HomeMy WebLinkAboutBLD2024-01095 SFR - BLD Application - 9/10/2024 MASON COUNTY Permit No:
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION SFP 10 2024
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: e},��
NAME:AB Fine Homes LLC NAME;AB Fine Homes LLC 6 45 W. r s e+t
MAILING ADDRESS:871 E.BEACH DR. MAILING ADDRESS:871 E.BEACH DR.
CTI'Y:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592
PHONE#1:360 898 0055 ext 3 PHONE:360 898 0055 ext 3 CELL:
PHONE#2: EMAIL:amanda@akierbrookproperdes.com
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH8090B EXp, 11/1?)24/
PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER[] r
NAME Amanda Montgomery EMAIL amandagaiderbrookproperties.com
MAILING ADDRESS 871 E.BEACH DR. CITY Union STATE WA ZIP 98592 Q
PHONE 360 898 0055 ext 3 CELL J
PARCEL INFORMATION: ISM
PARCEL NUMBER(12 Digit Number) 32104-50-00089 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) ALDERBROOK GOLF&COUNTRY CLUB LOTS:89&90-FIRE DISTRICT Mason County Fire Dis
SITE ADDRESS 111 E Jack Pine Ln CITY Union,WA
DIRECTIONS TO SITE ADDRESS Right on Manzanita,turn right onto Jack Pine Ln,5th lot on the left hand side.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑• NO❑ SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garagc Commercial Bldg,Etc.) Residential
IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)❑� YES(Part[s]ofBidg)❑ NO❑
DESCRIBE WORK New single family residence
SQUARE FOOTAGE:(proposed)
1ST FLOOR 2408 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 462 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 460 sq.ft. Attached E] Detached[I 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 I] EXISTING[I
PLUMBING IN STRUCTURE? YES I] NO❑ Ifyes,attach completed Water Adequacy Form
PEREvIETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS 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 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)
X 8/27/2024
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENTjf
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: ZG2�—GiL�►S
PERMIT ASSISTANCE CENTER:
•BUILDING a 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 Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:AB Fine Homes LLC NAME:AB Fine Homes LLC
MAILING ADDRESS:871 E.BEACH DR. MAILING ADDRESS:871 E.BEACH DR.
CITY:union STATE:WA ZIP:98592 CITY:Union STATE:wA ZIP:98592
1 s'PHONE:360 898 0055 ext 3 PHONE:360 898 0055 ext 3 CELL:
2nd PHONE: EMAIL :amanda@alderbrookproperties.com
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH8090B EXP. 11/1424 /
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):32104-50-00089 Zoning:RR5
LEGAL DESCRIPTION(Abbreviated):ALDERBROOK GOLF&COUNTRY CLUB LOTS:89&90-PCL 33 BLA#02-48 SEE SURVEY 30/83-100
SITE ADDRESS:111 E Jack Pine Ln CITY:Union
DIRECTIONS TO SITE ADDRESS:
Right on Manzanita, right on Jack Pine Ln, 5th lot on the left side.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residence
LOCATION OF FIXTURES/UNITS—1ST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:ElectricE�LPG[ Natural Gas[�Ductless0
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace 0
Bath Tubs 2 Heat Pump 1
Showers 3 Spot Vent Fan 5
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 3
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 3 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 8/27/2024
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J7)— 10--1 b
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 )BN
09/13/2024 The approval of this project is subject to the recommendations
and specifications outlined in the attached geotechnical report. All
applicable recommendations and specifications shall be applied
APPROVED to the development on this site. Any deviation requires stamped
MASON COUNTY DCD PLANNIN ti EH Setbacks written approval from the registered design professional
50,07 tQUEDV AICP A.) Drainfield/Reserve requires 10'setback from footing/foundations responsible for the report and may require special inspection by
B.)Septic tank(s)requires 5'setback from all footing/foundations same. Structures and/or land modifications(grading,cuts,fills,
C.)No foundation/Perimeter Drains within 30ft,downgradient of etc.) required in the geotechnical report, may require a separate
Drainfield/Reserve area permit.The geotechnical report shall remain attached to the
Digitally D.)No Cut Bank(s)(greater than 5ft and over 45 de rees11 within approved building plans.
signed 50ft,down gradient of Drainfield/Reserve
scoff Rum rea 190�5.572'
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30' min to ins I I I 'min
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I Rhonda Thompson 10/08/2024
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Disclaimer: Mason County does not require a
survey to obtain a building permit.As a result, site
HEAT PUMP plans may not reflect accurate data. It is the
/ applicant's responsibility to comply with setback
// // requirements.
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N 50 ,20'32"W '� o M N
178'6.48"
cm
RR5 Zoning M O
Front Yard Setback. 25'. LOT 16 HOODSPORT-111 E. JACK PINE LN.
Side & Rear Yard Setbacks. Residential dwelling -9
1 l 30 ft Scale: " = APN 32104-50-00089 I
and accessory structures is 20'. S
OR 10%width of lot if not more than 100' wide NOT AN APPROVED SEPTIC DESIGN
OR approved ADV m
Must use SWG 2024-00310 for septic installation
Name AB Fine Homes LLC Parcel# 32104-50-00089 BLD# ZD2<1-ol C>CJ
Mason County
Department of Community Development RECEIVED
Small Parcel Stormwater Management Application/Worksheet (pegs 1 2f �
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required wheneverrg t
made for residential development,or redevelopment',with more than 2,000 square feet of impervious s ace .
'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 Y`� ' X 4 _
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) 5786
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: 8/30/2024
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
NameAB Fine Homes LLC Parcel it 32104-50-00089 BLD# 2c'
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 INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) AM 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.
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 11-A- --r-1 Owner/Agent/Contractor(circle one)Date: 8/30/2024
Page 2 of 2