HomeMy WebLinkAboutBLD2024-01226 SFR - BLD Application - 10/16/2024 to c� v - ���c.p
MASON COUNTY Permit No:
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning vut— Zo2 - WV_
BUILDING PERMIT APPLICATION
(6 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:AB Fine Homes LLC NA
]y)E:AB Fine Homes LLC RECEIVED
v MAILING ADDRESS:871 E Beach Or MAILING ADDRESS:871 E Beach Dr
Q CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:9859?n n1: , 2024
I PHONE#1:360 898 0055 ext 3 PHOI� �
:360 898 0055 ext 3 CELL: Cr
PHONE#2: EMAIL:amanda@alderbrookproperties.com
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH8090B EX.ZV�/ QT er Street
O PRIMARY CONTACT: OWNER I] CONTRACTOR E] OTHER[] w
NAME Amanda Montgomery EMAIL amanda@alderbrookproperties.com
MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA ZIP 98592
PHONE 360 898 0055 ext 3 CELL
^ PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32104-50-00091 ZONINC,RR5
LEGAL DESCRIPTION(Abbreviated) ALDERBROOK GOLF&COUNTRY CLUB LOTS:91-92-P FIRE DISTRICT 6
SITE ADDRESS 141 E Jack Pine Ln CITY Union
DIRECTIONS TO SITE ADDRESS Right on Manzanita,turn right onto Jack Pine Ln,6th lot on the left hand side.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO❑ SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (checkall that apply):
i SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW El ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Resideeee,Garage,Commercial Bldg Etc.)Residence
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(WholeBldg)Q YES(Part[s]ojBldg)❑ NO❑
I
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❑ CARPORT sq.ft. Attached❑ Detached[3
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 0 SEWER❑ / NEW El EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOE] 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 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 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)
10/11/2024
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
If PUBLIC HEALTH
fo A
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
.BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St- Shelton, WA 98584
www.co.masonma.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
I`PHONE:360 898 0055 ext 3 PHONE:360 898 0055 ext 3 CELL:
2'PHONE: EMAIL :amanda@alderbrookproperties.com
EMAIL:amanda@alderbrookproperbes.com L&I REG I$ABFINFH8090B EXP. 11/1424 /
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):32104-50-00091 Zoning:RR5
LEGAL DESCRIPTION(Abbreviated):ALDERBROOK GOLF&COUNTRY CLUB LOTS:91-92-PCL 35 OF BLA#02-48SEE SURVEY 30/83-100
SITE ADDRESS:141 E Jack Pine Ln CITY:Union
_ DIRECTIONS TO SITE ADDRESS:
�- Right on Manzanita, right on Jack Pine Ln, 6th lot on the left hand side.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residential
LOCATION OF FIXTURES/UNITS—IST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric ✓=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"Aqt-� 10/11/2024
Signature of Owner Date
I
I DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
I.
FIRE MARSHAL
Rev:1/27/2016 1BN
178'6.42"
WP ` S 50 ,20'32" E 1
120 GAL LPG '
DRIVEWAY
HEAT PUMP
1
160
'-81/2„ 3
57'-9 3/4" ► 1 `r° CO
v
v
DR ELL �- / m
l
JACK PINE LN.
o - - . GOLF COURSE
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= O
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1 Cb 2-bZ A -vtte-52
1 1 1 1 000
co un
1 1 1 1 rrnn
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1 1 1 1 In !z
N 49 A3'28"W
182'3"
1 LOT 17-141 E. JACK PINE LN.
Scale. 1 - 30 ft APN 32104-50-00091
178'6.42"
WP ++ S 50 ,20'32"E 1
♦ + +'�++0 20 GAL LPG
DRIVEWAY ♦ ♦ 1
♦ HEAT PUMP
♦ ♦ 1
♦ 160'-a 3
iz„
57'-9 3/4"
III
DR ELL 11 r
7 1 W
JACK PINE LN. A
o }}i GOLF COURSE
A o L 12
0
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m . I =
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1 1 1 1 00 0 mV„
1 1 1 1
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1 I 1 1 7 �±
N 49 ,43'28"W
1823' EH APPROVED
Rhonda Thompson 11/15/2024
LOT 17-141 E- JACK PINE LN. �Ic1 Zo2� - as
Scale. 1 = 30 ft APN 32104-50-00091 EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B. Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30f1,downgradient of
DrainfiekUReserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area