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Home My WebLink AboutBLD2023-01171 SFR - BLD Application - 9/28/2023 MASON COUNTY COMMUNITY SERVICES Permit No:13 l 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 S E P 2 u `023 Belfair.(360)275-4467•Phone Elms:(360)482-5269 1L BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Pioneer Builders,Inc, NAME:881Ae MAILING ADDRESS:PO a0%1090 MAILING ADDRESS: CITY:Pon Or t-d STATE:WA ZIP:98366 CITY: STATE: ZIP: PHONE#1:36e3403319 PHONE: CELL: PHONE#2:3608742311 EMAIL: EMAIL:p1O0BB1sWaeminc@yah—com L&I REG#P1ONEr2221 E EXP,06/p8/25 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING weal-UGA LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 6 SITE ADDRESS 290 E.stereno or CITY Ay" DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheat au chat appty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW Q ADDITION❑ ALTERATION❑ REPAIR[I OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)A°eaM10e IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2-5 HEATED STRUCTURE? YES(MoleBkW +❑ YES(Panfs)ofBidg)❑ NO[I DESCRIBE WORK eaa nm h" SOUARE FOOTAGE:(proposed) 1 ST FLOOR 920 sq.ft. 2ND FLOOR 120 sq.1 3RD FLOOR sq.ft. BASEMENT sq.8. DECK 34 sq,fL COVERED DECK 136 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 67 sq.ft. Attached I] Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN UIRED* YEAR TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER 0 / NEW 0 EXISTING❑ PLUMBING IN STRUCTURE? YES E] NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOB 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) B an Uhler Bryan Uhl 08-28-2023 X ry 2023.08.2811:35:34-07'00' Signature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT C— PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 14 - I-I I PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St- Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 • Phone Belfair:(360)275-4467• Phone E/ma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Pioneer Builders,Inc. NAME:Same MAILING ADDRESS:PO Box 1094 MAILING ADDRESS: CITY:Port Orchard STATE:WA ZIP:98366 CITY: STATE: ZIP: I st PHONE:3603403319 PHONE: CELL: 2nd PHONE:3608742311 EMAIL : EMAIL:pioneerbuildersinc@yahoo.com L&I REG#PIONEI.222KE EXP. 6/5/ k PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):12218-s0-—6 Zoning:Rural-UGA LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS:290 E-Sleding Road CITY:AIIyn DIRECTIONS TO SITE ADDRESS: I .TYPE OF JOB: NEW=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. of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas=Ductless= Toilets 3 Type of Unit No. of Units Fees Bathroom Sink 4 Furnace Bath Tubs I Heat Pump 1 Showers 2 Spot Vent Fan 5 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 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. Bryan Uhler X Bryan Uhler 2023.08.28 12:11:32-07'00' Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT (')Cc' 3-zS2y PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN 10/03/2023 R1 P Zoning of APPROVED Front yard-20 feet. z MASON COUNTY DCD PLANNING Side yard- 5 feet. EH APPROVED m SCOTrEDy,AfCP Street side yard- 10 feet Rhonda Thompson 11/01/2023 a Rear yard-Original construction and elevated decks 20 feet. z �� Digitally Hj Smtt Rue*signed (V by Scott Ruedy Public sewer and water } o ---------------- Y tJf 9J' Z y. -------------------------------- ----- ------------------------ R .\ e ns •------�,• DRI WAY D L \ �] \ \'\ 1-E6AL: z J In PLOT PLAN >,a,• z ��d ao23• oi�'� � �� GI MASON COUNTY PUBLIC WORKS Sc **ilei LJ Watci Pci it � � c Permit No. Date Owner J Contractor 160e \Y\C Job Description %PUaf Nwc�luyl Job Location �- Inspected By Approved for Cover Date Remarks Applicant Must Call Utilities & Waste Management Issued By For Required Inspection 360-427-9670 Post this card in a conspicuous place Ext. 652 at Front of Premises 4N50N-COUpVl�- Public Health Always working for a safer healthier Mason County 415 N. 6th Street, Bldg 8, Shelton WA 98584 360-427-9670 or 360-275-4467, extension 400 Application for Determination of Sewer Adequacy Instructions: 1. Complete Part 1 of application. Permit number may be added at later date. 2. Take application, Site plan, and any other associated information with the proposed development to the Sewer System Manager or Designated Employee for approval. 