HomeMy WebLinkAboutSHX2021-00019 BLD2021-00608 - SHX Permit / Conditions - 4/29/2021 �r T
RECEIVED
RECEIVED:
MASON COUNTY APR 2 9 2021
COMMUNITY SERVICES 615 W. Alder Street
Building,Planning,Environmental Health,Community Health
Alder Bldg.8,Shelton,Wa 9884 Ph 1 �
' Phone:e:(360)427-9670 ext.352+ Fax:(360)427-7798 PERMIT NO.:
SHORELINE PERMIT APPLICATION
SHORELINE PERMITS
CONDITIONAL USE* SUBSTANTIAL DEVELOPMENT
VARIANCE* EXEMPTION
The Washington State Shoreline Management Act(RCW 90.58) requires that substantial developments within designated
shorelines of the state comply with its administrative procedures (WAC 173-14) and the provisions of the Mason County
Shoreline Management Master Program. The purpose of this Act and local program is to protect the state's shoreline
resources. The program requires that substantial development (any development of which the total cost or fair market ,
value exceeds $7,047.00 or materially interferes with the normal public use of the water or shorelines of the State be
reviewed with the goals, polices, and performance standards established in the Master Program.
Answer all questions completely. Attach any additional information that may further describe the proposed development.
Incomplete applications will be returned.
*Shoreline Variances and Conditional uses require public hearings and have additional pages that shall be
attached to this application.
APPLICANT:
ADDRESS: (oil fza scheme+ e4
G r4 T>e yi ew (street) IWA qtl y&
(city) (state) (zip)
TELEPHONE: a to
(home) (business)
AUTHORIZED REPRESENTATIVE: fQot-en 1AW n.er
ADDRESS: 52,1 51J 152-na( 517
gyrieil (street)
(city) (state) (zip)
TELEPHONE: a ole — (o(vV— ! [ -7 1
PROPERTY DESCRIPTION:
General location (include property address,water body and associated wetlands—identify the name of the shoreline):
loll C 1TLjA .5&t,e -- V1 PIA -I K1 Pu.c\e�SL)vr, - "A_r- Q'a&
13 Rev. March 1, 2018
r
Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
S0 - QI�Ot�B
OWNERSHIP: Contract
Applicant Owner Lessee Purchaser (Identify) Other
Owner:
Gr(Ae vV u WA
(street) (city) (state) (zip)
DEVELOPMENT DESCRIPTON:
Development proposal (identify and describe the proposed project, including the type of materials to be used, construction
methods, principle dimensions, and other pertinent information): //��
M6Rv '�vnmion Qe 1 +p asnd aloe -f'hto fiU1/ndafivn
�ak�f �r�hacis Ar '0 1-s cf11 be, l�dtas�d
v v
Existing Use(identify current use of property with exist improvements):
Ekl S'1'I n� S I✓lGl l Z -�arulh-1 Ves l de4 G e cv i if,,NS 4- 1!1
b ut I IL-K r-aA— V&-ZAIrt-'O-k l,Al2!/1.
Reason for requesting development:
�12 arc, b, I Zi n �'1 Pam. fin g ,hU 1 Vear,6 flD
W)r-thgl --demf Role.
The applicant shall provide, at a minimum, the following information:
a. SITE PLAN -drawn to scale and including:
i. The boundary of the parcel(s)of land upon which the development is proposed;
ii. The ordinary high water mark(OHWM). This may be an approximate location provided, that for
any development where a determination of consistency with the applicable regulations requires a
precise location of the OHWM the mark shall be located precisely and the biological and
hydrological basis for the location as indicated on the plans shall be included in the development
plan.Where the OHWM is neither adjacent to or within the boundary of the project, the plan shall
indicate the distance and direction to the nearest OHWM of a shoreline;
iii. Where appropriate, the proposed land contours using five-foot intervals in water area and ten-foot
intervals on areas landward of OHWM, if development involves grading, cutting,filling,or other
alteration of land contours; '
iv. The dimensions and location of existing structures which will be maintained;
V. The dimensions and locations of proposed structures; parking and landscapipg;
vi. The location of proposed utilities, such as sewer, septic tanks and drain fields, water, gas and
electricity;
vii. The location, source,composition, and volume of fill material;
viii. The location, composition and volume of any extracted materials, and proposed disposal area;
b. CROSS SECTION,drawn to scale including:
i. The existing ground elevations;
ii. The proposed ground elevations;
iii. The location and height of existing structures;
iv. The location and height of proposed structures;
V. The OHWM.
c. VICINITY MAP, including:
I. The location of subject parcel using natural points of reference(roads, state highways, prominent
landmarks, etc.).
ii. If the development involves the removal of any soils by dredging or otherwise, identify the
proposed disposal site on the map. If disposal site is beyond the confines of the vicinity map,
provide another vicinity map showing the precise location of the disposal site and its distance to
nearest city or town.
iii. On the map, or separately, give a brief narrative description of the vicinity of the proposed project
including identification of the adjacent uses, structures and improvements, intensity of
development and physical characteristics.
d. ADJACENT LANDOWNERS. Provide names and mailing addresses of all real property owners
within 300 feet of property line boundaries where development is proposed.
ACKOWLEDGEMENT:
I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information is true and
correct.
(42c� Za zi
(Applicant or Authorized Representative) (date)
MASON COUNTY COMMUNITY SERVICES Permit No: 13161242I 0b(M6 S
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
Phone She/ton:(360)427-9670 ext.352•Fax.,(360)427-7798 Phone
Bellair.(360)275-4467•Phone Elms:(360)482-5269
BUILDING PERMIT APPLICATION APR 2 7 2021
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMAT 15 W. AldE r Street
NAME:Tim Perry NAME:Matvey Foundation Repair
MAILING ADDRESS:611 E Rauschert Rd MAILING ADDRESS:421 SW 152nd St
CITY:Grapeview STATE:WA ZIP:98546 may.Burien STATE:WA ZIP:98166
PHONE#1:(206)524-8258 PHONE:(206)660-7971 CELL:
PHONE#2: EMAIL:pernits@gomatvey.com
ENTAIL: trobperryQgmail.com L&I REG#MATVEFR837K5 EXP. 06/15/21
PRIMARY CONTACT: OWNER❑ CONTRACTOR R OTHER❑
NAME Ayden Wagner EMAIL Permits@gomatvey.com
MAILING ADDRESS 421 SW 152nd St CITY Burien STATE WA ZIP 98166
PHONE (206)660-7971 CELL 06)660-7971
PARCEL INFORMATION:
J PARCEL NUMBER(12 Digit Number) 12118-50-00008 ZONING RR-5
LEGAL DESCRIPTION(Abbreviated) "p ^" Taeaireourrransxrm.samso,sxct FIRE DISTRICT 3
SITE ADDRESS 611 E Rauschert Rd CITY Grapeview
DIRECTIONS TO SITE ADDRESS Take a right out of the building onto Alder St.Continue on to the traffic Brice,take first erdt onto N 1st at.Then
turn left on E Pine St,continue on Wa-3 N,then turn right onto E Grapeview Loop rd,continue straight until turning right onto E Rauschert Rd.House on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NON SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkatl that apply):
SALTWATER❑x LAKE❑ RTVMCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR® OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residential Retaining Wall
IS USE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Tart[s)ofB/dg)❑ NO❑
DESCRIBE WORK Installing helical anchors in the existing retaining wall to stabilize the foundation.No additions or change in footprint
SOUARE FOOTAGE:(proposed) 31d-A 0,L)OO.
CIO
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft.
DECK sq.& 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 MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form
PERM413TER&OUNDATION DRAINS PROPOSED? YES❑ NON EXISTING SQ.FT. 1188
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 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 IJurther 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)
x
610' 04142021
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDrrIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH