HomeMy WebLinkAboutBLD2020-00233 SFR - BLD Application - 2/27/2020 • MASON COUNTY COMMUNITY SERVICES Permit No. U'�? ~ OV �
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427.9670 ext.352-Fax:(360)427-7798 Phone
Belfair(360)275-"67-Phone Elma:(360)482-5269
. BUILDING PERMIT APPLICATION IQ
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Cedarland Homes,LLC NAME: J&J Development, LC FFA
MAILING ADDRESS: PO BOX 2264 MAILING ADDRESS: PO BOX 623 U
CITY: Gig Harbor STATE:WA ZIP:98335 CITY: Burley STATE:WA ZIP: �0?0
PHONE#1: 253-208.8136 PHONE: CELL: 253-206-8136 j
PHONE#2: 253-732.5115 EMAIL:angle(aDcedariandforestresources.com O/ S
EMAIL: angie@cedadandforestresources.com L&I REG# .I_InFv.ln852O EXP. 121A12021 t/ee�
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME JOE CEDARLAND EMAIL loe(cbcedariandforestresources.com
MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
PHONE CELL 253.208.8136
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12220.50-52009 ZONING
LEGAL DESCRIPTION(Abbreviated) ALLYN BLOCK 52,LOT 9 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,Garage,Commercial Bldg,Ex.) RESIDENCE
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCT ? YES(whole Bldg)❑ YES(Partlsl ofBldg)I] NO❑
DESCRIBE WORK NEW CONSTRUCTION-SFR+
SQUARE FOOTAGE:(propose+existing)
1ST FLOOR 936 sq.ft. 2ND FLOOR 988 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.& OTHER sq.ft.
GARAGE- _sq.ft. Attached❑ DetacheJX 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❑ SEWERX / NEWX EXISTING❑
PLUMBING IN STRUCTURE? YESX NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION 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.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 permitlapplication 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
C -CODE 14.08.42)
x
Si ture of OWNER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 4-11-
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL W. R��615 .Alder St-Shelton, WA 98584 (� E f VED
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7796 FEB
• Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 81� 11 2�2D
PLUMBING & MECHANICAL PERMIT APPLICATION W Alder S,r
e
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: CEDARLAND HOMES LLC NAME:.18..l DEVELOPMENT LLC
MAILING ADDRESS: p0 BOX 2264 MAILING ADDRESS: po gnX 623
CITY: GIG HARBOR STATE: WA ZIP: 98335 CITY: BURLEY STATE: WA ZIP: 98322
Is' PHONE: 253.208-8136 PHONE: CELL: 253-208-8136
2°d PHONE: 253.732-5115 EMAIL : angie@cedarlandforestresources.com
EMAIL: angie@cedariandforestresources.com L&I REG# JJDEVJD852QW EXP. 121,612021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220-50-52009 Zoning:
LEGAL DESCRIPTION(Abbreviated): ALLYN BLOCK 52, LOT 9
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 Natural Gas Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink * s Furnace 1
Bath Tubs 2 Heat Pump 0
Showers 2 Spot Vent Fan
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Out ets 3
Kitchen Sinks 1 Woo as ellet Stove 1
Dishwasher 1 Kitchen xhaust 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 APPLICATI
x -7 ZZx-Z Zo
Sig ure of Owner �— Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
RECEIVED POTABLE WATER AND
SANITARY SEWER PROVIDED
FEB 11 200 BY TOWN OF ALLYN. ``
815 W.
er treet
PLANN NG 1" = 30'
B4K Sl
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20 73-
,O 8 0°0°�E
O 720 00 30
Q' ^ � T 9
10 R
HOUSE' 0 4,
20 300'°°9 a 4, l
EOT F 7 00 It
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PLANNING: 30
ALL SETBACKS ARE MEASURED /
FROM THE FURTHEST �
PROJECTION Of:THE BUILDING
LEGAL DESCRIPTION ADDRESS
LOT 9 BLOCK 52, E BLACKWELL ST
PLAT OF ALLYN, ALLYN, WA. 98524 CEDAR LAND HOLIES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52009 GIG HARBOR, WA 98335
CED 1927 CEO 0008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
G.B r C& PROFESSIONAL LAND SURVEYOR
WA s1i/ FOR 2650 E. AGATE RD. - P.O. 60X 246
qP� 01 U SHELTON, WA 98584 - (360) 426-4172
� �. �, CEDARLAND HOMES LLC
o/ 1N THE DRAWN BY DATE: 02/25/2020 " NO. 4148-9
�Ec.Ioti L NW1/4 NE1/4 MJB/RLB SCALE: 1 INCH =30' SHEET'1 OF 1
SEC 20, T22N, R01 W, W CHECKED BY M. SGB FILE N0: 4148-9_CH_SITEPIAN.DWG
W.Som COUN p�DCa PLANNING
oN SITE
qrM W- 4--pvft-
CH . OVAL
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RECEIVED POTABLE WATER AND
SANITARY SEWER PROVIDED ` /
FEB 2 7 20 BY TOWN OF ALLYN. `` Il
615 W. er t
_ ENV/RON
HEALTH
= 30,
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APPROVED
APR 15 2020 30
MASON COUNTY ENVIRONMENTAL HEALTH /
LYC /
LEGAL DESCRIPTION ADDRESS
LOT 9 BLOCK 52, E BLACKWELL ST
PLAT OF ALLYN. ALLYN, WA. 98524 CEDAR LAND HOMES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52009 GIG HARBOR, WA 98335
CEO 1927 CED 0008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
G C�J7 PROFESSIONAL LAND SURVEYOR
of w^SHE 2680 E. AGATE RD. - P.O. BOX 246
CEDARLAND HOMES LLC SHELTON, WA 98584 - (360) 426-4172
0
IN THE VDIRIANDATE: 02/25/2020 JOB N0- 4148-9
GA 28237 w NW114 NE114 c�', �`�c LEo �° SCALE: I INCH =30' SHEET.•1 OF 1
f°" �AN° SEC 20, T22N, RO1 W, W,M,
d Scg FILE ND: 4148-9_CH_SITEPLAN.DWG
(tom
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Name CEDARLAND HOMES, LLC Parcel# 12220-50-52009 B L D# mac: — 0 � c
Mason County %
B U I L D I N G epartment of Community Development FEa 2, C�
Small Parcel Stormwater Management Application/Worksheet (page 2) 2020
der
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is Sttt`
made for residential development, or redevelopment', with more than 2,000 square feet of impervious surface 2.
'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.
zCommon 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 36 X 26 = 936
22 X 24 = 528 Measurements for buildings are taken at the
X _ 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 26 X 6 = 156
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 j development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 2116
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# 12220-50-52009 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 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:
btt.p//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
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.
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 m equired.
X O /A gent/Contractor(circle one)Dat
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