The URL can be used to link to this page

Home My WebLink AboutBLD2024-00099 Carport ADV2024-00006 - BLD Application - 1/24/2024 co¢yr MASON COUNTY COMMUNITY SERVICES permit No �Ul��— W � PERMIT ASSISTANCE CENTER: .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ex[352•Fax.,(360)427-7798 Phone Belfair.(360)275-4467•Phone Elme:(360)482-5269 JA N 2 4 2024 INS! BUILDING PERMIT APPLICATION t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:_— NAME: MAILING DRESS:..D I MAILING ADDRESS: r CITY: STATE: ZIP: CITY: STATE: ZIP: PHONE#1: a PHONE: CELL: PHONE#2: �-S :f'o ''(./I�f5 EMAIL: EMAIL: f !/✓�k T.;. L&I REG# EXP. PRIMARY CONTACT' OWNER CONTRACTOR❑ OTHER❑ NAME U I4/ EMAIL MAILING ADDRESS 1�lvll CITY 1}J •.2 STATE��ZIP .�-a PHONE �"� ' CELL ` PARCEL INFORMATION: p PARCEL NUMBER(12 Digit Number) 51 1 /7 55 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 30 W • t�a rn ,r�1n, 'rt��f j CITY 10�M-( DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO SnOIAJ IS PROPERTY WITHIN 2 0 FT OF THE FOLLOWING: (Checkaii thin appiy): SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION Ej,, /REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) V Ni 001* IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES()note Bldg)❑ YES(Pan[s]of uldg)❑ NO . DESCRIBE WORK SQUARE FOOTAGE:(propose+ezdrrmg) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.& DECK sq.& COVERED DECK sq.fL STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT_b&Q_sq.ft. Attached❑ Detachedg_ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERLAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form PERRvIETER/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 representable,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 CONTINUATI N'OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON 1 COUNTY CODE 14.08.42) SigQ ure of PWNER(Must be s ai ned by the OWNER) Date r DEPARIME TAL.RE`•rIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDIN EPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH TY P9o14 co,pN MASON OUNNCE COMMUNITY SERVICESPERMIT Permit No: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED^ 615 W.Alder Street,Sha@on,WA 98584 Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone rx;r Belfair.(360)275.4467•Phone Elma:(360)482-5269 JA N 2 4 2024 BUILDING PERMIT APPLICATION t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: r NAME: MAILING DRESS: ._O I c MAILING ADDRESS: •� CITY: STATE:"Liu ZIP: CITY: STATE: ZIP: z PHONE#1: a ? PHONE: CELL: PHONE#2. 2 ? EMAIL: EMAIL: Vic,t s,. L&I REG# EXP. PRIMARY CONTACT: U OWNER CONTRACTOR❑ OTHER❑ NAME L-&Vf^ d"I EMAIL MAILING ADDRESS i f M-1 to t CITY ✓!?4!•+.7.. ''' STATE ZIPf» "? PHONE 'f- CELL PARCEL INFORMATION: q _ PARCEL NUMBER(12 Digit Number) 51 I /-7 55 �� ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS �Q W- kA M CITY rh k DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO A Snow- :)6 IS PROPERTY WITHIN 2 0 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION E] RREPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) VN/ CoNl/Ir IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan[s)of Bldg)❑ NOA DESCRIBE WORK SQUARE FOOTAGE:(propose+caving) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.fL OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT_6&0 _sq.ft. Attached❑ Detachedg_ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC�. SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form PERM ETER/FOUNDATION DRAINS PROPOSED? YES❑ NCI[] 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 8 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 CONTINUATI�N/OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS PERMIT APPLICATION 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON / COUNTY CODE 14.08.42) l�+ SigpdUre of PWNEg(Must be signed by the OWNER) Date DEPART(1•IE TAL.REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDPPIONS BUILDIN EPARTMENT PLANNING DEPARTMENT IK ^?` FIRE MARSHAL PUBLIC HEALTH M I � + 1 �l G !C - C r 7 • _ 1 r r, \-,00 14 TOPO 015HY PROFILE: P�LD�oa� �l/V-l� Direction: Scale: Approval: for office use BuildingPermit number: m I It; � I Building: Owner/Applicant: i—�PM f 5 `vim�/ N�Pra N I Date of Planning: application: Env. Health: Parcel Number: S�q 1-7 SS OU �yB Name Parcel#�F,1917—65—00 1b BLD# —00 Mason County Department of Community Development 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 n X q4 = 660 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 = 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) �g0 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 th the information provided is accurate and employees of Mason County are granted access to the above- described property for iew and inspection as may be required. X Owne gent/Contractor(circle one)Date: If th otal I ervious Surface Area is GREA THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Names Qom— Parcel# rj n-55-ooO4D B L D# Q24 -000g!� 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) 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 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 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 r� (� MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV _ 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 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks 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: Mailing Address: City: 1, State: VIA Zip: Telephone: �rJ 3' 3 03G) Email: If this reduction is tied to a building permit,please give permit case number. BLD � Parcel Number(s): 19 1 5 5_000�[J Zoning Site Address: �7 D V\) I al ►�a 1 Requested setback variance: 1 �J ft. ❑ Front ❑ Rear Side t �U 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. i 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): 9 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): W 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; W d) lot size of no more than one-half acre; 0 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. �i' r►1 Cwner Agent(please indicate) Sign a Date Official Use Only Approved by: Date Denied y: Date Reason for denial: