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Home My WebLink AboutBLD2024-01354 ADV2024-00158 Addition - BLD Application - 11/13/2024 MASON COUNTYAll Permit No: �1 G COMMUNITY DEVELOFMEN'1 = Permit Assistance Center, Building,Planning NOV 13 2024 BUILDING PERMIT APPLICATION 615 W. Alder S*vW PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Robert&Teresa Brunswick NAME:KHS General Contractors LLC MAILING ADDRESS:10704 NE 45th PI MAILING ADDRESS:PO.sox 1661 CITY:6othel STATE:WA ZIP:98011 CITY:Hoodspo" STATE:WA ZIP:96546 PHONE#l:206-794.6789 PHONE: CELL: 2s3 973 5849 PHONE#2:4253754623 EMAIL:superhrk@hotmall.comIL:bbrunswick2@gmail.c EMAIL: L&I REG#KHSGEGC838BZ EXP. 01 /09/25 PRIMARY CONTACT: OWNER 0 CONTRACTOR E] OTHER❑ NAME HenryKostelecky EMAIL superhrk®holmail.com MAILING ADDRESS P o Box 1661 CITY Hoodspon STATE WA ZIP 98548 PHONE CELL 2539736849 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 422165100144 ZONING R RS LEGAL DESCRIPTION(Abbreviated) LAKE CUSHMAN#10 TR 144 S 53/50 FIRE DISTRICT 1$ SITE ADDRESS 191 N Kokanee Bluff CITY Hoodsport DIRECTIONS TO SITE ADDRESS take 119 to lower lake road turn Ift onto kokanee ridge follow to kokanee bluff turn right site at bottom of hill on left IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[a SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apple): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,F.tc.)Residence IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_I HEATED STRUCTURE? YES(Whore Bldg)El YES(Parris]of Bldg)❑ NO❑ DESCRIBE WORK Add 26 x 16 addition to existing structure SOUARE FOOTAGE: (proposed) IST FLOOR 416 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK l00 sq.ft. COVERED DECK 00 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ 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 0 SEWER❑ / NEW EXISTING El PLUMBING IN STRUCTURE? YES E] NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOQ EXISTING SQ.FT. EXISTING BEDROOMS 1 PROPOSED BEDROOMS 0 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 permittapplication 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 C DE 14.08.42) 011 Signature of OWNER(Must be signed by the OWN ) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 12- -N PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: D PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 NOV 13 2024 400 Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Sheet PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Robert&Teresa Brunswick NAME:KHS General Contractors LLC MAILING ADDRESS:10704 NE45th PI MAILING ADDRESS:P 0 Box 1661 CITY:B-1tie1 STATE:WA ZIP:98011 CITY:Howw- STATE:WA ZIP:WW I'PHONE:206-79"789 PHONE: CELL: 253 973 5849 2nd PHONE:425-3754623 EMAIL :superhrk@hotmail.com EMAIL:bbrunswick2@gmaii.com L&I REG #KHSGEGC838BZ EXP. 01 /09 A5 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):422165100144 Zoning: LEGAL DESCRIPTION(Abbreviated):Lake Cushman#10 Tr 144 S 53/50 SITE ADDRESS:191 N Kokanee Bion CITY:Hoodsport DIRECTIONS TO SITE ADDRESS: take 119 to lower lake road turn left on to kokanee ridge follow to kokanee bluff turn right site at bottom of hill on left TYPE OF JOB: NEW=ADD=AL•I=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— IST FLOOR=2NoFLOOR=BASEMENT=GARAGE=OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG[�Vatural GasODuctless[211/ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump 1 Showers Spot Vent Fan 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 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 1 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 CONTINUIAIXION OFT IS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV 6ATE TH�A!Tlt TION. X 4Siafu—re of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT— PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN \ TOPOGRAPHIC SURVEY FUR VERTICAL DATUM ROBF.RT & TERESA BRUNSWICK A59U•ID bA'AT COfI®t OI M-06-JAC ; \ IN LAKE CUSITYAN NO 10 PARCEL NO. 42218 51 00144100146 STTE ADDR12iS 191 N KOKANEE BLV?V HOODSPORT. ■A 08.548 Y: ®� CURVT TABLE HOT LOT `, ��.• a ADOppSFO ! �j 10.�., v SON "�-_•'__.:;, U. - -ej / A I RF.FTRENCE SVRVEYS LOT 146 NOTES r- UESCRIYTION _.. r • PROJLTT BENCHMARK v LEGEND /6 ® TOTAL LOT AREA: 11751.2 SF (E) IMPERV:House,Deck,Garage, Drive,Parking 2539.0 SF NEW IMPERVIOUS 638.0 SF TOTAL IMPERVIOUS 3177.2 SF (27.0%) TOTAL ROOF AREA: 1467.6 SF 7.5' 30' go, 2 F- ROOF DRAINAGE Az O DOWN SPOUTS TO SPLASHBLOCKS 0 15' 60' SITE SCALE:1"=30' SITE PLAN OWNER: Bob&Teri Brunswick scale:I"=30' a�Do�—f'� ADDRESS: 191 N Kokanee Bluff Address: 191 N KOKANEE BLUFF HoWsport Washington 98548 HOODSPORT WA 98548 PHONE: Parcel: 422165100144 Zoning: RR-5 w Name 172Y'VXSW iC — Parcel# ��V'S�'DD�'7� 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 surface2. '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 = �JU A X = o D 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 acknowle at the info ion provided is accurate and employees of Mason County are granted access to the above- described pr a for revie may be required. X Owner/Agent/Contractor(circle one)Date: / 1 3 If the Tota Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowl ge and sign the information provided on page 2 of 2. Page 1 of 2 Name al/ c� I C'ik' Parcel# �ap 4 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: 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/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 fmal 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 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv ,;?o;4 - CAS Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves andgutters. Applicant/Owners: K DIDE,14'A 7R V f SA, E"S 7 I CL Mailing Address: � 1(�o4 NE7 _45Tq �� 0�'�l�Q.�� v),A T8011 City: State: �}� Zip: Telephone: �n��4-O eO �J Email: b j0M w I c LR �l�• (,aw7 If this reduction is tied to a building permit,please give permit case number. BLD A O14 - LDS 355 Parcel Number(s): 42 f 1g 5/-iM9k4 Zoning Site Address: 191 N . �u ' L111�-�f Requested setback variance: \ ft. El Front Side tf d►� -"5 l / /" J ►yl et,4S ft ❑ Front ❑ Rear Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. FRONT ATO OR REAR YARD REDUCTION RE UESTS: For existing lots f record as of Marc 002; You must meet on f the fo wing: 1) One of the followin fists on the lot(check all that apply): ❑ a) steep slo , we ds, or streams present; ❑ b) soils at restrict bui ' g or septic development; ❑ c) 1 width at the front yar e of no more than 50 feet; Uf lot size of no more than one h acre; e) existing improvements of buildin septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ® d) lot size of no more than one-half acre; 1� e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. Yi�miaAl id !&IM4 em r es' u, i�m4,Q 'Y4 . Owner/Agent(please indicat /l Signature "Date/ Official Use Only Approved by: Date I �� Denied by: Date Reason for denial: