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Home My WebLink AboutBLD2023-01497 Cancelled SFR - BLD Application - 12/13/2023 PROPERTY OWNER INFORMATION: CONTRACTOR INFO A O : (Dlq NAME:ROBERTS,CHARLES D 8 CATHERINE A NAME:Supreme Homes LLC 7 MAILING ADDRESS:6040 California Ave SW Apt 307 MAILING ADDRESS: 15315 50th Ave E CITY:Seattle STATE:WA ZIP:98136 CITY:Tacoma STATE:We ZIP:98446 PHONE#1:225.278.4105 PHONE:253.331.1490 CELL: PHONE#2:225.329.3852 EMAIL :construction@supremahomes.com EMAIL:chadierobertsl916@gmail.com L&I REG#SUPREHL807Q3 EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR ❑ OTHER❑ NAME Kimberly Johnson EMAIL yourpermhprofessional@gmail.com MAILING ADDRESS Mail to owner CITY STATE ZIP PHONE CELL 253.329.8297 PARCEL INFORMATION: BUILUINU PARCEL NUMBER(12 Digit Number) 22001-24-90190 ZONING Rural Residential LEGAL DESCRIPTION(Abbreviated) TR 19 OF SE NW TR 4 OF SP#1649 FIRE SITE ADDRESS 81 E SOLBAKK VEIEN CITY She[to DIRECTIONS TO SITE ADDRESS DEC 2023 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO tN W tre IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): v SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW El ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER El USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Single Family Home IS USE: PRIMARY 0 SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg) 0 YES fFart[s]of Bldg) ❑ NO ❑ DESCRIBE WORK Construct 1480sgft SFR SQUARE FOOTAGE: (proposed) 1 ST FLOOR 1480 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK 28 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEA WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ID SEWER❑ I NEW ID EXISTING❑ PLUMBING IN STRUCTURE? YES El NO ❑ If yes, attach completed Water Adequacy Form PERIMETERTOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS t3 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 CO INUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER IT AP IC 10 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON C CODE 14.08.42) X ature of OWNER(Must be signed by the OWNER) Date T1TT TT1(T 1TT 1 T TTTTTT TTI ♦TTT l�T TTT T�TT! TTI�TTTT T 1 TT'. T�!.[ /�Tl�TTC.I!-.l�1TT TTT/11i[T _. Permit No:0 L-D 20 MASON COUNTY OI 97 COMMUNITY DEVELOPMESFIC E IV E D Permit Assistance Center, Building, Planning DEC 13 2023 PLUMBING & MECHANICAL PERMIT APPLICATION W. Alder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:ROBERTS,CHARLES D&CATHERINE A NAME:Suprema Homes LLC MAILING ADDRESS:604o Califomia Ave SW Apt 307 MAILING ADDRESS: 1531550th Ave E CITY:seattle STATE:WA ZIP:98136 CITY:Tacoma STATE:WA ZIP:98446 1 st PHONE:225.278.4105 PHONE:253.331.1490 CELL: 2nd PHONE: EMAIL, :construction@supremahomes.com EMAIL:Charlieroberts1916@gmail.com L&I REG#SUPREHL807Q3 EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):22001-24-90190 Zoning:RR LEGAL DESCRIPTION(Abbreviated):TR 19 OF SE NW TR 4 OF SP#1649 SITE ADDRESS:81 E SOLBAKK VEIEN C21 III rk1k1fMTY:She1to. DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHER=✓ PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. offixtureess Fees Fuel Type:Electric=LPG=Natural Gas=Ductles Toilets 2 / Type of Unit No. of Units Fees Bathroom Sink 2— Furnace Bath Tubs 2<Z Heat Pump Showers 2 Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer — Gas Outlets Kitchen Sinks 1—/� Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hose bibs 2 Dryer Vent 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 authorize onstruction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONT NLIATtON FTHIS MIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV LIDAT HE AP LIC TION. X JU �-3 ure of Own r Date DEPA TMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN PROPERTY OWNER INFORMATION: CONTRACTOR INFO A O : 1 1 NAME:ROBERTS,CHARLES D&CATHERINE A NAME:Supreme Homes LLC I`-� ?7_ MAILING ADDRESS:6040 California Ave SW Apt 307 MAILING ADDRESS: 15315 50th Ave E CITY:wattle STATE:WA ZIP:98136 CITY:Tacoma STATE:We ZIP:98446 PHONE#I:225.278,4105 PHONE:253.331.1490 CELL: PHONE#2:225.329.3852 EMAIL :construction@supremahomes.com EMAIL:chadierobertsl916@gmail.com L&I REG#SUPREHL80703 EXP. PRIMARY CONTACT: OWNER ❑ CONTRACTOR ❑ OTHER❑ NAME Kimberly Johnson EMAIL yourpermitprofessional@gmail.com MAILING ADDRESS Mail to owner CITY STATE ZIP—�— PHONE CELL 253.329.82EN V I Ei O N M F N TA I U� PARCEL INFORMATION: H EA LT H o 0 PARCEL NUMBER(12 Digit Number) 22001-24-90190 ZONING Rural Residential LEGAL DESCRIPTION(Abbreviated) TR 19 OF SE NW TR 4 OF SP#1649 IREj SITE ADDRESS 81 E SOLBAKK VEIEN CITY Shelton DIRECTIONS TO SITE ADDRESS DEC 13 2073 � IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑6 1V0 SNgWL`O et psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): r-n SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ �...— TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑� r— m USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.)Single Family Home IS USE: PRIMARY E] SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK Construct 1480sgft SFR SQUARE FOOTAGE: (proposed) 1 ST FLOOR 1480 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK 28 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑✓ SEWER❑ 1 NEW EXISTING❑ PLUMBING IN STRUCTURE? YES El NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT. EXISTING BEDROOMS U PROPOSED BEDROOMS L? V/ 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. PROO OF CO INUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER IT AP IC 10 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON C CODE 14.08.42) X :mature of OWNER(Must be signed by the OWNER) Date 'TTT.rms.rr.arm. Annie Wilson From: Annie Wilson Sent: Wednesday, September 25, 2024 9:40 AM To: yourpermitprofessional@gmail.com' Cc: charlierobertsl916@gmail.com' Subject: BLD2023-01497 SFR permit Attachments: EH BLD More Info Letter BLD2023-01497.pdf;WRIA.pdf Importance: High Hello Kim, I am checking in on permit BLD2023-01497.There is currently a deficiency with the environmental health review. The deficiency letter from Rhonda in the Environmental Health department is attached. Do you have any of the items she is requesting in her letter? This is the only deficiency for this permit.Once this has been resolved,the permit will be ready to issue. Any update that you can provide is appreciated.Thank you! Annie Wilson Mason County—Permit Specialist 615 WAlderSt, Shelton, WA 98584 360-427-9670 Ext. 355 i MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning 10/9/24 Charles Roberts 6040 California Ave SW #307 Seattle, WA 98136 Re: Building Permit BLD2023-01497 for New SFR Permit Charles & Catherine Roberts This letter is regarding your building permit submitted 12/13/23 . Permit records show the last contact with our department was 12/17/23 , requesting the following additional information: • There is a deficiency in the environmental health department review. The EH deficiency letter is included. Per Mason County Code 14.08.42 and the permit expiration policy (enclosed) states inactivity of 180 days or more will cause the application to expire. If you plan to continue with this project, please contact our office within 10 business days of this letter using the contact information below. If we do not hear from you within 10 business days, the permit will be cancelled. Sincerely, Annie Wilson Permit Specialist awilson@masoncountywa.gov (360)427-9670 x355 415 N 6TH STREET, SHELTON,WA 98584 � SHELTON:360-427- ,EXT 400 MASON COUNTY ■ ,� BELFAIR:360-275-44674467, EXT 400 Public Health & Human Services ELMA: 360-482-5269, EXT 400 FAX:360-427-7787 ENVIRONMENTAL HEALTH REVIEW OF BUILDING PERMIT ROBERTS CHARLES D & CATHERINE A 12/27/2023 6040 CALIFORNIA AVE SW #307 SEATTLE, WA 98136 Applicant: ROBERTS CHARLES D & CATHERINE A Parcel Owner: ROBERTS CHARLES D & CATHERINE A Site Address: 81 E Solbakk Veien Primary Parcel Number: 220012490190 Permit Number: BLD2023-01497 Permit Description: NEW SFR (SUPREMA HOMES) Permit Submitted Date: 12/13/2023 Permit Review Date: 12/27/2023 The above mentioned building permit has been reviewed by Environmental Health and found more information is required. Please submit well log, capacity test, satisfactory bacteriology sample, and Water Resource Inventory Area (WRIA) recording once the well has been drilled. This is WRIA 14 and limited to 950 GPD. Thank you. If you have any questions or concerns let us know. Sincerely, Rhonda Thompson, EH Sp cialist 360-427-9670, Extension 581 rhompson@masoncountywa.gov [ ] Jeff Wilmoth, EH Specialist 360-427-9670, Extension 543 jwilmoth@masoncountywa.gov [ ] Dave Anderson, EH Specialist 360-427-9670, Extension 353 danderson@masoncountywa.gov Return To Grantor(s): (1) , (2) Grantee(s): (1)PUBLIC Legal Description (1) (Abbreviated form:i.e.lot, block,plat orsection, township,range) Assessor's Tax Parcel: (1) TITLE NOTIFICATION OF WATER RESOURCE INVENTORY AREA(WRIA) I (We), the undersigned grantor(s), hereby place this notice on record that the described real estate situated in Mason County, State of Washington is subject to water use restrictions and conditions set by Washington State Senate Bill 6091 and Mason County Code 6.68. These restrictions and conditions are based on location of property and/or Water Resource Inventory Area or WRIA. WRIA: Maximum Annual Average Gallons Per Day: gallons Dated on this day of . 20 Signature of Grantor(s): (1) (2) State of Washington ) County of Mason ) Page 1 of 2 I, the undersigned, a Notary Public in and for the above named County and State, do hereby certify that on this day of ,20 , personally appeared before me,who is known to be signer of the above instrument, and acknowledged that he(she)(they)signed it. GIVEN under my hand and official seal the day and year last above written. .Notary Public in and for the State of Washington, residing at My commission expires: Page 2 of 2 Building Expiration and Extemsion Police MASONCOUNIY COMMUNITY SI RVICES Section Index: 1.Purpose 2.Policy 3.Definitions 4.Permit Extension Procedures 5.Permit Extension Approvals 6.Permit Application Extension 7.Retention of Expired and Abandoned Permits 1.Purpose 1.1.The purpose of this policy is to clarify the requirements of the WA State adopted building codels as reference within the Mason County Code,Section 14.08.040.Additionally,this policy includes permit extension and plan review application extension requirements. 1.2 This policy includes definitions(denoted in italics)related to various terms used within the codes and other recognized publications for purposes of interpretation. 1.3 This policy shall apply to all construction pennits governed by applicable federal,state and locally adopted codes and standards. 2.Policy 2.1 It is the policy of the Community Development Department to protect and assist the community during the development of property including completion of construction projects which if not completed in a timely manner could result in unsanitary,dangerous,or unsafe conditions. The intent of the adopted codes is to allow ample time to complete work associated with a permit issued by the county.While the county strives to ensure projects are allowed ample time for completion,the county endeavors to ensure this is done within a reasonable period of time as specified by code.During construction,the expectation is that substantial work is completed on an ongoing basis in order to ensure compliance with the intent and purpose of the codes and expiration of permits. 3.Definitions 3.1 Abandoned-To cease from construction,repair,improvement,removal,conversion,alteration,remodel, demolition,or work in which no inspections have been perfonned within a six-month(180 days)period of the permit issuance date or a six-month period from the last date of inspection as noted on a job card or other building department electronic records. 3.2 Building Official or Code Official-is the officer/s or other designated authority of the jurisdiction charged with the administration and enforcement of the Building Codes.The building official may be an assigned staff member as designated by the Community Development Administrator and assigned specific duties related to compliance with this policy. 