HomeMy WebLinkAboutBLD2024-01434 SFR - BLD Application - 12/5/2024 MASON COUNTY COMMUNITY SERVICES Permit No: -0IO2-1 - 01 q3'-{
PERMIT ASSISTANCE CENTER: _
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ^ N E D
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elma:(360)482-5269 DEC 0 5 2024 CZ
BUILDING PERMIT APPLICATION 615 VV. Alder Stree
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Marcy Goldstone NAME: Coval Homes
MAILING ADDRESS: 3377 Bethel Road SE MAILING ADDRESS: 2023125th Street East
CITY: Port Orchard STATE: WA ZIP: 98366 CITY: Tacoma STATE: WA ZIP: 98455
PHONE#1:206-537-6799 PHONE: 253-693.4446 CELL:
PHONE#2: EMAIL : miranda@covalhomes.com
EMAIL: marcykgoldstone@gmail.com L&I REG# COVALHL894QD EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Kurt Russell EMAIL acsitemanagement@gmail.com
MAILING ADDRESS 912 N Montgomery Ave CITY Bremerton STATE WA ZIP 98312
PHONE 360-801-8325 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122185200016 ZONING RAP Residential Platted
LEGAL DESCRIPTION(Abbreviated) Lakeland Village#14,Lot 16 FIRE DISTRICT 18
SITE ADDRESS 50 E Virgil Drive CITY Allyn
DIRECTIONS TO SITE ADDRESS N on Hwy 3 turn left onto E Homestead Dr,turn right on E Old Ranch RD right on E Sterling Dr,Left on
E Soderberg Rd,Right on E Virgil Dr,left at the Y,property is 320 feet on the Right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO [a SNOW LOAD: 25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E] ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) Residential
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bidg)❑ YES(Part(sl of Bldg)® NO ❑
DESCRIBE WORK Build a new single family home with attached garage.
SQUARE FOOTAGE: (proposed)
I ST FLOOR 1800 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 328 sq.ft. STORAGE sq. ft. OTHER sq.ft.
GARAGE 787 sq.ft. Attached❑x Detached❑ CARPORT 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 ❑ SEWER x❑ / NEW x❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES x❑ NO ❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES [a NOD EXISTING SQ.FT. 0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS x
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 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 I v r November 14,2024
Signatur f OWNER (Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: III ,i .;) - In i`I 4
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
www.co.mason.wa.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:Marcy Goldstone NAME: Coval Homes
MAILING ADDRESS:3377 Bethel Road SE MAILING ADDRESS: 2023 125th Street East
CITY: Port Orchard STATE: WA ZIP:98366 CITY: Tacoma STATE: wA ZIP:98445
1It PHONE: 206-537-6799 PHONE: 206-693-4446 CELL:
2n1 PHONE: EMAIL : miranda .covalhomes.com
EMAIL: marcykgoldston@gmail.com L&I REG# COVALHL894QD EXP.
PARCEL INFORMATION:
R-1 P-Residential Platted
PARCEL NUMBER(12 Digit Number): 122185200016 Zoning:
LEGAL DESCRIPTION(Abbreviated): Lakeland Village#14,Lot 16
SITE ADDRESS: 50 E Virgil Drive CITY: Allyn
DIRECTIONS TO SITE ADDRESS: N on Hwy 3 turn left onto E Homestead DR turn right on E Old Ranch RD Right on
E Sterling DR,Left on E Soderberg R,Right on E Virgil Dr,vere left at Y,property 320 feet after Y on Right.
TYPE OF JOB:
' NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE
LOCATION OF FIXTURES/UNITS—1 ST FLOOR X 21"D FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Ty-pe of Fixture No. of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace t
Bath Tubs 2 Heat Pump 1
Showers 1 Spot Vent Fan 4
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 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 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 jNVALID ATE THE APPLICATION.
X Kurt Russell,AC Site Management,Authorized Agent for Marcy Goldstone 14 November 2024
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 18N
"p 1d, 61LHq
R-2 Zoning
Front yard-15 feet.
SITE PLAN PREPARED BY: Side yard-5 feet,or less with review and approval of an
AC SITE MANAGEMENT,LLC administrative building variance,see Section 17.10.460.
acsitemanagement@gmail.com Street side yard-8 feet
360-801-8325 Rear yard-10 feet.In cases when the rear yard abuts a
right-of-way,the primary structure setback shall be 20 feet.
Property owner: Marcy Goldstone Garage doors-20 feet with roll-up door,or 5 feet from an alley or
private drive.
Address:50 E VIRGIL DRIVE
ALLYN,WA 98524
PARCEL:122185200016 Disclaimer:Mason County does not require a
survey to obtain a building permit.As a result,site
plans may not reflect accurate data.It is the
applicant's responsibility to comply with setback
requirements.
TNPublic sewer and water
SCALE V=20' EH APPROVED
Rhonda Thompson 01/27/2025
12/23/2024
E Virgil Drive
APPROVED
MASON COUNTY DCD PLANNING
507T 2LIEDY A P
Digitally
signed
scott Ruady by
Scott
Ruedy
WATER METER
^ 20'Front SNba k
Water line to house
utilities to home
7•
Covered Porch 2W I J
p.
2W
SEWER CONNECTION
22 Proposed 3
bdrm SFR
Covered Deck TA
Driveway/parklnp area
�� �¢ !', Clean�out for sewer lirw-
7'Side set back
Z
T.t
Approximate G&4er
Location
220' \ T Side SelDack
T•
77.0' 1t0'-0'
20'Rear Setback
v
O I
Name re- one— Parcel# 1,202 1 TL2 OOC/6 BLD#
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:
httpHwww.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 14.418.70).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/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
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-
describe roperty f review an tion as may be required.
}{ /"-� 9`` Owner gent/ ontractor(circle one)Date: /4 1�OVI,2y
I
Page 2 of 2
se
Named1z),r G f Dr41GParcel# 12 Z/1 C�Z DO U/f 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 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 = s 96
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) J�7b
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 1 of 2
I
SITE PLAN PREPARED BY:
AC SITE MANAGEMENT, LLC
acsitemanagement@gmail.com
360-801-8325
Property owner: Marcy Goldstone
Address: 50 E VIRGIL DRIVE
ALLYN, WA 98524
PARCEL: 122185200016
IN
SCALE 1"=20'
E Virgil Drive
WATER METER
20'Front Setback A
�O
Water line to house
I
Utilities to home
4
Covered Porch 235'
230' ;
x '
SEWER CONNECTION
7�10„
225' Proposed 3 ;
bdrm SFR '
Covered Deck !TA-
Driveway/parking area
Clean out for sewer line
7' Side setback
�, '
i
T/L
Approximate Grinder
Pump Location
220 T Side Setback
,
w
20'-0" 20'-0"
20'Rear Setback
119'+/-