HomeMy WebLinkAboutBLD2019-00356 Final Garage ADV2019-00039 - BLD Permit / Conditions - 7/9/2019 III ,
Mason County
Mason County - Division of Community Development
='
615 W.Alder St. Bldg. 8
Shelton,WA 98584
- 360-427-9670 ext 352
www.co.mason.wa.us
F
9-00356 GARAGE/ STORAGE
ESCRIPTION: NEW 20X24 GARAGE"REVISION ISSUED: 07/09/2019
7/2 REDUCE SIZE TO 16X24"ESS: 553 NE HAVEN LAKE DR TAHUYA EXPIRES: 01/05/2020
PARCEL: 223305000096
APPLICANT: MARK&KRISTEEN RANSAVAGE OWNER: MARK&KRISTEEN RANSAVAGE
553 NE HAVE LAKE DRIVE 553 NE HAVE LAKE DRIVE
TAHUYA,WA 98588 TAHUYA,WA 98588
VALUATIONS: FEES: Paid Due
U VB Utility, miscellaneous 960.00 $45,888.00 State Fee-Residential $6.50 $0.00
Plan Check Fee $424.17 $0.00
Change in Tenant- Minor EH $110.00 $0.00
Plan Review
Building Permit Fee $652.57 $0.00
Planning Review Fee $240.00 $0.00
Building Plan Review Revisions $80.00 $0.00
Total: $45,888.00 Totals : $1,513.24 $0.00
REQUIRED INSPECTIONS
Setback Inspection Shearwall Inspection
Footing Inspection Framing Inspection
Foundation Wall-Pre-Pour Inspection BLD-Final Inspection
CONDITIONS
" All property lines shall be clearly identified at the time of foundation inspection.
" Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
Printed by:Nicole Norris on:07/09/2019 12:10 PM Page 1 of 4
Mason County
Mason County-Division of Community Development
�rile'
-"—' 615 W.Alder St.Bldg.8
ice, f� Shelton,WA 985B4
- - 360-427-9670 ext 352
www.co.mason.wa.us
GARAGE/ STORAGE BLD2019-00356
* WIND LOADS-Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic
wind speed for Mason County is 85 MPH.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be In conformance with the international codes as amended and adopted by Mason County. Any
corrections,changes or alterations required by a Mason County Building Inspector shall be made prior to requesting
additional inspections.
By definition,propane tanks and heatpumps are structures,which must meet setback conditions. Please check your
"Approved Site Pian"to ensure these structures meet the setback conditions listed.
` The international code requires a fire apparatus access road for every facility,building,or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
` All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit
application. Design,sizing,placement,inspection and maintenance of stormwater management systems shall be the
responsibility of the owner/agent of the developed parcel. it is the owner/agent/contractoes responsibility to ensure that
Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement
of any development activities.*NOTE if Stormwater Management option"A"was selected on the Small Parcel Stormwater
Management ApplicationlWorksheet the document entitled"Managing Storm Drainage on Small Lots,The Small Parcel
Stormwater Site Plan"constitutes an approved plan based on the criteria listed on the application/worksheet. If the
development has,or will have,a septic/drainfieid system you are responsible for contacting 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. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county cuiverting/ditching system or road way.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant,owner or contractor to make the required corrections indicated on the plans. Once the plans are marked
"APPROVED",they shall not be changed or altered without authorization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
* The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the
approved site plan is not on site,approval will not be granted. In addition,a re-inspection fee(refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
* Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a
permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor
& Industries(L&I).
For more information contact L&I for additional information. In Olympia call(360)902-6350 and in Bremerton call(360)415-
4000.
Printed by:Nicole Norris on:OW09/2019 08:19 AM
Paget of
Mason County
Mason County-Division of Community Development
.�
--..�---~ 615 W.Alder St.Bldg.$
Shelton,WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
GARAGE/ STORAGE BLD2019-00356
* Provisions for surface/subsurface drainage control must be implemented with new construction or development.on site and
MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance,either
private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting
from a Mason County Road,Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25'of a Mason County road right of way, It is suggested to contact that
office to review future planned work which may affect your project.
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* When parcel development requires direct access to state road(s),a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation,at(206)357-2620,ext.630,
* Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly
corrode metal fasteners,connectors,and flashing. Install metal connectors approved for contact with the new types of
pressure treated material.
* The foundation/footing must be placed on undisturbed,firm-native soil.
* Approved per dimensions and setbacks on submitted site plan.Setbacks are measured from the furthest projection of the
structure.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division.There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor.Further information can be obtained at 1-800-647-0982.The person signing this condition is either
the homeowner,agent for the owner or a registered contractor according to WA state law.
* All changes to"approved"building plans that effect compliance with the international codes as amended and adopted,or
any other Mason County ordinance or regulation,must be reviewed and approved by Mason County prior to construction.
* All permits expire 180 days after permit issuance,or 180 days after the last inspection activity Is performed. The Building
Official may grant a one time extenson of 180 days,upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable
provisions of the current code and the manufacturer's installation instructions.
A drip edge shall be provided at eaves and gables of shingle roofs.
* When parcel development requires direct access to county road(s),a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. For more information contact Public Works,at(360)427-9670,ext.450 or
100 W Public Works Dr.Shelton.The building permit will not be finaled until the permit holder can show proof that the
access permit from Public Works has been finaled and approved.
* Landings and stairs must meet the same setback conditions as any permitted structure;and,must be shown on your site
plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed.
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site,then approval will not be granted. In addition,a re-inspection fee(refer to current fee
schedule,minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
Printed try:Nicole Norris on:07/09/2019 08:19 AM Peg 3 of 4
Mason County
Mason County-Division of Community Development
615 W.Alder St.Bldg.8
Shelton,WA 98584
— 360-427-9670 ext 352
www.co.mason.wa.us
GARAGE/ STORAGE BLD2019-00356
* This structure is approved as unheated space.
To be considered unheated space the area may be provided with a heating system that does not exceed maxium output of 1
watt per square foot.,or 3.4 Btu/h per square foot. A permit and approval is required prior to installation of any heating
system.
When a heating system exceeds 1 watt per sq.ft(or 3A btulh per sq.ft)the heated space shall be insulated in accordance
with the energy code in effect at the time of permit application.
* A separate inspection in addition to the inspections required n the IBC,Section 110 shall be required in accordance with
the 20151BC,Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wail fastener
spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S1 and 5/D1 GARAGE PORTAL
FRAME WALLS with fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department,a WABO certified inspector,certified
to inspect lateral connections,the Engineer of record(EOR),or an authorized representative of the(EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
Inspection,special inspection reports shall be submitted to the Mason County Building Department,615 W Alder St,Shelton,
WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project
* Anchor bolts and hold-downs must be in place at time of foundation inspection.See plans for locations and requirements
* Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s)requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft,down gradient of drainfield/reserve area.
X _
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not.The granting of a permit does not presume to give authority to violate or cancel
the provision of a y other state/local law regulating construction or the performance of construction.
I
Issued By:
—r - Date: r q
Contractor or Authorized Agent:
Printed by:Nicole Norris as 07lo9/2019 08:19 AM Page 4 of 4
E
CONCRETE Gas Piping MANUFACTURED HOME
Interior-Date By
Footings/Setbacks Exterior-Date By Ribbons
[ate By INSULATI-ON - date BY
Foundation Walls 86!SLAS INSULAT10N set-up
Date By Date By Date BY
FRAMING Floors ___ . _ FIRE DEPARTMENT
Date By [Sate BY
Date BY
_ ovens DECKS
PLUMBING Date BY
Date BY i
Vault
Groundwork TANKS
Date BYDate By
Date BY
Attic
D.W.v
Date By OTHER
Gate By DRYWALL Type
_ Data By
Water Line Date BY Typo:
v Date By Date By
y MECHANICAL Dare ' FINAL INSPECTION
m Fire$operation
�* Date By Date By Date By
m
° Pass or Request inspect.
Q Type of Insp. fait Date Date Dane By Comments
SST ► k, 4 IL- 7
w I/
Q _
y f
z
i
a
0
HAVEN LAKE
OHWM
RECEIVED
L 96 r'
APR 152019
2019
�
oo. PUMP TANK 615 W. Alder Street
FAST ATU
0o
k
60� 3 BDRM HOME
P'LANNING
i
PLANNING:
ALL SETBACKS ARE MEEST RED PA KING
FROM►THE FUR THUILUING -
r o
F-- 77
--"' - TRANSPORT LINE IStING WELL
s - r
(0900
2�' R '
ENCASED WITHIN 50' OF THE WELL
r � �
r
CASING UNDER ROAD
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJET TO APPROVAL SITE PLAN: *THIS IS NOT A SURVEY*
By FOR: RANSAVAGE JOB#:
PARCEL#: 22330-50-00096 DATE: 24 APRIL 2003
BY: TJS DESIGN PAGE OF
NORTH ARROW: SCALE: 1" =40'
0 TAHJA-5YKET7'0E0lGN5
�goN cod MASON COUNTY COMMUNITY SERVICES �,�o I�i 0� =L111
PERMIT ASSISTANCE CENTER: Permit No: t
•BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 PhonftILI)ING
RECEIVED
4.. Belfaic(360)275-4467-Phone Elma:(360)482-5269
I854 BUILDING PERMIT APPLICATION APR 15 2019
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: t
NAME: 449 41/r4G NAME:
MAILING ADDRESS: 1144. A4wWZ4tA— ,Q . MAILING ADDRESS:
CITY:TAk i' STATE: W#4 ZIP: CITY: STATE: ZIP:
PHONE#1: hy, 9-N- 4 PHONE: CELL:
PHONE#2: — Or- J1/G7 EMAIL :
EMAIL: iQ,rinl.SaygGE/1/!0Q 4!L,d vh L&I REG# EXP.
PRIMARY CONTACT: ' OWNER° CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ya��()_SO- 00`W ZONING ►`� "�
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS . Or3 Ne *V6✓ /,,M
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S) GREATER THAN 14%: YES[] N
IS PROPERTY WITHIN 20 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAK RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEWK ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) 1!� ^ —2 ee4/
IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS ® NUMBER OF BATHROOMS
HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[s]of Bldg) ❑ NO
DESCRIBE WORK
SQUARE FOOTAGE: (propose+existing)
1ST FLOOR-4�a-sq. ft. 2ND FLOOR IV sq. ft. 3RD FLOOR / sq. ft. BASEMENT sq. ft.
DECK t sq.ft. COVERED DECK sq.ft. STORAGE / sq. ft. OTHER sq.ft.
GARAGE �#Q sq. ft. Attached❑ Detached❑ CARPORT / sq. ft. Attached❑ Detached
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN RE IRED*
MAKE MODEL YEAR LENGT
WID BEDROOMS BATHS SE
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER•❑_ / NEW ❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑ NO ❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT,
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 1 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
Signature of OWNER ust bedrcined by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT .'� S�3 k lc-,
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Name Parcel# BLD#
Mason County
Department of Community Development "
Small Parcel Stormwater Management Application/Worksheet(page I 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 surface2.
'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 X 20 = O
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
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 =
PatiosNValks X
X = Any paved, gravel or packed area per definition
above table
X =
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)
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 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' rmation provided is accurate and employees of Mason County are granted access to the above-
described property for rev' d inspection as may be required. !yC
X Owne Agent/Contractor(circle one)Date: f /
If the Total Impervious Sur ce Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
1
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:
httT)//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
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
415 N. 6th St—Bldg#8 lower level
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
l
Request to Revise Approved Plans ReCEIV
Ep
Permit Number: BLD/COM DI -CO3 � Name Ste✓
Parcel Numberp N Phone Number daytime ( 4493�)
Project Address -S10
Mailing Address • Alder S et
WA_ 9g.5A E
Please provide a complete, detailed description of the proposed revis9m to the approved pl
T D /Uv �W x.2 xEA6-
c La✓,E
• Are two sets of the revised plans or addendum indicating the changes included? es r ❑No
• Are the approved construction plans included? . E] Yes ❑ No
The RED stamped "site" approved construction plans must be included.
• Are the revisions clearly and accurately identified on the plans or addendum? es ❑ No
• Does the plan contain an engineer's or architects lateral or vertical analysis? o-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
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? D/ es ❑ No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?,-
❑ Yes ❑No
Additional Information:
Applicant's signature �� Date: ��/
X7
Received by: Date:
OFFICIAL USE ONLY
Initials
Department Date of Date Reviewers Original Valuation: $
for Review Received Assigned Approved Approval
Reviewer Additional Valuation: $
Sq.Ft. x$ $
Building '1� 9 i L J%Z Sq.Ft. x$ $
Panning f I Total New Valuation $
Public
Health Additional Fees:
Additional Planning Dept. $
Fire Marshal Additional Plan Review $
Public Additional Building Permit $
Works Additional Plumbing $
Additional Mechanical $
Additional Conditions/Comments: Additional E.H.Dept. $
Other $
Total Amount Due: $
,\ ao 19 000
MASON COUNTY Mason County Permit Center Use:
-.` COMMUNITY SERVICES ADv aD1c1 - OC�C�3`'1
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 bate Rcvd
Phone (360)427-9670 ext.352♦ Fax:(360)427-7798
. 0 CX*l n,
UN" lfi�MEW
ee: V0.00
Request for Administrative Variance for APR 15 2019
Reduction in the Required Setbacks
615 W. Alder Street
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: /'! 4"4
Mailing Address: A'c/ Af 140(Al '" A
City: State: (i✓l4 Zip:
Telephone:
Email:
If this
%reduction is tied toga Ibuilding permit, please give permit case number.
BLD - 1 - nO351r1
Parcel Number(s): 5O- ODC)qlll Zoning���
Site Address: 6o!4-N V'
Requested setback variance:
ft. Front ❑ Rear ❑ Side
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 S 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, and set backs to all
property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and
driveway. Show all proposed new development.
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;
❑ soils that restrict building or septic development;
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;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ 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.
Owner/Agent (please indicate) ��✓�
Signature Date
i
Official Use Only
Approved by: Date 'l-f�d
6
Denied by: Date
Reason for denial: