HomeMy WebLinkAboutBLD2024-01236 SFR - BLD Application - 10/17/2024 Permit No: W��a���1-0 2(
-Aft MASON COUNTY - RECEIVEDCOMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning OCT 17
2024
BUILDING PERMIT APPLICATION
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Alex Sterner NAME:Modem Dwellings
MAILING ADDRESS:4355 SE Bear Tree Ln MAILING ADDRESS:25566 OR-34
CITY:Port Orchard STATE:wA ZIP:98367 CITY:Alsea STATE:OR ZIP:97324
PHONE#I:206-491-7324 PHONE:503-880-6664 CELL:
PHONE#2: EMAIL:erick@modemdwellingsinamm
EMAIL:stemer.alexander@gmail.mm L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Kali Light(Applicant) EMAIL Kalli@relevantbuildings.mm
MAILING ADDRESS 15903 Park Place Ct CITY Oregon City STATE OR Zip 97045
PHONE 360-903-7470 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 42209-54-00068 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) LAKE CUSHMAN#17 FIRE DISTRICT#18
SITE ADDRESS 100 N Mountain View Or CITY Hoodsport
DIRECTIONS TO SITE ADDRESS Property is located on N Mountain View Or between N Beaver Dr and N Fairway Or W.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM El
TYPE OF WORK: NEW I] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Single family residence
IS USE: PRIMARY❑� SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg)❑� YES lTanfsjojBldg)❑ NO❑
DESCRIBE WORK New single family home with deck.
SQUARE FOOTAGE:(proposed)
I ST FLOOR 160 sq.ft. 2ND FLOOR O sq.ft. 3RD FLOOR O sq.ft. BASEMENT O sq.ft.
DECK 39 sq.ft. COVERED DECK 173 sq.ft. STORAGE O sq.ft. OTHERO sq.ft.
GARAGE O sq.ft. Attached❑ Detached❑ CARPORT O 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❑r SEWER❑ / NEW EXISTING❑r
PLUMBING IN STRUCTURE? YES El NO❑ I,fyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. 0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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 permitlapplication 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 7/18/2024
gnature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT �_ /I�ZS-
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PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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EH APPROVED A. DrainfiekYReserve requires forsetback from footing foundations
Rhonda Thompson 11115*024 B.)Septic tank(s)requires S setback from all footing/foundations
—•--t--•• .a —•�••--_•{^-- - r ..; C.)No foundatiorvPerimeter Drains within 30fl,downgradlent of
t Drainfield/Reserve area
i_ D.)No Cut Banks)(greater than 511 and over 45 degrees)within
nl scea�M ��, 50n•down gradient of Drainfield/Reserve area
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Permit No:
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT 2024
�"F Permit Assistance Center, Building,Planning 615 W. Alder$tlet
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Alex Sterner NAME:Modem Dwellings
MAILING ADDRESS:4355 SE Bear Tree Ln MAILING ADDRESS:25566 OR-34
CITY:Port orchard STATE:wA ZIP:98367 CITY:Alsea STATE:OR ZIP:97324
1st PHONE:206-4s1-7324 PHONE:503-8e0-6664 CELL:
2nd PHONE: EMAIL, :erick@modemdwellingsinc.com
EMAIL:stemer.alexander@gmail.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):42209-54-00066 Zoning:RR5
LEGAL DESCRIPTION(Abbreviated):LAKE CUSHMAN#17
SITE ADDRESS:too N Mountain view or CITY:Hoodsport
DIRECTIONS TO SITE ADDRESS:
Property is located on N Mountain View Dr between N Beaver Dr and N Fairway Dr W.
TYPE OF JOB:
NEW 0 ADD=AL'I=REPAIR=OTHERS USE OF BUILDING Single family residence
LOCATION OF FIXTURES/UNITS—1 ST FLOOR=2ND FLOOR=BASEMENT=GARAGES OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric0 PG0Natural GasODuctless=
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs 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 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 7/18/2024
igna a of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT �iLZr"
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
Name Alex Stemer Parcel# 42209-54-00068 BLD# 0?4 -Q
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.
'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 =
House+ Deck 24 X 16 = 384 Measurements for buildings are taken at the
Shed 12 X 10 = 120 Perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X =
Driveway 30 X 15 = 450 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 =
Propane Tank 2.5 X 2.5 = 6.25 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) 960.25
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: 1 0/16/2024
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 I of 2
Name Parcel# BLD# 2 oa4- o t a,3 la
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) 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/drainficld 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