HomeMy WebLinkAboutBLD2024-00725 SFR - BLD Application - 6/12/2024 MASON COUNTY Permit No•RECEIVEDCOMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning JUN 12 2024
BUILDING PERMIT APPLICATION
Alder street C
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:JH Rigger Enterprises-Scott Studerus NAME:Mark Schirmer Construction
MAILING ADDRESS:PO Box 985 MAILING ADDRESS:8011 SE Cammer Rd v
CITY:Belfair STATE:WA ZIP:9828 CITY:Port Orchard STATE:WA ZIP:98366
PHONE#1:36GZ5D-93W PHONE:360-551-7805 CELL:
PHONE#2: EMAIL:jschi39621 @aol.com z
EMAIL:swsddst999@gmaii.00m L&I REG#MARKSSC859ON EXP.9/Z/ 25 G)
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER19
NAME Shmeaao w-BowmaaPermftCormftng EMAIL bowmanpermits@outlook.com
MAILING ADDRESS PO Box 3422 CITY eaur STATE WA Z1p98528
PHONE YOBBO-12U CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)12332-50-00021 ZONINGUGA-Mixed Use
LEGAL DESCRIPTION(Abbreviated)SAM B THELER'S HOME&GAR TRS FIRE DISTRICT3
SITE ADDRESS 23240 E State Route 3 CITy Belfair
DIRECTIONS TO SITE ADDRESS From the North side of Belfair,continue on State Route 3 until 23240 on the East/left side of the highway.
IS THE PROJECT WrMIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES I] NO❑ SNOW LOAD:2�sf
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 EI ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Etc.)Single Family Residence
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[sJ of Bldg)® NO❑
DESCRIBE WORK Proposing to build a 930 SF SFR With an attached 3,400 SF garage
SQUARE FOOTAGE:(p opamed)
1ST FLOOR 600 sq.ft. 2ND FLOOR 330 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 3,4 00 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 I] / NEW El EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ Yyes,attach completed Water Adequacy Form
PERE%4ETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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 1 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 perniflapplication 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 06/ 10/2024
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES[CONDITIONS
BUILDING DEPARTMENT �tC 7 Zy Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Doc ID:4d5e44bcb378776b315435fcd266140d68fc3c9c
MASON COUNTY Permit No: �0� 5
--
COMMUNITY DEVELOPMENTRECEIVED
Permit Assistance Center, Building,Planning J U N 12 2024
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:JH Rigger Enterpnses-Scott Studerus NAME:Mark Schirmer Construction
MAILING ADDRESS:Po Box ses MAILING ADDRESS:sot 1 SE Cammer RD
CITY:Bextr STATE:WA ZIP:98528 CITY:PORT ORCHARD STATE:WA ZIP:ass
1"PHONE:3sasso-s3oo PHONE:3so-sst-78os CELL:
2nd PHONE: EMAIL :ischi39621®aoi.00m
EMAIL:swsms1999@gmai1_oom L&I REG#MARKSSCassON EXP.g/2l/_25
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):t2m2-50-=21 Zoning:UGA-Mixed use
LEGAL DESCRIPTION(Abbreviated):SAM B THELER'S HOME&GAR TRS
SITE ADDRESS:23240 E State Route 3,Belfair 9M28 CITY:Beitair
DIRECTIONS TO SITE ADDRESS:
From the North side of Belfair on Highway 3, continue South until 23240 and turn left/East into the exisint
driveway of Studerus Dental Office and continue up driveway.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Single Family Residence
LOCATION OF FIXTURES/UNITS—I sT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric®[.PG=Natural Gas=Ductless®
Toilets 1 Type of Unit No.of Units Fees
Bathroom Sink 1 Furnace
Bath Tubs Heat Pump 1
Showers 1 Spot Vent Fan 1
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 1 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.
06/ 10/2024
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT •DAL 7.2h�2�(
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Doc ID:4d5e44bcb378776b315435fcd266140d68fe3c9c
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NameScott Studerus Parcel# 12332-50-00021 BLD#2f}W-007;,J
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'.
'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.
'Common 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 40 X 100 = 4,000
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example.-
eaves/gutters)
X =
Driveways 70 X 15 = 1,300
X = Length of drive begins at the right of way
X =
Parkin Areas X = 20,920 Any paved, gravel or packed area per definition
X — above table
X =
Patios/Walks 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) 26,220
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 QKA.7t A, botiU'mG1 x Owner/Agent/Contractor(circle one)Date: 06/ 10/2024
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
Doc ID:4d5e44bcb378776b315435fcd266140d68fc3c9c
NameSCOtt Studerus _ Parcel# 12332-50-00021 BL1J# - _
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:
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 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) 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.
0-0
130!q 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 inspection as may be required.
. ownlax Owner/Agent/Contractor(circle one)Date:06/ 10/2024
Page 2 of 2
Doc ID: 4d5e44bcb378776b315435fcd266140d68fc3c9c
Date Received.
MASON COUNTY RECEIVED
COMMUNITY SERVICES DEPARTMENT
BUILDING.PLANNING•FIRE PMRSHAL J U N 12 2024
_— Mason County Bldg.8,615 W.Alder St 615 W. Alder Street
Shelton,WA 98584 www.co.mason.wa.us 360-427-9670 ext 352
Permit#: 2 4A-QQ7
Property Owner's Authorization Letter
Scott Studerus
I (we):
(Print Property Owners Name/Firm/Organization)
Shanea Bowman - Bowman Permit Consulting
Hereby Authorize:
(Applicant-Name of Person to Sign Permit)
Scott Studerus
Representative of-
(Applicant Company Name/Organization)
To apply for, sign, and pick-up building permits for the following proposed work:
Proposing to build a SFR residence and retaining wall.
(Brief Description of Work to be Done)
Job Location: 23240 E State Route 3 Belfair 98528
(Property Site Address)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
06/ 11 /2024
(Property Owner Signature) (Date)
Rev.0311012016 jlbn
Doc ID- e7c0.587988942a005e7a566d52effdc74f8701fa