HomeMy WebLinkAboutBLD2025-00193 SFR - BLD Application - 3/3/2025 MASON COUNTY Permit No: �]G1gaa►y
COMMUNITY DEVELOPMENT
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C0 Permit Assistance Center, Building, Planning
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Teresa Trey>dwell NAME:Hiune Homes
MAILING ADDRESS: Olympic Avenue- MAILING ADDRESS: 1130ss2nd Ave E
CITY: Bremerton STATE: A ZIP:98312 CITY:Puyallup, STATE:WA ZIP:98373
PHONE#1: 425. 785- 3.580 PHONE:253-840-1849 CELL:
PHONE#2: EMAIL :Pre-construction@hilinehomes.com
EMAIL: t:e'r. treadwe:l to omcast ..ne L&I REG #HIUNH•78a13 EXP. 4 /23/26
PRIMARY CONTACT: OWNER® CONTRACTOR ❑ OTHER[] L 1'
NAME Teresa Treadwe11 EMAIL teritrea4-4el1('I e�co''�fi'
MAILING ADDRESS 147 Olympic Ave, CITY Bremerton STATE W— ZIP U 3►Z
PHONE 1#25
CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32'C21--59-02015 ZONING
LEGAL DESCRIPTION (Abbreviated) Lot 13, BLK 2 Shore:erest FIRE DISTRICT r
SITE ADDRESS 221' East Soun v�e�wr�b
gli�X� CITY
DIRECTIONS TO SITE ADDRESS N h w Rt on
Agate pass reoad, Rt on Crestview L E HillcreSt Dr, 6 F Rs tAe,j,L E3koywi
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO [$ SNOW LOAD: 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 I$ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residence
IS USE: PRIMARY [I SEASONAL 5 NUMBER OF BEDROOMS- NUMBER OF BATHROOMS_
HEATED STRUCTURE? YES(Whole Bldg) �] YES(Part/s1 of Bldg) ❑ NO❑
DESCRIBE WORK Construction of a 2 bedroom 1 bath home
SO ARE FOOTAGE: (proposed)
1ST FLOOR gllt3 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURE *4�COPIE�SOFI THE FLOOR PLAN REQUIRED*
MAKE MODEL LENGTH
DTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER ❑ / NEWA EXISTING ❑
PLUMBING IN STRUCTURE? YES NO❑ /fyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS d PROPOSED BEDROOMS oZ---- TOTAL BEDROOMS c:;L
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)
0
X
Sig ature of OWNER (Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATF DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 2UZ -0631-f
W .
In
MASON COUNTY COMMUNITY SERVICES PermitNo:�)IL� �7 -0�
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: r CONTRACTOR INFORMATION:
NAME: I t -o5e- 1 70-eLi 1 je I NAME:
MARLING ADDRESS: �+ 7 O L i L- f v MAILING ADDRESS:
CITY:'�1e. -er STATE:_ -3) CITY: STATE: ZIP:
1s`PHONE: 11- 7 6-5- 3 5-9 O PHONE: CELL:
2nd PHONE: EMAIL
EMAIL: -1'2✓, ( v�f� G Cur�asf.r+e L&I REG# ENP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):_�Z 1 -f iq - 6,2-0 1.5 Zoning-. �
LEGAL DESCRIPTION Abbreviated):.
SITE ADDRESS: J-21 ECITY: ,�h �lnrlo.
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FDn-URES/UNTTS—Is'r FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS /
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless
Toilets �— Type of Unit No.of Units Fees
Bathroom Sink �— Furnace
Bath Tubs u Heat Pump
Showers LumbSpot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs 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 INVALIDATE THE
APPLICATION. _
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1272016 JBN
MASON COUNTY COMMUNITY SERVICES PermitNo:_?) 1 1 1W iq ?)
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)2754467- Phone Ema:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: r CONTRACTOR INFORMATION:
NAME: er05.,x- 170,'Aj'.re l NAME:
MAILING ADDRESS: �+ 7 a L ,c_ ✓ MAILING ADDRESS:
CITY:�ie_^-eet" STATE:_ : q fi 3 CITY: STATE: ZIP:
I st PHONE: i-} 21- 7&f 5_ 3<TO PHONE: CELL:
2nd PHONE: EMAIL:
EMAIL: -t'�r, vJP� -}G1� Cor�C a5l'.H e L&I REG# EXP.
PARCEL INFORMATION: �" ,5?
PARCEL NUMBER(12 Digit Number): ',3Z 1 �ri—I - 6,2-01— Zonzng.
LEGAL DESCRIPTION Abbreviated):_
SITE ADDRESS: - CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURESJ=S—I u FLOOR 2"-D FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS /
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless V
Toilets T— 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 becom es null i£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 THIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION. _
x rW.. %A
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CON-DITIONS
BUILDING DEPARTMENT —0 E C- 3-3
PLANNING DEPARTN=
FIRE MARSHAL
Rev 1/272016 1BN
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NOT AN APPROVED SEPTIC DESIGN �z�S
3� Must use SWG 2024-00317 for septic installation fi S
3j EH APPROVED �� Trees
wana+rrromp.on oaizrzozs
EH Setbacks
A.) Draintield/Reserve requires 10'setback from footing/foundations
S B.)Septic tank(s)requires 5'setback from all tooting/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
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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.
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 -4 + X AA _
X = Measurements for buildings are taken at the
X — perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways '7 X _
X = Length of drive begins at the right of way
X =
Parking Areas X —
X = Any paved, gravel or packed area per definition
X — above table
PatiosMlalks 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) I G��
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below.
im 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 evie and inspection as may be r
X Owner/ gent/Contractor(circle one)Date: �2
If the Total Impervious Surface Area is GREA HAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name Parcel. 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: 100 W Public Works Dr, Shelton,WA 98584
Physical: 100 W Public Works Dr, 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.400
Mail:415 N 6th St, Shelton,WA 98584
Physical:415 N 6th 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
Total Balance Due: $ �20 Permit M lCl 0Z5 - d6IG
Applicant:
dChecked Contractor's Registration
Who was contacted?: Date Contacted : Via Phone or Email?: Contacted by:
Other Associated Cases Fee Amount
- 000 i -7- oU
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a 1 1 r7I. v
TOTAL: $
MASON COUNTY
COMMUNITY SERVICES /
' &W 4PIam'viy EmtimmeMd Heekh CnmxnityH
Name �.Q,I^ �, ��cccl .�I Permit#: P)!
FEE CALCULATION OR -
Occupancy Type Square Footage Valuation Amount Total Valuation
(vB) (sq. ft. x valuation)
Residence/Addition/Basement f } $167.37 $ t I
Garage/Storage $66.48 $
Unfinished Basement $31.50 $
Deck $17.00 $
Carport/Cove d D ck 4A $24.00 $
Other $
TOTAL VALUATION $
Estimated Plan Review Fee: $
Planning Dept. Review Fee [$275, $450, $100]: $ ��
Environmental Health Review Fee: $ i`4ot�}
Fire Access & Grade Review Fee [$97.00]. $ —
ADD - Address Application Fee [$185.00]: $ � Vl�
GEO - Geo-technical Review Fee [$300.00]: $
ADV - Review Fee[$130.00] $ —
WAT - 'WAT Fee:
Other:
TOTAL DUE WHEN PERMIT IS SUBMITTED: $
The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning
Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees,and plumbing permit fees
will be calculated during plan review. The balance of all other fees will be collected when permit is issued.
ESTIMATED BUILDING PERMIT FEES
Building Permit Fee (ICC, Table 1 — Building Valuation Data) $
Estimated Mechanical Fees (U.M.C., Table 1-A). �3b `Ub pp
1 Z,
Estimated Plumbing Fees (U.P.C. ,Table 1-1) 06,0c)
-2 . o $ 2-
State Fee: $25 $6.50 $ Lp,
Technology Surcharge:
Other: �ntf1-C o $
Estimated Building Permit Fees WHEN P MIT IS READY for pickup: $ 1,32
('all fees subject to change w/o notice) GRAND TOTAL $ e 1
Ol 1 ,