HomeMy WebLinkAboutBLD2018-01153 SFR - BLD Application - 10/19/2018 MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING -PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 !`E
Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone ��� ►:��
Belfair.(360)275-4467•Phone Elma:(360)482 5269 1••�
BUILDING PERMIT APPLICATION OCT 19 2018
PROPERTY OWNER INFORMATION: • 'A(der Street
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#2: 253-851-7040 EMAIL : info(nD,cedarlandforestresources.com
EMAIL: info(a)cedarlandforestresources.com L&I REG#JJDEVJD8520W EXP. 12/6/ 19
RIMARY CONTACT: OWNER❑CONTRACTOR❑OTHER❑
NAME JOE CEDARLAND EMAIL
AILING ADDRESS CITY STATE ZIP
HONE CELL
PARCEL.INFORMATION: DUILUM G
PARCEL NUMBER(12 Digit Number) 12220-5400110 ZONING R-1P
LEGAL DESCRIPTION(Abbreviated) LAKELAND VILLAGE 5 TRACT 110 FIRE DISTRICT
SITE ADDRESS 281 E MOUNTAIN VIEW DR CITY ALLYN
DIRECTIONS TO SITE ADDRESS WA-3N TURN LEFT ONTO E LAKELAND DR, TURN LEFT ONTO E MOUNTAIN
VIEW DR 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: NEW�< ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) RESIDENCE
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES (ParifsjofBldg)❑ NO ❑
DESCRIBE WORK NEW CONSTRUCTION—SFR 2597 SQ FT
SOUARE FOOTAGE: (propose+existing)
1 ST FLOOR 1713 sq.ft.2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT 884 -,,sq.ft.
DECK 200 sq.ft. COVERED DECK 192 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 484 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�Q / NEW El EXISTING El
PLUMBING IN STRUCTURE? YES NO [I ` If yes, attach completed Water Adequacy Form
PERIMETERNOUNDATION 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
nhlainarl narmiecinn from aii fha n....aa—narfiaa i—itiffinn omf aaaamanf hnirlar nr nartiae of int—at ranorrlinn fhic nrni—f Tha mAinar nr lanol
and structure(s)for review and inspection. This permittapplication 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
P IT APPLICATIO F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X
Signatu of OWNER Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED A DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT ( 1
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL RE
f 615 W. Alder St-Shelton, WA 98584 CEI� ED
www.co.mason.wa.us Y
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 OCT
Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 S �Qj
Bul I KVMBING & MECHANICAL PERMIT APPLICATION 15 WA/der
St
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
1s`PHONE: 253-208-8136 PHONE: 253-208-8136 CELL:
2°d PHONE: EMAIL : info_cedarlandforestresources.com
EMAIL: info(iDcedarlandforestresources.com L&I REG #JJDEVJD8520W EXP. 12 /6 / 19
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220-54-00110 Zoning: R-1P
LEGAL DESCRIPTION(Abbreviated): LAKELAND VILLAGE 5 TRACT 110
SITE ADDRESS: 281 E MOUNTAIN VIEW DR CITY: ALLYN
DIRECTIONS TO SITE ADDRESS: WA-3N, TURN LEFT ONTO E LAKELAND DR, TURN LEFT ONTO E MOUNTAIN
VIEW DR, SITE ON LEFT
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS-1 ST FLOOR X 2No FLOOR BASEMENT X GARAGE X OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG X Natural Gas—Ductless-
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink X Furnace 3A. 1 w•,n ,QG►t�z
Bath Tubs 3 Heat Pump
Showers Spot Vent Fan �AWKI"S'p, s.04-'00 -
Water Heater 1 Ce- 9 Propane Tank I
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood I a-•in ►08 efi -
Hose bibs Other 2 S Dryer Vent
Solar Panel
Base Fee Other W kf Fr/ 441tf
TOTAL PLUMBING 1 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 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 APPLI TON.
x /d Z/Z-
Signiture of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
LA 14 1A N
CANNING:
ALL s
\� / ETBACKS ARE ME
' FROM ASU ED
1 = 50 � /� PROJECTIONHE FURTHEST
i�, OF THE BUILDf G
i
/ 30
/ 9
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RECEIVED
0
OCT 19 2018 APPROVED
4AS N COUNTY DCD PLA IG
615 W. Alder 5fi'a ff PLAN REQUIRED TO BE ON St Z
CN NGES SUBJECT TO APPR AL f
LEGAL OESCRIP77ON By Date CEDARLAND HOMES LLC
LOT 110, LAKELAND VILLAGE 15 P.O. BOX 2264
AP NO. 12220-54-00110 GIG HARBOR, WA 98335
281 E MOUNTAIN VIEW DRIVE, (253) 208-8136
ALLYN, WA 98524 _bIU2o 16 _G l IS,3
lF E;�,- SITE PLAN MAP AGATE LAND SURVEYING, PLLC
�� of A t PROFESSIONAL LAND SURVEYOR
FOR 2680 E. AGAIE RD. - P.O. BOX 246
CEDARLAND HOMES LLC S"ELTON, WA 98584 - (360) 426-4172
IN THE DRAWN BY DATE 10/10/2018 JOB N0:4047
SWI/4 SW114 MJB
SCALE: 1 INCH =50' SHEET.•1 OF 1
r�ONAI, 1,09 CHECKED BY
SEC 20, T22N, R1 W, W.M.
c SGB FILE NO.*4047_CfR_SITEPLAN.OIMG
R-1P:RESIDENTIAL PLATTED DISTRICT
SETBACKS:
FRONT YARD 20 FEET
SIDE YARD 5 FEET(OVERHANG CAN EXTEND INTO SETBACK 2FT MAX)
STREET SIDE YARD 10 FEET
REAR YARD:20
P P R 0 V E
pq NOV 21 2018 TAL
MASON COUNTY ENVIRONMENTAL HEALTH HEALTH
1--e WLJ
1" = 50' let
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/
Jo 10,
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RECEIVED
0
OCT 19 2018
s
z
615 W. Alder Street
LEGAL OESCRIPIION CEDARLANO HOMES LLC
LOT 110, LAKELAND VILLAGE 15 P.O. BOX 2264
AP NO. 12220-54-00110 GIG HARBOR, WA 98335
281 E MOUNTAIN VIEW DRIVE, (253)206-8136
ALLYN, WA 98524 —b 1dzo
—( - ��JJ SITE PLAN /MAP AGATE LAND SURVEYING, PLLC
�F. LJ l:.�� �
� PROFES90NAL LMID SURVEYOR
OF - „ FOR 2680 E. AGAIE RD. - P.O. BOX 246
�P CEDARLAND HOMES LLC SHELTON WA 98584 - (MO) 426-4172
IN THE DRAWN BY DATE.-10/10/2018 JOB NO'4047
0
28237 SW114 SWI14 MJB
`ls� "Eal81•010p. SCALE. 1 INCH =50' SHEET 1 OF 1
10 �[. I,nNo CHECKED BY
SEC 20, T22N, R1 W, W.M.
SGB f1LE N0:4047_CFR_SITEPLAN.DWG
R-1 P:RESIDENTIAL PLATTED DISTRICT
SETBACKS:
FRONT YARD 20 FEET
SIDE YARD 5 FEET(OVERHANG CAN EXTEND INTO SETBACK 2FT MAX)
STREET SIDE YARD 10 FEET
REAR YARD:20
Name EDARLAND HOMES Parcel# 1 2220-54-00 1 1 0 BLD#
BUILDING
Mason County
Department of Community Development
Small Parcel Stormwater Management A lication/Workshe (page 1 of
Al
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building applica'C 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, 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 52 = 2600
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 27 X 20 = 540
X = Length of drive begins at the right of way
X =
Parking Areas 22 X 22 = 484
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks 16 X 12 = 192
22 X 8 = 192 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) 3992
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 provi is accurate and employees of Mason County are granted access to the above-
described property for review Vdins ectio s may be required. /
}{ Owner/Agent/Contractor(circle one)Date: �D ! Zzz
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
-game�EDARLAND HOMES Parcel# 12220-54-00110 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:
htti)//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 review and in ec io ay be required. G
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2