HomeMy WebLinkAboutBLD2020-00234 Garage - BLD Application - 2/27/2020 MASON COUNTY COMMUNITY SERVICES Permit No:
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)275-4467-Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
Z m NAME: Cedarland Home,LLC NAME: J&J Development,LLC
MAILING ADDRESS: PO BOX 2264 MAILING ADDRESS: PO BOX 623
O CITY: Gig Harbor STATE:WA ZIP:98335 CITY: Budey STATE:WA ZIP:98322
V PHONE#1: 253.208.8136 PHONE: CELL: 253-208.8136
PHONE#2: 253.732.5115 EMAIL:angle(aDcedadandforestresources.com
OQ EMAIL: angie@cedadandforestresources.com L&I REG#_I IDEVJ08570AV EXP• 121,612021
J PRIMARY CONTACT: OWNERA CONTRACTOR❑ OTHER❑
NAME JOE CEDARLAND EMAIL We@cedarlandforestresources.com
C MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
C PHONE CELL 253-208.8136
L)
PARCEL INFORMATION:
OPARCEL NUMBER(12 Digit Number) 12220-50-52009 ZONING `< .✓,
(� LEGAL DESCRIPTION(Abbreviated) ALLYN BLOCK 52,LOT 9 FIRE DISTRICT TS` , 4�
SITE ADDRESS CITY ALLYN J `�e(12
DIRECTIONS TO SITE ADDRESS Or
S1r
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❑ S ❑
TYPE OF WORK: NEW)( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,commercial Bldg,Etc.) GARAGE Olika
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parris]ofBldg)❑ NO
DESCRIBE WORK NEW CONSTRUCTION ._ DETACHED GA RAZE
SOUARE FOOTAGE:(propose+esisting)
1 ST FLOOR sq.& 2ND FLOOR sq.& 3RD FLOOR sq.& BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.& STORAGE sq.& OTHER sq.ft.
GARAGE 840 sq.ft. Attached ElDetached CARPORT sq.& Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NON If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS--O-- TOTAL BEDROOMS--D —
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 1 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 pernitlapplication becomes null 8 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
�Gy��OUNTY CODE 14.08.42)
x 7� j/'ZZ c�
S' WZature of OWNER(Must be stoned by the OWNER) i-� Date
DEPARTMENTAL REVIEW APPROVED DATE. DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 'IL `�(/'
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
RECEIVED POTABLE WATER AND
SANITARY SEWER PROVIDED
FEB7 ��'^�s BY TOWN OF ALLYN.
�b77
1615 W. Al or
ALL SETBACKS ARE
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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
CED 1927 CED 0008 (253) 208-8136
G BFc~NT SITE PLAN MAP AGATE LAND SURVEYING, PLLC
AGATE of WA, f E. AGA1E PROFESSIONAL LAND SURVEYOR
FOR 2680 RD. - P.O. BOX 246
CEDARLAND HOMES LLC SHELTON, WA 98584 - (360) 426-4172
0
IN THE DRAWN BY DATE:02/25/2020 JOB NO., 4148-9
28237 w NW114 NE114 MJB/RLB
�`s '��c�s�•ERE° � SCALE: 1 INCH =30' SHEET.-1 Of 1
slOA'AL LAND CHECKED BY
SEC 20, T22N, R01 W, W.M. SGB I FILE N0:4148-9-CH-SITEPLAN.DYVG
,APPROVED
{+.jC)jj r OUNTY DCD PLANNING
,l,ri, s'LAN REQUIRED TO BE ON SITE
CHAN ES 8 BJET TO APPROVAL
RECEIVED PO TABLE W ER AND
SANITARY SEWER PROVIDED
FEB 2 BY TOWN OF ALLYN.
615 W. AiPer ENVjRO
NMENTAL H
EALTfi
1" = 30'
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APR 15 2020 /
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Mp,SON COIfNTY ENVIRONMEN7ALNEA�?H /
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LEGAL DF3CRIP710N ADDRESS
BLOCK 5$ E BLACKWELL ST.
LOT 9
PLAT OF 5 ALLYN, WA. 98524 CEDAR LAND HOMES LLC
ALLN.
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 72220-50-52009 GIG HARBOR, WA 98335
CED 1927 CED 0008 (253) 208-8136
G BFc�NT SITE PLAN MAP AGATE LAND SURVEYING, PLLC� PROFESSIONAL LAND SURVEYOR
of WA f
FOR 2680 E. AGATE RD. - P.O. BOX 246
CEDARLAND HOMES LLC sHELroN, WA 98584 - (360) 426-4172
1
a 1N THE DRAWN BY DATE.- 02/25/2020 JOB NO. 4 4S-9
0
�116 28237 NW114 NE114 MJB/RLB
�'�c�srE��o � SCALE: 1 INCH =30' SHEET.-1 OF 1
S/0 L LAND CHECKED BY
SEC 20, T22N, R01 W, W.M. SOB FILE NO.4148-9-CH-SMPLAQWG
Name CEDARLAND HOMES, LLC Parcel# )_ � ?_ _ 5 � BLD# &C C '
Mason County
BUILDINGepartment of Community Development �� L
Small Parcel Stormwater Management Application/Worksheet (pagi6j pf 2) Z020
,vder
Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is 86-e t
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.
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 X =
22 X 24 = 528 Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X _
X = Length of drive begins at the right of way
X =
Parking Areas X =
Any paved, grave
X = l or packed area per definition
above table
X =
Patios/Walks X =
Any paved, grave
X = l 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)
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 9 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:
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 14.48.70).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.
XrOv!7ff/Agent/Contractor(circle one)Dat • Z �
Page 2 of 2