Loading...
HomeMy WebLinkAboutBLD2018-00989 Final Detached Garage DDR2018-00131 - BLD Permit / Conditions - 8/19/2019 r 0 � -< o 0) m 0 C- CD .. .. .. m _ mm o nm r a �� vo � � m D y o T C D 9, co c c > icm 2n c a � D (n a► 0 v COID � m Z �� cm zw0m - cc k D � oDz xnm in � rn M � D Om (m --IZ o � ca �, o 0 m z � cn � � vCC' o y O O O < O co oNo o D.� p 0) CD � wm D CC p D rc,.> 1 < CN c Z p m � � T 3 N cn 0 a: 000 Q � Co0Z 00 C mrm0 C/) a a ; CD CD m CD o EL a a o A m :9 CD N � �. O 03 v 00 n N p Cl) co Q 7 "Ll X CD � m (nz � oCD = oo � D m S to Cl) 7 CO cri Cn �D O o 0 o0 0 D Z O ic s4) 0= o pp .< cn —1 cn v C Z CD p wi3 = w � � 0 �, � _ � M r N 0 0 o o y 0 m c m o m m c v c -< � 010 y, a o 3 yw z o °3' ;o CO 0 m r y 03a3v_ mv -nT OTN X 0 Q a �. �. 0 IT1 � (a o =r 0- ic m _0U) M O rr m 3m <. :3 - zz Z CD m T < Cl) W 0 m CD c o CD f 3 a T• o CO) ? mm 0w Ao 3P, KKK W v 5' 0 a .0 -1Z � cDc� m m vo, vcDi Do T � � M �� o m = cfl ACl) O > (n ° NONoC) C) C) :U ;UZn3 G) si p2 w oo w c N 0 0 3 N CD p O N d► cfl � � �„ cn a OL rr- cQ mm mm -� A QI N �_ w 3 (D 7 N — a V o O O N > > o p U) p X n T O)j. n� rn �, 0' -Uwm W o N _. A (OT O O CJO .. o p O Z 0 r�i-I m fTl 0 J N (n (n (� (, cn m � m 0 = Z cn � 0 p cow N 1 0)N N N N O' moo � — (0 CDO o000o A O rm � O � CO 0� r w - A cn MC, 000o ID O T1 N N O 0 0 0 0 0 00000 ti -I 0 0 0 0 0 to j O O O O o 0 0 co N N W , p N C) 00 o XO �} X � oDa X � oo XCD WDcDi � o Xf_3 XD� o * _ o o CD ( o ON CD y.co CD ( = o oo 'CD v (n Q 0O CD (0 fl QD < .. CD c ov (Q 7 (D (O n (D -� Q cD (D ° mom grnm v m (D ° M. CL Co m(Q - ~p vi �' 0 CD 7 OL p N N �_ tn' � - CD = O -o rm °0 = (n !� v v X m m 0 �' 3 O v Z 3 in a v no CD N' O � 3 °' O �Q y Win' - om m �nv o00 33a m U)) :3 D C � in N �� C 0 :3cn (DAD Q- m N n.-O CD CDm n cfl ° (Q 3o CD o o< v`ZCD � m o Q (Q o cn5 ° mo Q °' 0Q (u' ° a mom (Qvm 5' 3 = mC n v0 3= - n O ?`2 3 -0 c n coo Q C (n to f rn a' - = �, - (D v .-. o = O a 0- m C C o 3 Qcn a p <n' c � 6 v c� 3 (D o = (n N j (D o 0 O a �• O (u m n' a � (�, :3 7O .Z1 � 0 mCDm .� Xo m n mm � cn ::r ° cr -0 -. M O = m o 0 o 0 CD mCD • (D or<< 3 L. (n � N m _ 3 N y CD 0 ° n Q m -4 m (D n Q- (v (D m Q o ? � m ° �' m0 (Onm o ' n 0 o Who � � � � � ` 3 � �, (� .O. 000 oon GMr o CD v, Omo � - - 0 � rZ rN < 0 CA � _ ono . � u, ; p m 0 (� p � oZ N n v �. O CD �< -4 m 3 v c co 0 0o --I p p (n R1 m m v �• � (° a (D w� (o cn m c N o cn m 3 -6 m = � °1 rov ° c 3 o 0o 00o - � O • m C m -• � � O m co m� � cn 0 0 3. o 0 o. r: v, v n (n C o � D OL xy D 0 u' CD m v 0CD ° � � � n rt CD_ m (A < =' a) O (D (D n . . O O N 0 (D 0 CD � Q. p (n ° D r_ 3 cn a Q O � G (Q ° " -% CT0 N N C (D r (n O (D Q O CA 3CD N O -0 O � O (p = (Q N (D N N 'i1 3 CL -n 9 fD O — (D C w O �' �. Q N (Q (n ((D ,„ N Co 3 Q < 0 Qv O � Q = 3 = C CD iD (D O -+ (D o = n (Q Q 7 n 7 0 (D w 0 CD O 0 Q = O Q cn (D O„ CCD SOD = v (D C < w3 CD (no vw -., Q (/1 .n-F N (n N 3 Q ? N O o ^ - O O c N - O C7 N (n Q = N (Q (D Cr v = O O (D 7 ,. L. n (D n n : :3 CD 0 (Q (D O o 3 Qa � so 3 in n' _ C N `-� :3 0 3 v = m m n O_ (D (Q O C- -0 0 D (D .Q O ,. 