HomeMy WebLinkAboutBLD2019-00771 SFR - BLD Application - 7/18/2019 0 MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL WE
615 W.Alder Street,Shelton,WA 98584 (^I Vjtb
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone JUL
Belfair.(360)275-4467•Phone Elma:(360)482-5269 0
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Cedarland Homes LLC NAME: J&J Development LLC
MAILING ADDRESS: PO Box 2264 L&I REG#JJDEVJD8520W EXP. 12 /6 / 19
CITY: Gig Harbor STATE: WA ZIP: 98335
PHONE#1: 253-208-8136 BUILDINGPHONE#2:
EMAIL: infoOcedarlandforestresources.com
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME foe Cedarland EMAIL info(a-Dcedarlandforestresources.com
MAILING ADDRESS: Same as above CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12220-50-47005 ZONING:
LEGAL DESCRIPTION(Abbreviated) Plat of Allyn,Lot 5,Block 47 FIRE DISTRICT
SITE ADDRESS �gD CITY: Allyn
DIRECTIONS TO SITE ADDRESS
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 N SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS .�
HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[.s1 of Bldg) ❑ NO ❑
DESCRIBE WORK New Construction- 1479 SFR
SQUAR_F, FOOTAGE: (propose+existingi
I ST FLOOR 1479 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.
&DECK sq. ft. COVERED DEGK 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
ENVIRONMENTAL.HFALTHo
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER / 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.1 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 160 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)
,Signature of OWNER(Must be signed by the OWNER) --T Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT f_FL ?3/—lf
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
JUL 18 2019
BUILDINGs15wAIde
r Street
PLUMBING & MECHANICAL PERMIT APPLICATION
O 1 +,R HXL I0N: CQZT C LOR LNFOR-MATIQI!:
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
1'PHONE: 253-208-8136 PHONE: 253-208-8136 CELL:
2n1 PHONE: EMAIL : info(a)cedarlandforestresources.com
EMAIL:info(a-1ce andfgrestresources.com L&I REG# JJDEVJD8520W EXP. 12 /6 /19
PARCEL.INIi ORMATTION:
PARCEL NUMBER(12 Digit Number): 12220-50-47M Zoning:
LEGAL DESCRIPTION(Abbreviated): Plat of Allyn,Lot 5,Block 47
SITE ADDRESS: CITY: Allyn
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS_IsT FLOOR X 2NDFLOOR BASEMENT GARAGE 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 2 Tyue of Unh No.of Units Fees
Bathroom Sunk 3 Furnace 1
Bath Tubs 1 Heat Pump
Showers 2 Spot Vent Fan 4
Water Heater l Propane Tank
Clothes Washer I Gas Outlets 3
Kitchen Sinks 1 Woo as ellet Stove I
Dishwasher 1 Kitchen Exhaust Hood I
Hose bibs 2 Dryer Vent I
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 lowner or eat1horiaW WeN represents that the i'nforrnartaon Vmvided is,accurate and Tants em ooyees.of
Mason County access to the above described property and structure(s)for review and inspectionaThis permitlapplication beoomes 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
gnature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TA Y&NOTESICONDITIONS
BUILDING DEPARTMENT ?-31-t S
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1BN
uJA F318ZD 1q 6
POTABLE WATER AND
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ALL SETBACKS ARE MEASURED
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LEGAL DESCRIPTION ADDRESS S Te E.s�g)E Dade 'L 15 W.Alder Street
LOT 5 BLOCK 47, E BLACK.WELL985�4
PLAT OF ALLYN, ALLYN, WA. CEDAR LAND HONES LLC
VOLUME 1 OF PLATS, PAGE 17 6y P.O. BOX 2264
AP No. 12220-50-47005 (2 HARBOR, WA 38335
(253) 208-8136
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PROFE-53ONAL LAND SURVEYOR
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SHEL TON, WA 98584 (360) 426-4172
c CEDARLAND HOMES LLC
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• THREE
ROOF VIEW
4�.i4
domes LLC Parcel# 12220-5047005 BLD# U Q -0077
1a Zp19 Masonmmunny Develo ment B D I LD 1 N' �a
s� Department o C ty p
Small Parcel Stormwater Management Application/Worksheet (pate 1 of 2)
Per Mason County Code,'Title 14.,Chapter 14.48 a storpAwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,400 square feet of rmparvious surfaoe2.
'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 56 X 28 = 1568
20 X 20 = 400 Measurements for buildings are taken at the
perimeter of the farthest projections (example:
X = eaves/gutters)
X =
Driveways 21 X 20 = 420
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 18 X 6 = 108
Any pave , grave
8 X 6 = 64 Adl or packed area per def'r►rtition
above table
X =
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) 2560
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 inforration provided is accurate and employees of Mason County are granted access to the above-
described property forreviewand;inspection as:may red.
X '-7 L Owner/Agent/Contractor(circle one)Date: IC7
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
Name Cedarlarxi Homes LLC Parcel# 12220-50-47005 BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (pane 2 of 2)
Based Upon The Information you have provided a Storm water Site PUn IN 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/commissionersrindex.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 14.49 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 She 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 Draiwge on Small Lots, The Small Prarc.ed Stormwater Sate 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 aMoval 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
Af his developmeat*osOrWMI�-68",Asepgc/4r*infieidsystew you way need Io tfflASdt Mason COuRty 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 ins p tion.as may Fqulred.^
X OwnerAgent/Contractor(circle one)Date:
Page 2 of 2
POTABLE WATER AND
►U& SANITARY SEWER PROVIDED
U BY TOWN OF ALLYN. � 'It,�(O+'CC: 15 Ft
S«l2: 5 Ft
S+cam�- 5 i4C'. 6 Ft
ENVIRONMENTAL 1" = 30'
HEALTH
6
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APPROVED
.2o �
AUG 21 2019 T- c
s ,�_ VL)
MA"CO NlTy E"ONMENTAL HEALTH
LEGAL DESCRIP77ON ADDRESS 615 W.Alder Street
LOT 5 BLOCK 47, E BLACKWELL S7
PLAT OF ALLYN, ALLYN, WA. 98524 CEDAR LAND HOMES LLC
VOLUME 1 OF PLA TS, PAGE 17 P.D. BOX 2264
AP No. 12220-50-47005 GIG HARBOR, WA 95335
(253) 208-8136
�.BECI- SITE PLAN MAP AGATE LAND SURVEYING, PLLC
PROFESSIONAL LAND SURVEYOR
of tiwasy/ti�� FOR 2680 E. AGATE RD. - P.O. 80X 246
CEDARLAND HOMES LLC sHELroN, WA 9e564 - (360) 426-4172
�o
IN THE DRAWN BY DATE: 06/20/2019 JOB N0:992-5
28237 Jw NW114 NE114 MOB SCALE: 1 INCH =30' SHEET.-1 OF 1
s Ec1sTe� .4 1 CHECKED BY
AL LAND Sv 1 r�i SEC 20, T22N, R01W, W.M.
SGB FILE N0: 409?-5_CH_SITEPLAN.OWG