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Ribbons By R C5 Gas Pip ng Date B y F+�tuit anon waft Date' .. :�t .:By Set-up . Date. B WULATION . Date B B G I Slab 1.I� tion Floors 'Find Date Oq 7 By Date By Date By 1 FRAMING Wars FIRE DEPT Date B Date 2--Af— es B /Z Date B PLUMBING , Attic 1111`4,U'1i OTHER Groundwork Date B lhADlrhkl�r«c�c Date O% p By KL5' WALL APZD NAILING D.W.V. Date n21=16S By Date _A =o,�—B Tj FINAL fNSPECTION . Water Line Date B �i Date By Date BBY pro a�f T Ua¢ rat- Aw TgTov- .t. �'' ASS �^� ,•E' T ` �. . .8 ti 2 Lvov rr� if�.�/� it . �Cri�/ �L AAA0W RLs 2 �,d �L lea 5K111- SA45W cu 3�2 W? "/ S' 1 _ 8131 0 5 is _ r9prAiuy' FICnK. � ` ` I I�LYp cL107-6 a! 5 FIE A-P_ACL t:o trN WWC0V#Lff lOIIllrat t'l6AaE HMae IMRD PERMIT NO.: MASON COUNTY l G I ff BULOW POW APPLICATION aew&wrrrt► rN, wA tt m 409 ' APPU CANT o A Commc,"A�Im aver A 0 c«*adorNwn - Address cty zio cay sate zip Code Ph. - Ph.( ) _Other Phl I t ieNTIMe F1Wder Contractor Reg./ Addles A7ER Mum INFORMATIO"onnect to P*N Sepic eptic CwMact to Sewer System Name of Sewer S�rstem �YYater System Name of Nhtar PARCEL.M O IA 1 dips Tax No.74 I ist Fie g (r I�1Cw Loom 0irictlide sweeAle KeG ly t name. number Direaioris to aNe W■timber bo cot tirq, ' In preparation?[Y Is tm t�v vaft a a tM foMnwi V:Body a water �B21;�o�Mt Gc7 V P Sallvwler� Labe Wvs dCft* Pond Welland ftasmd Runoff Stream Slopes or lEABOWILfitMIDSMQ TYPE OF JOM Neely.Ildd AR_R"* ow �of Q Deac&o Vftk , No.at A a A m n rAL.2,t#D.of Bothrmom V SQUARE FOOTACE-Ist Floor i 7Q0 2nd Fbor 9rd me _SrBmwwM AoMor&mDe carport— s&,ed Detached n MOO"HOME NFORMATION-Make Model Model Yew V� Lenoth VVkMt_SwrW No. No.of Bedrooms No.of eattiroorris T Rrdwse Pilo i �RepM w vmt tJnN 7(YtsMo O —Cedubpow lttnnca� JOMULLivoorwj"WOt AUnKW4meDtsttdr wtMUSDAYSeR! tvtlaltYl/ t�Nt NM ORAWatONDl 4 . Qf1MQIlYiATANYTMEIIFM11EwOlrtlaWMtM ► ,J PIIooFt 11pM of tM01YL R W r1EPM CF A PROWtNMMP6C7101L 71r owww w pet ee wiww's MIwK wI *dew V aMbntdiw� �t►i4a�wM wiM son"ww—Ms d MasarCwlMy aeons to ew d- dueelN propMly ei Wwettwws for aviwt a�W d o4*k p L Aelawwbdgm k ar wah k by dawrtww Mbar: GVMM*AVWAW4$WW*Mt.w..npttleiwew ON* C0WPACTMMAFFWAWr4cwWVWIwnauwrW4narwiwss CaYwtltl M�w4MR1aN/aZ7eeainowaattlwowhwiwe oaiwalxInN 9hftaf adbo,ndhtiww sfawadwi� wgla�rAalM tilrprlwbbwwAderlwwoAtwaMaorwb' na e -1 0 IswwatlorWMahwsvwmbbw.a.awwwk eeMrwwaos2mWML IMdwrps dwI ba wm a w�IYai dlw In eww Yh ewMwairwn aw wA%.Ph,- - MW bt nwAlw fwA Appow. Brat alairip�ppad. odR X� WA Dd. FOR SE BEYOND THIS pp Sl;POvL/— Accepted by D SubMMI Amount Doe ( Rwoeipt No. mom occ -t Two constr V-I/ , a- ' PMnnino Enviramm"Hu M DepaMneM P tft warns Depalww Fire Marshes r vatu m"t 8utidicg Patlyd Fee 8M YsSeoft pd Flow"Fee M Rawd1w Fern P "ft a moo Fee nmft tae*M Few 7 IMdta ' 'A Bsea Fee Orwt WbodlCaas~81ore Fee abide Fee Motalfoe Few PwPam d BubmMW UTALFEB MASON COUNTY DEPARTMENT OF HEALTH SERVICES May 1 T, 2004 PO BOX 1666 SHELTON, WA 98584 SHELTON (360)427-9670 FAX (360)427-7798 ELMA (360)482-5269 TODD JENSON BELFAIR (360)275-4467 30840 49TH CT SO SEATTLE (206)464-6968 AUBURN WA 98001 Case No.: BLD2004-00661 Parcel No.: 122323100060 Dear Applicant: Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: Application for Water Adequacy Water bacteriological analysis. Well Log Please call me at(360)427-9670, ext. 279 if you have any questions. Sincerely, Amanda Reynolds Environmental Health Mason County Health Services Comments: 5/13/2004 1 of 1 BLD2004-00661 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �x Planning Division P O Box 2716 Shelton,WA 96W (300)1274670 REQUEST FOR ADDITIONAL INFORMATION May 13, 2004 TODD JENSON 3t �'(Ei ', THE 30840 49TH CT SO AUBURN WA 98001 PARCEL RCEL t-i,.E Parcel No.: 122323100060 r/ *�1 Project Description: GARAGE WITH ACCESSORY LIVING SPACE Dear Applicant: You have submitted a permit application (case no. BLD2004-00661)for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360)427-9670, ext. 360 if you have questions. Sincerely, �� Grace Miller Land Use Planner Mason County Planning Department 5/13/2004 1 of 2 BLD2004.00861 REQUEST FOR ADDITIONAL INFORMATION 5/13/2004 �, Case No.: BLD2004-00661 comments: ur building permit application's project description states "garage - t porary living space". Please submit a brief written plan for .` mporary occupancy of the garage and intent for its use once a r: primary residence is constructed. Staff would like to take this opportunity to explain that if the garage may be used as an accessory �r living quarter once the residence is constructed, an approved Shoreline Substantial Development Permit would be required. The accessory living quarter would need to meet the enclosed criteria of the Mason Q County Shorelinen Master Program. Staff wanted you to be aware of the criteria during your planning stage of development. You could apply for the shoreline permit at this time or in the future Which would allow time prior to the construction of the residence. If that is not the future Intended use of the garage, please let us know and the garage building permit will be conditioned and inspected to reflect temporary use at your specified timeframe in conjunction with the primary residence's construction. Staff will explain the shoreline permit process further and give you the application forms if you are interested. Please let me know. Your Geotechnical Assessment has been forwarded to the Public Works department for their review while your building permit is being reviewed in our Planning Department. Thank you. 5/13/2004 2 of 2 BLD2004-00661 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Division P O Box 279,Shelton,VITA 96584 (360)42749670 $Ito Inspedlon April 15, 2004 TODD JENSON l � � 30840 49TH CT SO AUBURN WA 98001 BE KEPT IN THE Case No.: PARCEL FILE Parcel No.• Project Description: SUITABILITY FOR BUILDING SET BACKS FROM SALT WATER COVE Dear Applicant Pursuant to your appiication,a site pre-Inspection(SPI)was pedbnned on your property. Below you will find comments made regarding the proposed development and Its critical values. In some cases,setbacks for development from shorelines, sleep slopes,streams,and wetlands must -be Included In your specific proposal;these setbacks are included as part of the comments listed below. This information Is based on County and State regulations as they exist to date. These regulations may change and may affect the requirements for development of the subject property. Please contact me at(360)427-9670,ext 286 if you have questions. Sincerely, Scott Lonclanecker Land Use Planner Mason County Planning Department 4/15/2004 1 of 3 SPI2004-00087 TO BE K"'i i f - G � c Site Inspection 4/15/2004 t' i L&e NO.: SP12004-00087 comments: Pre-inspection for Todd Jenson: The subject lot is between 2 and 3 acres and heavily forested with evergreens. Some clearing will need to be done to open a building site. County permits would not be needed for tree removal as long as cutting is not done within the shoreline buffer. A DNR Forest Practice Permit may be needed for timber harvest, however. Contact the DNR South Puget Region office regarding timber harvest permits. The zoning designation for the site is Rural Residential 5. Standard building setbacks for this zoning are a 25 foot front yard setback, and 20 foot side and rear yard setback(lot line setbacks). These setbacks are measured from structures above grade such as roof overhangs (roof gutters), and other structures/ appurtenances, including heat pumps etc. Other setbacks can apply when critical areas are present such as streams, wetlands, steep slopes etc. The Mason County Shoreline Master Program designation is Urban. Shorelines: The shoreline of the property is a cove off of Case Inlet. Shoreline setbacks and buffers are required per the requirements of the Mason County Resource Ordinance and Shoreline Master Program. Generally the setback for both sets of regulations are determined in the same manner. If shoreline residences are located within 150-feet of the subject property lot lines, the shore common line is used to determine the shoreline setback(see R.O. section 17.01.110 D.2). The shore common line is usually found by drawing an imaginary line between the most waterward rooflines (drip lines)of the two adjacent homes. In this case there is no adjacent residence to the NE and the home to the SW is within 150-feet from the subject property lot line. The common line in this case would be drawn from the most waterward projection of the adjacent home (generally to the SW) to a point 100-feet landward of the ordinary high water mark along the north /northeast lot line. This point was measured with the applicant during the site visit. There appears to be adequate room on site to build a home and appurtenant structures while meeting this setback from the shoreline. This will also provide a reasonable setback from the steep slope along the shoreline. The first 15-feet of the shoreline setback/buffer would be considered a building setback area and remainder the shoreline a natural shoreline buffer. No structures, including decks are permitted forward (waterward)of the shore common line. Slabs at grade, landscaping.(lawn) etc. are also permitted within the 1.5-foot building setback area. The remainder of the shoreline 411512004 2 of 3 SPI2004-00087 Site Inspection 4/15/2004 Case No.: SP12004-00087 setback/buffer would be c:onsidered'a natural(vegetated) shoreline buffer. An unpaved, 3-foot wide trail is also permitted within the shoreline setback and buffer. Tree limbing for views is also permitted. See Resource Ordinance section 17.01.110 for other standards,particularly sections F. and G. Geological/landslide hazards: Slopes on and near the property approach 40% near the shoreline. At minimum a Geological Assessment will be needed to evaluate slope stability for development proposed within 300 tit of slopes on site over 15%. The report must meet the requirements of the Mason County Resource Ordinance section 17.01.100 E.4. The report must also state that the hazards of the landslide area can be overcome in such a manner as to prevent harm to property and public health and safety, and must also assure the project will cause no significant environmental impact. See Mason County Code 17.01.100, E7. Streams/wetlands: No streams or wetlands were observed. No other critical areas were identified. If you have any questions please call. Thank you. 4/15/2004 3 of 3 SPI2004-00087 May-19-04 07: 54A albevtsons #483 253 288 0195 P_01 TO BE KEPT IN THE PARCEL FILE May 17th,2004 Mason County Planning Department, Attention Grace Miller, We plan to live in our garage temporarily until we are able to build our new home. We estimate the time frame in the garage to be approximately one year but less than two years. We will not use the garage as a living quarters after our home is complete. The plans for the garage after this time is for vehicle parking, R.V. parking and extra storage, as well as a work shop. Parcel number. 122323100080 Project Description: Garage with.Temporary Living Space Case number. BLO2004-00861 sincerely, Todd Jenson and Sue Jenson e xfi m z m0 Dz 3 = m z n " kv r c ; ( .• �: , Z r I - fb, �j. ID In ID i Yam' oS� P _ "o P - qP 01. CP Ail n Q f I /ti ... ,... , -MASON COUNTY DEPARTMENT OF HEALTH SERVICES Environmental Health - Personal Health PO BOX 1666 SHELTON,WA 98584 LOCAL(360)427-9670 BELFAIR(360)275-4467 Application for Determination of Adequacy FAX(360)427-7798 Instructions ft Per" .. , PART 1: Applicant/Parcel Identification Name of Applicant Date ©`f Mailing Address Telephone ,�3 Assessor's Parcel Number 3/ — aw� D Type of Water System (Check One): Reason for Application (Check One): ❑ Public/community water system(2 or Building permit more connections) X New ❑ Private Two-Party ❑ Replace Existing Structure �Q( Individual well(one connection) ❑ Land use application,if so... Well ❑ Division of land ❑ Spring/surface water #of parcels? ❑ Other(explain) SPH2 - ❑ Boundary line adjustment ❑ Other(explain) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System Name of Water System Water Facility Inventory(WFI)Number: ❑ The water purveyor has filed a letter granting blanket hookups to this water system ❑ I am the manager of this water system The water system has been approved for services. There are presently connections in use. This will be the connection -f u` i water system is able and willing to prove a water to this(these)connections wi ou't�ding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date HAWELLIWATERAD3.WRDOC Update:March 22,1999 Individual Water Well O Water well repod(attach to ap�ation) Depth ft. Vol", 13 Well capacity test(attach to application) gpm Vd e well&fHer o p forms we capacity tests at a time t e we is construct est r is om these tests are rioted on the water well.report. Results from these tests will be accepted f the water well report cannot`be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of drawdown and recovery data, must be Performed a licensed contractor. 0 Satisfactory bacteriological test(attach to application) Individual Sprinourfaee Water ❑ WDOE WR perniit,(attach to application) ❑ Method of Disinfection ❑ I have reason to believe that this water source can provide at least 800 gallons per day and/or provides water at a rate of 2 gallons per minute based on the following observations Author of Statement Date Relationship to applicant In addition to providing the above statement,the applicant will need to arrange an on-site inspection by the health department prior to determination of adequacy. Departmental use only. Do not write below this line. } z 4 Di _ 'TE io ate to nte - F ndeA ter ind1t' kvih '77777 der res r DE t appear ALAiL '. needs o e ) ti PAI HA WELL IWATERAD3.WP.DOC Update:March 22,1999