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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