME:J&J DEVELOPMENT LLC
MAILING ADDRESS: p0 BOX 2264 MAILING ADDRESS: po BOX 623
CITY: GIG HARBOR STATE: WA ZIP: 98335 CITY: BURLEY STATE: WA ZIP: 98322
I'PHONE: 253.208.8136 PHONE: CELL: 253.208.8136
2°d PHONE: 253.732.5115 EMAIL : angie@cedadandforestresources.com
EMAIL: angie@cedarlandforestresources.com L&I REG# JJDEVJD852QW EXP. 121S12021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220.50.52010 Zoning:
LEGAL DESCRIPTION(Abbreviated): ALLYN BLOCK 52, LOT 10
SITE ADDRESS: CfW�
` DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW_X ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—IST FLOOR_)(__2NDFLOOR_X_BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No. of Fixtures Fees Fuel Type:Electric LPG X Natural Gas Ductless_
Toilets 3 Tvne of Unit No.of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 2 Heat Pump
Showers 2 Spot Vent Fan 5
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas 3
Kitchen Sinks 1 Woo ellet Stove 1
Dishwasher 1 Kitchen khaust 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 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
Sig ure of Owner to
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J 3'2:1;--2.4Z d
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 1BN
APPROVED
11ASON COUNTY DCD PLANNING
SITE PLAN REt?UtREfl TO BE OH SITPLANNING
CHANGES SUIWET TO APPROVAL
RECEI
POTABLE WATER AND
FEB 0 4 20210 SANITARY SEWER PROVIDED /
BY TOWN OF ALL YN. 7�
615 W.Alder Stre
PLANNING;
ALL SETBACKS ARE MEASURE®
FRO" THE FURTHEST 30'
PR(�i,ECTION OF THE BUILDING
BCK s' E Eef RHARt SSE
20 FT
v O Pr. ~f 30
8 � s` HOVSF A
S "300�0p f
20 /
LO 12p 00 >. ..�Br co /
T9
C.�
v/
ALLYN UGA ZONING
3p
R-2 MULTI FAMILY MED DENSITY
FRONT:15'SIDE 5' /
STREET SIDE:8'REAR:20'IF ABUTS A RIGHT OF WAY
LEGAL DESCRJPRON E ADDRESS
WELL ST. � f COI 2-0LOT 10 BLOCK ALLYN, WA. 98524
PLAT OF ALLYN, CEDAR LAND "ONES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52010 GIG HARBOR WA 98335
CED 1897 CED 008 (253) 206-8136
- SITE PLAN MAP AGATE LAND SURVEYING, PLLC
V,B E clIT PROFESSIONAL LAND SURVEYOR
oC w,aS FOR 2680 f. AGATE RD. — P.O. BOX 246
CEDARLAND HOMES LLC SHELTON WA 98584 - (360) 426-4172
o ' IN THE DRAWN BY DATE 01/14/2020 JOB N0:4148-10
zez37
NW114 NE114 MJB
a �� SCALE: 1 INCH =30' SHEET 1 OF 1
10
I. L MA'D ( N'� SEC 20, T22N, RO 1 W, W.M. c"ECKED BY
- SGS FILE NO: 4148-10_CH—SITEPLAN.DWG
is
ENVIRONMENTAL
HEALTH
RECEIVED
POTABLE WATER AND
FEB 0 4 2020 SANITARY SEWER PROVIDED
BY TOWN OF ALLYN. Ile
615 W.Alder Street Qy
A P P O �9 R'.::ii
FEB 19 2020 1" = 30'
etk Sj <" 2 �EBFA,ygRT STR f
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ALLYN UGA ZONING
3p
R-2 MULTI FAMILY MED DENSITY
FRONT 15'SIDE 5' /
STREET SIDE: 8'REAR:20'IF ABUTS A RIGHT OF WAY
LEGAL DESCRIPTION AODRE55
LOT 10 BLOCK 52, E BLACKWELL SL
PLAT OF ALLYN, ALLYN, WA. 98524 CEDAR LAND HOMES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52010 GIG HARBOR, WA 98335
CEO 1897 CED 008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
Cs•l�L' ��f PROFESSIONAL LAND SURVEYOR
�w o� WAS FOR
2680 E. AGATE RD. - P.O. BOX 246
CEDA RL A ND HOMES LLC SHEL TON, WA 98584 - (360) 426-4172
o IN THE DRAWN BY DATE: 01/14/2020 JOB N04148 10
°-� 28237 �Aj NW114 NE114 M,1e
ass 4E�;tS,�.E�zE° 4, SCALE: 1 INCH =30' EEL.-1 OF 1
OONAt Ln1J'D CHECKED BY
�(f t11�f lv SEC 20, 122N, Il U111, W.M. SGB FILE N0: 4148-10-CH_SITEPLAN.DWG
t -
Name CEDARLAND HOMES LLC Parcel# 12220-50-52010 BLD# P%
Mason County KLICEl VED
BUILDINOepartment of Community Development FEB f4f4jo
Small Parcel Stormwater Management Application/Worksheet (page o
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application It
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 = Area *All dimensions in feet
Buildings 26 =
22 X = 528 Measurements for buildings are taken at the
_ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways 20 X 20 = 400
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 6 = 132
8 X 6 = 96 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) 2092
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 1 of 2
Name CEDARLAND HOMES,LLC Parcel# 12220.50-52010 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 Vormwater.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//www.co.mason.wa—us/code/commissioners/index.htrn
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
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/d rain field 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.
X7 Own Agent/Contractor(circle one)Date: Z ZU
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