HomeMy WebLinkAboutBLD2022-01379 BAV2022-00010 SFR - BLD Application - 10/26/2022 MASON COUNTY COMMUNITY SERVICES Permit No:OW2t)� 01_�S7
PERMIT ASSISTANCE CENTER: HR E C
-BUILDING-PLANNING-PUBLIC HEALTH•FIRE MARS o
615 W.Alder Street,Shelton,WA 98584
EIVED
Phone Shelton:(360)427-9670 ext 352•Fax.,(360)427-7798 Pho
ISO Belfair.(360)275-4467•Phone Elma:(360)482-5269 �C,r 2 6 201Z
BUILDING PERMIT APP O IL®1 N G
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Housing Kitsap 11AMB:
MAILING ADDRESS:2244 NW Bucklin Hill Rd MAILING ADDRESS:
Cr y:Silverdale STATE:WA ZIP:98383 CITY: STATE: ZIP:
PHONE#1:360-535-6134 PHONE: CELL:
PHONE#2:360-535.6138 EMAIL,:
EIAAIL:NailD@housingkitsap.org L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER Q
NAME J-IKI*ro EMAIL klempj@housingkitsap.org
MAILING ADDRESS 2244 NW Bucklin Hill Rd CITY sn-erdaie STATE WA ZIP98383
PHONE 360s354i3s CELL 360soe-9208
PARCEL INFORMATION: n
• PARCEL NUMBER(12 Digit Number) 1 d a L 'SO"&3 QO ZONING R-1 P
LEGAL DESCRIPTION(Abbreviated) Lakeland village 10 LOT:21&VAC PTN Blackwell St adj. FIRE DISTRICT S
SITE ADDRESS CITY Allyn
DIRECTIONS TO SITE ADDRESS I.G b/vr Is it+� E. r. &j A g T
Wht4 .s/7FKE' IS M ` FTJ/s�A
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO I] SNOW LOAD:_JJ2psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF[I STREAM❑
TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Residence
IS USE: PRIMARY Rr I SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_
HEATED STRUCTURE? YES(note Bldg)OYES(Part[s]ofBldg)❑ NO❑
DESCRIBE WORK N.,c(6 /N ev L A_ FAM n— r /QfZ104NL A
SQUARE FOOTAGE:(proposed)
I ST FLOOR 1300 sq.R 2ND FLOOR sq.ft. 3RD FLOOR.-- sq.ft. BASEMENT /sq.ft.
DECK sq.ft. COVERED DECK sq.& STORAGE sq.ft. OTHER sq.ft.
GARAGE J 7 sq.ft. Attached[)ilbetached❑ 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
PERIM ETERNOUNDATION DRAINS PROPOSED? YES 0 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)
.� .�. a �—
Signature of OWNER(Must be signed by thil OWNER) Dat
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT �Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES` Permit No.mM2, 1 37/
�
*BUILDING •I PLANNING •FIRE,MAR L E 1 V E D
615 W. Alder St- Shelton, WA 98584
www.co.mason.wa.us UCT 2 6 2012
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 ®��
Phone Belfair:(360)275-4467• Phone Elm6�(3JaN8Wj - S re'; I L
PLUMBING & MECHANICAL PERMIT APPLICA O
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: c5R2Y14
MAILING ADDRESS: MAILING ADDRESS:
CITY:S'&'e,(.(._ STATE: L40 ZIP:9!F383 CITY: STATE: ZIP:
I"PHONE: 3&0- b 3 -l�/�y PHONE: CELL:
2"d PHONE:,3e.0 _ EMAIL
EMAIL:Ala;/ 4)dQ "_rw1 <hm,p,4nT L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 112 20— �j� _G�3 C10) Zoning: k f p-
LEGAL DESCRIPTION(Abbreviated):���,�(�,R�(L�1lrt•� tD Go i .91
3� (11Icnr 4/ac�t•xi( S� A,Dr
SITE ADDRESS: 4-07- 1. A1jt�t,e ILA1f rTt T CITY:T9 j1q
DIRECTIONS TO SITE ADDRESS:
ya�lock N. o E;LaK+c/dtlr<�l�/'. �NCcJ65� SLUE 6F E.�tlhcc/wr��kF�E.N. — l�/s'yq
TYPE OF JOB: tt��
NEW E CbD=AL1=REPAIR=OTHER=USE OF BUILDING CS F P,
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGEQ_OTHER[:=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:ElectricE]Z0C[Natural Gas=uctless[]� '
Toilets 6W Type of Unit No.of Units Fees
Bathroom Sink �• ((�.�D Furnace
Bath Tubs �} • — /R. 7-a Heat Pump f • /�.cfo
