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LOT 314,HAVEN LAKE,AEON C'4 OF PLATS,PAGES vI
TO 136,RECORDS OF MASON CCUNIY,WASHING70N.
(SEE WARRANTY DEED AS RECORDED LNDEIR / !
AUDITOR'S FILE NO.174904) LTI
� REFERENCE :SURVEYS �
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1eyp� PREVIOUS
5000K 13,RAW 19,ISO?K 2 PAGE 216,
Q? BOOK 24,PAGE IM AND ISOOK 33,
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lPl i/ BEE SHORT FLAT NO.1597.
♦p3��3g l�l/ - �_ SEE SURVEY BY 810 BECHTOLT BOOK Z
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SURVEY COOK 39 PAGE 6A
ALL RECORDS OF MABpr COUNTY, q
W4SHMGTOM �7
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............................................. .•...•.. .....•....••.•...•. M R48 OCT,2013 13-100
NE 1,14,BW V4
....................... ...... ............ SECTION 30,TOUNSHIP 23 NORTH,RANGE 2 ILEST,UK cr4m er eGM_e amw
m+rTr'uomcR ClRTIFIGITt N0.esst OCH 1'•4b' I cr I
Request To Revise An Approved Plan
Permit Number: BLD-16 i y - 00`I 5 Name
Parcel Number as 33c - 50 - 603 l Lf Phone Number daytime (3L-.D ) t4 7 5- D l 9 7
Project Address Mailing Address
Please provide a omplete, a description of the proposed-rev"s tot approved plans:
Alct k �CIS�I
Are two sets of the revised plans or addendum indicating the changes included? , Yes ❑ No
Are the approved site plans included? ❑ Yes ,EI'No
Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? e Yes ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? X10yes ❑ No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
Yes ❑ No
ditional Info' ation: n k.,�A Con:binr_�
1
Applicant's signature �-..�
Date: �f- Z 57, Z v I y
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
LL Additional Valuation: $
4&4A Sq.Ft.0 x$ $ 7, o0
�Ul�j — S1 l,L. LU0� ASq.Ft.�_x$ 29.� $ D9,_'D
otal New Valuation $
Additional Fees:
Additional Planning Dept. P$$
Additional Plan ReviewAdditional Conditions/Comments: Additional Building Permit 3�. zo
_
Q aA=e2 6&L(_ 0 g Additional Plumbing $
pn 4l L , J _ Additional Mechanical $
Additional E.H.Dept. $
Other $
Total Amount Due: ZO
Amount To Be Paid Up-Front$
Name,n\ l (� C�/� Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management ApplicationJWorksheet (page 2 of 2)
Based Upon the information you have provided a Stormmwater 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:
httD//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 14.49.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 Size Plan
on the pages that begin with"Handout"
PLEASE EQTL4L BELOW TO INDICATE THE STOR- WATER MANAGEMENT PLAN FOR THIS SrrE
A) The Storm-
water relevant details from Managing Storm Drainage on Small Lots, e Sma11 Parcel Stormater Site Pl=will be installed
in eeir 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 14.49.130)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 park,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
OwnerBuilder/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.
Cvmer/Agent/Contractor(circle one)Date:
Page of 2
Name 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
matte 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.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphatt paving gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of storrnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
,. T�i-- a cr lafe:Irrl -eivi us 5'u ces.: feasa.: i ete:Ttais Tab1Q''
P.-
Surface Type Length X Width = Area All dimensions in feet
Buildings X =
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 ff,the total mpervious area of the proposed-site
X = - developmert is.greater than.2DDD square feet a-
Small Parcel.Stormwater. te.Pian i§ Required.:__
Total'Impejvious.Surfaae 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 H NOT required for this development activity.
O,AmarBuilder/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 Dwner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER TRAIN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
�bso� c�Nrt MASON COUNTY < <
PERMIT NO.F:2
DEPARTMENT OF COMMUNITY DEVELOPMENT O ���
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-44467 Belfair ext.352
185a PO Box 279, Shelton, WA 98584 (360)482-5269 Elma ext.352
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:��i��Prn�n�� �Dt1n�e� NAME:n PJ
MAILING ADDRESS: -haoe cr1✓e Ate, MAILING S: s'
CITY: STATE:_ZIP: 9X.2Xf CITY: STATE: ZIP:
PHONE:,3bb ?� ,of 9rl CELL: N R PHONE: CELL:
EMAIL �.,I�ee non ��c,n�a� j�(eT EMAIL:
L&I REG# EXP.
PARCEL INFORMATION: /
PARCEL NUMBER(12 DIGIT NUMBER) .3 - - O d 3/-/ FIRE DISTRICT
LEGAL DESCRIPTION(ABBRE TED) &e 4c h;&A
SITE ADDRESS = CITY
DIRECTIO S TO SITE ADDRESS -cc� z 92
o4-1 r W an
1/ tle
EL
IS PR ERTY 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO�R
TYPE OF JOB: NEW )n ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)00.CQ G� ��i k LOSA
IS USE: PRIMARY Q SEASONALU NUMBEA OF BED OOMS NUMBER OF BATHROOMS_
DESCRIBE WORK7j�4� �A u) ar cc 4 p
SQUARE FOOTAGE:
(��� eeS /SIB'
1 ST FL'OR U d sq.ft. 2N) FLOOR-11!&Q— 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❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or pen'%xQvocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,od18o t to
declare that I am entitled to receive th(s permit and to do the work as proposed. I have obtained permission from all then 9lsaV-E
parties, including any easement holder or parties of interest regarding this project.The owner or authorized agentp�g�r�s is that the
in provided is a rate and grants employees of Mason County access to the above described property'aMa�StIR f r
msp $n. i i tion becomes null&void if work or authorized construction is not cgr�rgenced within T
f`c6n's{r GcTio is suspen ed a period of 180 days. PROOF OF CONTINUATION OF WORK'tg� �191E� fi
INSP TION. IRA rk OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. ^R S r
` Signature Ap icant
X UO a +NNIGPI qf� OWNER REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
"" rF MASON COUNTY + PERMIT NO.&-,.VZ01 Zpr`�S,3
DEPARTMENT OF COMMUNITY DEVELOPMENT
L BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: fi Illy ncan,I DOh NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP. CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—lsr 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 Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs '�� Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL �j7 SD
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 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 thqthe information provided is
accurate and grants employees of Mason County access to the above described property and structures)f e a �jj is
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if cof oT rX,
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION TIVITY OF THIS
�
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 2 3 2014
Signature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
MASON COUNTY Mason County Permit Center Use:
DEPARTMENT OF COMMUNITY DEVELOPMENT DDR'_�O 1q zff25�p
411 N. Fifth Street/P.O. Box 279,Shelton WA 98584
360.427.9670 ext. 352 Date Rcvd
Request for
Administrative Variance for Reduction in the Required Setbacks ($115.00)
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 projection of the structure,
including roof eaves and gutters.
Applicant/Owners:
Mailing Address: /v
City: y I State: (.�/� Zip:
Telephone: .34 0 2-1_57 O 19 `7
Email: At u L L ntn/ 6�ro,y c Q s
If this reduction is tied to a building permit, please give permit case number.
BLD 2�e 14 - b O L/�,3
`z--3 O �- S—D — O 0 3 i Zoning
Site Address: 4,00 /V'r /''qy [n/ LAk� � �. /Afiu �,A 04 9.US8
Requested setback variance: `A
S ft. ❑ Front ❑ Rear B/Si a
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. -� $4 IL d'45 Fit.
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.
IACommunity DevelopmentTAOVARIANCES\Admin Variance.doc Edited on 7/16/10
FRONT AND OR REAR 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-fourth acre;
❑ e) existing improvements of buildings, 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; 7 S
ec) lot width at the front yard line of no more than.5eTeet;
r:ZV'd) lot size of no more than one-half acre;
❑ 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.
' �1/�C4 �d �7 A✓�' /.cl O,?cgF' AC, ��i��C�/✓,ELT_ � s�
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P�AcC !_' E Aj
f�1D/VT /n/ d• K �T /JUI c�rAJS .
r✓/ 4c-/i us era/ 74zi xlEoo ha,41 fQilt/•cc�2s
/N s -6 u � yc�
wner Agent (please indicate) ok 7•-2- 3 '- Z o
Signature t Date
Official Use Only /
Approved by: Date �l �l
Denied by: Date
Reason for denial:
1:\Community DevelopmentTAC\VARIANCES\Admin Variance.doc Edited on 7/16/10