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Home My WebLink AboutBLD2020-00096 Final MFG Home ADV2020-00014 - BLD Permit / Conditions - 2/28/2020 t Mason County c 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 DD2020-00096 MANUFACTURED HOME PROJECT DESCRIPTION: NEW MFG HOME ISSUED: 02/28/2020 SITE ADDRESS: 20 NE LAKEVIEW LN TAHUYA EXPIRES: 08/26/2020 PARCEL: 223205000041 APPLICANT: MATTHEW A MIKOTA OWNER: MATTHEW A MIKOTA 421 NE LAKE CHRISTINE RD 421 NE LAKE CHRISTINE RD TAHUYA,WA 98588 TAHUYA,WA 98588 GENERAL CONTRACTOR'S LICENSE: Phoenix Dev. LLC License: phoend816nk 2087 Mitchell Rd SE Expires: 08/12/2021 PORT ORCHARD,WA 98366 FEES: Paid Due Modular/Manufactured Home $275.00 $0.00 Fee- 1 st half collected at submittal Modular/Manufactured Home $275.00 $0.00 Fee-2nd half collected at ready to issue Technology Surcharge $11.00 $0.00 Building Plan Review/Change of $110.00 $0.00 Use -Onsite Sewage Planning Review Fee $240.00 $0.00 State Fee-Residential $6.50 $0.00 Totals : $917.50 $0.00 REQUIRED INSPECTIONS Setback Inspection Set-Up Inspection Footing Inspection BLD-Final Inspection Printed by:Julia Kerkes on:02/28/2020 01:29 PM Page 1 of 4 Mason County Mason County - Division of Community Development m $. 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2020-00096 CONDITIONS " 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/d itch i ng 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. * 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 * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * 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. * 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. Printed by:Julia Kerkes on:02/28/2020 01:29 PM Page 2 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 BLD2020-00096 * 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. * 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. * 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. * 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. * 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. * 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. * 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. * 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 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. * 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. * 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. Printed by:Julia Kerkes on:02/28/2020 01:29 PM Page 3 of 4 • Mason County i 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 BLD2020-00096 * 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). * 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. * 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. * 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 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. * The foundation/footing must be placed on undisturbed, firm-native soil minimum 12 inches deep. * All property lines shall be clearly identified at the time of foundation inspection. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * 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 * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. RR20 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 provisions of an other state/local law regulating construction or the performance of construction. Issued By: AIL - Contractor oTuthorized Agent: ` Date: Printed by:Julia Kerkes on:02/28/2020 01:29 PM Page 4 of 4 �1 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY � SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-2754467,EXT 352 Building,Planning,Environmental Health,Community Health ELMA:360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY*" To schedule an inspection call or visit