Showers 9 • 1t," Spot Vent Fan a • ��
Water Heater 1 R,pO Propane Tank
Clothes Washer I • ._ 'iy Gas Outlets
Kitchen Sinks 01 Wood/Gas/Pellet Stove
Dishwasher I • Q,DD Kitchen Exhaust Hood 1 • /D da
Hose bibs 1 • — 1 '00 Dryer Vent l • �D,Ja
Other Solar Panel
Other _ /p1+av
Base Feed Base Fee 3 y,ao
TOTAL PLUMBING /,� /,p j) TOTAL MECHANICAL (Ott, op
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 Z66
/ ,- 9-
Signature of Owner to
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J PLANNING DEPARTMENT
DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
(.'L?a Cal a- D 13�
�tvl' tf-d
RECEMEc
DEC - 5 2022
615 W. Alder Street
Rickett & Thornton 12220-50-63002
Allyn Group 1 LOT 12 1300 PLAN
E 94
Stormwater
/ 102' rurr ath
/ 2V E 80,
/
95' i
/ 30' /
/ 1300 SF 4 BDRM
/ 31' 13' 2 Bath 2 Car
/ /
/ SEWER /
/ WATER 22' 52'
POWER M' /
i GARAGE FIN.FLR.
/ 88.25
/ 6'
_ 25' 15 95
5' ORCH C�
10' 6' 21
E 93 DS =
1=20
EBERHART LN
102' /
5'Road Easement
/
E /
t �
Name j/,/,S/A)(, kI/—Iff 414 Parcel# I W O—6p—z 300
u'LDI G' Mason County (DECEIVED
D - Department of Community Developmeq
Small Parcel Stormwater Management Application/Work fiec 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 = Q
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways D . X =
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) �C'os—
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.
Owne en ontractor(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
1
Name Parcel# cp—6 c1 Ua;L 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:
httv//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 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.
�f!__�c�t.�•e.✓� Owner�ontractor(circle one)Date:
Page 2 of 2
MASON COUNTY Mason County Permit Center Use:
GL%�
COMMUNITY SERVICES BAv 20-ot- 000 D
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.E,Shelton,Wa 98584 Date Rcvd I ;2
Phone:(360)427-9670 ext.352 ♦Fax:(360)427-7798
Fee: $ a l m
Request for Building Administrative Variance for RECEIVED
Side Yard Reduction (Urban Growth Areas only)
Please fill out the following form for a request in reduction of the standard side yard setback
required for your zoning. The maximum allowed reduction will be based off of building aW&W. Alder Strut
code regulations; critical areas (if present)will also be considered. Setbacks are measured from the
furthest projection of the structure,including roof eaves an tters.
Applicant/Owners: ,
Mailing Address:
City: 4 State: Uhq
Telephone:
Email:
If this reduction is tied to a buildi g per t,lease give p rmit case nu er.
BLD
Parcel Nu ber Zoning
Site Addres
Requested set b ck varianc (side yard only):
ft. North
ft. ❑ West
ft. ❑ East
In ft. K S o t
Side Setbacks—From the side operty line. Minimum side yard setback allowed is based off of Table
R 302.1(])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.
A
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 UL 293 with exposure from both sides <S feet
Walls not fire-resistance rated 0 hours 25
not allowed N/A <2 feet
Fire-resistance rated One hour on the underside-.- 22 feet to<5 feet
Projections not fire-resistance rated 0 hours 2 5 feet
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 fireblockine 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)
Signature Date
Official Use Only
Planning Approval: Date
Building Approval: Date
Denied by:
Reason for denial: