HomeMy WebLinkAboutBLD2024-00988 SFR - BLD Application - 8/12/2024 MASON COUNTY Permit No:�L��i���" �j�j
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COMMUNITY DEVELOPMENT AUGry(� C
Permit Assistance Center,Building,Planning G 12 2024
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BUILDING PERMIT APPLICATION 615 W. Alder Sk"t r
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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NAME:David&Deborah Musselman NAME:Suprema Homes LLC
MAILING ADDRESS 990 Kazac PL SE MAILING ADDRESS:15315 50th Ave E
CITY:Port Orchard STATE:WA ZIP:98366 CrN:Tacoma STATE:WA ZIP:98446
PHONE#1:360-932-1619 PHONE:253-331-1490 CELL:
PRONE#2:916-730-4286 EMAIL:tonstructiongsupremahomes.com
EMAIL:info@gofeasibility.com L&I REG#SUPREHL80703 EXp,11 /23 /24
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Kevin Klein-Go Feasibility&Permitting LLC EMAIL info@gofeasibility.com
MAILING ADDRESS P.O.Box 1176 CITY Sumner STATE WA ZIP 98390
PHONE 2t6-219- 6 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)122167590032 ZONING RR-5
LEGAL DESCRIPTION(Abbreviated)LOT 2OFSPis1o7AF9531080PTNOFOovr LOT 4aiBr 549r2M FIREDISTRICT5
SITE ADDRESS 51 E Pendragon DR CITY Belfair
DIRECTIONS TO SITE ADDRESS Head E on W Alder toward N 6th St,take the 1st exit onto N 1st St,hum left on E Pine
St,onto WA-3,onto E North Bay Rd,onto WA-302 E,Property is on the left.
IS THE PROJECT WTIHIN 300 FT OF SLOPES)GREATER THAN 14%: YESQ NO❑ SNOW LOAD:J:LS psf
IS PROPERTY WITI IN 200 FT OF THE FOLLOWING: (Chectallthatappljo:
SALTWATF,R❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM E]
TYPE OF WORK: NEW U ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE irttertdem(iamge,Carearerrlal e1d8,src)Single-Family Residence
IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(wlwk Bldg)❑ YES(Panlcl afaldg)V( NO❑
DESCRIBE WORK
SQUARE FOOTAGE:itzmowd)
I ST FLOOR 1499 sq,ft. 2ND FLOOR 1052 sq.ft. 3RD FLOOR sq.fL BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 88 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE`W sq.ft. Attached❑ Detached❑ CARPORT sq.fR Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL IIEALTH:
SEWAGE/SEWER SOURCE: SEPTIC I] SEWER❑ ! NEW EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 4 TOTAL BEDROOMS 4
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 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 pemnitlapplication becomes null&void if work or authorized construction Is not commenced within 180
days or if construction work is suspended for a pedod 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)
—Sibrialfure of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES✓CONDITIONS
BUILDING DEPARTMENT )TL. t o+I,
PLANNING DEPARTMENT
FIRE MARSHAL
y PUBLIC HEALTH
Permit No: — 6$
MASON COUNTY
V`D
RECEI
COMMUNITY DEVELOPMENT AUG � I-
Permit Assistance Center, Building, Planning
615 W. Alder Skeet
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:David&Deborah Musselman NAME:Suprema Homes LLC
MAILING ADDRESS:990 Kazac PL SE MAILING ADDRESS:15315 50th Ave E
CITY:Port Orchard STATE:wA ZIP:98366 CITY:Tacoma STATEMA ZIP:98446
1 51 PHONE:360-932-1619 PHONE:253-331-1490 CELL:
2nd PHONE:916-730-4286 EMAIL :construction@supremahomes.com
EMAIL:info(ggofeasibility.com L&I REG#SUPREHL807Q3 EXP. 11 /23 /24
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):122167590032 Zoning:RR-5
LEGAL DESCRIPTION(Abbreviated):LOT 2 OF SP#2107 AF#531080 PTN OF GOVT LOT 4 S 15/99,S 49/224
SITE ADDRESS:51 E Pendragon DR CITY:Belfair
DIRECTIONS TO SITE ADDRESS: Head E on W Alder toward N 6th St, take the 1 st exit onto
N 1st St, turn left on E Pine St, onto WA-3 N, onto E North Bay Rd, onto WA-302 E.
property is on the left.
TYPE OF JOB:
NEW ADD=AL=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—I ST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric ✓�,PGOlvatural Gas[=]Ductless=l
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 5 Furnace 1
Bath Tubs 2 Heat Pump
Showers 1 Spot Vent Fan (i
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stover
Dishwasher 1 Kitchen Exhaust Hood
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 :Z --�--- �,/ / 1,-ZJL
Signature of—Mvner Date
DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT JZ
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES ADV
Huron.ftmdnq,6Meonmew Heshh,COMMMity Health
615 W.Alder St.—131dg 8.Sbelton.Wa 98584 Date Revd
Phone:(360)d 7-9670 CXL 352♦ Fae'(360)427-7798
RFC Fee: $130.00
Request for Administrative Variance for
1UN -9 2023 Reduction in the Required Setbacks
Adder Street
For adivifttaist ive review,the minimum variance on a setback request is 5 feet from the side yard lot
tines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure
including roof eaves and gutters.
Applicant/Owners: Kevin Klein/Go Feasibility
Mailing Address: P.O. Box 1176
City: Sumner State: WA Zip; 98390
Telephone: 206-219-0565
Email: info@gofeasibility.com
If this reduction is tied to a building permit,please give permit case number.
BLD - E L 9 CP4-po 9 S8
Parcel Number(s): 12216-75-90032 "Zoning RR5
Site Address: 3271 E State Route 302, Belfair, WA 98528
Requested setback variance:
5 ft. ❑ Front ❑ Rear Side
ft ❑ Front ❑ Rear ❑ Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks-From access eavemenu and rm l right of tvays. Minimuur 10 fret.
Rear Setbacks-From the rear property line. Minimum I0 feat.
Side Setbacks-From the side property line. Minimum S feet except for certain shoreline designations.
An illustrated site plan is required
Your site plan must show the following: north arrow, abutting street or Casements,and set backs to all
property lines and existing buildings,slopes, surface water, wetlands, critical areas,septic,well and
driveway. Show all proposed new development.
FRONT AND OR REAR YARD REDUCTION RE )i7FSTS•
For existing lots of record as of March .5, 2002,
You must meet one of the following:
t) One of the following exists on the lot (check all that apply):
❑ a) steep slopes, wetlands,or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-fourth acre;
❑ e) existing improvements of buildings, septic systems, and well areas.
SIDE YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot (check all that apply):
■ a) steep slopes, wetlands,or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre.
❑ e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal from meeting the
setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
In order to accommodate the footprint of the proposed home and maintain
appropriate setbacks from type N stream aside yard variance is required
Owner/Ageri (please indicate) 7Z 1
gn re Date
Official Use Only
Approved by: Date
Denied by: �` Date
Reason for denial:
' RECEIVED
` .�oCuSign envelope ID:1CA86460-0049-42A2-B599-OOBBD68ADAF2 00
Name Musselman/Go Feasibility Parcel# 12216-75-90032 JUN _9 202aL134 BM2021-00488--
Mason Cofifify',N� 1'i er Skr t
Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page
_ .
2-6T2j
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
s
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater r
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"
P eAE INITIAL BELOW TO INDICATE THE STORMWATF.R MANAGEMENT PLAN FOR THIS SyrE
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 Environmenial 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�ck �llse e that the information provided is accurate and employees of Mason County are granted access to the above-
d scribe prop for review and inspection as may be required.
"VU l& 1 1 2'1'2023
X Owner/Agent/Contractor circle one Date:
Page 2 of 2
DocuSign Envelope ID:1CAB6460-Co49-42A2-6599-OOBBD6BADAF2
Name Musselman/Go Feasibility Parcel iF 12216-75-90032
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-7.
'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.
7`o Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X I Width = Area 'All dimensions in feet
Buildings X1 3 642
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example_
eaves/gutters)
X =
Driveways X = 4,169
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 =
PatiosNValks X = 50
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
r br
Small Parcel Storn€water Site Plan Is Required
Tot;,Impervious Surface Area(sure of all areas) 7,861t---
-A
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 Plait 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 I of 2
�•
NOTE FOR THE SCALE TO BE CORRECT
-� ------
- � SHEET MUST BE PRINTED ON 11" x 17"
50.00
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EX.•52.16
69.4 '
h X. 5 6 `� -_S88 11' 31.86"E BW 79.74 ,89.51'
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64 72
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7 25''eUILD+AIS�T6aCl( ;8
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4 74' W 2 N
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Ln 80SE IZ
--------------
L i e
o L
Z _---20`-BUILDING SETBACK 84 \ . �� SITE PLAN
S88' 11_31.49"E _ 0 tX. 1'05. 1 ADDRESS:
360.01'
51 E PENDRAGON DRIVE
0
BELFAIR, WA 98528
Nol ;
PARCEL ID: 112167590032
LOT AREA: 50,400 SQ.FT.
' PLOT SIZE: 11" X 17"
DRAWING SCALE: 1"=30'
' N