HomeMy WebLinkAboutBLD2020-00755 Revised SFR - BLD Application - 4/8/2021 Request to Revise Approved Plans
Permit Numbe : BLD OM -�Q-� Name C 2C�C� \O� r�� S ,LA-(
Parcel Number -5-�)(Yy� Phone Number daytime
Project Address f n Mailing Address )
Please provide a complete, detailed description of the proposed revisions to th approved lans:
lJ� $
�,t-� o ,
• Are o sets�of the r ised plans or addendum indicating the changes included? Yes ❑ No
• Are the approved construction plans included? p Yes ❑ No
The RED stamped "site" approved construction plans must be included.
Are the revisions clearly and accurately identified on the plans or addendum? [1 Yes ❑ No
Does the plan contain an engineer's or architects lateral or vertical analysis? Yes ❑ No
If Yes, Has the engineer or architect approved this revision? Yes ❑ No
Is a stamped and signed approval included with this request? tQ,Yes ❑ No
No structural changes to a "designed" plan will be approved without the written consent of the
engineer and/or architect of record.)
• Does the proposed revision modify the footprint or location of the structure? ❑ Yes Ca No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
❑ Yes ❑No
Additional Information:
Applicant's signature �� Date:
Received by: Date:
OFFICIAL USE ONLY
Initials
Department Date of Date Reviewers Original Valuation: $
for Review Received Assigned Approved Approval
Reviewer Additional Valuation: $
� Sq.Ft. x$ $
Building 1 2 (C�' ���3-z1 <rTL- Sq.Ft. x$ $
.Planning Total New Valuation S
Public
Health Additional Fees:
Additional Planning Dept $
Fire Marshal Additional Plan Review $
Additional Building Permit
Public Additional Plumbing $
Works
Additional Mechanical $
Additional Conditions/Comments: Additional E.H.Dept. $
Other $
a
Total Amount Duel $ L913
MASON COUNTY COMMUNITY SERVICES Permit No: lay
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 O 2U2U
Phone Shelton:(36OX27-9670 ext.W2•Fax:(360)427-T798 Phone JUL 2
lio Bettair.(360)275 J467-Phone F_4na:(360)482-5269
N
BUILDING PERMIT APPLICATION 615 V1!, Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Cedarland Homes.LLC NAME: J&J Development.LLC
Z MAILING ADDRESS: PO BOX 2264 MAILING ADDRESS: PO BOX 623
CITY: Gig Harbor STATE:WA ZIP:98335 CITY: Burley STATE:WA ZIP:W=
0 N PHONE#1: 253-208.8136 PHONE: CELL: 253-208-8136
V PHONE#2: 253.732.5115 EMAIL:angiefcedarlandrorestresoumes.com
EMAIL: angle@cedarlandforestresources.com L&I REG# I_IDE3 ID852t]W EXP. 12►b12021
Z Z PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
Q 1
NAME JOE CEDARLAND EMAIL ioeftedarlandfore*esources.com
a MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
PHONE CELL 253-20M.36
PARCEL INFORMATION:
O PARCEL NUMBER(12 DigitNufnber) as 6O ZONING
�. LEGAL DESCRTP ON(A revi ) FIRE DISTRICT
SITE,ADDRESS O 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: (cheaautwgpply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWPV ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
Cr I� USE OF STRUCTURE(Residence,Garage,eom ercxdmdg,E1c.) RESIDENCE
_�/ IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(whole Bldg)❑ YES(Parr(sl afBkk)n NO❑
mono DESCRIBE WORK NEW CONSTRUCTION-SFR
oa SQUARE FOOTAGE:(propose+existing)
Mai 1ST FLOOR 936 sq.ft. 2ND FLOOR_sq.ft. 3RD FLOOR sq.M BASEMENT sq.ft-
Man" DECK_ sq.ft. COVERED DECK 250 sq.ti_ STORAGE sq.ft. OTHER sq.tt
GARAGE_ _ _sq.It, Attached❑ Detached CARPORT sq.8. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: ``11
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING El
PLUMBING IN STRUCTURE? YER NO❑ V yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FP.
EXISTING BEDROOMS PROPOSED BEDROOMS__3 TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.AcknoWedgement of such is by
signature below,1 declare that 1 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 authored construction is not commenced within 180
days or I 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 190 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
Y CODE 14.08.42)
Si re 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 N A62D• ON
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•FIRE MARSHAL RECEIVED
lzt
W.Alder St-Shelton, WA 98584
Phone Shelton:(360)427-9670 ext.352- Fax:(360)427-7796 J U L 2 0 2020
• Phone Belfair:(360)275-4467- Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:j&,I DEVELOPMENT LLC
NAME: Cedarland Homes,LLC MAILING ADDRESS: Po 13OX 623
MAILING ADDRESS: PO BOX 2264 - CITY: BURLEY STATE: WA ZIP: 98322
CITY: Gig Harbor STATE:WA ZIP:98335 _
PHONE#I: 253-20HU6 PHONE: CELL: 253-208-8136
PHONE#2: 253.732.5115 EMAIL : angie@cedariand►orestresources.com
EMAIL: angie@cedadandforestresources.com L&I REG# JJDEVJD852OW EXP. 12IS12021
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Q ' Zoning:
LEGAL DESCRI*STE
(Abbreviated):
SITE ADDRESS: CITY:
DIRECTIONS TADDRESS:
TYPE OF JOB:
NEW X _ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS—I sr FLOOR X 2ND FLOOR X BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink Aaf� Furnace 1
Bath Tubs 2 Heat Pump 0
Showers 2 Spot Vent Fan 5
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 3
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher 1 Kitchen Exhaust Hood 1
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.
X "7I5 0
SigrOture of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1Tr✓ 'IS
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 )BN
NNING R c IVED
� POTABLE WATER AND
SANITARY SEVER PROVIDED
FFR(OM
LANNING: �,� 2020
BACKS ARE MEASURED 61, Al er Street
THE FURTHEST
/ PRO ECT!ON OF THE BUILDING 1" = 30'
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LEGAL DESCRIPTION ADDRESS
LOT 5 BLOCK 62 E WHfELRIGHT ST.
PLAT OF ALLYN, ALLYN. WA. 98524 CEDARLAND HOMES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 1222 0-50-62005 GIG HARBOR, WA 9&U5
CEO 1897-008 (253) 209-BIM
SITE PLAN MAP AGATE LAND SURVEYING, PLLC
�OFa AC��T� PRWSSIORAL LAND SURWYOR
FOR 9FM 17 ArA 1r Pn - P n R0Y 949
SHELTON, WA 98584- (360)426-4172
CEDARLAND HDMES LLC
IN THE DRAWN BY DATE:07/12/2020
% 4148-6205
NW1/4 NE114 MJB
�d', P"rt Etzti° SCALE: 1 INCH=30' EET.•1 OF 1
SEC 20 T22N R01 W WM, DECKED BY
, , , Sc8 FTLE NO-.4148-6215_CH_SITEPI.AN-OMG
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P I&,n 26 15 600
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SITE pLKW PtEQU1RE7 TO SE ON SIA
CHAN S SUSJLT TO APPROVA O��-.
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ONMENTAL POTABLE WATER AND R E C !�✓ - D
ENvSANITARY SEVER PROVIDED
HEALTH BY TOW OF ALcm.j/ J
615 W. -AA'I 'e'4-r S. rest
3o 1" = 30'
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MASON COUNlY ENVIRONMENTAL HEALTF
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LOT 5 BLOCK 62 E WEELRIGHT ST.
PLAT OF ALLM ALLYN, WA 98524 CEDARLAND h9)A&S LL _
VOLUME i OF PLATS, PAGE 17 P.O. BOX 2264
AP No- 12220-50-62005 GIG HARBOR, WA 98335
CEO 1897-008 (253) 208-8136
pF1COI SITE MAP AGATEG, PLLC
PR0FE Z9 W LLANO SWVfYGR
�a (1R AM V ANTF P11 -Pn RIIY 9U
P CEDARLAND HOMES LLC S1allIN, WA 98564 -(360)426-4172
U � IN THE DRANK BY DATE:07/12/2020
4148-6205
913937 NW114 NE114 M,1B
SEC 20, T22N, R01W, W.M. ECKED Br SCALE 1 INCH=30' SHEET:1 Of 1
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FILE No-4148-6205_CH-SIT0)I M,DWG
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11OL D I N G Mason County
epartment of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Vormwater Site Plan LV Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements fo1'Stiff 1 4 D
Management in this jurisdiction. A complete copy of die ordinance-can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm JUL 2 0 2020
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Ire
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/d rain field 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--
X �J Owner/Agent/Contractor(circle one)Date: _7f15[;)D
Page 2 of 2
tt
Name V 0 Parcel# I -Q!� BLD#
n1 Mason County
Department of Community Development
Small Parcel Stormwater Management Appiication/Worksheet(page I 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 surfacez.
a
'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 36 X 26 = 936
22 X 24 = 528 Measurements for buildings are taken at the
perimeter of the farthest projections(example-
eaves/gutters)
X =
Driveways 21 X 20 = 420
X = 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 2 6 = 13
8 X 6 = 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) 2112
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 he required-
X— Owner/Agent/Contractor(circle one)Date:
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