httpJ/www.00.mason.wa.ustcommunity-servicestbid-inspection.phpr Permit Number BLD2020-00096 Date Issued 02/28/2020 Issued By J� Project New MFG Home U Site Address 20 NE Lakeview Ln Applicant MATTHEW A MIKOTA Contractor Phoenix Dev.LLC Contractor Phone Primary Code 201 IBC,IRC,IFC,IEC,IMC,& Type UPC Permit Type MANUFACTURED HOME Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. "THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED." PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building ManufacturedHome Setbacks 3 a \ Setup Concrete Foot/Runners -J /�► Final Other 20 ' tr LA*VED VI SION QkmD I S/Z v Z 0 PLANNING: RECEIVED ALL SETBACKS ARE ?V11EASURED MAR 13 2020 eR0 tAlI�EF� URTHEST gRD fECT Ot j D� TI-;j- BUILDING 615 W. Alder Street P G f55' -�jv"r,-i � g 0, , tJ 3 0 &I Zo20-000 r Yt ��o �zU fti- CEIVED PLANNING' JAN 2 9 2020 — PLANNING , �� _� ALL SETBACKS ARE MEASURED FROM THE FURTHEST 61 � 'vJ. Ai der Street PROJECTION OF THE BUILDING A i D'��- r ----7- 10 iA$w �r h wirl4v o `+ 17 N E 1--"EL1T6 w I -WL/ APPROVED .MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE Q C A ES SUBJECT TO APPR VAL By Datee ! b i TOPOGRAPHY PROFILE: + �. �,,E h S 1 o C.- 4, NTS_ _ Direction: Scale: Approval: for office use Building Permit number: Building: Owner/Applicant: G,�i; L� Date of Planning: Parcel Number: �, Wl � -5u t�dD ` application: Env. Health: i 2t RECEIVED Future omen JAN 2 9 2020 of Bremerton ��"°AKSAIL 615 W.Alder Street Off.WDW OPT WDW _ 10701 = 1 1 - -a UTILITY KITCHEN f 1 1 UTILITY^� OPT_ 1 1 � vtbie MA5TER BEDROOM - J i ___ -_ ` KITCHEN ovi O109 _ 1 DINING BATH AREA DIN G ,1 --- A p 23'-4• 1 -- -OP F0RCH` . OPT. - - - ALTERN KITCHEN&UTILITY LIKNG ROOM �1 BEDROOM#2 14'-2'X 11'-2' WAuc-IN CLOSET 1 ENI"NCE - ------- i OPC Fil Uri. I `- i ■ 1 13EDROOM#2 1 La HALFPORCH OPT -..6'-O'x 11'-8'- I BEDROOM#2 Off i 1 BATH#2 DINING 1 BEDROOM*3 i 1 AREA 99 12'-2"X 7-6' OO __ -- -- r OP l WDW WESTON SUPER VALUE MODEL 24382V 2 Bedroom - 1 Bath - 886 Square Feet 4021 State Hwy 16 W I Bremerton, WA 98312 360.479.4663 Mon-Sat 9a-Sp Sun 12p-Sp 3 www.futurehomesbremerton.com - - I� i Name G 612t?kDa-.*, Parcel# 2,27 i—SZxtYvK I BLD# bLO M Mason County RECEIVED Department of Community Development JAN 2 9 J1020 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 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. '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 I X � = b7(o X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways of 0 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 = 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) 0`i /J- 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 property for review and inspection as may be required. X Owner/AgptrfMntracto 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 Iof2 BUILDING 40"J;S J8PIV -AA.. 0Z 6 Z Ndf (1 A I"e, ,>,_a MASON COUNTY COMMUNITY SERVICES Permit No: DL�ZD LO—O0v�7 PERMIT ASSISTANCE CENTER: 11�t�s�� •BUILDING•PLANNING.PUBLIC HEALTH.FIRE MARSHAL pip 61 S W Alder Slreel Shelton,WA 9658e �91�•�e Phone Sh,hon(360)e27.9670 so.352•Far(360)427.7706 Phone Serra,(360)275-4467•Phone Elm.,(360)462-5269 BUILDING PERMIT APPLICATION B u ' L D I N PROPERTY 0AVNER I' PUJ N A �. CONTRACTOR INFORMATION: NAME: k4to tt 0 A NAME: K0 . oak .1 C NtAIL G ADDRESS: « nt• &AILING ADDRESS: �n2 CITY: OEM S ST'T ZIP: CITY-WI-Is"' t1gAfA STATE: I,JekZIP: PHONE MI: O 'TS PHONE-41. .414.1I1At CELL: PHONE 02: I T EMAIL:��L r pleb,in OA ,lw.. EMAIL: A n r1a, w• L&t REG q 6,n�11 the n►[ E7CP. /1Z,I�? I PRIMARY NT T: OWNER❑ —CONTRACT OR OTHER❑ NAME EMAI I.KGAL► n fG4Y1"& MAILING ADDRESS 0 • s CITY S STATE W_ZIP PHONE 11 L�- - '7 II( CELL PARCEL INFORMATION: G .1 PARCEL NUMBER(12 Digit Number)1ZSq O" J�-0UV~, ZONING 2 P LEGAL DESCRIPTION(Ab reiated FIRE DISTRICT�airltn >rRSO SITE ADDRESS tvJ CITY 1411 H �+ DIRECTIONS TO SITEADD�tESS flPw•r 6, u 1. 'O N 'III a !6 d,It g A E t -j tia IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chmikelf ritmemN: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW jr ADDITION❑ ALTERATION❑ REPAIR[IOTHER❑ USE OF STRUC- IRE/Rrsalren,Gu W.c rrmisl Bldg.Ek.J A y�!�1°`' iyAC'e IS USE: PRIMARY(SEASONAL❑ NUMBER OF REDROOMS'—NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES Mhok&WyW YES(A-tI�l stirs 1 NO❑ DESCRIBE WORK 1wc,>.,�( �L/J rflfUy,SY . SQUARE FOOTAGE:roc%—,di 1ST FLOOR',r`.f.0 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.IL BASEMENT Sq.ft- DECK sq.R. COVERED DECK Z sq.R STORAGE sq.ft OTI(ER sq,ft. GARAGE. 6q.ft. Attached❑ Detached❑ CARPORT 6q.11. Attached❑ Detached❑ MAI A URED HOME INFORMATION: e1 COPIES OF THE FLOOR PLAN REQUIRED• MAKE Af ltlf'S k MODEL 2173$2 YEAR LENGTH r WIDTH n BEDROOMS =- BATHS SERIAL NUMBER ENVYRONMF,NTAL HEALTH: — SEWAG&SEWER SOURCE: SEPTIC Gj-- SEWER❑ 1 NEW(a EXISTING❑ PLUMBTNG IN STRUCTURE? YES¢ NO❑ Ifyes,attach completed Water Adequacy Fora) PER)METER'FOUNDATION DRAINS PROPOSED? YES❑ NOD" EXISTING SQ.FT. EXISTING BEDROOMS- PROPOSED BEDROOMS TOTAL BEDROOMS OWNER sotnoviledges that submission of Insocurete Information may result In a stop woA order or permit nvocsitwn.Aelutottaedgalnerd of welt r ay signature below.I declare that I am the owner and I lurlher declare anal I am ent died to receive Ws permit and to do tine work sop%, 'I Iwrw oolalned parmisaion from W the necessary parties,including any easement holder W parties of Interest reganhing this Prole&The WAnw or 110 rprasentative,represeru that the Information provided Is accurate and grants employees of Mason County amass to the above dMalf call pub and souctwe(6)forrevww uw and Inspen.This pamne/appllcation becomes null 6 void If A of euthonied uronsbucotm Is cud oorFA"rlad 0004"ISOdays or It wratrucoun wurk Is suspended fo a period of 160 days PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OR THIS PERMIT APPLICATION Of 10 DAY6 OP MORE WILL CAUSE THE APPLICATION TO OE RXIMI 1ED.(MASON �YOUNTYCOD!11.0E.17) X 1 ALI/Za2o Si nature OWN! (Mau tsr atoned by Iha OWN!_41 __ Daa DEPARTMENTAL REVIEW APPROVED DATE D914I90 DATE TAGSAVOTESICONDITIONS BUILDING DEPARTMENT EL x ZS' PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ,1 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv72� Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Revd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Request for Administrative Variance for Reduction in the Required Setbacks JAN 2 9 2020 For administrative review, the minimum variance on a setback request is 5 feet from the s5d�`yar��gE 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. Applic Owners: 1�l C� 61( !'kV0 1 V. t;.LC, Mailing Address: 2� 1 M t V C41 e- a S G— City: f(5Y . YT-A ,avdState: Wit Zip: DY 6,2l 3(o�o Telephoner 3fa(� SO c1 - el 2 c� Email: t7h08h1xdeVile,0 QmalbLOm RANNING If this reduction is tied to a building permit,please give permit case number. BLD ID20 - 0009 �0 Parcel Number(s): Zoning Site Address: Requested setback variance: ft. Front ❑ Rear ❑ Side � c 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: For existing lots of record as of March 5 2002; You must meet one of the following: 1 One of the followingexists 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 acr e) existing improvements of buildings, e tic 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. two �yv►-t� (.�6crd $�c,�S w�-k, st%�fi� S�.S��, wiekrs �� d).FhctA4- i a)ace i-+44 Koytm- IM 2 Q 54-6CIa— Ced4LAyi, Owner/Agent(please indicate) 202d Signature Date Official Use Only Approved by: Date 9 ZvZ,v Denied by: Date Reason for denial: