HomeMy WebLinkAboutBLD2019-00607 SFR - BLD Application - 6/7/2019 MASON COUNTY COMMUNITY SERVICES PermitNo: '- �d ��
PERMIT ASSISTANCE CENTER: Sizc�C Plun
•BUILDING •PLANNING •PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Str�et,Shelton,WA 98584
Phone Shelton:(360)427-9670�ext.352•Fax:(360)427-7798 Phone !�
Belfair. (360)275-4467 Phone Elma:(360)482-5269
- BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J DEVELOPMENT NAME: J& J DEVELOPMENT LLC
MAILING ADDRESS: PO BOX 623 MAILING ADDRESS: PO BOX 623
CITY: BURLEY STATE: WA ZIP: 98322 CITY: BURLEY STATE: WA ZIP: 98322
PHONE#1: 253-208-8136 PHONE: 253-208-8136 CELL:
PHONE 92: 253-851-7040 EMAIL : infoAcedarlandforestresources.com
EMAIL: info( cedarlandforestresources.com L&I REG#JJDEVJD8520W EXP. 12/6/ 19
PRIMARY CONTACT: OWNER❑CON CTOR❑OTHER❑
NAME JOE CEDARLAND EMAIL
MAILING ADDRESS CITY STI�
HONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12220-50- 7010 ZONING R-IP
LEGAL DESCRIPTION(Abbreviated) ALLYN B : 47 LOT#10 FIRE DISTRICT
SITE ADDRESS i0 LN CITY ALLYN
DIRECTIONS TO SITE ADDRESS WA-3N TU 1,N LEFT ONTO WADE 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 ❑P ND ❑WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
TYPE OF WORK: NEWS ADDITI N❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial ldg,Etc) RESIDENCE
IS USE: PRIMARY X SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES (Whole Bldg) ❑ YES(Pars/sj of Bldg) ❑ NO ❑
DESCRIBE WORK NEW CONSTRUCTION- S R 1857 SQ FT
SQUARE FOOTAGE: (propose+existing)
I ST FLOOR 1212 sq.ft.2ND FLOOR 645 1 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK 220 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 400 sq. ft. Attached❑ Detached In CARPORT sq. ft.Attached❑Detached❑
*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 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 info ation 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,includi g any easement holder or parties of interest regarding this project.The owner or legal
representative,represents that the information provided is 3ccurate 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 1 l)days.
PROOF OF CONTINUATION OF WORK O THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPL\CATION TO BE EXPIRED. (MASON
UNTY CODE 14.08.42)
c ,
X
Sign! re of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW "PRO D DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: 13�44)1g—CX)( 7
PERMIT ASSISTANCE CENTER.-
-BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
www.co.mason.wa.us pC
Phone Shelton:(360)427-9670 ext. 352•Fax.(360)427-7798 r``CE/VIED
Phone Beffair. (360)275�1467•Phone Elma:(360)482-5269 Y
PLUMBING & MECHANICAL PERMIT APPLICATION SUN 07 20;g
OWNER IJ DEVELOPMENT A'd�r
O MEENT LLC NAME: J & J DEVELOPMENT LLC
ME: J & Street
MAILING ADDRESS: PO Box 623 MAILING ADDRESS: PO BOX 623
CITY: BURLEY STATE: WA ZIP: 98322 CITY: BURLEY STATE: WA ZIP: 98322
I'PHONE: 253-208-8136 PHONE: 253-208-8136 CELL:
2°d PHONE: EMAIL : info&cedarland orestresoglces.coM
EMAIL: info(&cedartandforestresources.com L&I REG#13DEVJD852QW EXP. 12 /6 / 19
PARCEL.INFORMATION: DING
PARCEL NUMBER(12 Digit Number): 12220-50-47010 oning.
