HomeMy WebLinkAboutBLD2024-00820 SFR - BLD Application - 7/9/2024 Permit]fit
MASON COUNTY R
COMMUNITY DEVELOPMENT JUL 0 9 2024
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Philip and Donna Angelillo NAME:Choice Construction NW LLC
MAILING ADDRESS:8311 N.sixth street MAILING ADDRESS:12348 Zeller Rd SE
CTTY:Fresno STATE:CA ZIP:93720 CITY:Yelm STATE:WA ZIP:98597
PHONE#1:(sue)90751 PHONE:(360)791-4752 CELL: eeme
PHONE#2:(559)4354309 EMAII,;cholceoonstructiondy@gmail.com
EIVJAM:p.angelillo@cancastnet L&I REG#CHOICCN819DN Exp. 11/0924 cm
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ C
NAME Jennner Miles EMAIL I6227726ginalaxn
MAILING ADDRESS 247 SE WBBton Rd CITY Sheath STATE WA ZIP 98584
PHONE(916)759-4m7 CELL aeme
PARCEL INFORMATION: v
PARCEL NUMBER(12 Digit Number) 42135-M-00045 ZONING Residential
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS XXX W clear Lake Dr I Lot 21 CITY Shelton
DIRECTIONS TO SITE ADDRESS start N on US Hwy 101 towards Port Angeles.Property is on the left side of the highway approximately 3 miles past
_1 apace Kneeland Blvd and 0.8 miles past Mason County Public Works Building.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO O SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkan 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,Comxert-wBldg,Etc.)Residenoe
IS USE: PRIMARY❑+ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(whole Bldg)Q YES(Part[sI ofBfdg)❑ NO❑
DESCRIBE WORK New single family home build
SQUARE FOOTAGE:(proposed)
1ST FLOOR 2B15 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft
DECK sq.ft. COHERED DECK jet sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 623 sq.& Attached[a Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL YEAR LENGTH
7TnH��BEDIROOMS BATHS SERIAL
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW +❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑+ NO❑ If yes,attach completed Water Adequacy Form
PERM113TERNOUNDATION DRAINS PROPOSED? YES❑� NO[] EXISTING SQ.FT.
EXISTING BEDROOMS 0 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.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 NPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
� NTY CODE 14.08.42)
X c /7 Zo Zy
Signature of gMER ff..6t b si ned by the OWNER I I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT '71
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 2.� QUZZ I
Permit No.h1cl'Lb2-4 -606 a U
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Philip and Donna Angelilo NAME:Choice Construction NW LLC
MAILING ADDRESS:8311 N.sudh St MAILING ADDRESS:12348 Zeller Rd
CITY:Fresno STATE:CA ZIP:9372- CITY:Yelm STATE:wA ZIP:98597
Is'PHONE:(559)907-8351 PHONE:(360)791-4752 CELL: same
2nd PHONE:(916)435-8309 EMAIL :choiceconstructionoly@gmail.com
EMAIL:p.angelillo@comcast.net L&I REG#CHOICCN819DN EXP. 11 /09 /24
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):42135-50-00045 Zoning:Residential
LEGAL DESCRIPTION(Abbreviated):CLEAR LAKE TRACTS PCL 21 OF BLA#21-37 AF#2176541&REV 1 AF#2179340 PTN OF N 1/2 SW S 17/131,S 48/221-222,S 51/13
SITE ADDRESS:XXX W clear Lake or/Lot 21 CITY:Shelton
DIRECTIONS TO SITE ADDRESS:
Start N on US Hwy 101 towards Port Angeles.Property is on the left side of the highway approximately 3 miles past Wallace
Kneeland Blvd and 0.8 miles past Mason County Public Works Building.
TYPE OF JOB:
NEW F— ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—I ST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.otFixtures Fees Fuel Type:Electric=PG=Natural Gas=Ductless=
Toilets 2 Type of Unit No.of nits Fees
Bathroom Sink �4 Furnace �—
Bath Tubs 22 Heat Pump 1
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer � Gas Ou is 3
Kitchen Sinks Woodellet Stove
Dishwasher 1 �/ Kitchen Exhaust Hood I _
Hose bibs 2 Dryer Vent 1
Other 1 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 permitlapplication 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.
XAtS�ign,tl*` r 7 �/ �Z ° ZX
of wn Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Date Received:
� - MASON COUNTY RECEIVED
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL JUL 0 9 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,y-
Permit#: �C12oZ�1'c ?b
Property Owner's Authorization Letter
I (we): ; f + 12 d- Do n r1 c�- 4l g Q I ' 1 I D
(Print Property Owners Name/FLdm/Organization)
Hereby Authorize: n n14 LV �
(Applicant-Name of Person to Sign Permit)
Representative of:
(Applican ompany Name/Organ ation)
To apply for, sign, and pick-up building permits for the following proposed work:
. . L�
(Brief Description of Work to be Done)
Job Location: X x x W. e Lc" )- )CQ-/J�: 2 (, S kQ 14 6 n
(Property SiP6 Address) r4)c'l(_:Q J=4:)- ya l 3 S--$'b
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).
zZ?A
(Property Ow Si atur (Date)
Rev.03.110,12016 jlbn
Name Philip and Donna Angelillo Parcel# 42135-50-00045 BLD# A6,A - W&W
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:
httn//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
m eir 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-
described- rty for review and' pection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
Philip and Donna Angelillo parcel# 42135-50-00045 BLD#
Name _—
Mason County
Department of Community Development
Small Parcel Stormwater Management ApplicationAVorksheet (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 surface2.
'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 = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X
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 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)
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.
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.
Pagel of 2
To?o�' eaNr- = 50
� S��L'E .�
�� 25 So ^ts Joe
i
p Site Plan
NIL IP} 'Doww ANGEL Lin
$j� �3� �kQcEL�'t2t3�-5�'6O0`�5
Lo-r 2.1
o`er
CP
YO
Y
X
d
L
L r i
d �
/ tiI /
1 C
1
earr
1Q p ti$
s
a�
ti'1 I •`
�GG�M
�� \ ToDF
P►2DPOSED. F,ro
S
Gv
.`Sa
°1a.0 Al u2.4= endow
TO F ONJK SG AUZ:� 5
a 25 50 4 too
i
Site Plan
\\ p�� �-11L1P} �Nl�1R N6ELtL�O
si 0-X W UEiky_ LP&E pR
Lur- 21
•s
p
*NOT AN APPROVED SEPTIC DESIGN*
Use approved septic design for septic system installation
01
1, e i
'l.
i
1
1 C
NN
d Q 1$
°s
o�
PO-
MIN
\ 1
` ^D
Pti'2.t�poSEP, � F,t�'
EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations
B)Septic tank(s)requires 5'setback from all footing/foundations , {L
Q No foundation/perimeter drains within 30'down-gradient of drainfield
reserve area EH APPROVED Vv
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area D and«< 07n512024