HomeMy WebLinkAboutBLD2022-00613 Cancelled ADU - BLD Application - 7/21/2022 MASON COUNTY COMMUNITY SERVICES Permit N
PERMIT ASSISTANCE CENTER:
*BUILDING•PLANNING*PUBLIC H8*TH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
((
Phone Shelton. (360)427-9670 ext. 352•Fax:(360)427-7798 Pho e
'4
Belfair(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 9 2022
PROPERTY OWNER INFORMATION: CONTRACTOR INFOAAfiALder Street
NAME:Todd&Wendy Levenseller NAME:Troy Olson
MAILING ADDRESS:916 DIVISION ST MAILING ADDRESS:PO Box 1126
CITY:Port Orchard STATE:WA ZIP:98366 CITY:Port Orchard STATE:WA ZIP:98366
PHONE 41:(360)876-6567 PHONE:360-621-0186 CELL:
PHONE#2:(360)265-5646 EMAIL :troy@tnthomesinc.com
EMAIL:wendy@levyslawnsandlandscaping.com L&I REG#TNTHOHB925BJ EXP. 02/15/24
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Elizabethchayer EMAIL
MAILING ADDRESS 916 DIVISION ST CITY Port Orchard STATE WA ZIP 98366
PHONE (360)87"567 CELL I3601265-se46
PARCEL INFORMATION:
PARCEL NUMBER(I2 Digit Number) 12221-75-00100 ZONING Residential
LEGAL DESCRIPTION (Abbreviated) Ell IOFI10OF SURVEY&31M.C.AGREED ORDER AFM182W5S3W6Comm* FIRE DISTRICT Mason County FireDlstrkt2
SITE ADDRESS 101 E CORBIN LN CITY BELFAIR
DIRECTIONS TO SITE ADDRESS From Allyn Proper:Take Hwy 302 E to Left @ the Victor fire house onto Victor Rd.to Left at Corbin Ln.
Up half a block on your left.Also can access on Kitsap County side off 144th by Carney Lake.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ❑ SNOW LOAD: psf
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 E] ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.)ADU
IS USE: PRIMARY E] SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) ❑� YES(Part[,]of Bldg) ❑ NO ❑
DESCRIBE WORK TNT 1000 ADU,2 Bedroom,2 bath
SQUARE FOOTAGE: (proposed)
1 ST FLOOR 1000 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK sq.ft. COVERED DECK 376 sq.ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE 572 sq.ft. Attached E] 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: S U,)J 20 22 —0001 2—
SEWAGE/SEWER SOURCE: SEPTIC ❑Q SEWER ❑ / NEW E] EXISTING ❑
PLUMBING IN STRUCTURE? YES Q NO ❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD 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)
X 3/15/22
S' nature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: &lAI&22-00i13
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING.PUBLIC HEALTH•FIRE MARSHAL
' 615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone C E WE D
Belfair.•(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION APR
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIONP►
NAME:Todd&Wendy Levenseller NAME:Troy Olson
MAILING ADDRESS:916 DIVISION ST MAILING ADDRESS:PO Box 1126
CITY:Port Orchard STATE:WA ZIP:98366 CITY:Port Orchard STATE:WA ZIP:98366
PHONE#1:(360)876-6567 PHONE:360-621-0186 CELL:
PHONE#2:(360)265-5646 EMAIL :troy@tnthomesinc.com
EMAIL:wendy@levyslawnsandlandscaping.com L&I REG#TNTHOHB925BJ EXP. 02/15/24
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Elizabeth Chayer EMAIL
MAILING ADDRESS 916 DIVISION ST CITY Port Orchard STATE WA ZIP 98366
PHONE (360)ar6-656r CELL (360)265-5646
i oil
PARCEL INFORMATION: _.
PARCEL NUMBER(12 Digit Number) 12221-75-00100 ZONING
o TResidential
LEGAL DESCRIPTION(Abbreviated) ELY7OF"10OF SURVEY 5131 M.C.AGREED ORDER AFk1925625S36a6Comment FIRE DISTRICT Mason County Fire District 2
SITE ADDRESS 101 E CORBIN LN CITY BELFAIR
DIRECTIONS TO SITE ADDRESS From Allyn Proper:Take Hwy 302 E to Left @ the Victor fire house onto Victor Rd.to Left at Corbin Ln.
Up half a block on your left.Also can access on Kitsap County side off 144th by Carney Lake.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑ SNOW LOAD: psf
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 0 ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)ADU
IS USE: PRIMARY El SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) El YES (Part[sl of Bldg ❑ NO ❑
DESCRIBE WORK TNT 1000 ADU,2 Bedroom,2 bath
SOUARE FOOTAGE: (proposed)
1 ST FLOOR 1000 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq.ft. COVERED DECK 376 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 572 sq.ft. Attached 0 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: S uJJ 3o 23, 00 0 Z
SEWAGE/SEWER SOURCE: SEPTIC El SEWER❑ / NEW 0 EXISTING ❑
PLUMBING IN STRUCTURE? YES Q NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ 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)
X —Z; 3/15/22
S• nature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPF.OVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: 616kZZ-yole13
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584 RECEIVED
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 APR 2 9 2022
PLUMBING & MECHANICAL PERMIT APPLICAIIOIW. Alder Stree'
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Todd&wendy Levenseller NAME:Troy Olson
MAILING ADDRESS:916 Division street MAILING ADDRESS:PO Box 1126
CITY:Port orchard STATE:wA ZIP:98366 CITY:Port Orchard STATE:wA ZIP:98366
1 yt PHONE:(360)876-6567 PHONE:360-621-0186 CELL:
2nd PHONE:(360)265-5646 EMAIL :troy@tnthomesinc.com
EMAIL:Wendy@levyslawnsandlandscaping.com L&I REG#TNTHOHB925BJ EXP. 02 / 15 / 24
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12221-75-00100 Zoning:
LEGAL DESCRIPTION (Abbreviated):ELY PTN OF TR 10 OF SURVEY 5/31 M.C.AGREED ORDER AF#1925825 S 36/76
SITE ADDRESS: 101 ECORBINLN,BELFAIR98528 CITY:
DIRECTIONS TO SITE ADDRESS:
From Allyn Proper:Take Hwy 302 E to Left @ the Victor fire house onto Victor Rd,to Left at Corbin Ln. Up half a block on your
left.Also can access on Kitsap County side off 144th by Carney Lake
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residence
LOCATION OF FfXTURES/UNITS— 1 IT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHER[
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas[=]DuctlesM
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace --�
Bath Tubs 1 Heat Pump 11
Showers 1 Spot Vent Fan 2
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 1
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher I Kitchen Exhaust Hood El
Hose bibs 2 Dryer Vent 1
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 INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
3/15/22
x
I
Signat re of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 1BN
SOIL LOG Ct:
SOIL TYPE:4 r.Mr...rery SCALE(FEET)
0'-32':LIGHT BROWN EH Setbacks
SANDY LOAM A.)Drainfield:'Reserve requires 1 O'setback from footing.'foundations y
B.t Septic tanks)requires 5•setback from all footing•ifoundations '•�:F
SOIL LOG 02: C.)No fourdabon/Penmeter Drains within 3Oft,do"wadient of
SOIL_ Drain"a"e_Ne area s
0"32'• 4 BROWN D.)No Cut Bank(s)(greater than Sft and over 45 degrees)within �Y"+�*
LIGH
SANDY LOAM SOIL down gradient of Drainfield/Reserve area z ,•'tJ-- �w-
SOIL LOG83: EH APPROVED
SOILTYPE:4 � +
0'-24':LIGHT BROWN Rhonda Thompson 06%03j2022 •v xoagntuc wdh
SANDY LOAM rvpp6�0is
1 4
I _
SOIL LOG ft4�
SOIL TYPEA
0'-18':LIGHT BROWN
SANDY LOAM
LLJ
Jst lt? 1
g z a
\ TIENCHES NO DEEPERTHAN,
UPSLOPE —
W
U 4 DOWNSLOPE
/` _ 1zaTd
ippROVED
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— — -- FF 0 2 25121
nwreivaR��10^"�^� USE SJE RHOMBUS PANEL MODELT01MJ14H4DBAC21E \ ^3aVV
OR IFS11W114H4AD8ACITJ AND FLOATS. —
TH/s/S NOT A SLlRVFY ALL PROPERTY L/NESBOUNOAR/ES HAVE
BEEN DEMONS]KH/to esY THE OWNERS)ANO/OR THEIR AGENT(S). iV]Y (J �'
0 0 'OUSTING TANKS MkY BE USED IF CERTIFIED BY INSTALLER
LEGEND_-_-- ACME DESIGN
ear.�oF r =
f� : o Rw 'Ts DATE- 7 JANUARY 2022 P.O.BOX 2954
NAME- LEVENSELLER SILVERDALE,WA.
®.�.a.nors. 'O -CLEAN OUT - 9830
TAX ID- 12221-75-00100
1250-GAL SEPTIC TANK TEL,366 698-8488
�s =1250-GAL PUMP TANK STREET- 101 E CORBIN LN NFO�ACMESEPTIC.COM
v..R.4�.n.o_ SPUTTERSCALE:1--W SITE PLAN
12221-75-00100 -vUf>✓i?�
Name �/`� Parcel `
Mason County n�G ,���1
9 ek Department of Community Development
�eRS Warcel Stormwater Management Application/Worksheet (page l of 2)
15
PeNason 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, 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 X
= 3756 Measurements for buildings are taken at the
SFR X
ADU X = 3756 perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X
X = 1088 Length of drive begins at the right of way
X =
Parking Areas X
SFR X = 400 Any paved, gravel or packed area per definition
above table
ADU X = 400
Patios/Vllalks 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) 7592
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.
X Owner/Agent/Contractor(circle one)Date:3/15/22
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
Elizabeth Chayer Parcel# 12221-75-00100 BLD;
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Workslieet (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:
httt)//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) 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-
describe prop for review and inspection as may be required.
X 04^-- Owner/Agent/Contractor(circle one)Date:3/15/22
Page 2 of 2