3. Submit completed application and information to Permit Center or Mason County Public Health for review. NOTE: You must supply the System Manager with a site plan for the project, showing all existing or proposed sewer components and lines in relation to proposed development and property. Part 1: Applicant/ Parcel Information Applicant: o oJ\. Jt/)�� Date: afa 71, Mailing Address: ply (��C� City, State, Zip: Q) t Site Address: _ Phone: E (on 3L4() - 3�� Parcel Number: i `Y Permit Number: I`71(01 Part 2: Sewer System lnformatio Id 2423 •6 1 (- Name of Sewer System:__n 6d4L L12IC6�c�1 ❑ Site Plan attached? Official use only: Sewer System Manager or Designated Employee is to complete. ( New Connection: I have reviewed the applicants information and have no issues with Mason County Public Health approving the corresponding Mason County Permit. ❑ Existing Connection: I have reviewed the applicants information and have no issues with Mason County Public Health approving the corresponding Mason County Permit. ❑ 1 have reviewed the applicants information and have determined sewer connection is currently NOT available to this property. f Please add the following condition(s)on the corresponding Mason County Permit: (optional) ^� Printed Name of System Manager/Employee Signature of System Manager/Employee Date Part 3: Mason County Public Health Review/Approval �r�I Satisfactory ❑ Unsatisfactory Signature of Envi o mental Health a ial'st Date This form may be scanned and available for public view on the Mason County Web Site. REVISED 10I2812015 � I 0D APPLICATION FOR SEWER UTILITY SERVICE MASON COUNTY UTILITIES & WASTE MANAGEMENT 100 W. PUBLIC WORKS DR. SHELTON WA, 98584 360-427-9670 X 566 mremmen@masoncountywa.gov DATE 9/12/23 PARCEL # 12218-50-00006 SITE ADDRESS 290 E Sterling Dr. Allyn WA 98524 OWNER NAME Pioneer Builders Inc BILLING ADDRESS PO Box 1094 Port Orchard Wa 98366 1 agree to the terms and conditions of the Mason County Codes and/or Resolutions (Copy available upon request) SIGNATURE A COPY OF T"CONSTRUCTION SITE PLAN MUST ACCOMPANY THIS APPLICATION. ----------------------------------------------------------------------------------------------------------- FOR OFFICE USE: Connect Fee $12,179.72 Date 9/12/23 Receipt# Grinder Pump Date Receipt# Building Permit# Date Issued Date Final *Please notify our department when the final inspection has been completed so your sewer account can be activated. You are responsible for billing as soon as construction has been completed. Name Parcel# BLD# 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 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. 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 Name 1loo r-'t Parcel# (a•M OWO BLD# 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: httpHwww.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) V 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 fmal 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. G} / }{� t' � wne gent/Contractor(circle one)Date: Page 2 of 2 N 89'15'04*E 00.00' a r-------------------- ---------*--------------------------------------- ----------- --------� I ' I I I 1 I I I I I i I � 1 1 I 1 I 1 I � � I O. I I I ' I I I I I I / 1 I V 1 I i I • I ' 10'-0• 1 1 I I � I 1 i 1 1 I � I 1 J 1 I I 1 1 1 i i i 1 1 1 1 q ' W 4 1 1 I I I � I 1 I I 1 I 1 1 2 � I I b + O fA 4 I W I 1 � 1 + 1 , 1 1 I I I I ' 35 1 I i 1 1-y 1 V i , r I i I I V' I I I /n I A Ir---------- i rn I I 1 I I I I 1 I I I 1 1 �'y 1 - I - _515 p3 45 i �,00 5 7S10E6 � l402 0 Lp,KE SNORE . 2 Cra N Q � � r 0 z .. A New HOME BY PPAWMINARY'12124A I GUSTOM JAY HAUGEN, DE51 GNER (� PIONEER BUILDERS, INC, 1 9'0 I'0 2/25 HOME PA500, WA DE51GN (�08) �21-4856