0 � C) = px C C CT 0 C N 3 = D (D 0a N = CD N (D N (n Q- N' < n CD N N N x O -0 (Q "O v' ? ° < v CA p s C' CD N cQ � <. N N fD O O — �• .. Q 0 O Z N O w a� o w � a o g yn D 3 co X X f X Ooo m � co Om CL wmS.0m � cr _ O -4a sm N n 0 O ' D j aOD 0 w < O 0 v ° �C< � 'p Lv ° - �(.0 0 -0 cQ o � o :3CD Q Oy pm + w p p DnQ A 'a 3 = ON3j3 Em z m m cn 3m CD(� o m <Ocn v N CD w p Oo -O'a � -a a m CD m o w c0 l n m M C3 m 3 6-. m v � cr ( � m r: 3 < C v 3 �.� O _ w n a o 7 p O p) -n 3 O O Z .' w a -v a �o_ ( ' w n "O 0 a w m > 3 ow � m moam'i3 0 °� � _< -03 Q- (D m 0Q3 " ur `t < O O - cn w n w �p cQ p m 7 w Q a .Z7 (D —� n' X a (D Q C 3 .. - � � ° m m m . O o Q m v ° v Q w 3 N. m 3 CD cn < w 3 � ° -Na O Q cn w m O N O � N : Q w e p (D X �' ° N N c T c (n Q N w 3 N y 3 n ' 3 3 n °�-_. mom `r o v w O c CL y � o CD o `� o fl, � w mmQ � cQ < o � r g ° � w = =) @ 7 0 �< c �. < , m N N m m 0 o r w = m Q CD y a r. 3 � � co 6w (n � 0 0 y� N. m m p m 3 z �' N m o O m n C m m N O ((D 0-°a m CD 3 CL °' O � (� w w r' O S cn � m �' w m 0 cnD .n C m �, maCD m. v 03 = 3 w -cfl cn a, 0 3 -0 r" a � j 3 Cl)h (� n O m m 3 p (n O O O � O m 3 N o CD O �• CD N � O 0 — - -a w a 7 fil N -� c O CCD 0 :3 Z W p O n �p � m �• 0CD cnN � om z:3 CD ° c3ww - 0 CD 0 � 0 - Z � o m 0 m m v `� - m � v Oo m 3 ° �, o C, � cn a a_ a_ O o 5cD - 0 v nq N � y � m OL C rt, w w ym W O ""< ❑ O � W =r CD cn 0Q '0 a �' v � �� 0 � � n m ° m mp o c°. m O � o Q � CD O 3 w Cr 0 O wo N � co CL ai ma CD (Un a ur O =n 3 N 3 m(Q' N m O -n 3 3`G d-' it 3 � = CD r = mm � CL vm z v m o ° � _ ... 0 . 3 a c m boa n o w `� o a, D Q 3 c'n v� `a (n o (D N w w �+ p w cn 3 —I U, N U, U, 3 Q cmn � N m cQ 0 -p ao O0 � Cl n ITI N < v O 0, 3 3 V! w O o m Er= � v Q m O 0 � CL 3 = w N O -a 7 0 � w Cl. m 7 Cl) m m 0 y 7 7' cnw � 3cnm `< o O N 3cD r: o - - mm3 � � 0 .. m 3 m y < o � v0 - 65. �' o omm CD 0 3 cwn o o � o C m m X 3w * _ 3 � m m n. w p n = (n C. m � m CA m CL to 3 s Dw w CL m cmcn s-p :c0 v 0w N Q @CL - -a w "a a C > (D = O s nw, o0Ocn0 BCD m % � 3- m 3 v CD cQ m m < 3 u, m = 3 3 O -� N m -a 3 m w m °. ° � = m w .< Rm - 7 m' � w � 0 ID CD CD CD -0o cni m a N cn r O m n OLCD n <_ Q << O (D p O Q N' w m 0. � � w � cn � 3 < O ° m 0 o m o Q Q o o * m ? cn a � m ,°� _ o w m w m w-0° O w cn T w < CL cn m m w 3 cn u, m -_ o = o w cr 0 w N m °' m w �3 n = w m N cp N -a 3 CD �.