HomeMy WebLinkAboutBLD2020-00077 SFR - BLD Application - 1/27/2020 MASON COUNTY COMMUNITY SERVICES Permit No: L1�
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
N Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone RECEIVED
CDBeHair.(360)275-4467•Phone Ekne:(360)482-5269
O BUILDING PERMIT APPLICATION JAN 2 7 2"?ll
O
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION; Vi.
O NAME: J&J DEVELOPMENT LLC NAME: SAME AS OWNER
0 CV MAILING ADDRESS:PO BOX 623 MAILING ADDRESS:
CTI'Y: BURLEY STATE:WA ZIP:98322 CITY: STATE: 23P:
V PHONE#1: 253-208-8136 PHONE: CELL:
Z Z PHONE#2: EMAIL:
O Q I EMAIL: angie@cedariandforestresources.com L&I REG# JJDEVJD852OW EXP. 1202021
(n d PRIMARY CONTACT: OWNER°( CONTRACTOR❑ OTHER El
Q NAME JOE CEDARLAND / ' EMAIL ioe(mcedariandforestresources.com
C Y MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
C L) PHONE CELL 253-MM36
O PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12220-50-53009 ZONING
LEGAL DESCRIPTION(Abbreviated) ALLYN BLOCK 53,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: (Checkallthatappty):
5ALT9dATER❑ -LAKE❑ RPVER/CREEK❑ POND❑ WEPLAND❑ -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(Whole BUS)❑ YES(Partls)ofBidg)❑ NO❑
DESCRIBE WORK NEW CONSTRUCTION-SFR 1597 SQ FT
SQUARE FOOTAGE:(propose+exisdrtg)
1 ST FLOOR 1597 sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 132 sq.ft. STORAGE sq.ft. OTHER sq.ft
GARAGE 400 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:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER 1 NEW)( MSTING❑
PLUMBING IN-STRUCTURE? YESA NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FF.
EXISTING BEDROOMS PROPOSED BEDROOMS_J_ TOTAL BEDROOMS 4
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgeme—rk of such is by
signature below.I declare that I am the owner and l further declare that I am entitled to receive this permit and to do the work as proposed.1 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
Ansl�irsxtural�).for.rpview�rtd inaction• This permiVapplieAbnn.becr+rnes nul[A void.ifmrknrA,utharked-c-en9W_QWn.is.mgt;cpmmenced.wthin 1Ig1
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
COUNTY CODE 14.08.42)
ignature of OWNER(Must be signed by the OWNER) Djpfe
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
.BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584 RECEIVED
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 JAN Z 201�
• Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269
PLUMING -& RIEC##A,-NICA--L PEfR�,A!T APPIL C-A," - Alder
il,�t
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J DEVELOPMENT LLC NAME SAME AS OWNER
MAILING ADDRESS: PO BOX 623 MAILING ADDRESS:
CITY: BURLEY STATE: WA ZIP: 98322 CITY: STATE: ZIP:
I"PHONE: PI10NF: CELL:
2'PHONE: EMAIL
EMAIL:angie@cedarlandforestresources.com L&I REG# JJDEVJD852QW EXP. 121bf2021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220.50.53009 Zoning:
LEGAL DESCRIPTION(Abbreviated): ALLYN BLOCK 53,LOT 9
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB•
NEW—X ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1ST FLOOR_X_2ND FLOOR 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_
Toitots 3 Typz-of Unit No.of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 2 Heat Pump
Showers 2 Spot Vent Fan 4
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 3
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust 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 APPLi IT1 N.
x
7 2 Z Zy za
Si ature of Owner Ddle
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING.DEPARTMENT ( 2-2-4- 02-u
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1BN
RECEIVED
JAN 2 7 2020
615 W. Alder Street
POTABLE WA7ER AND
• SANITARY S'ERR PROVIDED
PN 1 N BY TOM of ALLYN.
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'"SON COUNTYODCD PLANNING
SITE PLAN REQUIRED TO SE ON SITE
CHAMOES UIL)ET TO APPROVAL
By Data 2--i Q-20 2d
LEGAL DESCRIP1iON ADDREE LAB SS ST.
LOT 9 BLOCK 9
PLAT OF ALLYN, ALLYN, WA 98524 J& J DEVELOPMENT LLC
VOLUME 1 OF PLATS. PAGE 17 P.O. BOX 2264
AP No. 12220-50-53001 pC HARBOR, WA 98335
CEO 1597 (253) 208-8136
SITE PLAN MAP AGATE HAND SURVEYING, PLLC
G,BECj�7, PROFESSIGWAL LAND SURWYOR
�� of WASIZr�1 FOR
2680 E AGA7E RQ - P.O. BOX 246
,�• J&J DEVELOPMENT LLC1°"'' WA sasa4 - (360) 42s-4'n
1N THE DRA WN BY DATE:01/12/2020 JOB N0 4148-9
O� 28237 ,<v NW114 NE1/4 MJB
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Front:15' Side:5'Street:8' Rear:10' Garage:20'
RECEIVED
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ENTAL POTABLEW&U J��
ENVIRONS SANITARY SEMER PRONDED
HEALTH BY TOM OF ALLYN. � )/
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APPROVED
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FEB 13 2020
MASON COUNTY ENVIRONMENTAL HEALTH
RLE
LEGAL DESCPJP71 Y ADDRESS
E LAB CKNfIL ST.
LOT 9 BLOCK , A 98524
PLAT OF ALLYN,, ALLYN W
J A: J DEVELCIPA/EiVT LLC
VOLUME 1 OF PLATS PAGE 17 P.O. BOX 2264
AP No. 12220-50-53001 GG HARBOR, WA 98335
CEO 1597 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
BE SITE
PROFESSWRAL LAND SURWM
FOR C 51aTa" WAA9856" - (3so}426- 14 72
J&J DEVELOPMENT LL
IN THE DRAWN BY DAM 01/12/2020 JOB N0-4148-9
28237 yw NW1/4 NE1/4 MOB
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f�NAL LAt1�5 SEC 20, T22N, R01 W, W.M. CHECK® BY '��//
$G8 FILE Na 4148-9-xU-7 ".DIWG
ALLYN UGA R-2
Front:15' Side:5'Street:8' Rear:10' Garage:20'
Name J&J DEVELOPMENT LLC Parcel# 12220_50-53009 BLD#
Mason County U' D
Department of Community Development G
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 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.
'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 FXT Width = Area *All dimensions in feet
Buildings 80 X 28 2240
20 X 20 = 400 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways 21 X 2V " 420
X = Length of drive begins at the right of way
X =
Parkinq Areas X
X = Any paved, gravel or packed area per definition
above table
X =
PatiosMalks 17 X 4 = 68
8 X 8 = 64 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) 3192
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 J S J DEVELOPMENT,LLC Parcel# 12220-50-53009 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/codelcommissioners/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 Lot. 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)-42 i-9670 EXT.45)0
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/draintield 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
fofor review dins echo may be required.
X l wne/Agent/Contractor(circle one)Date:���Z/Ion
Page 2 of 2