3.3 Cause—That which impacts a result in the permitting and inspection sequence,without which the result would not have occurred.Cause can be subjective;a discussion of circumstances may be needed to ensure clarity and use. 1 3.4 Substantial Work-Substantial work means enough work is completed in order to be prepared for the next required inspection.Substantial work does not mean a progress inspection wherein no work has been completed since the previous approved inspection. Should delays be caused during a project wherein a permit is in jeopardy of expiration,the permit holder must contact the county for extension demonstrating"cause"for consideration of the extension. 3.5 Suspended-Work that has not been inspected by the County within six months of the permit issuance date or a six-month(180 days)period from the last date of inspection noted on the job card or the Building Department records. 4.Permit Extension Procedures 4.1 Every permit issued by the County under the provisions of the technical codes shall expire by limitation and becomes null and void if the building or work authorized by such permit is not commenced or is suspended or abandoned within 180 days from the date of such permit issuance or the last inspection. 4.1.1 If an expired permit is less than one year old from the expiration date as defined, it may be reinstated with the fee of one-half the amount of the original permit or a fee commensurate with the work remaining to be completed as approved by the building official. If only a final is required;the County will charge a fee necessary to provide for administrative and inspection fees at the current fee rate based on the hours involved with a 1-hour minimum for each. 4.2 Permits may also be issued with a limited time,when necessary,in order to abate dangerous,substandard,or illegal conditions.The building official may establish the expiration at 30,60,90 or 180 days depending on the health/safety hazard and the urgency of the need for completion. 5.Permit Extension Approvals 5.1 All permit extensions shall be submitted to the permit center for approval via written request.No permit shall be extended without the approval of the building official. The"Permit Extension Approval"shall be placed in project file.Permits may only extend one time unless good cause is demonstrated showing that circumstances beyond the control of the permit holder were applicable. 6.Permit Application Extension 6.1 Permit applications shall expire pursuant to applicable code provisions and/or other statutes.If an extension is required for an application;it shall be submitted to the permit center for approval via written request.No permit application shall be extended without the approval of the building official.The"Permit Extension Approval"shall be placed in project file. 6.2 If a permit application is expired,the applicant shall pay a reapplication fee commensurate with the cost for administration of reinstatement with a minimum charge of 1-hour at the current rate. 7.Retention of Expired and Abandoned Permits 7.1 An expired,cancelled,or abandoned permit that is more than one year old from the expiration date as defined in Section 4.1,will be subject to destruction per RCW 42.56 and MCC14.08,040. 2 K � z Approved: Date: 10/12/22 Community Development Director If you have any questions,please contact Mason County Community Development at:(360)427-9670. 3 waT� a3- do3 Co a. - MASON COUNTY COMMUNITY DEVELOPMENT RECEIVE D Permit Assistance Center,Building,Planning 415 N 6"'Street, Bldg 8, Shelton WA 98584, DEC 13 2023 Z Shelton: (360)427-9670 ext 400 ❖ Belfair: (360)275-4467 ext 400 ❖ Elma: (360)482-5269 ext 400 C-7) FAX(360)427-7787 615 W. Alder Strpel TI Application for Determination of Water AdCN4gp0N,'%,1ENTigL Instructions HEALTH n-1 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water connection utilized. 3. Submit completed application,with any required attachments for review_ 4. An approved building site plan must accompany this application. Part 1: Applicant/ Parcel Identification 2 Name on Applicant: / F'lya✓l�'S ��✓� �Date: I; J Mailing Address: AfQ �'¢(� /�•�. cyrphdn Parcel Number: ,�L7p to?��/�� Type of Water System Reason for Application q ❑ Public/Community Water System (2 or more j� Building permit 6L19A?"3- 014 ( 7 connections) ❑ Division of land: Individual water source (one connection), #of Parcels? SPL Well ❑ Boundary line adjustment ❑ Spring/surface water ❑ Other(explain) ❑ Other(explain) ❑ Replacement or Remodel (please indicate name If you have more than one residence connected of water system below if applicable-no to this well, check the Public/Community Water signature required) System box. Part 2: Water Connection Information Complete the section appropriate for the type of water connection being evaluated: Public Water System Name of Water System: Water Facility Inventory (WFI) Number: (write "none" for two-party) ❑ 1 am the manager of this water system. The water system has been approved for services. There are presently connection(s) in use. This will be the connection. ❑ 1 am the manager of this system. This connection will be to upgrade or change the use of an existing connection on this system (i.e.: recreational to full time). Please indicate on the following line the nature of this change: This water system is able and willing to provide water to this (these) connection(s)without exceeding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date This form may be scanned and available for public view at www.co.mason.wa.us. J:\EH Forms\Drinking Water Revised 1/25/2018 Individual Water Well ❑ Water well report(attached to application). Depth ft. ❑ Well capacity Test (attached to application) gpm gpd. The well driller often performs well capacity tests at the time the well is constructed. Results from these tests are noted on the water well report. Results from these tests will be accepted. If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. ❑ Satisfactory bacteriological test(attach to application). Water Resource Inventory Area (WRIA) Development within which WRIA http://gis.co.mason.wa.us/planning 14= 1 50 16=22= Water use or limitation recorded................................... N/Aj=Yeses Well Drilled ............................................................... Date Individual Spring/Surface Water ❑ WDOE permit(attach to application) ❑ Method of disinfection ❑ 1 have reason to believe that this water source can provide at least 800 gallons per day; and/or provides water at a rate of 2 gallons per minute based on the following observations. Author of Statement Date Relationship to Applicant Part 3: Mason County Community Services Evaluation (staff use only) ❑ Satisfactory Determination: This determination does not address adequacy of the distribution system, guarantee an adequate supply of water indefinitely in the future,or guarantee compliance with all applicable WDOE water resource regulations. Recommended approval indicates requirements of Sanitary Code,Title 6, Chapter 6.68.040-Determination of Adequacy for Building Permits are satisfied. Additional Growth Management requirements may apply. Chapter 36.70A RCW. 11 Unsatisfactory Determination: Applicant's water supply does not appear adequate to meet the needs of its intended use for the following reason(s). Reviewer's Signatures: Environ. Health: Date CSD Director: Date 2 of2 R � ' 430 BLD -, MASON COUN '�' � �"'"` D COMMUNITY DEVELOPMENT -0°9-- '� DEC 13 2023 Permit Assistance Center,Building,Planning RCVD APPLICANT INFORMATION (please print clearly) BY: 615 W. Alder Stre t Name of Applicant: Your Permit Professional Parcel Number: 22001-24-90190 Site Address: 81 E SOLBAKK VEIEN This checklist must be completed and signed by the owner or owners authorized agents at time of submittal. Incomplete applications will NOT be accepted. For a complete application, all items on this checklist shall be submitted, unless waived by Staff. PERMIT APPLICATION N/A Provided Staff Provide a completed and signed (by owner or authorized representative)application ❑ ❑ / and applicable fees are due at submittal. Provide a completed plumbing and Mechanical Application ❑ ❑ SITE PLAN Provide one (1)copy of proposed site plan. Drawn to scale of either ❑ ❑ l"= 10' or 1" =20' depending on lot size. North Arrow, location and dimensions of all property lines and easements. ❑ ❑ Vicinity map showing location and names of all roads and easements. (public and ❑ ❑ private) Show distances to all structures, septic tanks,drain fields, property lines,top of ❑ ❑ / slopes or cuts and easements. Zoning(indicate): Rural Residential: ❑2.5 ❑5 ❑10 ❑20 ❑✓ Other: Urban Growth Area: Zone: Front yard: Direction: Side yard: Direction: Rear yard: Direction: Side yard: Direction: sit All access points,width of access. easements and driveways . ❑ ❑ Contour lines in twee 20 foot increments. See Parcel Map Viewer onLwebsite ❑ ❑Buildin hei ht shown on elevations at all four corners of structure. ElFlood lain boundaries and setback distances. See Plans for additional reents. ❑ ❑ Wetland or surface water(if any)and any applicable buffers. If yes, a wetland ❑ report may need to be submitted. Is the site near a Shoreline stream, creek, lake, saltwater if yes, please indicate? ❑ Name of shoreline: Shoreline designation: Stream type F, S,Ns,N : Is the proposed site within 300 feet of a slope 15% of greater? If yes, a geological ❑ ❑ report or assessment may be required. Existing/proposed on-site septic system and reserve areas, providing setback to ❑ ❑ structures. Existing/proposed wells show 100 ft well radius,with distances to structures). ❑ ❑ Existing and proposed stormwater controls(downspouts, dry wells,etc. ❑ ❑ Exterior storage tanks (propane)and FIVAC equipment. ❑ ❑ PLANS N/A Provided IS Provide two 2 copies of plans 1 full size min. 18"x 24"and 1 small size and ❑ ❑ r one(1)copy of all specifications and engineering.Plans must be drawn to scale of '/a"= 1'.All notations and drawings must be clear and legible.All Engineering ❑ ❑ / callouts must be on plans. Engineered plans must provide calculations/analysis.Analysis must include the following information: • 2018 International Building Code / • Snow load(by location) ❑ ❑ • Seismic zone(D-2) • Exposure(by location and topography) • Windspeed 85 MPH basic and 110 ultimate w/3 secondgust) If project is in a flood hazard area,the submittal must include an Elevation Certificate,flood venting compliance and an elevation detail indicating the location ❑ of finished floor relative to the Base Flood Elevation or Design Flood Elevation as designated by surveyor or engineer. FOUNDATION PLAN Plan view of foundation/footings/pads ❑ ❑ Type, size and location of footing(stepped foundation provide detail ❑ ❑ Elevation view of foundation steps,with final grade ❑ ❑ Cross-sections of footing and foundation(including height of wall). ❑ ❑ Floor joist andspacing each floor). ❑ ❑ Show location of flood venting and detail the method and compliance for venting. ❑ Type and locations of hold-downs and anchors. ❑ ❑ Crawl access location and size. ❑ ❑ Insulation value for foundation(if slab or basement). See Energy Credits for ❑ ❑ additional requirements,credits must be indicated on the plans. If project is in floodplain provide flood venting compliance including vent locations,vent type,elevation detail for venting location interior and exterior of the ❑ crawls ace. FLOOR PLAN Square footage of each floor ❑ ❑ Use of each room ❑ ❑ Location and size of attic access ❑ ❑ Dimensions of building and rooms. ❑ ❑ Location and type of furnaces,water heaters, smoke detectors,and carbon ❑ ❑ �- monoxide detectors. Include location of bollard for appliances located in garage. Plumbing fixture locations ❑ ❑ Location of doors,windows include size, egress,tempered andskylights) ❑ ❑ Insulation value in floor. See Energy Credits for additional requirements,must be ❑ ❑ indicated on the plans. Location of ventilation fans and CFM for each. ❑ ❑ Location of whole house fan and CFM continuous or intermittent ❑ ❑ Location,side and type of brace wall or shear-wall panels.If structure is ❑ ❑ engineered,must supply two copies of required analysis calculations