HomeMy WebLinkAboutBLD2023-01173 SFR - BLD Application - 9/28/2023 MASON COUNTY COMMUNITY SERVICES Permit No—BIG1&Z3-d 11-73
PERMIT ASSISTANCE CENTER: �1
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R E f 7 I N /r
615 W.Alder Street,Shelton,WA 98584
Phone Shelton.,(360)427-9670 ext 352•Fax:(360)427-7798 Phone
IGO Belfair.(360)2754467•Phone Elms:(360)482-5269 S E P 2 U U 2023
BUILDING PERMIT APPLICATION _
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: J iteet
NAME:R aull0"rs,Imo. NAME:—
MAILING ADDRESS:PO am 1094 MAILING ADDRESS:
CITY:ParOMh" STATE:w" ZIP:98M CITY: STATE: ZIP:
PHONE#1:3B0340318 PHONE: CELL:
PHONE#2:3608742311 EMAIL:
EMAIL:poneB b 1k1eB ter"'°°C0" L&I REG#PRONEP EXP. 060524
PRIMARY CONTACT: OWNER❑+ CONTRACTOR❑ OTHER❑
NAME 0-1", EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL snow
PARCEL INFORMATION: roo
PARCEL NUMBER(12 Digit Number) 12z17•s -80 ZONING Po""ucs y
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 8 son"
SITE ADDRESS 1431 E.Om Rlamb Road CITY"yn -0
DMECTIONS TO SITE ADDRESS
1
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:a—psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cherkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E] ADDTTION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Gamge,Commercial Bldg,Etc.)am
IS USE: PRIMARY❑� SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑+ YES(Part(s)ofBidg)❑ NO❑
DESCRIBE WORK aWld new home
SQUARE FOOTAGE:(proposed)
I ST FLOOR t609 sq.ft. 2ND FLOOR 721 sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 790 sq.& Attached❑ Detached❑ CARPORT sq.ft. Attached I] Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVERONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑' / NEW I] EXISTING❑
PLUMBING IN STRUCTURE? YES❑+ NO❑ If yes,attach completed Water Adequacy Forst
PERIMETERNOUNDATION 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 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
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
MASON COUNTY COMMUNITY SERVICES Permit No:�&Id 2d23. o i 17 3
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
• 615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 exL 352• Fax:(360)427-7798
• Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Pioneer Builders,Inc. NAME:Pioneer Builders,Inc.
MAILING ADDRESS:PO Box1094 MAILING ADDRESS:
CITY:Port Orchard STATE:WA ZIP:98366 CITY: STATE: ZIP:
lst PHONE:3603403319 PHONE: CELL:
2nd PHONE:3608742311 EMAIL :
EMAIL:pioneerbulldersinc@yahoo.com L&I REG#PIONEI.222KE EXP. 060524 /
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):12217-50-00080 Zoning:Rural UGA
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS:1-1 E.Oil Ranch Road CITY:Allyn
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW=ADD=ALA REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric ✓�LPC[�Natural Gas=Ductles4
Toilets Type of Unit No. of Units Fees
Bathroom Sink 4 Furnace
Bath Tubs Heat Pump 1
Showers 2 Spot Vent Fan
Water Heater �� Propane Tank 5
Clothes Washer Gas Outlets 2
Kitchen Sinks Wood/Gas/Pellet Stove 11
Dishwasher �� 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
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
61! EL A NOTES MC-56RIFTIVE ENERGY COMPLIANCE DE516N CRITERIA:
10/03/2023 earnew.u'cnael.nww.a s."e
] ,et uwL-_•-r nt rMr vwRs rD,um rye ICG1,•eTrtp A M'�,rt'�En./.nPNI[iiweTOPl
APPROVED TABLE R402.12
MASON COUNTY DCD PLANNING
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e ry ncen n..a�v.,ns.0 sae,aD,rrDumev„a form
byScott Mom"�""::.r;r "•'aen,w�e.0_r,e,fAGD,x:a }
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Public sewer and water •
EH APPROVED
Rhonda Thompson 1 110 112112 3
2-"-- LIN�
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R1 P Zoning 14
Front yard- 20 feet. �w
PLOT PLA
Side yard- 5 feet. N LEGAL: w
>�. ".•.,Q �i eD eILL— 0
Street side yard- 10 feet «D ,ob �
Rear yard- Original construction and elevated decks 20 feet. CI
)N Cotiiv �
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 �1
Applicant: Date:
Mailing Address p In &Y-X- I oc-�L4 City, State, Zip: PM
Site Address: !L/( )( tC i9QC� C`�ry,l/1 /��. Phone: 3 oj)�SL(
Parcel Number: l 2,'7-17 - ;j D - DOngD Permit Number: 111 q;z'{ ?,20 26Z,3• 6 (L-3
Part 2: Sewer System Information
Name of Sewer System: -, dSite Plan attached?
Official use only: Sewer System Manager or esignated 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.
Please
add thefollowing condition(s)on the corresponding Mason County Permit: (optional) /
S
i
� /c/ - G i� y�
Printed Name of System Manager/Employee Signature or System Manager/Employee Date
Part 3: Mason County Public Health Review/Approval
satisfactory ❑ Unsatisfactory f Da
Signature of Environmelntal Health Specialist Date
This form may be scanned and available for public view on the Mason County Web Site.
REVISED 1 012 812 01 5
•-Ty �/ I v w
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# 12217-50-00080
SITE ADDRESS 1431 E Old Ranch Rd. 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 THE 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.
MASON COUNTY PUBLIC WORKS
L
Se, *,iei J Viatet Pci mit
Permit No. Date 3 Owner22'_t M
Contractor VG ` L
Job Description zwu !MLcbLM
Job Location kAhl
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
J 1
Name O Parcel# 1 Z.2,1-7- 50-OOL) ) BLD#Z O Z" — O j t-T 3
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 INITUL 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.
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.
OwnerBuild Sion of inaccurate information may result in a stop work order or permit revocation.
Acknowledg Ni I declare that I am the owner,owner's legal representative,or the contractor.I
further ackn is accurate and employees of Mason County are granted access to the above-
described pr Q '" y be required.
IIA
X �0 I Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
I
Pioneer Builders, Inc. 12217-5O-OOo80
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 2.
'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.1
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
GENERAL NOTES PRESCRIPTIVE ENERGY COMPLIANCE DESIGN CRITERIA:
I. CONTRACTORVOV4 ER SHALL C•ECK AND VERIFY ALL DNMEN510NS BEFORE 2015 PNASHIN&TON STATE ENERGY(WESG) CODES: IRC
cONSTRUCnON
AMEN(2D0, 15EC G18),UPC(2016),WASHINISTON STATE
Y61,
( 0(,2
2 P44M ELEVATIONS ARE 61VEN AN ASSURED DATUM OF MAIN FLOOR.IOOGO' THE PROPOSED BUILDING HAS BEEN DESIGNED TO MEET OR EXCEED THE FROST DEPTH: 12 W
ID USED. CO THE NTRACTOR 6H SMALL A AeT THE VEN VALUES TO SUIT THE REQUIREMENTSC OF THE INTERNATIONAL ENERGY 0145ERVATION GORE. SEISMIC ZONE, "D2' Z ACTUAL CONDITIONS.
5. ANDOY6 SHALL BE DUAL GLAZE,SAS FI,L W,ww T*TYPE ruTH VINYL PRATES. TABLE R402.1.2 CLIMATE ZONE: 46
INSULATION AND FENESTRATION RECUREM MS BY&DWO1ENT BA51G WIND SPEED: 110 MPH,EXPOSURE"B"
4. ONN001'YS USED FOR EMERGENCY MORE55 SHALL HAVE A CLEAR O'@JIN6 OF A 501E BEARING CAPACITY: 1500 P51 .n
MINIMUM OF 5.1 SIP, 20'CLEAR WIDTH,24'CLEAR HEIGHT. AND SILL5 NOT TO CLIMATE WINDOW CEILING WOOD WALL FLOOR SLAB &ROUND SNOW LOAD: BO P5F U1
EXCEED 44'ABOVE FLOOR. ZONE UTAGTOR R-VALUE R-VALUE R-VALUE R-VALUE U lu
lu
S. VENT HOT WATER TANG PRE55LM RELIEF OUISME. MARINE AO 49 21 50 WA WA ROOF LOADS: SNOW LOAD(6ROLISM BO PSI'
y
6. THE 110T WATER TAW.SHALL BE ELEVATED ID"ABOVE THE GARAGE FLOOR. 4 DEAD
LOAD: il_
T EI W1 TOTAL LOAD: 42 P5F L-
. VT DRYER EXHAUST OUTSIDE. I. 0LE HOUSE VENTILATION SYSTEM 15 A MOLE NLAEE SYSTEM USING EXMLST FANS,M TOP
6M4M
D. EXMAnT FANS SHALL E%HAuST SO CFM MINI FOR THE OATH ROOMS AND 100 60 OFM COMRUWSLY RN E IAUST FAN LOCATED AT THE UTILITY ROOM W '
2 A00
GAM(MIN)OVER THE MANSE. TIE FAN IN THE Imuw ROOM SHALL EXHAUST 1TI01UL BHRGv ffF10EtHGY REQAI@BMfS TO MEET 55 CIEDIfi AVE: FLOOR LOADS: LIVE LOAD: 40 P5F �IV�
60 GFM(MIN),FOR P/40LE HOUSE EXHAUST. A(7W REDUCE TESTED AIR LEAKAGE TO SO AIR EXGMN6E5 PEE HOER MAXMM AM WYAE DEAD LOAD: 12 P5F
N
R. ON. AN APPROVED CARBON MONOXIDE ALARM AMP 94W DETECTORS SHALL BE INSTALLED O T51DE HOUSE VEPILATION RHi11RE#BRIY SHALL BE!ET PITH A H1644 E FVacY(MAXIMUM
TOTAL LOAD: 52 PSF
OF EACH SEPARATE TINS AREA IN T IM�IE IATE MWITY OF TIE DPE LR*W ® FHTT
IT5 EROOM5 O35 S'Ci -05
E 4 w
AND ON EACH LEM OF TIE DAE LINS B.(U 46H ffFIGENCY WAL EaAPNET 0.GTLE56 SPLIT SYSTEM HEAT RW.16.45 sID
G.MW EFFICIENT PATER MATING.ALL 910YE6EADS AND QTQe{SW FAUCETS
10. ROOF VENTILLATIOI SHALL BE ACHIEVED BY USINS SAVE VTSRS W REM-A-RIDGE AT THE PEAK INSTALLED 94-LL BE RATED AT I.TS 6PM OR LEG.Al OTHER FA LEIS SHALL BE
W UN056 WIND WIDOW MADE R$SNAIL BE 4,10 Oa EaWALart ENSII@l®UREat BEAM. RATED AT 12 6PM OR U 55,WS /- O
0.WEIFFICIENT WATER HEATING.ELECTRIC HEAT PUP PATER HEATER'AO SMTW, (�E
12. SUPPORT IRBBOR BRACED PAILS TO BEARINS SOIL,MTN CONVETE STELA AWL ON A COMMOB 50 6A.LON 524 EF•15 \\
CON O"FOOTN6.
15. A W~OF T'A OF ALL LIMINADES%LL BE 46H EFFWB6Y LUINWES WRMS L16NTIN5 I
COMPLIANCE WAS APPROVED I6IN6 TIE OPTIONS AVAILABLE W ECC 11404J.LLMNARES
PROVO N6 GUIDOOR LBMIN6 AND PBB4AMEw LY W4LKW TO A Hl31DdT1AL BUILDING OR TO
OHEI BlIL PODS ON THE SAME LOT SHALL BE UGH EFFICACY L UNNIABB W4255 FERP LY
INSTALLED OUTDOOR LUMNAA ES APE CONTROLLED BY A MOTION SENSORS]PITH INTEGRAL
F47TO14WRM P OTO-5BEOR OR INSTALLED IN OR AROUND SPMMN6 POOLS OR PNTBR
PEATU!"BIL ALL PLU RLCEW Mral"1 5 LAST W WTI®WTI T-0 OR SHHL LAWS Off NOT T40
OR TM2 LA MI-J.ECC R404.1
1 ,1
W BALLOONFRAIL 6AAE WALLS.PROJIOE GEILINS.DBTS AT PLATE LEVEL EXCEPT IN WAY O' I O W
VAULTED CEILINGS
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