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Home My WebLink AboutBLD2022-01558 SFR - BLD Application - 10/26/2022 MASON COUNTY COMMUNITY SERVICES PcrnlitNo: ( lc-! 2b-- PERMIT ASSISTANCE CENTER: •BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL �,. ,-,, • t 615 W.Alder Street,Shelton,WA 98584 Phone Shelton.(360)427-9670 ext 352-Fax.(360)427-7798 Phone Bellair.(360)275-4467-Phone Elma:(360)482-5269 � 4— BUILDING PERMIT APPLICATION � 2 �' PROPERTY OWNER INFORMATION: CONTRACTOR �INFORMATION: 6 1 tj W. Alder Street NAME:Housing Kitsap NAME: ,SAyA-r- MAILING ADDRESS:2244 NW Bucldin Hill Rd MAILING ADDRESS: CTTY:Silverdale STATE:WA ZIP:98383 CITY: STATE: ZIP: .�. PHONE#1:36as35-6134 PHONE: CELL: ` PHONE#2:360-535.6138 EMAIL: ..�� EMAIL:NailD@housingkitsap.org L&I REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER I] NAME 1o11 Kbmp EMAIL klempj@housingkhsap.org MAILING ADDRESS 2244 NW Bucklin Hill Rd CITY srwrd■w STATE WA ZIp98383 PHONE 360-5354138 CELL 3eo-soa9m PARCEL INFORMATION: ry.„/ PARCEL NUMBER(12 Digit Number) 1 2Z Z O+SO G 100 S ZONING R-1 P W LEGAL DESCRIPTION(Abbreviated) Lakeland village 10 LOT:21&VAC PTN Blackwell St adj. FIRE DISTRICT ;5— SITE ADDRESS O T 1 M F CITY Allyn DIRECTIONS TO SITE ADDRESS t l &Ice CtF F Wr. n/ p rim IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑Q SNOW LOAD:O 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 El ADDITION❑ ALTERATION❑ REPAIR❑ OTHER El USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Residence IS USE: PRIMARY p'SEASONAL❑ NUMBER OF BEDROOMS_, NUMBER OF BATHROOMS_,A-__ HEATED STRUCTURE? YES(Whole Bldg)®/ YES(Part[s1 of Bldg)❑ NO❑ DESCRIBE WORK A145W &_o NSTIe ue.'T'tOAI 1S F R SOUARE FOOTAGE:(proposed) 1ST FLOOR 1 3'13 sq.ft. 2ND FLOOR sq.fL 3RD FLOOR / sq.ft. BASEMENT ---- sq.ft. DECK sq.ft. COVERED DECK_1_5_sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE y%T 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 U / NEW 0 EXISTING❑ PLUMBING IN STRUCTURE? YES El NO❑ Iffyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES I] NO❑ EXISTING SQ.Fr. 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 it 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 14.08A2) ZZ Signature of OWNER(Must be siglhed by the OWNER) Dat DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitNo:?I61 T(1 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL • 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us • Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 �`1 Phone Belfair L(360)275-4467• Phone Elma:(360)482-5269 —lV _L PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: &,U1 A/6 /62731499 NAME: .S AYA C MAILING ADDRESS:1�yy/V4//�urrc„v/ ,cc P MAILING ADDRESS: CITY:,�'��y,�'2/,j�, STATE:w, ZIP:9FJS3 CITY: STATE: ZIP: 1 st PHONE: 31,d G 13 c-f PHONE: CELL: 2nd PHONE: 3 G n ' 63 ' ( f8 EMAIL : EMAIL:A),, 1D ip "ws I hap,C2!r�; L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: l2 1 p LEGAL DESCRIPTION(Abbreviated):L&k,f&.,�eU,ilm« IoLor.• 21a VAL P:A/ (etkwxll Tf. /E T SITE ADDRESS: ( QT I �'—�r CITY: .4 L yAt DIRECTIONS TO SITE ADDRESS: Va tack. d E, 'k alkc(AAa( Aye.Oar Wei F Q&v 4 0Z JA-ee-ltwr k h rT. N Allein TYPE OF JOB: NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING F 12 LOCATION OF FIXTURES/UNITS- 1 sr FLOOR=2ND FLOOR=BASEMENT=GARAGE[:O"OTHER[-= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNIT Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPC[�Natural Gas=Ductles Toilets 1,0"00 Type of Unit No. of Units Fees Bathroom Sink Z 18,00 Furnace O Bath Tubs 1 18.0a Heat Pump I i q.00 Showers I g.0a Spot Vent Fan 3 3 d Co Water Heater I 01.60 Propane Tank O Clothes Washer 1 9,00 Gas Outlets O Kitchen Sinks I 11.00 Wood/Gas/Pellet Stove y Dishwasher i C3.W Kitchen Exhaust Hood L 10400 Hose bibs ' I �,rb Dryer Vent t, •1 0•00 Other Solar Panel p r� Other _:5L Base Fee Base Fee 30•0'� TOTAL PLUMBING S I,o p 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 APPLICATION. X C:::::�-'e q b, Signature of Owner mate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J-tz- PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN All required setbacks shall be measured from the nearest property line,except that front yard setbacks shall be measured from the property line or the edge of an access easement. R-2 Zoning Front Sidey yard-5 feet, Brandi Purser 12220-50-67005 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 Allyn Group 1 �Tl333 PLAN EH APPROVED Rear yard-10 feet.In cases when the rear yard abuts a f` Rhonda Thompson 01106/202s _ right-of-way,the primary structure setback shall be 20 feet. E 90 - Garage doors-20 feet with roll-up door,or 5 feet from an alley or private drive. 10' Public sewer and water 102' ormwater 12/30/2022 J~��, WICKERSHAM LN run-o J APPR MASON COUNTOVEDYDCD PLANNING !�0 5'Road Eaxment Easement lines are REQUIRED to be marked for the footing 500'R k1deyW-p J inspection 15'Setback E 78 Pill DS Digitally J soonRueOsigned 95, /SEWER Downspoutby Ry Scott tt �J Driveway 30, J POWER � 28' I 1=20 5� 13 Ds J WATER n', o 2�a 3$ORM I 1 � 1, •7 < car J J % 20 GAf�GF 46 � J 1 J FIN. FLR. 95/ CO L 85.25 �' J � 52' 30' ; E 891 J Q) s Qj J 102' J J J J E 78 , + % L6T j— Name X06 I n Parcel# I aaao-- —4Z —LO BLD# ZO 22—�J 155E _ 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 t=alternative D the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) plan and;oSr AFsional 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 f review and inspection as may be required. Q Own /Agent% ontractor(circle one)Date: r /� Page 2 of 2 1 vamc Parcel# /922060-47caas� 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. 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 = ACO X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Driveways `'!O X I Lf = p 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 = S 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 f r review and inspection as may be required. X OwnerAged/ ntractor(circle one)Date: A. 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. Pagel of 2