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PIfr6 9 /y / 9 Zo / 'j"c L zr N V m 07 m m 0 Mason County Map Output Page Page 1 of 1 Mason County Map _ M m J 0 �15 rr—_®NE TIMBERLINE DR NF MCKNIGHT RH NE DAVIS FARM RD DISCLARV ER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily accurate to surveying or engineering standards,and are intended for informational purposes only.Mason County does not assume any legal liability Hig'-eys City o t Shelton or responsibility arising from the use of this map in a manner not intended by Mason County. ,_rI In no event shall Mason County be liable for direct,indirect,incidental,consequential, - AIv'its&'�trer3n't t -04Vy ary&3NP1 special,or tort damages of any kind,including,but not limited to,loss of anticipated profits �arti5 Gomrsslor Clnwt5 or benefits arising from use of or reliance on the information contained herein `- cbons t.akn Gc"2009-Mason County GIS 100 W.Public Works Dr }_i Ty'vigfq Pipet sScund 9 h1sior P.akx, Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason_... 6/1/2015 cco (Z) t) I FZv^vr o ��;;LT i R a PLANNING : V, ALL SETBACKS ARE MEASURED Ll FROM THE FURTHEST J PROJECTION OF THE BUILDING _ Q t� PLANNING �o APPrOVED MASON COUNTY DCD PLA�lNING SF E PLAN REQUIRES TO BE ON SITE CHANGE SUBJECT TO APPROVAL By Date_�( � r� y I�vr�- lti, o o .....� RECEIVED MAY 12 2015 S N 426 W. CEDAR ST. t C �P � fit,/ • FCC I5� v1 � f MASON COUNTY Permit No: � t"I"b!`' DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext. 352 http:/Iwww.co.mason.wa.us/­`communily dev/ (360) 275-4467 Belfair ext. 352 /854 ,, t' 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352 u BUILDING PERMIT APPLICATION ,�)� Li PROPERT OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Z)v nc. �1 NAME: _ MAILING AD RESS: MAILING ADDRESS: CITY: STATE: W Ct, ZIP: CITY: STATE: ZIP: PHONE:, - CELL: �toC) y�-�p�3 PIIONE: CELL: EMAIL: cio 10 EMAIL : L&I REG# EXP. / 1 CONTACT : OWNER ❑ CONTRACTOR❑ BELOW ❑ NAME: �kym_ A�2 AWA-Z MAILING ADDRESS: CITY: STATE: ZIP: PHONE: CELL: EMAIL: - --- PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) , �f aZ j) "`� co 15o FIRE DISTRICT o2 LEGAL DESCRIPTION(ABBRYVIATED): SITE ADDRESS / CITY DIRECTIONS TO SIT DDRESS Lt 1 IS PROPERTY WITHIN 200 FT: ur)tbn tJ1vtX- SALTWATER❑ LAKE ❑ RIVER/CREEK[R/POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO ❑ TYPE OF JOB: NEW VADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) 5- 6 QQ Z'�512C)p IS USE: PRIMARY ❑ SEASO NUMB OF BEDRO@1N4S NUMBER OF BATHROOMS DESCRIBE WORK SQUARE FOOTAGE: - I ST FLOOR 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 ❑ MANUFACTURED HOVE NFORMATION: *4 COPIES OF THE FLOOR PLAN RE UIRED MODEL LENG TH BEDROOMS BATHS SERIAL NUMBER 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 or owner's legal representative. 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x Signature of OWNER Date DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE ll ' + IONS BUILDING DEPARTMENTLot- & 10 W" PLANNING DEPARTMENT FIRE MARSHAL 426 W. CEDARS] BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE �1"i�' k MASON COUNTY PLANN U� ` Ma on County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR ,.Dir'_) 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 tters. RECEIVED Applicant/Owners: T YI ( hLtL Mailing Address: -?.6.761)X Zp� Y 12 2015 City �� (may State: Zip: 1g�Z8 Telephone: ?1(yD. Z77- y n 1 d 1-- LO0 L4C0 3 R� CO Email: �.� r,6 htrL l-��'l0 If this reduction is tied to a building permit, please give permit case number. BLD ZU l5 Parcel Number(s): p� a�-"i U 1�i 0 Zoning--P;R Site Address: nE Requested setback variance: 00-c.;' ft. ❑ Front ❑ Rear Side r 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. 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 Development\PAC-Permit Assistance Center\VARIANCES\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: 1) 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; isting improvements of buildings, septic systems, and well areas. DE YARD DUCTION REQUESTS: or e=st g is of record as of March 5, 2002; 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-half acre; �) 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 t)cj�&Io r) Ex/isbnc,'- s f1 �n�-Figs . Aikold Liu, to rk4uv--+ 5 �6& b oc IL Owner/Agent (please indicate) 44�9_ CQ x�� 0 —J,2 - Zv 15 Signature Date Official Use Only Approved by: Date Denied by. Date Reason for denial: L•\Community Development\PAC-Permit Assistance Center\VARIANCES\Admin Variance.doc Edited on 7/16/10