Dimensions and framing details of decks(including joists,beams,posts, ledgers. ❑ ❑ Plan MUST include size grade, spacing,length andspecies or type of material ELEVATIONS AND WALL DETAILS Typical and rated walls(garage separation) ❑ Listing of fire-resistive wall designs(duplex or townhouse ❑ Building elevations-all 4 sides Show distance from grade at each corner. ❑ ❑ Exterior wall details when distance between overhangs is less than 5 feet. ❑ Insulation value for walls. See Energy Credits for additional requirements,must be ❑ ❑ indicated on the plans. If project is in floodplain must provide Elevation detail indicating the location of ❑ finished floor relative to the Base Flood Elevation or Design Flood Elevation as designated by surveyor or engineer. ❑ ❑ ROOF PLAN Layout of roofs stem ❑ ❑ Label type of roofs stem, rafters, engineered trusses& spacing ❑ ❑ Headers noted at each location or typical header noted. ❑ ❑ Roof pitch and covering materials ❑ ❑ Sheathing es, dimensions and fastening ❑ ❑ Attic venting e, location and amount ❑ ❑ Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for ❑ ❑ addition re uirements, must be indicated on the plans. ENERGY CODE REQUIREMENTS N/A Provided Staff Completed Washington State Energy Code form ❑ ❑ Plans must indicate fuel source for furnaces,water heaters and other appliances. ❑ ❑ Manufactures Specifications for each unit or component for HVAC & plumbing ❑ ❑ Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans MUST include all credit information on the plan ❑ ❑ / details such as insulation,ventilation,furnaces,windows etc.Plans must also include the number of credits and which credits are chosen. I verify that all r u' ed do ments, plans,and specific 'on associated with this application have been submitted and are accurate.! Iq 15 Signatu a caner author gent Print Name Date Name Parcel#off 070d1"o��` 1 Iq BLD#$L19ZZ-61397 4 1 BUIL DIVEMason County partment 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 thiss develloCopm\\entt activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requireRVE fOt 6tdrht�// P 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 DEC 13 2023 Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". 615 W. Alder Street 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) X 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/d.rainfield 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 ackno ledge tha a information provided is accurate and employees of Mason County are granted access to the above- describ Pro arty for evi wand inspection as �required. X \ Owner/Agent/Contractor(circle one)Date: �� r3 ' `0T3 Page 2 of 2 Name Charlie Roberts Parcel# 22001-24-90190 BLD# 1 4 Mason County Department of Community Development Small Parcel Stormwater Management Application/Workslheet (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. 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 1480 58 X 28 = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X = 155 X 12 = 1860 Length of drive begins at the right of way X = Parkinq 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 Sauare 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. Pagel of 2 RECEIVED 327.87' ' DEC 13 2023 615 W. Alder Street 0 30' I + I I + + w + I + K + w 1 �R100' I J to 1 SLO r 0 IT O + it L__ �� / 60'ROADWAY EASMENT I +rj / R50'10 I I I z XI I ( PROPOSED \ a I I I DRAINFIELD PROPOSED w -- -_ / — \I w `k 3 BDRM _ L J - - - PROPOSED DRIVE ` iLol J O i w 00 'co \ � 1,Jd 175r' � PROPOSED WELL \-PROPOSED / / 1 SEPTIC TANKS 327.42' SITE PLAN DIRECTIONS: ROM BRIDGE, NORTH,RIGHT ONTO EAST H ISLAND RD,STRAIGHT TO EO HARSTINE .n ��^ SLAND BRIDGE,RIGHT ONTO EAST SOUTH ISLAND DRIVE,LEFT ONTO EAST ?u'(v/ \ RSTINE ISLAND ROAD NORTH.RIGHT ONTO EAST MCMICKIN RD,LE R ONTO AST SOL BACK VEIEN RD,TO 417E ON RIGHT. egcKt�.pRo CUSTOMER: PROPERTY S E: CHARLES ROBERTS 1.25 ACRES v„w "°" ESO BACKVEIE IRO TP#: PROJECT NUMBER: mmc- I asoumcKvmIlm 220012490190 ME' wm J* E SITE ADDRESS: SRWE u 81 E SOLBAKK VEIEN RO A D " E S—H �- LEGAL: IMCNGclolllm °""� TR 4 OF SP#1649