HomeMy WebLinkAboutBLD2022-01378 BAV23022-002947 SFR - BLD Application - 10/26/2022 MASON COUNTY COMMUNITY SERVICES Permit No: Id2022 01 -7b
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 I
Belfair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Housing Kitsap NAME: 316ti- V f-
MAILING ADDRESS:2244 NW Bucklin Hill Rd MAILING ADDRESS:
crry.Silverdale STATE:WA ZIP:98383 CITY: STATE: ZIP:
PHONE#1:360-535-6134 PHONE: CELL:
PHONE#2:360-535.6138 EMA L:
EMAIL:NailD@housingkitsap.org L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 0
NAME Joel Klemp EMAIL klempj@housingkitsap.org
MAILING ADDRESS 2244 NW Bucklin Hill Rd CITY sib STATE WA ZIP98383
PHONE 380s35-6138 CELL 38aso9.92D8
PARCEL INFORMATION: 11 ti I L.K—! ='
PARCEL NUMBER(12 Digit Number)1ad�U�(�" �y���� ZONING R-1P
LEGAL DESCRIPTION(Abbreviated) Lakeland Village 10 LOT:21&VAC PTN Blackwell St adj. FIRE DISTRICT S
SITE ADDRESS_ 2-1 f E 131CI}414Ltt L-M CITY Allyn
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLO (S)GREATER THAN 14%: YES❑ NO❑Q SNOW LOAD:-j3D-psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER E
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Residence
IS USE: PRIMARY❑ SEASONAL❑ �iUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg),0, S(Part[s)ojBIdg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(proposed)
1ST FLOORJ,l)"sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE yy), 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 El NO❑ Ifyes,attach completed Water Adequacy Form
PERRvIETER/FOUNDATION DRAINS PROPOSED? YES Q 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 1 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)
StgffaTuFe of OWNER Must be sitined by the OWNER t— Dare
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT i7 tC_ I•/O a.3
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: I-
PERMIT ASSISTANCE CENTER:
•BUILDING .PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584 1 Y'
w w _a• \ I' /
ww.co.mason. a.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 OCT
Phone Belfair(360)275-4467• Phone Elma:(360)482-5269 6 Z 6
PLUMBING & MECHANICAL PERMIT APPLICATION 5 VV A/der
OWNER I FORMATION: CONTRACTOR INFORMATION:
NAME: ap NAME:�o�ff r+'16
MAILING ADDRESS:d2y41Nk)&e MAILING ADDRESS:
CITY:&PendaL STATE: ZIP4f383 CITY: STATE: ZIP:
I"PHONE: 0- - PHONE: CELL:
2"d PHONE: 3 6 - S3�S'- G�3 EMAIL :
EMAIL: Q;1 D p bus„•�� j ` ��oy� L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 1 ;gdQ - ���/_77 p/0 Zoning: P
LEGAL DESCRIPTION (Abbreviated):J,,k0-14w./V'I(&r t 10cor. 91 EyAe.. P7W Nkekmestf Sr AQr
SITE ADDRESS: LOT 4 )4-0-1.' (-f- 0 CITY: N
DIRECTIONS TO SITE ADDRESS: J
ybleek No (E•Lei kcfa ,-d At? s Xv 4ES1-.Si 0 r of E.G✓lzccic.J��t,F �S�/u. �/�yn
TYPE OF JOB:
NEW ADD=AL"I=REPAIR= )THER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 ST FLOOR=2ND FLOOR=BASEMENT=GARAGf=OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[ l PG[O atural Gas=Ductless[�
Toilets 1) /1.#-• Type of Unit No. of Units Fees
Bathroom Sink 9 1 2.47o Furnace
Bath Tubs 3 /$.o o Heat Pump ( /a,00
Showers /g,dv Spot Vent Fan � 30.00
Water Heater q.00 Propane Tank
Clothes Washer 9,ao Gas Outlets
Kitchen Sinks ( Q.00 Wood/Gas/Pellet Stove
Dishwasher Q.et> Kitchen Exhaust Hood 1 10.06
Hose bibs 18.00 Dryer Vent 1 10.00
Other Solar Panel
Other 5 85�OD
Base Fee ,�b,>DO Base Fee
TOTAL PLUMBING /.S/.Qp TOTAL MECHANICAL 1 8 t f .0o
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.
ignature of Owner VDate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT bEc- /•/fl.0
PLANNING DEPARTMENT
FIRE MARSHAL
Rev_112112016 1BN
MASON COUNTY COMMUNITY SERVICES Permit No: A2L22 Vt 37f5
PERMIT ASSISTANCE CENTER: LL
.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 74,
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elms:(360)482-5269
4) BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: c•
NAME:Housing Kitsap NAME; cJl►!Y�/= �✓ f ;
MAILING ADDRESS:2244 NW Bucklin Hill Rd MAILING ADDRESS:
CTfYaiNerdale STATE:WA ZIP: CITY: STATE: ZIP:
PHONE#1:360-535-6134 PHONE: CELL:
PHONE#2:360-535-6138 EMS,
EMAIL:NailD@housingkitsap.org L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER B 151 A AI AI ING
NAME J-i�mv EMAIL klempj@housingkitsap.org
MAILING ADDRESS 2244 NW Bucklin Hill Rd CITY Silverdale STATE
PHONE 360535L13e CELL 360s0e.9208
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ,[�aav�St��'�p?D�� ZONING RAP
LEGAL DESCRIPTION(Abbreviated) Lakeland Village 10 LOT:21&VAC PTN Blackwell St adj. FIRE DISTRICT S
SITE ADDRESS_ 21 G E Qicir ar-� L ) CITY aNn
DIRECTIONS TO SITE ADDRESS G-
IS THE PROJECT WITHIN 300 FT OF SLO (S)GREATER THAN 14%: YES❑ NO❑� SNOW LOAD:jaQpsf
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 p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER El
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Residence
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg),u_,f/ S(Part[sl ojBIdg)❑ NO❑
DESCRIBE WORK L
SOUARE FOOTAGE:(proposed)
1ST FLOOR 1,3 3q sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK__Ha_sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 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 11f' / NEW I] EXISTING[I
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES E] NO❑ EXISTING SQ.Fr.
EXISTING BEDROOMS PROPOSED BEDROOMS_� TOTAL BEDROOMS—y —
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)
X 2tx -
a ure of OWNER Must be sitined by the OWNER) Dare
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Susan Daniels 12220-50-67010
Allyn Group 1 LOT 8 1234 PLAN OCT ' 6 r
615 W. Alder Street
Stormwater
run-o h
E 102 30.64'
52.36' 20' PVT RD
Road Easemert
/ 10' E 94
EH APPROVED
Rhonda Thompson 11/18/2022
l
5'/ �s
/3F�' s PORCH 18• 35' Public sewer and water
/
2Y
75' // 10' /
/
/ 9 DRIVEWAY /
1234 SF 3 BDRM 20 i
/ 2 Bath 2 Car
/ GARAGE
WATER 29'
/ 20• POWER
SEWER
/ FIN.FLR. /
/E 100 Zy 20'
95.50 /
17 0� 7' 95'
���� 1=20
\\ / l!
13'
83'
10' /
E 92�
Name Parcel# 1'� �� -4 7p>/O BLD# INU —01371D
h Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page I 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 = 14,7711
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X = Sze 0
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 = crP�
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) 301
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.
Own ge ontractor(circle one)Date: / f
Az I I-
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,pleaseguL
eke a ge and sign
the information provided on page 2 of 2. V CC `
Page 1 of OCT 2 6 2022
615 W. Alder Street
Name SUS/&&. Ld 73 Parcel# tV)-/'10/0 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) 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) 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.
/C Ownentractor(circle one)Date: /
Page 2 of 2
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES sAv 2022 _ oo29y
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd 10 2b a
Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798
Fee: S
Request for Building Admin ative Variance for
Side Yard Reduction (Urbanbth Areas only)
Please fill out the following form for a request in reduction dard side yard setback
required for your zoning. The maximum allowed reductionbased off of building and fire
code regulations; critical areas (if present)will o be c Setbacks are measured from the
furthest projection of the structure, includingroo ve utters.
Applicant/Owners: HOUSING KITSA
Mailing Address: 2244 NW BUCK N HN RD
City: SILVERDALE St 483
Telephone:
360.535.6134
Email: NAILD@HOU K .ORG''
Cr 2 6 ?022
If this reduction(S-t
ed to ilding permit please give per' it case number. 615
BL 2022 7 VV. Alder Street
t
f
� 9
1' cel Number(s): 2 0-50-67010 �'� zon' g R-2
Sit` ddress: 21 E BERHART LN
Reques setbac ariance (side yard only):
10 ft. ❑✓ N6rth
ft. VWest
ft. ❑ East
ft. ❑ South
Side Setbacks—From the side property line. Minimum side yard setback allowed is based off of Table
R 302.1(1)from the International Residential Code(IRC). See next page for table.
An illustrated site plan is required.
Your site plan must show the following: north arrow, abutting street or easements, and set backs to all
property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and
driveway. Show all proposed new development.
Table R 302.1(1)
Exterior Walls
Exterior Wall Element Minimum Fire Resistence Rating Minimum Fire Separation Distance
1-hour tested in accordance with ASTM E 119 or
Fire-resistance rated <5 feet
UL 293 with exposure from both sides
not fire-resistance rated 0 hours 25
Walls
not allowed N/A <2 feet
Fire-resistance rated One hour on the underside 22 feet to<5 feet
not fire-resistance rated 0 hours 2 5 feet
Projections
not allowed N/A <3 feet
25%maximum of wall area 0 hours 3 feet
Openings in Walls unlimited 0 hours 5 feet
All Comply with Section R302.4 <3 feet
Penetrations None required 3 feet
For SI:1 foot=304.8 mm
N/A=not applicable
• 1.Roof eave fire-resistance rating shall be permitted to be reduced to 0 hours on the underside of the eave if fireblocking is provided from the wall too plate to
the underside of the roof sheathing.
2.Roof eave fire-resistance rating shall be permitted to be reduced to 0 hours on the underside of the eave provided that gable vent openings are not installed.
SIDE YARD REDUCTION REQUESTS: Explain how the circumstances preclude a reasonable
development proposal from meeting the setback standard for the residential zone in your Urban
Growth Area(Shelton,Allyn,or Belfair).
Owner/Agent (please indicate) a'r 10/28/2022
Signature Date
Official Use Only
Planning Approval: Date
Building Approval: Date
Denied by:
Reason for denial: