HomeMy WebLinkAboutBLD2024-00853 SFR - BLD Application - 7/16/2024 Permit No:B LD2A24-,M05
MASON COUNTY
COMMUNITY DEVELOPMENT
B
Permit Assistance Center, Building,Planning UN
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
9 f ►�.�n
NAME:Chris Colley&Lonnie Evans NAME:Tyson Williams w1 I�t aMs T ZVL QR .4,4
MAILING ADDRESS:7426 NE 155th ST MAILING ADDRESS:
CITY:Kenmore STATE:wA ZIP:98528 CITY: STATE: ZIP:
PHONE#1:Chris 206-940-5672 PHONE:360-649.25M CELL:
PHONE#2:Lonnie 206-940-6660 EMAIL :wiwams.development@oallook.com
EMAIL:Chris ccolley65@hotmalt.com Lonnie evanslonnle@yahoo.com L&I REG#WILL 1 DLQ�100 EXP. i L/AV-f
PRIMARY CONTACT: OWNER ❑ CONTRACTOR❑ OTHER
NAME R.Athij W 1(1 6t_W S r4V I-',k-_t�� EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32223.75-00150 ZONING RRS
LEGAL DESCRIPTION(Abbreviated) TR 15 OF SURVEY 5138 FIRE DISTRICT
SITE ADDRESS 490 NE KLAHOWYA RD BELFAIR,WA 98528 CITY BELFAIR,WA 98528
DIRECTIONS TO SITE ADDRESS From Shelton,take Hwy 3 North to Bellair.L on WA-300 at Dairy Queen in Belfair.L to stay on WA-3oo W,cont.on NE North Shore RD.
R on Canyon or,oont.on NE Hurd Rd,cont.straight on Klahowya Rd.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ NO ❑ SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK 0 POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW El ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)SFR
IS USE: PRIMARY ❑ SEASONAL El NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS'
HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK New seasonal SFR.Site has existing well and septic.Had pre-site Inspection.
SQUARE FOOTAGE: (proposed)
1ST FLOOR869 sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq.ft. COVERED DECK 261 sq.ft. STORAGE sq. ft. OTHER sq.ft.
GARAGE 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 El SEWER❑ / NEW EXISTING 0
PLUMBING IN STRUCTURE? YES EI NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NO[] EXISTING SQ.FT. 0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X Rachel Weber Digitally signed by Rachel Weber 7/16/24
Date:2024.07.16 09:25:01-07'00'
Signature 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
Permit No: -a��
l� MASON COUNTY
COMMUNITY DEVELOPMEN'IRECEIVED
Permit Assistance Center, Building, Planning JUL 1 6 2024
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Chris Colley&Lonnie Evans NAME:Tyson WAams
MAILING ADDRESS:7426 NE 1551h ST MAILING ADDRESS:
CITY:K.— STATE:WA ZIP:98528 CITY: STATE: ZIP:
I"PHONE:Chris206.940.5672 PHONE: CELL:
2nd PHONE:Lonnie 206-940-6660 EMAIL :wiMlams.devebpment@oudook.com
EMAIL:Chris cco1ey65@ho1ma4.00m Lonnie evansbnnle@yahoo.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):3-3.7-150 Zoning:RR5
LEGAL DESCRIPTION(Abbreviated):TR 15 of SURVEY 5138
SITE ADDRESS:—NE KLAHOWYA RD CITY:B.Mafr
DIRECTIONS TO SITE ADDRESS:
From Shelton, take Hwy 3 North to Belfair. L on WA-300 at Dairy Queen in Belfair. L to stay on WA-300 W,
cont. on NE North Shore RD. R on Canyon Dr, cont. on NE Hurd Rd, Cont. straight on Klahowya Rd.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Seasonal SFR
LOCATION OF FIXTURES/UNITS—IST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[ [LPGONatural Gas=Ductles42n
Toilets 1 Type of Unit No. of Units Fees
Bathroom Sink 1 Furnace
Bath Tubs 0 Heat Pump 1 compressor.3 heads
Showers 1 Spot Vent Fan 1
Water Heater 1 Propane Tank E—tin9
Clothes Washer 1 Gas Outlets 0
Kitchen Sinks / Wood/Gas/Pellet Stove 1
Dishwasher 0 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent 1
Other 0 Solar Panel 0
Other 0
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.
R ac h e I Weber Digitally signed by Rachel Weber 7/16/24
X Date:2024.07.16 09:25:13-07'00'
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT b EL 8-1-Z
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 )LiJ
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EH Setbacks
Drainfield/Reserve requires 10'setback from noting/foundations
I Septic tank(s)requires 5'setback from all foo�ng/foundations
No foundation/Perimeter Drains within 30ft,ddwngradient of I p
rainfield/Reserve area N
D.)No Cut Bank(s)(greater than 5ft and over 45 begrees)within .b
X% 50ft,down gradient of Drainfield/Reserve area
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PARCEL NG.: 322_'3-15-00150 0
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Naive Colley Evans Parcel# 32223-75-00150 BLD#g0M-00J553
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.
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
X = 1324 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X
X = Existing Length of drive begins at the right of way
X =
Parking Areas X =
X = Existing Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X
X = Existing Any paved, gravel or packed area per definition
above table
X =
Others X
X = Existing 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) 1324
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 Storm►vater 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.
Digitally signed by Rachel Weber X R a c h e l Weber Date:2024.07.16 09:25:24-07'00' Owner/Agent/Contractor(circle one)Date:7/16/24
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
ACCESS & GRADE INSPECTION
ADDRESS: 90 K JaAOtAAla 9-,/ i il `/bes;16
INSPECTOR DATE OF CTION:
FIRE SPRINY�REQUIRED? (circle) NO l
IF fire sprinkler required,was notification letter mailed? DATE MAILED:
DRIVEWAY ACCESS �v���G EvG►s f C/7r�1 Co/�c/
( need post at access of driveway with reflective address numbers 7yZ6 NG /SSt�J S/'
Length: Width: Surface:
Size of turn-around:
G�v
Condition of shoulders:
Vertical clearance: �ti�1�1 G,,�Itu✓ S
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS: y G
A"A X9
Dale Received:
MASON COUNTY
COMMUNITY SERVICES DEPARTMENT
6UtLDING-P�ANAING-,-7R,5 N4RSHAL
Masor Ownty Bkd;,8, AhJe!St
U 360427-1*70 ee 352
Permit
Pro e rty,._Owner's Authorization Letter
Chris Cofley,&Lonnie Evans
(Frinr Properly Glwners Naz-ne/,Firm/Organi=.ion)
Hereby Autborizt: Rachel Weber
..........—
(Applicant-Nome ofperso"l�signpermil;
Representative of: Williams Architecture
(A,7,'acani Compary Name/Orgaant;arior)
To apply for, sign, and pick-up building permits for the following proposed work:
New seasonal SFR.
—------------
(BrWDacripizon of frorak zo be L ne)
Job Location: 490 NE KLAHOWYA RD BELFAIR, WA 98528
(Propen-
,y Sur A ddrw)
A.;property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pia
up the building permit fcx the-A4 as indicated above. All work performed must meet all provisions of the
Building Codes and the Laui of;'Aason County and the State of Washington,as applicable,whet1icr specified or
not.Residential Contr-actors are required to have a current State of Washington Contractors Licensc? ]&27),
(p,opv-ty Owner Sq"mvre)