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BLD2024-00928 SFR - BLD Application - 7/30/2024
Permit NO- A V�q_ OA��" AM& MASON COUNTY RECEIVED qWCOMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning J U L 3 0 2024 BUILDING PERMIT APPLICATION SYeet co PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:BARBARA HARVEY NAME:GREENPOD FABRICATORS - MAILING ADDRESS:2673 t'A^'Nadm Way MAILING ADDRF SS:WG RO—v"It st. CITY:SEND STATE:OR ZIP:-03 CITY:PonTmn1Nnd STATE:wA ZIP:983Sa PHONE#1:207-235.9520 PHONE:r")301-9Ee6 CELL:NrA v PHONE tit: EMAIL:ANNOGREENPOD.DESIGN EMAIL:babsinmameggmad.com L&I REG k#GREENFL853OD om 01 29 2026 �r PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHEREJ z NAME UICROEDER EMAIL LLICOGREENPOD.DESIGN MAILING ADDRESS 2420 12TH AVE SE CITY OLYMPIA STATE"+A ZIP98501 PHONE 919,49.9m CELL NA E. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)32424-22-OOM ZONTNG RR-6 LEGAL DESCRIPTION(Abbreviated)TR 4 GOUT LOT t d TAX wir-D S 3424D S 40/1 FIRE DISTRICT t7 SITE ADDRESS 51 N.HIDDEN COVE LANE C I Ty LILLIWAUP DIRECTIONS TO SITE ADDRESS FROM SHFi TON-NORTH us H1NY 1o1 NORTHROUNo TURN RIGHT ON N.HIDDEN CAVE LANE PARCEL ON LEFT IS THE PROJECT WITHIN 300 FT OF SLOPE(s)GREATER TITAN 14%: YES© NO❑ SNOW L04D:___sf IS PROPERTY WTTHLY 200 FT OF THE FOLLOWING: rt h wt arrrn rr YPt�1: SALTWATER EI LAKE❑ RI-vMCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW© ADDITION❑ ALTERATION❑ REPAIR❑ OTHER R USE OF STRUCTURE rResirtaw.s G .V..Conera.rlrtWdp.EKJ RESIDENCE IS USE: PRIMARY❑ SEASONAL Q NUMBER OF BE-DROOMS?_NUMBER OF BATHROOMS t HEATED STRUCTURE? YES,irwrrmg) YES(P—[,jglB1rrAl0j NO DESCRIBE WORK NEW-SFR-SINGLE STORY RESIDENCE ABOVE UNHEATED STORAGE SQUARE FOOTAGE:,p gro,ed) 1 ST FLOOR 400 sq.ft. 2ND FLOOR D sq. L 3RD FLOOR O sq.ft. BASEMENT O sq.ft. DECK 15 sq.ft. COVERED DECK 80 sq.& STORAGE 280 sq.ft. OTHER sq.& GARAGE O sq.1 Attached❑ Derached❑ CARPORT O sq.ft.Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: •4 COPTF,S OF THE FLOOR PLAN REQUIRED- MAKE MODEL YEAR —LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGFi'SEWER SOURCE: SEPTIC© SEWER❑ NEW© EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO❑ Ijres,attach completed Wafer AdequaevForm PERIMETEWFOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.Fr. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 OWNER adtnowledges 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.inducing 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 penniVappication becomes null 8 void*0 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 APPLICATIOWC64 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON r \ COUNTY CODE 14.08.42) X07/28/2024 Signature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDMONS BUILDING DEPARTMENT Gfr PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No: MASON COUNTY I�JED RECE COMMUNITY DEVELOPMENT JUL 3 0 2024 Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION 615 AJCIW S�-eet OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:BARBARA HARVEY NAME:GREENPOD FABRICATORS MAILING ADDRESS:2673 NW Nordeen Way MAILING ADDRESS:sob ROOSEVELT sT CITY:Bend STATE:OR 7IP:97703 CITY:PORT TOWNSEND STATE:wA ZIP:98365 1"PHONE:207-233-MO PHONE:360.301.9686 CELL: NIA 2'PHONE: EMAIL,:ANNCGREENPOD.DESIGN EMAIL:babslnmainecamail.aom L&I REG##GREENFL65MG EXP. 01 29 2026 PARCEL INFORMATION: PARCEL NUMBER(12 oot umber):32424-22-00040 Zoning:RR s • LEGAL DESCRIPTION(Abbreviated): TR 4 GOVT LOT 1&TAX 667-D S 34/240 S 40/1 SITE ADDRESS:51 N.Hidden Cove cn. CITY:LILLIWAUP DIRECTIONS TO SITE ADDRESS: FROM SHELTON: NORTH US HWY 101 NORTHBOUND TURN RIGHT ON N. HIDDEN COVE LANE. PARCEL ON LEFT TYPE OF JOB: NEW QADD=ALT=REPAIR=OTHER=USL:OF BUILDING LOCATION OF FIXTURES/UNITS—I sT FLOORQ 2ro FLOOR=BASEMENT=GARAGED OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS TyM of Fixture No.of Fixtures Fees Fuel Type:Flectric ✓=.PC'(Natural Gas[�Ductless0 Toilets 1 Type of Unit No.of Units Fees Bathroom Sink 1 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 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 permittapplication becomes null 8 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 APPLICAT ON. X L_G z /l0 ea 07/28/2024 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS BUILDING DEPARTMENT — (O-a-;z, PLANNING DEPARTMENT FIRE MARSHAL bW2d 2 Ll0425 EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundationsr=z- .2 B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30fL downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within5011,down gradient of Drainfield/Reserve area J� • j owe EH APPROVED o Rhonda Thompson 0812=024 d tit -.. W VICINITY MAP Uj HEATED AREA SUMMARY o ' SO.FT.SUMMARY 3 f o MAIN FLOOR LEVEL 400 SF r TOTAL HEATED AREA 400 SF t x - y a c LOWER LEVEL STORAGE 200 SF t COVERED DECK AND PATIO 80 SF s 9 SITE SUMMARY E nor -S,P IMPERVIOUS AREA rroteaarsee tE HOUSE ROOF: 672 SF (4 DRIVEWAY AND PARKING: 1144 SF TOTAL IMPERVIOUS AREA: 1816 SF a€j NOTM SITE AREA: 0.31 ACRES a 1 bEPTIC SYSIEM IS E%ISTRKi AHD APPROVEp 13503.6 SOFT s } 3.ALL WATER 11NE6 TO YAIMANJ•10 SETSagc i0 All SEPTIC COLPONENTS. Barbara Hervey PERCENT SITE COVERAGE:>0.14/ _ 51 N. Hidden Cove Ln. = a} L1111waup, WA S5555 babe(nmaineggmail.com Stormwater features we propose Include: I. A vegetated strip downeteam(east)of the drivewey length dlopsesd driveway run-off _ 201 -233-8520 2. Foundation drat%serving the entire house routed to a single dNllghted dipersion point Mid __ _ 3. Two roof downspouts serving 612 of of roof disehargirg in two dlpemion points Q @ga description Ail dispersion points will discharge on to a native downhill path of at least 50 feet in length g TR 4 GOUT LOT i t within the subject parcel and uphill of all septic system components. TAX 661-D SITE PLAN S 34/240 S 40/I The number of downspouts as Follows (blZ SF of Q Mason county Impervious area/downspout)required-1.20 downspouts. Co APN-- 32424-22-00040 scale: A3 N4 HB 0.3100 ACRES PApE 2 Name R&J(b Vf,, �-1 CuYV�J 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 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 Building s X 1220 X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = 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) D 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 thatte information provided is accurate and employees of Mason County are granted access to the above- described property f revi w and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 7713(2-[�-14 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 f Name Y byk Parcel# 3�y ��f 'a�n2—QQ Q BLD#02a� 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 14.48.70).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 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 1 AttEIVED MASON COUNTY 1 r COMMUNITY SERVICES DEPARTMENT bVrLDI-IV6•PLANNING•FIRE P14RSHAL JUL 3 0 202y ldg 8,6t5 W.Allot St Mason county B ShaMon, vA 98584 wwvr.co.mason.wa.uo 36Q-127.967D e�ct 332 6�5 W. Mar Street f'crsrit aU Property Owner's Authorization Letter I cqe> BARB_ A_ RA HARVEY - Tina;',of C r1 L 1;.v7 r s,IZm,/Firm/Organi.-afion) Hereby Authorize: LUC ROEDER /4pplic0trt-Nome of Person to Sign Permit) Representative of: _ GREENPOD DEVELOPMENT (Apphcant Compel?),Name/Organiratlon) To apply for,sign,and pick-up building permits for the following proposed work: NEW (SFR) SINGLE STORY RESIDENCE ABOVE STORAGE APN: 32424-22-00040 (Brief Description of Work to be Done) Job Location: 51 N. HIDDEN COVE LANE, LILLIWAUP WA, 98555 (Property Sue.A ddressj As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above.All work performed must meet all provisions of:he Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or not.Residential Cortractors are required to have a current State of Washingtoa Contractors License(RCW 18.27). po�akpv 07/28/2024 (Properry Owner Signature) ----- (Date; RM 9Vj0'-20i6jtb0 ACCESS & GRADE INSPECTION BLDC ADDRESS: INSPECTOR DATE OF INSPECTION: FIRE SPRJ2gKLER REQUIRED? (circle) NO YES IF fire sprinkler required,was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS 311-111-4 ( ) Z 673 /�/!c 6-1need post at access of driveway with reflective address numbers ,, y Length: Width: Surface: J�r�n�i�s ruL. Size of turn-around: vFu,kG�i ice% T1i � Condition of shoulders: jNY7/ Vertical clearance: GRADE OF DRIVEWAY 13,61 �z� %, OF ROAD % ROAD ACCESS Length: Width Surface: Condition of Shoulders: Vertical clearance: (_} BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE UGA-NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES Z X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: