The URL can be used to link to this page

Home My WebLink AboutBLD2022-01560 SFR - BLD Application - 10/26/2022 MASON COUNTY COMMUNITY SERVICES Permit NO-Bee! 'O IStov PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL i V E D 615 W.Alder Street,Shelton,WA 98584 • Phone Shelton:(360)427-9670 ext.352•Fax:(360)42'7-7798 Phone C Belfair.(360)275.4467•Phone Elma:(3W)482-5269 2022 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI W. A!u r Street NAME:Housing Kitsap 11AME:_ 9"E MAILING ADDRESS:2244 NW Bucklin Hill Rd MAILING ADDRESS: CITY.Silverdale STATE:WA ZIP:98383 CITY: STATE: ZIP: PHONE#I:360-535-6134 PHONE: CELL: PHONE#2:360-535-6138 EMAIL: EMAIL:NailD@housingkitsap.org L&I REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER I] NAME Aoe1K*,p EMAIL klempj@housingkitsap.org / MAILING ADDRESS 2244 NW Bucklin Hill Rd CITY SiWrdale STATE WA ZIp98383 PHONE 36053"136 CELL 360s09.9208 �^ PARCEL INFORMATION: ^ PARCEL NUMBER(12 Digit Number)1 j 710 ZONING R-1 P 1 LEGAL DESCRIPTION(Abbreviated)Lakeland Village 10 LOT:21&VAC PTN Blackwell St adi. FIRE DISTRICT S W v SITE ADDRESS '4 0 E, W16hLA64AM �ii1� CITY Allyn DIRECTIONS TO SITE ADDRESS �� ( e F E L��1jolt 4-14 r(= \V IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑� SNOW LOAD:-3-0-psf 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 EI ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 8 USE OF STRUCTURE(Residence,Garage,Commercial Bld&Etc.)Single Family Residence IS USE: PRIMARY[iYSEASONAL❑ NUMBER OF BEDROOMS�3 NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(noleBldg)[ YES(Part(,1ofB4W❑ NO❑ DESCRIBE WORK Atgkr Sgsseloe e SQUARE FOOTAGE:(propa,ed) I ST FLOOR) J 3 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR I sq.ft. BASEMENT '— sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GAR-AGE 41_$a 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 0 NO❑ If yes,attach completed Water Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES I] NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS _ 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 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 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) re i OWNER(Must be signea by the OWNER) - Mate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I'?1C!LG-', -U ISC�C� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 • www.co.mason.wa.us Lo Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 • Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ko 4t s/AvG / r rshP NAME: 'SFfm g MAILING ADDRESS:22 Ycl !Y4 t It3![GICC/N/�tcc RO MAILING ADDRESS: CITY:SKGER4At.9 STATE: 41A- ZIP: p5 3 CITY: STATE: ZIP: 1s1 PHONE: ,'�p - 63;!;7=/-/3y PHONE: CELL: 2n1 PHONE: 3 t:D - f 3 9-G/3,9 EMAIL : EMAIL:6ig;I /---)4e vu.t/aIC,Yza.n,e„o L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION(Abbreviated):LQk,&ImofL/Matt /O[oi: ST MaT SITE ADDRESS: () t tC��?}t,S i m ((�,;) CITY: Atli,n DIRECTIONS TO SITE ADDRESS: %a Mack a E 4akc(and 0a oN CJcs f stLrl-c of E 4JAee/w.is1,F Sr. A/ A/lyh TYPE OF JOB: n NEW ADD=ALT=REPAIR=OT ER=USE OF BUILDING s p LOCATION OF FIXTURES/UNITS— 1 sT FLOO 2ND FLOOR=BASEMENT=GARAGE OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electricc[�C=Natural Gas=Ductlessz] Toilets Type of Unit No. of Units Fees Bathroom Sink 7 11.4Fo Furnace Bath Tubs /g,ae Heat Pump 1J,C v Showers /f},yo Spot Vent Fan 3 3D.ao Water Heater ( q,o o Propane Tank Clothes Washer 1 4, Go Gas Outlets Kitchen Sinks ( Qt.ao Wood/Gas/Pellet Stove Dishwasher I 4,00 Kitchen Exhaust Hood 1 I Hose bibs .2 Dryer Vent 1 1 t9,vy Other Solar Panel Other t+c Base Fee 'QD Base Fee 3 O.O J TOTAL PLUMBING /fit,0a TOTAL MECHANICAL ,may,ao 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 ,<..a � �h;� 'Itgnzture of caner to DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN H-2 Zoning Front yard-15 feet. Side yard-5 feet,or less with review and approval of an administrative building variance,see Section 17.10.460. Street side yard-8 feet Rear yard-10 feet. In cases when the rear yard abuts a r_ right-of-way,the primary structure setback shall be 20 feet. 46 �� f n LA�LJI e Garage doors-20 feet with roll-up door,or 5 feet from an alley or private drive. 1 —11 91%2 2- 12/30/2022 Susan Cottey__ 1222 -50- , 6006 APPROVED Allyn Group 1 LOT 4 1333 PLAN Rho daTAPPROV hompson ED23 MASON COUNTY DCD PLANNING seM IZZuEayAfep r E 104 Public water and sewer Digitally zko«k..,y signed 83 Stormwater by Scott I run-o tl� Ruedy � I I 10, ` E 102 22.75' I 5' 1 / i I FIN.FLR. 52' / 102.5 // 5' 97' I / I / 46' / I 1333 SF Gq 21 / 75' 2 Bath 2 3,9,0 �GF % 7' 1=20 car/ 24 WATER 1 I 14' / POWER ' 25' ORCH / SEWER 5' g' / ORIVEW 1 AY l \\ OS / 14' 1 E 102 /15, 45' / Road Easement 5' 0 47.36' WICKERSHAM LN Easement lines are REQUIRED to be mark ediar the footing os inspection 115' tas All required setbacks shall be measured from the nearest j property line,except that front yard setbacks shall be measured from the property line or the edge of an access easement. / / 20' t ► Name �j ,4P Parcel# BLD# 2 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) 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)___l,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 may be required. Owne gen ontractor(circle one)Date: v-/C�/Z,22, — Page 2 of 2 W, 0 Name Parcel l �Q �S"�—lam 00 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'. '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 X Width = Area "All dimensions in feet Buildings X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X Z, O 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 X = X = 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) 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. � �. n Owne gen ontractor(circle one)Date: / A;L 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