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: CITY: ALLYN
DIRECTIONS TO SITE ADDRESS: WA-3N TURN LEFT ONTO WADE ST, SITE ON LEFT
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS—IsT FLOOR X 2NoFLOOR X BASEMENT GARAGE X OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fact Ty0e:Efectr1c LPG X Naturaf Gas Dwtless
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace I
Bath Tubs 2 Heat Pump,
Showers 2 Spot Vent Fan 5
Water Heater I Propane Tank 1
Clothes Washer I Gas Outlets 3
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
'Dishwashff I Kitchen Exhmst Flood I
Hose bibs Other 2 Dryer Vent I
Solar Panel 0
Base Fee Other
TOTAL PLUMBING Base Fee
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 alt the necessary parties,includrmg any easement holster 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 Perm it/appiication 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 INSP TION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATIO
X
Signaturtrof Owner ate,
DEPARTMENTAL REVIEW APPROVED �DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
PLANNING:
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
I; BUILDIN
7 ^, POTABLE WATER AND
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LOT 10 BLOCK 47,
PLAT OF ALLYN, P.O. BOX 2264
VOLUME i OF PLATS, PAGE 17 GG HARBOR, WA 98335
AP No. 12220-50-47008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
'G,BEEC PROFESSIONAL LAND SURVEYOR
oV WAS T FOR 26M E AGAIE RD. - Ra 9OX 246
SHELTON, WA 985e4 - (360) 426-4172
X DEVELOPMENT LLC
IN THE rCKE
ATE.06/06/2019 JOR NQ4W-10
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2e237 o aw NW114 NE114 SCALE. 1 INCH=30' ' L 1 of
SEC 20, T22N, R01W, W.M. FILE NO.4092-10_CH SI7MM-DWG
POTABLE WATER AND
Ji3 3 By TORNYOF ALLYN.SEVOER OViDED
615 VV.Rder Street
1" = 30'
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MASON COUNTY ENVIRONMENTAL HEALTH
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FRONT:I T SIDE 5'
r Fsar OEsrnIP110N STREET SIDE:8'REAR:20'IF ABUTS A RIGHT OF WAY
LOT 10 BLOCK 47,
PLAT OF ALLYN, P.O. BOX 2264
VOLUME i OF PLATS, PAGE 17 GIG HARBOR, WA 98335
AP No. 12220-50-47008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PUC
PROFESSIONAL LAND SURVEYOR
WAS FOR 2580 E. AGAiE RD. ROL DOX 246
- ti o U SHELTON, WA 98584 - (360) 426-4172
ti .� J&J DEVELOPMENT LLC
IN THE D
RAW ATE:06/06/2019 ,�8 NO,-1092-10
ff NW114 NE114 T.•I OF I
°.� 28237 o aw SCALE. 1 1N(�!=30'
SEC 20. T22N, R01 W, W.M.
SGB FILE N0:4092-10_0i_SITEPI.AN.DMIG
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Name J&J DEVELOPMENT Parcel# 12220-50-47010 BLD# (q--0JVJU /
Mason County
Department of Community Development BUILDIN -
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 2,0W square feet of impervious surface2.
'Redevelopment oceans,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 50 X 26 = 1300
20 X 20 = 400 Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 21 X 20 = 420
)I i 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 22 X 6 = ]32
8 X 11 = 88 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) 2340
If the Total Impervious Surface Area is LESS THAN 2000 Sauare 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 maybe required.
X � �° � r�ircle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Sguare Feet, please read, acknowledge and sign
the information provided on page 2 of 2. � __
P P g .laid 0 i C it
Page I of 2 615 W.Alder Street
Name J&J DEVELOPMENT Parcel# 12220-50-47010 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 its this jurisdiction. A complew copy off oMiriance can be:found on,die 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 ADM 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 INftl[AL bV11OW TO IN)ACAtE`IMM StOkY[WATElk MANAGENtN'').LAN V(A T341S SffE
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 review and in poption P ma required.
X �Z Owner/Agent/Contractor(circle one)Date:
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