< -0 o m _. m cn 0 v _. CD cn — w p� m _. - O 0 N CD 0 cfl ° w33 -O - o -cc °CD ° < - 3 W (n N C ? ° � S m n cn Q w w •r N cDD and w 0 3 y m n w N N m � 7 � 7r O a m � Q_ m n m a � .. N3 � m0 3 (D W ° � m ocn C .r (p 3 7 (D — 3 (n m co 1 O (0 00 v CA 0 00 o xo 0 y X � o D D XN 3 CO XQD x(D v D Xm = XC 0 3 X t o Q 0,. co � 0 a cn m 3fD Fz 0' 0 3 C 0 �' � m m v co N O N 0 = o n � cA w w O cn ccn = 0 v, 0 o - m = � w �: ( X CDmo � � O S• om � CfD N - c < oc w w w 0 , m� � mQ � � m - v0 O m _ � � o ff, �� � � v \J 3 � 0 p. 3 cn a _. � 00 cQ Q _ � w � w mo m �. o — w << �, � � 5' v, (n � o Z v� oc conk cwiQo 0 3Q co00 3v � 0 wr: (no_ : m CD o a _ n0 < m _ a) cD 0 wcfl CD n � m rCD x w CD CD n� O OCD K - � o m O fD =CODCnn 0 � v 0 cwn � m - � � vo � CD �O to C n .Q 0 03 0RL ocQ CD aoto w `< w Q fD ncQ o cD 3 v �. 0 Q- 3 O O (D O "O � -w o- nCy o0 O Q a w (D CD ao < v (n (D = w 3 O (D (Do3 cc�• �' - Qo• m CD v __ � Zo 5' 3 0 Q CL Xw cn cn (0 -0m w � � �' r cn 0 Qcoi (Qm m om' o = CD C:a W En w o 0 3 Q. w = n am ° v 3 _0 = v m .. m 3 0 0 w (D _- . O w m = Q 0 ¢ = 3 0 5' Q- m y o no y, � m 3' = -0 03 � � w �" 0 � 0 � o < `� 3 � ° m °' Qo m ° 0 -0 � 3 <' o = (n 2w �, oCA (D00 m3 0 " o �' n o3 om m -� w3u' w - m o 0 o Qm ., al cn m aQ m N N m Q"Cc � o �: �:CD Gov, 30_ w 000 (n CD :3OcQ � o oQ O� O p) w (D w � O cn Q s (D j n O _ 7 O 5n O cn O a (D w cn O O (D .G cn w p CD CD t3 O O O< fll O fD -• 7 cc 0 _ < CD x m m < cn = 3 C o 3 m m � (D 7 (D CD `< (D :U 3 N CD 3 O O TI w t) (D - a cn (D y = Q n• m CL C N (D (D. — w -0 n cc oxY ^« m � Dw 0 m 0Q N p> = w3 CD Q � 5' m 3 o �. 3 vv fDcn w 0 3 ..� vo X o � �m� o � ci0 � CD vc�n � � 3 � 1 w 0 (D 0 Tl .-. 0 �: 0 1 Q- w cn �• Q CD O N (D O O : n Q 3 (n w Q o ^. O- a (Dm0 _ o 3 D o w vcn 0N � N o =_. - cQ _ (D 7 CL O .� cn 7 0 lD N" Q w v r =CA 0 0 -• 0 � M 0w (D n Q w l< (D tp' n" Cl) Q 3 Ra cp cn pnj u) O. W cn cQ Z w 0 CD �' c w O � Q = ..� cn m � 3 7 o � Q- - 3 = 0 CD :3 N O cn tp (D (n T ° IM cn = cc *w 3 m(Q w C n < Q m a ODE.0 CT 3 (n � a � � mo w CD0 � 0" o � � � � � �� v7 � 0--a 0 7" O Q0 to r. Z Q 0CD Qcn � - (o Q � _ O w 30_ w .. w n = 3m w 3 cn D O o :3w CLD nain�i 0 fl n� �. D Q o El 0 3 w CD 3 (n � O o (D C (n 7 CD O N w m Q o cr m = CD o C aCA 3 0 3 `< � `< CD `< Q (D .� v ( Z CD c � —� o CD m �(D(D w (D N .� .t 0 v 7 = O Q. = 3 0 CD I -• CD _�—CD_ 0:3 0 O 7 O D n O c C 0 O O Oi o 7 =. 0 O = � �• . w (D 0 - co O 3 ^ O O Ln CD _. w (D C. 3 r2" CD 7 O 3 O w cn .. CD 3 v � m = a aCD CD < v fD (Q (D 0 " 3 CD (D o O � o so Q m p W r (n -0 0 v 0 * (n O N N N v � X o N Z a (n CD c '� N Z �_ 2 - E m 00CD0) - o 0coDO O -0D Xoo m m nocp a � � r � (D O , c O (D CO r (n 'co ^ � O O C p (D z CD - (D (n (D (n (0 , rp � � (n r- �-p T). � OmC eaca, ' o N OL O 0 -, c � � maQ X w fD C CC D(D Q < m n IDc < (a00) n °' 77 Dfnm Om CD iD m � vm (n � Zo. v cr � � mQ � (D c O > v 0 m mp- � p - a) v 2 3 moo (D Q v. - CD (D 0m p COD m = — Q N v, n � (n 0 ((ncn CDDQ3CDD � vfn (� :UD n3i < tea : .: Cr, I` mZ E � M m (�m � N 3 � �' m DO (n d 0—, -� (D 7 � y (n -0 N N o O .t Lnin <n _.�' v (n � o _CL ? m 3 p• D- mZ fl O'< r--- N p QW CD — � �. C 0 � D (n N p " o CD O :fin Z p C m -0-.amvw .. 03m m0 v a =3 = m N 7I1 0 � N CD (fl N r -n m0pQlD -0cn = O -,. (n N 0 � O = Qom 3 C o Zm (Dao Q p :3 Q CD T n (n' : W (D _(Q W —1 m (D r o o n 0 w p O6 CD m O N o D Z c @ 0 c v 2 00 0o n o � � o -, N - (D CLvi ZZ 3 3 p o 2 vm Zcmwo o cy Z m o O p O ° Q� Q � 3 D� rr cc ( CD po (o 5. a) v Wm = � 61 0 O �; N ? o w a 10 = 0 Q m CD T ° 3 m c -00 CD O - � � v a ° om � o pm ' v �mL DZ CD m O(n Z oo oQN c o y m � N o " � � = m o n � 3Ov CD � � Flo � r cn _ m ,. M to 0 0 0 - -, O Z CD o m ycc)-a v 3. 70O m � � mm CD CD 0 mo � c' = o 0 < CLo am Z v v m cn �,fu o :. Q _ Zx v a n c nr' v, (U C � N �• _lo g - c 0 rD 0 O � -. � m � < m � 0 Z3 m(D C o mm o (D o CD 0) n Zo o — — cD O Z � CL 0 oQ- (D (a � m oz 3 m O < 3mc�n3CD � D ar« nC ;p : c (° � =. a v O = D v m 000m (D acn moQo — c G) m (D o a- o o cn Z 5N p =r 0 in in 0 CD `< m r o CONCRETE MECHANICAL MANUFACTURED HOME _ o rate By Q Footings t Setbacks Gas Piping Ribbons IOU r o Interief Date By Interior-Date By pets By 00 Exterior Date By Exterior-€}ate B Set-sue � Point.Load l Isolated Footings INSULATION gate By D BAG!SLAB INSULATION G DateBy _ Data By FIRE DEPARTMENT m Foundation Milt Floors Date By Date By Data By DECKS FRAMING By Walls Date Date By Data By PROPANE TANK S PLUMBING Vault Date By Date By OTHER Groundwork Attic Efate By Type; Cate By Date By Ef.litt.V DRYWALL Type- Int Brace Wall Coate By 1301 v (sate By bate By CDFINAL INSPECTION N peon Line By Date 7a eSeperartiwn By Date By ra m O C o Pass air Request Inspect. c Type of Insp. Fail Date Date Done By Comments CD v S oat Err Cn co 3_ . n� 0 CONCRETE MECHANICAL MANUFACTURED HOME Date 13 Footings t Setbacks $Ripire Y Ribbons Interior Date By Inferior Date By Date By Exterior Gate By Exterior-Date BY SSW Point Load t lsalated Footings - -- INSULATION Date Bra Cate By B6 1 SLAB INSULATION Date By FIRE DEPARTMENT Foundation Walls Floors Date By [ate. By Data By DECKS FRAMING Walls gate By Date By Data By PROPANE TANKS PLUMBING Vault Date By _ ._. Date By _ Groundwork - OTHER Attic Cate By, date By Date By D.W,V DRYWALL �_._._ � Tyrpa: -a Dale By Int Brace Wall Date By y Date l.y FINAL INSPECTION Water Line Fire S+epetation CD Gate By Dais By Date By o Pass or Request Inspect. 5 Type of En:sp. Fail Bate Datey Done By j Comments s CD v a �cs wrs O Q y O CD CD .1 3 _ i ry 0 -w 3 David E.Shoblom INN NE Collins Lk.Dr. o Tahuya,WA 985M J 360- z 7_5 -- H TF 'pAL o l.E_ iBA o I W : yX (a LgACATG- I _ l I T�M9 EA.S S�.�.o�1MAL4-Fi �AKT-_N I o "fuRr1 - ----- to IR AIM uN-D- i l m,n 7,TkIT LIXE _ I 5 fT �L�ESQ o N o F 5LOP E• `� i o R}•. 30 II 2,Q 18"�l i I 2 I SuR.V F-Y ?x 9 _o — `-'� - 19�4b� /� ,� JIV � � uTki �' IBu�ti �lk__��T.1� LL ld 2Q 18 ' o i � ' 5 PLANNING RECEIVED z$, SEP 11 2018 - 615 W. Alder Street ' o 10 of SLOPE T` 'PROVE® _-- mA 7 . JNTY DCD PLANNING (� SQUIRED TO BE ON 1 E 3UBJECTTOAPPR VA By Date ; i 94 FT '-AKE PLANNING : ALL SETBACKS ARE MEASURED q E ��- 40 FROM THE FURTHEST 'CeA PROJECTION OF THE BUILDING j na 5 0 10 4-0 I ? (Z)?03E'D C14RHG E, f z0' 4 Z I' � *3z 'Ropa) LJ1 A K E ldm-)zt 30 Iq l� � 30 15I �D9 b TOPOGRAPHY PROFILE: Q G� Direction: Scale: Approval: for office use Building Permit number:-6 l(A 2018 `y� 1 rl - q0 Building: `18VF Planning: Owner/Applicant: �HO 8 l_0 M EAST Date of �Ll=VA�o� application: Env. Health: Parcel Number. �.�-3� � +50 � 0 l)0 �z. Name�A VF— S�,036e m Parcel# Z 2. 3 3 1 Q 00 VO BLD# - , U ' L® I N^ Mason County 6� Department of Community Development SEP 11 2018 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 made 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 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 = 3 X 2 -7 = 1 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 = (R IZ, A Root zD X = ! O If the total impervious area of the proposed site X _ development is greater than 2000 square feet a mall Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of a r s) I© , If the Total Impervious Surface Area s LESS THAN 2000 S uare Fee ,please read,acknowledge and sign below. 4 Based Upon the information you have pro "ded a mwater an 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- cribed property for review and inspection as may be required. y� / X A Owner/Agent/Contractor(circle one)Date: 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�A V� �.x�tO&,OM Parcel# 22 '3 t " S O—o0O iF 13LD# 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) &nt he relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in therety 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- scribed property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 9 Page 2 of 2 `�ozz copy MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No:1611-51 0' 61 BUILDING•PLANNING#PUBLIC HEALTH*FIRE MARSHAL 615 W. REC Alder Street,Shelton,WA 98584 4--1VE- Phone Shelton:(360)427-9670 ext 352-Fax:(360)427-7798 Phone Belfair.(360)275-4467-Phone Elma:(360)482-5269 SEP 8.1 BUILDING PERMIT APPLICATION.- . street 13UILDING V 1,5 W. Alder %.0 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:WVE: SkBLor^ NAME: 0 VJAC P,?,- MAILING ADDRESS:/0 YJ &Z C042(49 [F<. 0P.. MAILING ADDRESS: CITY-TA-AcYA STATE: W A. ZIP:-??IV CITY: STATE: ZIP: PHONE#1: Q (b I PHONE: CELL: PHONE#2: EMAIL : EMAIL:jA��--a.j-yjC 3 06,. C.0 rv-,, L&I REG# EXP. PRIMARY CONTACT: OWNER X CONTRACTOR[] OTHER❑ NAME 0=1 A ,., EMAIL MAILING ADDRESS AMP. W) A 15'a V CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) �,Q 3 3 1 -56 - CC6 Ild- ZONING --se LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICTSITE ADDRESS' /0 ?/ NECr,L 8 CITY"JAPIULYA DIRECTIONS TO SITE ADDRESs'Dtive, '68I.P4ix-_Wwm AvvY. 5. 3 IW,. -ro Ca&.ZVJ LK A 0,V `RT. f Cad w Cae4m,5 I-K 2 it AR 6 uo D 4-4K I- . SV 6 Z 5 0 At 4cjr— IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES' NO El 142 LL-fof el, IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATERE] LAKEg RIVER/CREEKE] PONDE] WETLANDE] SEASONAL RUNOFF E] STREAME] TYPE OF WORK: NEW - ADDITION E] ALTERATION El REPAIR E] OTHER E] USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Q JQ?A rajc— IS USE: PRIMARY X SEASONAL E] NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES (Whole Bldg) E] YES (Part[s]of Bldg) r] NO DESCRIBE WORK I C12Z QA2A 61& SQUARE FOOTAGE: (propose+existing) 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- (PUL) sq.ft. Attached E] Detached JA CARPORT sq.ft. Attached E] Detached El MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE 6 J A . MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC!% SEWER El NEW[I EXISTINGk PLUMBING IN STRUCTURE? YES E] NO)< If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES [] Nd� 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) 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 PLANNING / MASON COUNTY Mason County Permit Center Use: j COMMUNITY SERVICES DDR 2L I e> - Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352 • Fax:(360)427-7798 $130.00 Request for Administrative Variance for /�" ^c Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lint lines and 10 feet for front and rear lot lines or any access easement. Request for furth A*P� 'jtion CyU requires a standard variance. Setbacks are measured from the furthest projection of the strul&�e. including roof eaves and gutters. Str�, g APP licantl0wners. f3 L<o Mailing Address: City: i A dCA- State: Zip: Telephone: 3 Email: (j in e /ri [� J`^ </ Od, Cz PI-L 0T 7 J:: � C R ru es u �2C— 8;- If this reduction is tied to a building permit, please give permit case numbers BLD 20 l - GYM q e) Parcel Number(s):_ Zoning Site Address: �i�I I �� CO i n,5 �>rtul — l(�'lU CL Requested setback variance: nn S ft. ❑ Front ❑ Rear Xside �N 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, 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: i For existing lots of record as of March 5, 2002; You must meet ode 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; ❑ 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): ❑ 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; ❑ 1) 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. l cU (Jj, QW 5" rQrcx- Owner/Agent (please indicate) Signature Date Official Use OnlyUse Only Approved by: Date Denied by: Date Reason for denial: