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HomeMy WebLinkAboutBLD2007-00484 Final SFR DDR2007-00094 - BLD Permit / Conditions - 10/25/2007 W r (n Z -0 O (� � � � 20 CD m v -� O �CD O o4 o w v < ci y m - 3 0 (A m o m m N m * 2) < CD T. TI 0 i- (n m D (Un y (D C) m m m CD o z Cl) a) (n r- z 0 to cf) x m -n 0 z 0 y °' m ° � a�omnz z a (Q Om (nOm � a)y .. c - w zxcn � x m 8 D 2) (D 3 D NOOO O O a o D N m D 2 c Z fJ m m m M -4 z D =3 � o m cn = D OD co 0 m 0W � D a C CDmm � `° � cn Cf) U) m cn z 0 < m -4 (n (n o z � � n 0) _ m CD v CD m m c�D o W o 0 0 m (TD < ET N N ' m a 0 co co n rn N CD 0 CD 00 (D (n Z m CD o 0 0 Z w C> ' " O O 7CL d A (O N ai y ti .n. 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Fail Dabs Date Done By Comments coo CD oo(; scJcrPd,' G.sS b +s� of (e o-lTs� G+cl v y -2/o -Z727 1,1 CD a 8 F !' j4et/ /3B7 0-1 U7n- Seems -- k M a� W-Z3 c�7 �S-z$-a� �J C_ y 4 � i -FA 0 I?O A jD CU :ten iJ jVrttlle R Ilin Address Home # - 75.3- j� Work # � r ►n 1 11 1A A. J � Prrol,erty Location byes C� 3/�� Cell # �jal Address T5 I_tiR �3v� /��'v -!?1 ✓ --Sec a-?-__ T Lat# tq?7�— County, 5tate o f LO 4S 5� c�D�pS �y►3 Trrsnnr 1„ovcn�,.+�n�r,r►ug�.r n r „� 3�! rflu»3„�,�,,cr�rx,cowrTsfcu SALE: ~ _ > ovE�Ertts 7ri 7I E SITE T.tt R��)IS gEyq�UIE TO @t Tniufm IY11I7 Y f �RTSH Ni TTE COW E;i 1A018 �l#5 '69Q Ep5E7EA( MAD ,jE WITH 11 is A-,ut 1)W a .LOT 60►Est1J4F3 Y4 AwM5 wl IH AIRIS 5 A.,4tJ Al T OE ME-AMROwM BY TI1E � 1pEp pf MON TIE AMYSA"UNDfiA Am • �1 � WhfER SI6t+i u © - % / W IER s�sNrt3uuF _# /4F, D�7 J �v 4p i XtST!w�Cr • �y�' � tip` .NO y a a vi fit¢,�a ��� ���\ � cs �PSP' fASTWc� � m � scfitc. C� ro o PLANNING �<' PLANNING : ALL SETBACKS ARE MEASURED APPROVED FROM THE FURTHEST "�)ON COUNTY DCD PLANNING PROJECTION OF THE BUILDING h ITE PLAN REQUIRED To BE ON SITE ES SUBJECT TO APPROVAL By Date �Q 7 k"L• nil. MASON COUNTY PERMIT NO (50 BUILDING PERMIT APPLICATION -S cq W3 no'7 1 426 W. Cedar- P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467- Elma (360) 482-5269 On the web www.co.mason.wa.us � APPLICANT INFORMATION CONTRACTOR IN O 11 RMATION Owner John L_ t ev-tn/fi Company Name it j- l y)es l ry. Mailin Address 0591d Mailin Address 1-303 3eD G City State�L� Zip Code City State Phone 57 I —Zip Code_ Other Ph. �(ob"�53'g117(o Phone r ' Other Ph. Lien/Title Holder Contractor Reg. # Ex . E mail address E Mail Address p Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic___.( Connect to Water System - Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. a2 ►2Z �5z+r 10 Legal Description T5• ZI N 03W SPC 2-7 ,. LOT I o C- Fire District ,, Site Address (Please include street name, street number and irections t site l lal) 0 t Will timber be cut and sold in parcel preparation? Yes/No Is property within 200' of Saltwater Lake River/Creek - Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes o TYPE OF JOB - New Add Alt Repair Other PRI j)RY RESIDENCE SEASONAL ❑Use of Building Describe Work d r I 1 I+- -.No. of Bedrooms No. of Bathrooms_Square Footage- 1 st Floor I Z 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage CQQ_ Attached. 4—Detached Carport Attached Detached MANUFACTURED HOME FO ATION - Make Model Year Length Width Ser o. No. of Bedrooms No. of Bathrooms Type of Heat ur se Price$ Replacement Unit? Yes/No Installer Name Certification No. OWNER/BUILDER Acknowledges 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other parry in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.PROOF F CONTINUATIO OF WORK IS BY MEANS OF A PROGRESS INSPECTION. _ X Z �1 Date: l'Z-l S'74 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: JAq u Date DEPARTMENTAL REVIEW AP ROVED DENIED EE�E . C I NOTES (� Building Department Planning Department vary AOOLO—000 Environmental Health Department Public Works Department Fire Marshal m FEES Building Permit Fee Site Ins pectic, Plan Review Fee 421-3 EH Review Fee Plumbing & Base Fee PO 5�" PlanningReview Fee 195. 9s 5�o��C �"c-E 07 Mechanical & Base fee 0 / Other O q Wood/Gas/Pellet Stove Fee State Fee • $-01 Violation Fee 0 F Pre-Paid at Submittal Valuation $ q7 y� r TOTAL FEES �S.�rS MASON COUNTY PERMIT NO.1LOO!] DO�I PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360)427-9670•Belfair(360)275-4467•Elma (360)482-5269 On the web www.co.mason.wa.us APPLICANTINFORMATION CONTRACTOR�*IOATION. Owner !j LIWGZ iL Company Namel IMailin Addres d - Mailin Address 13 SW City State 414-Zip Code 98 51 CityJ a Phone ✓t o-y�_J-311-1 Other Ph.�-�31 Phone _3 7 _ State �LtL Zip Code [Z Lien/Title Holder Other Ph. Contractor Reg. # Exp E mail address . E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic_-,__ Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No. 3212'I S,I Coto Legal Description 2 W Fire District Site Address(Please include street na e,str et umber a d city kV Lc25+ r✓�1,( Lt� 515 ire,ptions to site �-! 10 p u L fi e Is property within 0'of Saltwater Lake iver/Creek e5 CI Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Pond TYPE OF JOB- New Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor_<,_ 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. Fixtures Fees Fuel Type:Electric_LPG—Natural Gas_Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks �_ Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER Acknowledges 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF CONTINUATIO OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X llz4u Date: I2�J�IDTo Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b Planning Pd Ck# Date Bid Pd Receipt No. DEPARTM NTAL REVIEW APPROVED DENIED NOTES Building Department Occ Grou T e Constr. Planning Department t�C2,� Environmental Health Department 1 FEES Plumbing & Base Fee Site inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES j MAR 2 3 2007 4, MASOIV COUNTY NOWN P11Q11CW0RK�DEPAFtTMENT OF COMITY DEVELOPMENT 411 N. Fith Street/P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 DDR Rec'd by Request for Adminiistrative Variance for Reduction in the Required Se cks ($100.00) 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 proiection of the structure including roof eaves. "a O Applicant/Owners: , n k n L L A rA M I C. 0 M n Mailing Address: �,�D � �A i✓` �'�J\f F m � 1 -4 Telephone : � � D - 7S��- P /a �� � E� O `� S`�� � � 17 'Tl1Z City: ��1 �n 12 i� State: 1 J,4 Zip: ( PS16 rn rn If this reduction is tied to a building permit, please give permit case number. BLD Parcel Number(s): Zoning WP-5 Site Address: to Requested varianc : Front Rear/ Side Yar (please circle all that apply) Requested setback variance: :�Q yc ft. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. The following circumstances must apply: FRONT AND OR REAR YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following: (Please circle all that apply) One of the following exists on the lot: 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-fourth acre; e) existing improvements of buildings, septic systems, and well areas. CLUSTER]_HOME_SERVER\HOME\COMMON\PLANNING\PAC\FORMS\DDR.doc Created on r . 1 SIDE YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following. (Please circle all that apply) 2 One of the following exists on the lot: a steep slopes, wetlands, or streams present; 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; exist ng improvements of buildings, septic systems, and well areas. Explain ,iow these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. .nUe To `LvD a ST►-eR -, e+'I'A Scot- C lD All a✓1 Z wr�v I like -to PegOfST �ao� t YA L=t Sf7 b19C Ir o F api _t'j e C'T S► e c/A V, 4 rt© 5- Owner/Agent (please indicate) Signature and date Official Use Only Approved Date Denied _ Date Reason for denial: \\CLUSTERI_HOME_SERVER\HOME\COMMON\PLANNING\PAC\FORMS\DDR.doc Created on