HomeMy WebLinkAboutBLD2024-01177 SFR - BLD Application - 10/1/2024 MASON COUNTY Permit No• 0 4-0/'77
.. ECEIVED
COMMUNITY DEVELOPMENT 00
Permit Assistance Center,Building,Planning OCT 01 2OZ4 C
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Teresa Hougland NAME:HiLine Homes
$ MAILING ADDRESS:33 Vaiderama Drive MAILING ADDRESS:306 South 4th Street t�s
CITY:Laguna vista STATE:TX ZIP:78578 CITY:SaL-p STATR WA ZIP:98583 Z
PHONE#1:253-229-8260 PHONE:360-482-4224 CELL:
PRONE#2:253-229-BM EMAIL:Info.Satsop@HilinsHomes.com j
EMAIL:Teresa048@6ve.crm L&I REG#HILINH"769J3 EkP.04/23/26
PRIMARY CONTACT: OWNER El CONTRACTOR❑ OTHER❑
NAME T—bland EMAIL Teresa048@Itve,c4Dm
MAILING ADDRESS 33 Valdarama Drive CITY sh,+— STATE INA Z(P98584
PHONE 253-22mso CELL 253-22slm
-------...-- --......... ---- —-- ------—
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)120195000018 ZONING--undeveloped Land
LEGAL DESCRIPTION(Abbreviated)Smith Cove Div,#1 Lot:18 FIRE DISTRICTS M--Ft.eras
SITE ADDRESS200 E Smith Cove Way CITYShelton
DIRECTIONS TO SITE ADDRESS FromH.w"°"dRdscum,Tim1°rrf"Pt"'Rd.Th°"nm,wa-s"anC—w°y.Properly1.t c*dMdr°1rA
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 1.4%: YES❑ NO❑ ". OW LOAD:R'7.-psf
j IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: ichm-kaumar apph9:
SALTWATER E] LAKE❑ RIVER/CREEK❑ POND❑ WEI-LAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW EI ADDITION❑ ALTERATION❑ REPAIR❑ OTIIER ❑
j USE OF STRUCTURE(Recidmxv,Gaime,Cadme iat Bldg.Err-)Residence
IS USE.,: PRIMARY E] SEASONAL❑ NUMBER OF BFDROOMS3 NUMBER OF BATI(ROOMS 1 314
IIEATED ST'RUCTURF.? YES(w1wd B x)E1 YES O-11,1481dgl❑ NO❑
j DESCRIBE WORK New built of 1491 square toot single stay home(New Construction)
SQUARE FOOTAGE:tpr p.,d)
1 ST FLOOR 1491 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.&
I DECK_ sq.fL COVERED DECK140+60 sq.ft. STORAGE sq.ft OTHER sq.ft.
GARAGE484 sq.fL Attached❑ Detached[ICARPORT sq.11. 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 E] SEWER❑ NEW(] EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ !firs,attach completed Water-Adequacy Form
f
PERIMETER/FOUNDATION DRAINS PROPOSED? YESP NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges Ihat submission of Inaccurate information may result In a stop work order or permit revocation.Acknowledgement of such Is by
signature below,1 declare that I am the owner and I further declare that 1 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 prolea The owner or legal
jrepresentative,represents that the information provided is accurate and grants employees of Mason County access to the ab VO described property
and structure(s)for review and inspection. This permlVappliration becomes null G void if work or authorized construction is not commenced within 180 S
days or if construction work is suspended for a period of 180 days.
I 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
3 COUNTY CODE 14.08A2)
X t '')�
�,c y 1
gnature of OWNER st be sinned by the OWNER Date
e
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSANOTESICONDITIONS
BUILDING DEPARTMENT DEC
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No:
MASON COUNTY
COMMUNITY DEVELOPMENT RECEI -:7)
Permit Assistance Center, Building,Planning
OCT O t _,_ .
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W.Alder Sbr �i
OWNER INFORMATION: CONTRACTOR INFORMMATION:
NAME:Teresa Hougland NAME:HiLine Homes
MAILING ADDRESS:33 vawarama Drive MAILING ADDRESS:306 south am street
CITY:Laguna Vista STATE:Tx ZfP:78578 CITY:satsop STATE:wA ZIP:98-W
1"PHONE:253.22"2so PHONE:3w-4824224 CELL:
2nd PHONE: EMAIL :Info-Satsop@hU.eHomes.Com
EMAIL:Teresaoae@rive.com L&I REG#HawH•76s.m EXP. o4 /23 /26
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):12o19W=18 Zoning: 5(RRS)
LEGAL DESCRIPTION(Abbreviated):smith core Div.#1 Loa_18
SITE ADDRESS:200 E smith cove way Shelton WA 98584 CITY shetton
DIRECTIONS TO SITE ADDRESS:
From E Harstine Island Rd. South, turn left on Pt. Wilson Rd. Turn left on E Smith Cove way.
Property is located on the left.
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING Residential
LOCATION OF FIXTURES/UNITS—1 ST FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTI IERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=PG=Natural Gas[�Ductless=
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace
Bath Tubs t Heat Pump 1
Showers x Z Spot Vent Fan 3
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher t Kitchen Exhaust Hood 1
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 1 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 (� wloo�' �� I l lay
ignature of Own Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 )BN
PLN Approved Plot Plan
10/10/2024
Mason County Community Development Gavin Scouten Teresa Hougland
All Changes Subject to Approval
Parcel # 12019-50-00018
Disclaimer
Mason County does not require surveys for 200 E Smith Cove Way
building.As a result,site plans may not reflect
accurate data.It is the applicant's responsibility jLn��y l
to comply with setback requirements. \ tJ Lz?�( —I
\ Scale: 1 " = 40 feet
EH Setbacks
A.) Drainfield/Reserve requires 10'setback from tooting/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
EH APPROVED
Rhonda Thompson 12/05/2024
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5' min house
to tanks
PLN SETBACKS
s,
Front (SW): 20'
Sides: 10'
Rear: 20' `�1
'all setbacks measured from the farthest
projection of the building
*subject to EH setbacks '
Plot Plan
Teresa Hougland
Parcel # 12019-50-00018
200 E Smith Cove Way
1 )L IP,0R4 - 011
Scale: 1 " = 40 feet
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NameTeresa Hougland Parcel# 120195000018 BLD# 2pZ4-0 117777
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Storm rater 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:
hW//www.co.mason.wa—us/code/cominissioners/index.htin
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) 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/drainBeld 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 Owner/Agent/Contractor(circle one)Date,
Page 2 of 2
t �
NameTeresa Hougland Parcel# BLD#
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 surfacez.
'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.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X
50 X 50 = 1975 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
X _ above table
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) 1975
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:
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
r Department of Labor and Industries
t I I, IL,II i POMES
PO Box 44450 t I�ii�:,
Olympia, WA 98504-4450 ,,fa �;��'y, ,�I; Reg: C�C��T�TNH*769J3
[)L3 f,:i6.01-58441'617
R gktered as pr aided by Law as:
`mistmcdon Contractor
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