HomeMy WebLinkAboutBLD2020-00756 SFR - BLD Application - 7/20/2020 MASON COUNTY COMMUNITY SERVICES Permit No: B IA ID26-001%,
PERMIT ASSISTANCE CENTER: RECEIVED
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 96584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone O 2�2U
Beftair.(360)275-4467•Phone Elma:(360)482-5M JUL 2
BUILDING PERMIT APPLICATION
CM PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Street
O NAME: J&J DEVELOPMENT LLC NAME: J&J Development LLC
Q MAILING ADDRESS:PO BOX 623 MAILING ADDRESS: PO BOX 6M
Q CITY: BURLEY STATE:WA ZIP:98322 CITY: Burley STATE:WA ZIP:98322
PHONE#I:_253,208,8136 PHONE: CELL: 253-208.8136
Z PHONE#2: EMAIL:angiefcedarlandforesbemmes.com
J EMAIL: angle@cWadsndfor:stmources,com _ L&I REG# _t.IDEV lntt52QW EXP. 1202021
N
O PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME JOE CEDARLAND EMAIL joeftedariandforeWmurces.com
Z MAILINGADDRESS SAMEASABOVE CITY STATE ZIP
Z
Z PHONE CELL 253aM36
Q a.
PARCEL INFORMATION: /�
PARCEL NUMBER(12 Digit Number) 1 2.7-2-Q 0 C &ZONING
LEGAL DESCRIPTION(Abbrev�leed) FIRE DISTRICT
O SITE ADDRESS U �tJ CITY ALLYN
DIRECTIONS TO SITE ADDRESS
VJ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (ch,,hA ua d ppiy):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW K
ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTU esidence,Garage,Commercial Bidg,Etc.) RESIDENCE
IS USE: PRIMARY Yyj SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUC YES(whole Bldg)❑ YES(fmt(sl-rBk1k)❑ NO❑
DESCRIBE WORK NEW CONSTRUCTION-1857 SQ FT Z
SQUARE FOOTAGE:(propose+wsung)
Q I ST FLOOR 1212 sq.R 2ND FLOOR 645 sq.fL 3RD FLOOR sq.fR BASEMENT sq-&
DECK sq.ft. COVERED DECK 220 sq.ti STORAGE sq.& OTHER sq.ft
J GARAGE 400 sq.tL Attache Detached❑ CARPORT sq.It. Attached❑ Detached❑
MANUFACTURED ROME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: `
SEWAGE/SEWER SOURCE: SEPTIC ElSEWEliVVV / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES)( NO❑ /// fy attach A., kied Water Adequacy Form
PERIIVIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS—3-- TOTAL BEDROOMS_V
OWNER 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 and I further declare @rat I am entitled to receive this permit and to do the work as proposed.)have
obtained permission from all fhe 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 permillapplication becomes null 8 void if work or authorized construction is not commenced within 180
days or I 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 190 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14118.42)
X
nature of OWNER(Must be signed by the OWNER) I Mile
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: lU�� •��`7J
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING •FIRE MARSHAL RECEIVED
615 W.Alder St- Shelton, WA 98584
Phone Shelton:(360)427-9670 ext.352• Fax.(360)427-7798 J U L 2 0 2020
4
• Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269
g�5 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J DEVELOPMENT LLC NAME:,I g,l DEVELOPMENT LLC
MAILING ADDRESS:PO BDX 623 _ MAILING ADDRESS: p0 BOX 623
CITY: BURLEY STATE:WA ZIP:98322 CITY: BURLEY STATE: WA ZIP: 98322
PHONE#1: 253.29"136 PHONE: CELL: 253-208-8136
PHONE#2: EMAIL : angie@cedarlandforestresources.com
EMAIL: angle@cedarlandfon:traources.com L&I REG# JJDEVJD852QW EXP. 121.612021
RCEL INFORMATION: �`
IRECTIONS
EL NUMBER(12 Digir Number): Z2o "" Zoning:
AL DESCRIPTI N(Abbreviated):EADDRESS: CITY:
TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS—IST FLOOR X 2NDFLOOR X 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_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace 1
Bath Tubs 2 Heat Pump 0
Showers 2 Spot Vent Fan 5
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 3
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent 1
Other Solar Panel 0
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.1 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 -� Ag
Sigadfure of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT - �'/'-Z? Z
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
EIVED
PL NNING POTABff WATER AND r 2 0 2020
SAMTARY SENER PROND£D
BY TOW OF ALLYN.
Ider Street
PLANNING:
MIL SETBACKS ARE MEASURED 1" = 30'
FROM THE FURTHEST
g/ RO.JECTION OF THE BUILDING
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LEGAL DESCRIPRON ADDRESS
LOT 6 BLOCK 62 E WEELRIGHT ST.
PLAT OF ALL YN, ALL YN, WA. 98524 J k J DEWLOPMENT LLC
KXUME i OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-62006 GIG HARBOR, WA 98335
CED 1857 (253)208-8136
TEci SITE PLAN MAP AGATE LAND SURVEYING, PLLC
w PROFESSIONAL LAND SURWYOR
Rev FOR 2660 E AGATE RR -P.O. BOX 246
q`P c• �, J&J DEVELOPMENT LLC sHEL.TW WA 98584 - (360)426-4172
p v V j IN THE DRAWN BY DATE 07/12/2020 JOB NO:
4148-6206
28237 IV; NW114 NE1/4 MJe
CALF.• 1 LNG!=30' swET
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SITE PLAN REQUIRED TO BE ON SITE
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HEALTH BY YAM LLYN. E "'t"01
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MASON COUNTY ENVY 0401AL HEALTH
RE LEGAL DESCRIPTION eODRE55
LOT 5 BLOCK 62 E NHEELRIGHT ST.
PLAT Of ALL YN, ALLYN, WA. 98524 J&J DEWIMI ENT LLC
VOLUME I OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52006 GIG HARBOR, WA 98335
CEO 1857 (253)208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
Al� w „ PROEESSTONAL LAND RNWYOR
�� FOR 2660 E AGATE RD. - P.O. BOX 246
l o SHELTON, WA 98584 - (360)426-4172
J&J DEVELOPMENT LLC
p v ) IN THE DRAWN BY DATE.07/12/2020 k4148-6206N0,� 28237 �% NW1/4 NE]/4 MJB
�ecisr0"' - CALE. 1 INCH=30' ET:1 OF 1
a7ohgL 1.1N �'[` SEC 20 T22N RO1 W CHECKED BY
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Mason County
BUILDINGepartment of Community Development JUL 2 0 2020
Small Parcel Stormwater Management Application/Worksheet Lgi,3 9TA,
Based Upon the information you have provided a Mormwater Site Plan LV 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:
h=//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/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 ma a required.
X � ��i�• r/ nt/Contractor(circle one)Date:
Page 2 of 2
w � �
Name�E 0JEJjrParcel# (2.2i24—Jy—&c)0 J)V BLD#
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 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
Buildin s 50 X 26 = 1300
20 X 20 = 400 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
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 6 = 132
8 X 11 8$ 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
H
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 2340
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