HomeMy WebLinkAboutBLD2024-00716 SFR - BLD Application - 6/10/2024 MASON COUNTY COMMUNITY SERVICES Permit No: 5U)��`�t��I
PERMIT ASSISTANCE CENTER: RECEIVED
•BUILDING•PLANNING.PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
• Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair.(360)2754467•Phone Elma:(360)482-5269 J U A 0 70
2
4
• BUILDING PERMIT APPLICATION t
615 W. Alder Spree. C
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r
NAME: Lennar Northwest,LLC NAME: Lennar Northwest,LLC
MAILING ADDRESS: 33455 6th ave S,Unit 1-13 MAILING ADDRESS:33455 6th ave S,Unit 1-B
CITY_Federal Way STATE:WA ZIP: 98003 CITY:Federal Way STATE:WA ZIP: 98003
PHONE#1: (253)308-0265 PHONE: CELL: (253)308-0265
PHONE#2: EMAIL: Lauren.Fafiiis(,Lennar.com
EMAIL:Lauren.Fafrtis(dLennar.com L&I REG#LENNANL783JO EXP. 03/18/24 Q j
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER R
NAME Lauren Fafnis,Agent for Lennar EMAIL Lauren.Fafnis@Lennar.com
MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Fe er�� STATE WA ZIP 98003
PHONE_ _ CELL_253 08-0265
t PARCEL INFORMATION:
V1 n) PARCEL NUMBER(12 Digit Number) 12328-51-00125 ZONING
xJ/ LEGAL DESCRIPTION(Abbreviated)Olympic Ridge FIRE DISTRICT
SITE ADDRESS 111 NE Belfair Station Dr CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOR SNOW LOAD:25 00psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkan that apply):
U SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW R ADDITION❑ ALTERATION❑ REPAIR❑ OTHER tR
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) New SFR using approved stock plan#bld-)=plan 1874 A GR
IS USE: PRIMARY x SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(s)ofBldg)R NO❑
DESCRIBE WORK New Single Family Residence heated and garage unheated
J SQUARE FOOTAGE:(proposed)
J l3" 1ST FLOOR 1086 sq.ft. 2ND FLOOR 796 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft COVERED DECK_�sq.ft. STORAGE sq.ft OTHER sq.ft
GARAGE 384 sq.ft. Attached R Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUrRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES R NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES R NO❑ EXISTING SQ.FT. 1536
EXISTING BEDROOMS0 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 pennittapplication 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 f� 12/11/2023
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT Jhl— T(3
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:$ —0 01 IV
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584 RECEIVED
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352- Fax:(360)427-7798 JUN 10 2024
Phone Belfair. (360)275-4467- Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICAT16W W' Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Lennar Northwest, LLC NAME: Lennar Northwest,LLC
MAILING ADDRESS:33455 6th Ave S,Unit 1-B MAILING ADDRESS: 33455 6th Ave S,Unit I-B
CITY:Federal Way STATE: WA ZIP: 98003 CITY: Federal Way STATE: WA ZIP: 98003
lst PHONE: (253)308-0265 PHONE: CELL:_(253)308-0265
2°d PHONE: EMAIL : Lauren.Fafnis tniLennar.com
EMAIL: Lauren.Fafnis@Lennar.com L&I REG# LeNNANL783JO EXP. 03 /18 /24
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12328-51-00125 Zoning:
LEGAL DESCRIPTION(Abbreviated): Olympic Ridge
SITE ADDRESS: 111 NE Belfair Station Dr CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING New Single Family Residence
LOCATION OF FIXTURES/UNITS—1 ST FLOOR X 211D FLOOR X BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 2 Heat Pump 1
Showers 7. Spot Vent Fan 4
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove 1 Fireplace/Stove
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 1 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-ae���, -� 12/11/2023
Signature of 61wrier Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT JrL Q'f s-
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
TCE BUILDING SETBACKS:=INSTALL TEMP. CONST. ENTRANCE FRONT: 10' SIDE 5' REAR: 10'
TSS =INSTALL TEMP. SOIL STOCKPILE
S15'12'45'E 50.00'
---------342-----__ - PROPOSED �r
`-------340------ CONTOURS
' ---334--------------
I
BSBL TSS
"' (TYP) I I 'n
r r
I PATIO
9 6'
HS 125 EAVE
PROPOSED BUILDING
b I SFR b ENVELOPE
o I I o
LO
NLO
I I
1874A
GARAGE R
n
16' l z
CONCRETE
9' DRIVEWAY g'
9 PORCH I _ SS STUB
STORM
STUB — -INV
--- I T o
1 N SOIL AMENDMENT NOTE:
... ::... ....
o ` ' SEE BMP T5.13 "POST CONSTRUCTION
TCE SOIL QUALITY AND DEPTH", WSDOE
N15'12 50.)0,: :; STORMWATER MANAGEMENT MANUAL
Wt� FOR WESTERN WASHINGTON.
�2 vA SIDEWALK POWER TRANSFORMER SETBACK NOTES:
----- 1. MINIMUM DISTANCE FROM ANY POWER
TRANSFORMER TO ANY DOOR, WINDOW, ON ALL
INSTALL SILT FE CE, �' NON-COMBUSTIBLE MATERIALS SHALL BE
STRAW WATTLE, OR 8-FEET.
FUNCTIONALLY EQUIVALENT NE BELFAIR STAMON DR 2. MINIMUM DISTANCE FROM ANY POWER
TRANSFORMER TO ANY COMBUSTIBLE WALLS OR
LOT SIZE = 5,750 SF ROOF SHALL BE 10-FEET.
IMPERVIOUS SEPARATION NOTE:
ANY PORTIONS OF STRUCTURES WITH LESS THAN
TOTAL IMPERVIOUS: 2,044 SF (35.5%) 10-FEET OF SEPARATION SHALL BE FIRE RATED.
ROOF: 1,698 SF
DRIVEWAY: 304 SF FLAT WORK NOTE:
WALK: 33 SF LOT COVERAGE = 1,698 SF (29.5%) FLAT WORK IS SHOWN FOR ILLUSTRATIVE
PATIO: 9 SF (INCLUDES EAVES) PURPOSES ONLY. FINAL CONDITIONS MAY VARY.
Job Number ° 10 2° 40 LENNAR NORTHWEST LLC.
21885 srob 1'_20'
Barghausen OLYMPIC RIDGE
Sheet p, Dbdggs W Kent, 98032 Consulting Engineers,Inc. HOMESITE 125
18215 Avenue South10 PARCEL NO. 12328-51-00125
1 of 1 Date 12/11/23 425.2S1.6M barghausen.com 1 111 NE BELFAIR STATION DR, BELFAIR, WA
FIIe:P:\21000s\21885\lot\21885—Olympic Ridge—Plot Plons.dwg Plot Date/rime:12/11/2023 1:53 PIA DBRIGGS
Name Lauren Fafnis,Agent for Lennar Parcel# 12328-51-00125 BLD# 0]h
V
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'.
'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 =
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.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: 12/11/2023
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
,Al.
Name Lauren Fafnis,Agent for Lennar Parcel# 12328-51-00125 BLD# V I
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) 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) X 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
100 W PUBLIC WORKS DR
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
615 W ALDER 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 Lauren Fafnis,Agent for Lennar Owner/Agent/Contractor(circle one)Date: 12/11/2023
Page 2 of 2
WAT 4' _- 0
415 N.6'h Street
MASON COUNTY Shelton.WA 98584
COMMUNITY SERVICES Shelton:360-427-9670,Ext.400
Belfair:360-275-4467,Ext.400
Bu"n%Planning.EnvironmentalHeahh Community Heahh Eltna:360482-5269,Ext.400
Application for Determination of Water Adequacy
Instructions
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
Name on Applicant:Lauren Fafnis,Agent for Lennar Northwest,Inc Date: 11/7/23
Mailing Address: 33455 6th Ave S,Unit 1-B,Federal Way,WA,98003 Phone: (253)308-0265
Parcel Number: 12328 21-MOO:12328-24-00000 parent parcels'For Future HS#125
Type of Water System Reason for Application
® Public/Community Water System (2 or more ® Building permit�LVa(7-]L�,0 Y
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 pS�ystem
Name of Water System:_ G� � 0.7t r V3 �t t`-'-
Water Facility Inventory(WFI) Number: C&- S'U
(write"none"for two-party)
12 1 am the manager of this water system.The water system has been approved for m services.
There are presently— 245--connection(s)in use.This will be the 2{yconnection.
❑ 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 a Iml set by state and local regulation.
Signature of Water System Manager Date ( { .20,2A
This form may be scanned and available for public view at www.co.mason.wa.us.
J:\EH Forms\Drinking Water Revised 4/4/2018
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.uslplanning 14_ 15_16_22_
Water use or limitation recorded................................... N/A Yes
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.
i:i 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
This form may be scanned and available for public view at www.co.mason.wa.us.
Face 2 of 2
400516
415 N.6TH STREET,BLDG 8,SHELTON WA98584
MASON COUNTY SHELTON:360-427-9670.EXT.400
BELFMA:360-482-5269,EXT 400
COMMUNITY SERVICES
-�.:.. EU :360482- 6 ,EXT.400
Building,Planning,Environmental Health,Community Health FAX:360-427-7798
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
Applicant Lauren Fafnis,Agent for Lennar Northwest,Inc Date: l 1/7/2023
Mailing Address: 33455 6th Ave S,Unit I-B City,state,zip: Federal Way,WA,98003
Site Address. 111 NE Belfair Station Phone: (253)308-0265 �1
Parcel Number. 12328-51-00125 Permit Number
Part 2: Sewer System Information
Name of Sewer System: Belfair [1� Site Plan attached?
Official use only: Sewer System Manager or Designated Employee is to complete.
IJ 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.
❑ I have reviewed the applicants information and have determined sewer connection is currently NOT available to this property.
((( Please add the following condition(s)on the corresponding Mason County Pen-nit(optional)
_Must meet all Mason County design and construction standards, must pay all fees
including:connection fee with permit and inspection fee, and Latecomers charge(TBD).
Richard Dickinson t —t� 1119/23
Printed Name d+System Manager!Employee Signature of System Managed Employee Date
Part 3: Mason County Public Health Review/Approval
❑ Satisfactory ❑ Unsatisfactory
Signature of Environmental Health Specialist Date
This form may be scanned and available for public view on the Mason County Web Site.
REVISED ar✓san