HomeMy WebLinkAboutBLD2019-00486 SFR - BLD Application - 5/10/2019 • l MASON COUNTY COMMUNITY SERVICES Permit No:� 'go cojS(D
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHA8UILDING
• 615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Be/fair.(360)275-4467•Phone Elma:(360)482-5269 MAY 10 2019
BUILDING PERMIT APPLICATION 615 W. Alder Sti'61
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Cedarland Homes LLC NAME: J&J Development LLC
MAILING ADDRESS: PO Box 2264 MAILING ADDRESS:PO Box 623
CITY: Gig Harbor STATE:WA ZIP: 98335 CITY: Burley STATE: WA ZIP: 98322
PHONE#1: 253-208-8136 PHONE: 253-208-8136 CELL:
PHONE 92: EMAIL : info a cedarlandforestresources.com
EMAIL: info ,cedarlandforestresources.com L&I REG#JJDEVJD852QW EXP. 12 /6 / 19
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME foe Cedarland EMAIL info(@cedarlandforestresources.com
MAILING ADDRESS: Same as above CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12220-50-47009 ZONING.
LEGAL DESCRIPTION(Abbreviated) Allyn Blk:47 Lot: 9 FIRE DISTRICT
SITE ADDRESS CITY: Allyn
DIRECTIONS TO SITE ADDRESS WA-3N,Turn left onto Wade St,Left onto E Blackwell St,Site on left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%:YES❑NO ❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑LAKE ❑RIVER/CREEK ❑POND ❑WETLAND ❑SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWX ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence
IS USE: PRIMAR SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCT YES (Whole Bldg) ❑ YES(Partfsj of Bldg) ❑ NO ❑
DESCRIBE WORK New Construction-SFR 1479 sq ft
SQUARE FOOTAGE: (propose+existi g)
1ST FLOOR 1479 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 190 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 400 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 ❑ SEWERX / NEWX EXISTING❑
PLUMBING IN STRUCTURE? YES ] NO ❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 M E WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
Sig ure of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 7^ 1—ill
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
-jld aoIq -
BUILDING
co-'4Scv
PLUMBING & MECHANICAL PERMIT APPLICATIONMAY 1 01019
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Cedarland Homes LLC NAME: J& J Development
MAILING ADDRESS: PO Box 2264 MAILING ADDRESS: PO Box 623
CITY: Gig Harbor STATE:WA ZIP: 98335 CITY: Burley STATE:WA ZIP: 98322
IS`PHONE: 253-208-8136 PHONE: 253-208-8136 CELL:
2nd PHONE: EMAIL : info(iDeedarlandforestresources.com
EMAIL:info@cedarlandforestresources.com L&I REG# JJDEVJD852QW EXP. 12 /6 /19
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220-50-47009 Zoning:
LEGAL DESCRIPTION(Abbreviated): Allyn Blk: 47 Lot:9
SITE ADDRESS: CITY:AIM
DIRECTIONS TO SITE ADDRESS: WA-3N,Turn left onto Wade St,Left onto E Blackwell St,Site on left
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS—1ST FLOOR X 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No. of Fixtures Fees Fuel Type:Electric LPG X Natural Gas Ductless_
Toilets 2 Tyne of Unit No. of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 1 Heat Pump
Showers 2 Spot Vent Fan 4
Water Heater 1 Propane Tank
Clothes Washer I Gas Outlets 3
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent l
Other Solar Panel
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.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 INSPEC INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
Signatu of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J_rL -7-31-1
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/2 7/2 016 1 BP J
RECEIVED
PLANNING MAY 10 2019
Street
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LEGAL CK 47, E BLACKWELL ST.
LOT 9 BLOCK 47 , WA. 98524 BY
PLAT OF ALLYN, ALLYN CEDARLAND HOMES LLC
VOLUME I OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-47009 GIG HARBOR, WA 98335
(253) 208-B136
---- SITE PLAN MAP AGATE LAND SURVEYING, PLLC
G E'L'��T PROFESSIONAL LAND SURVEYOR
F' pF WASI/ 2680 E. AGA1E RD. - P.O. BOX 246
FOR SHELTON, WA 98584 (360) 426-4172
CEDARLAND HOMES LLC
1N THE DRAWN BY DATE:05/08/2019 JOB N0:4092-9
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ENV'RONMLNTAL RECEIVED
HEALTH
MAY 10 2019
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LEGAL DESCRIPTION ADDRESS
LOT 9 BLOCK 47, E BLACKW. 98524
ST.
PLAT OF ALL YN, ALL YN, WA. CEDARLAND HOMES LLC
VOLUME I OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-47009 GIG HARBOR, WA 98335
(253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
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wasy FOR PRor:£sslaNAl LAND St/RVEYUR
2680 E. AGAIE RO. — P.O. BOX 246
SMEL TON, WA 98584 - (360) 426-4172
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Name Cedarland Homes LLC Parcel# 22221-75-00220 BL jT87
Mason County MAY 10 2019
Department of Community Development
Small Parcel Stormwater Management Application/Wort t Ael
eT-( �I &)
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 AM 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/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 re 'ew and ' ection as may be required. c�
X Owner/Agent/Contractor(circle one)Datej9��/
Page 2 of 2
Name Cedarland Homes LLC Parcel# 12220-50-47009 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,insta tion-or,expansion•of a building or other structure,.and/or rgplacement of impervious surface that is not
part of a routine maintenance tivity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces lin de,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel r s,packed earthen materials,and oiled,macadam or other.surfaces which similarly impede the
natural infiltration of stormwater. Ope uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate l ervious Surfaces Please Complete This Table
Surface Type Length X WXth = Area ' All dimensions in feet
Buildings 76 X 28 = 2128
X = Measurements for buildings are taken at the
X perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 21 X 18 = 78
X = Length of drive begins at the right of way
X =
Parking.Areas X
X = ny paved, gravel or packed area per definition
above table
X =
Patios/walks 17:6 x 6 = 105:6
8 X 6 = 64 Any�pav ravel or packed area per,definition
above table
X =
Others X =
X = If the total impervious rea of the proposed site
X = development is greater an 2000 square feet a
Small Parcel Stormwater 'te Plan is Required
Total Impervious Surface Area (sum of all areas) 2676.E
If the Total Impervious Surface Area is LESS THAN 20W Sagami ,please read,acknowledge a d 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/AgenVCotiftctor Wrcle cone)late:
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 I of 2