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Home My WebLink AboutBLD2020-01214 Final MFG Home ADV2020-00125 - BLD Inspections - 7/30/2021 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 B DD2020-01214 MANUFACTURED HOME PROJECT DESCRIPTION: INSTALLATION OF NEW MFG HOME ISSUED: 01/26/2021 SITE ADDRESS: 170 NE SABER DR BELFAIR EXPIRES: 07/25/2021 PARCEL: 123315100018 APPLICANT: BECK MICHAEL D OWNER: BECK MICHAEL D PO BOX 3264 PO BOX 3264 BELFAIR,WA 98528 BELFAIR,WA98528 360.275.6240 CONTRACTOR: SOUTH SHORE CONSTRUCTION INC 230 E HILLSIDE DR BELFAIR,WA98528 GENERAL CONTRACTOR'S LICENSE: SOUTH SHORE CONSTRUCTION License: SOUTHSCO16NL PO BOX 963 Expires: 02/10/2022 BELFAIR,WA98528 360.275.0818 FEES: Paid Due State Fee-Residential $6.50 Planning Review Fee $240.00 $0.00 Technology Surcharge $11.00 Building Plan Review/Change of $110.00 $0.00 Use- Onsite Sewage Modular/Manufactured Home $275.00 Fee-2nd half collected at ready to issue Modular/Manufactured Home $275.00 $0.00 Fee- 1 st half collected at submittal Totals : $625.00 $292.50 REQUIRED INSPECTIONS Setback Inspection Set-Up Inspection Printed by:Kati Dooley on:01/26/2021 04:32 PM Page 1 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 MANUFACTURED HOME BLD2020-01214 Footing Inspection BLD-Final Inspection CONDITIONS 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 finale and approved. • The foundation/footing must be placed on undisturbed,firm-native soil. * 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 extention 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. * 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. * 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 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. * 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 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 INVALIDATE THE APPLICATION. " By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (NCSBCS/ANSI A225.1). * REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. Until resolution of any/all problems no occupancy (Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) All property lines shall be clearly identified at the time of foundation inspection. Printed by:Kati Dooley on:01/26/2021 04:32 PM Page 2 of 4 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 19 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2020-01214 * 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/contractor's 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 Application/Worksheet 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/drainfield 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. 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. * 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. " 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. * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. " 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 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. * This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indicated on the plot plan. * Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three feet of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or installed. Certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 Printed by:Kati Dooley on:01/26/2021 04:32 PM Page 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 MANUFACTURED HOME BLD2020-01214 The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. 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. * 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. Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * 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 culverting/ditching system or road way. * 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. * Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 1Oft 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 f oth tate/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: ' Date: Printed by:Kati Dooley on:01/26/2021 04:32 PM Page 4 of 4 PI 2,o2b -012_)q --90, RECEIVED OCT 12 2020 G RES RVE PARCEL 123 615 W. Alder Street p A EA 31 51 00018 EXISTING GARAGE 7 p NNING: 8.65' ALL SACKS ARE MEASURED Ft()M THE FURTHEST ROJEC'TION OF THE BUILDING ARCEL 12331-51-00017 PROPOSED PROP SED DRIVEWAY TANK o PROVED'- T LANDING -,� D PLANNING - MASON CO tiT CD PLANN 5 SITE PLAN IRE Q ;IRED TO SE ON SITE T , t CHANGE SUB E T T0 APPROVAL 33.000 z — Date 0' PROPOSED By 3 28" .. 48' X 28' M H EXISTING DRAINFIELD 00126 LANDING 42' 20'LJ f AD1(Zozo DAVI D CYR 1 00 Z5 170 NE SABER DR 12331-51-00018 66.39' SCALE 1"=20' NE SABER DRIVE L E G E N D 39-0 1/4 WATER INLET 35-2 ❑ STANDARD PANEL BOX FOO^_ING 29'-4 3/4• xxsruurxex 34 1/4" eexuwL N I DDOR r — ��— — ——III ———7I� —— 1 NOTES: Q-----D� Q J---- ` -------Q----- Q DESIGNED WIND ZONL N I S'l'ANUAXU W1xU'LONE AND IS TO BE USED m IN CONJUNCTION WITH THE INSTALLATION D MANUAL AND ITS SUPPLEMENTS. 6-6 2. FOOTINGS ARE _ ® DRAIN OUTLET A-UNIT I SHOWN FOR EXAMPLE 35-2 1/8 ONLY. OUANTITY AND SPACING MAY VARY FLEX DUCT CONNECTION BASED ON PAD TYPE, SOIL CONDITION, ETC. I I 3. FOOTING PADS i PIERS ARE REQUIRED AT SUPPORT POSTS. SEE INSTALLATION ® B-UNIT MANUAL FOR REOUIRE- MENUS. 26-4 FLEX DUCT CONNECTION I L9 El R El LQ-----Q-------D--El --- l -----El------- ❑------- ❑-il 38 1/9" 78 1/2• nGOa WINDOW _7'-4 314" WOODBURN 210 PRMUCT— 48-0• EAGLE MODEL N0. CEIVED 289835 POST DATA R E NOTE 6 FOR FOUNDATION READY 44DME5 >RANIN6 rnlx LIVE LOAD: 30 LBS. 30 LABEL LOCATION 3N=T PIER LOAD' BEARING CAPACITY OF NATURAL SOIL OR COMPACTED FILL SWILL EQIIALOR EXCEEDL500PSF. PIER LAYOUT A A 3300 A B -OCT 1 2 2029 301 ROOF LOAD B 14'-4" A 9100 LATERAL BEARING-LSO PSF. B 14'-4" B >RAxx eT: C 28'-10 3/4" A 4900 PER IBC(CDC)TABLE I806.2 Layton B. >A C 28'-10 3/4" B �/�� TE: 06/30/16 D 35'-4 3/4" A 6000 615 W. Alder Street THIS FOUNDATION SYSTEM HAS NOT BEEN DESIGNED TO RESIST LIPIDS FROM EXPANSNE SOILS,AND/OR ;NT uv D 35-4 3/4" B - - 50Il5 OTHER THAN AS INDICATED INTHEIBC(CBC)TABlE1BD6.2,SCOUR,FLOOD HAZARDS,WATER PRESSURE E 48'-0" A 3100 E 98'-0" B BY WIND OR WAVE ACTION,WIND SPEED LIP EFFECTS,FROST ACTION,HIGH GROLND WATER OROTHER SP.1E.1 C •EMPTY PIER LOAD IS COlBIN-D IN NUMBER ABOVE NATURAL EVENT NOT NSTEDON THE ASSUMPTIONS 21EG28483S � a I� Name ,(.+( Parcel# 12,331 -5) -66010 BLD# WO -61?N I Mason County RECEIVED Department of Community Development OCT Small Parcel Stormwater Management Application/Worksheet a e 1 41#20 r treet 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 surface 2. '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 48 X 28 = 1344 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways 90 X 12 = 1080 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/V1/alks 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) 2424 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 information provided is accurate and employees of Mason County are granted access to the above- described ropes , or revie ,and inspection as may be required. X / Owner/Agen Contractor( ircle one)Date: 10/9/20 If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 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: http//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)__V 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 airy 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 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 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 pernut 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 Wormation provided is accurate and employees of Mason County are granted access to the above- describe rope for and i pection as may be required. X Owner/Agent/Contractor(circle one)Date.: 10/9/20 Page 2 of 2 v��uaiyu urveiupe w.�F4/t[uaa-y3b U-4L4G-tStly1-11yyt365AFC30 • MASON COUNTY COMMUNITY SERVICES Permit No: &1A'2jJM —GI Z 1q PERM/TASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RFC 615 W.Alder Street, Shelton,WA 98584 VF Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone O Belfair. (360)275-4467•Phone E/ma:(360)482-5269 OCT �20 • BUILDING PERMIT APPLICATION 6�S w q/de 20. PROPERTY OWNER INFORMATION• CONTRACTOR INFORMATION: OOt NAME: Michael Beck NAME:South Shore Construction MAILING ADDRESS: PO Box 3264 MAILING ADDRESS: PO Box 963 CITY: Belfair STATE:WA ZIP:98528 CI'fy: Belfair STATE:WA ZIP:98528 PHONE 41: 3602756240 PHONE:3602750818 CELL: 3605091342 PHONE#2: EMAIL :southshore@q.com EMAIL:mbeck_2@wavecable.com L&I REG#SOUTHSCO16NL EXP. 02/ 10 /2022 PRIMARY CONTACT: OWNER❑ CONTRACTOR V OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL Ams nihin PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12331-51-00018 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) BEARDS COVE DIV 8 LOT:18 FIRE DISTRICT SITE ADDRESS 170 NE Saber Drive CITY Belfair DIRECTIONS TO SITE ADDRESS Head N onto WA-3 N for 21.8 Miles Turn left after Dairy Queen Grill&Chill(on the left) Turn left to stay on WA-300 W 0.9 Miles turn right onto NE Sand Hill Rd 0.4 miles Turn left onto NE Larson Blvd 1 mile Turn left onto NE Saber Dr 410 feet destination on the sett IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NON/ SNOW LOAD:2,5 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER ❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW J/ ADDITION ❑ ALTERATION❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence IS USE: PRIMARY V SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg) V YES (Part(sJofBldg ❑ NO❑ DESCRIBE WORK Install new MH for residential use SQUARE FOOTAGE: (proposed) 1ST FLOOR 1344 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 HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Fleetwood MODEL Eagle Z�gi3,5 YEAR 2020 48 LENGTH WIDTH 28 BEDROOMS 2 BATHS 2 SERIAL NUMBER n/a ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER ❑ / NEW ❑ EXISTINGV PLUMBING IN STRUCTURE? YES V NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOV EXISTING SQ. Fr. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON Do usi9ned by: COUNTY CODE 14.08.42) b(A 10/5/2020 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv _ 00)ZS Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd '� �Z zz Phone:(360)427-9670 ext.352 ♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks PLANNING 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. n Applicant/Owners: Mailing Address: City:�`-�- -A State: W P\ Zip: S Telephoner Email: �7 y e • cowl Oct 12?42 61 . VV Alder 0 If this reduction is tied to a building permit, please give permit case number. `Street BLD Zola - 012ig Parcel Number(s): I n Jli l -S 1 ' V o L lb Zoning Site Address: k__1 (D LANES a' be�r Dr' Requested setback variance: ft. -Front ❑ Rear ❑ Side ft ❑ Front ❑ Rearide 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, 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; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ ArTot 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; El 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. Own /Agent ( lease indicate) A C) rZ [� S gnat - Date Official Use Only Approved by: Date " Denied b Date Reason for denial: