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HomeMy WebLinkAboutBLD2021-01557 Addition - BLD Application - 10/19/2021 MASON COUNTY COMMUNITY SERVICES Permit No: �11 -1E PERMIT ASSISTANCE CENTER: Wtb -BUILDING-PLANNING'-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 0 C T 19 2021 BU e Shelton:(360)427-9670 ext 352-Fax:(360)427-7798 Phone Bellair.(360)275-4467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: I A NAME: �� rl�� NAME: puss: MAILING AD RESS: CITY: STATE: iZ1 :IN CITY: STATE: ZIP: PHO #1: 1 -f PHONE: CELL: PHONE#2 c7 vU EMAIL: EMAIL: 5 l-c ob3M REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2 2,7-' (2—© ZONING rUMt('e-5 LEGAL DESCRIPTION(Abbreviated ra FIFUEJWSTRICT SITEADDRESS 1�01 CITY %,r" DIRECTIONS TO SITE ADDRESS i n^ . T1D_ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO O' IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION JKALTERATION N❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residemcc Garage•Commercial Bldg,Etc.) 4- le-)�eLS k C L- IS USE: PRIMARY SEASONAL[I NUMBER OF BEDROOM NUMBER OF BATHROOMS HEATED STRUCTURE? YEjS(►,iMo/e Bldg)❑ YES(Part(s1 ofB1dg)® .NNO❑ DESCRIBE WORK �}�I�onnd t T`O Ifl SQUARE FOt &Crl• _ .ST FLOORIJ30 _,m 2NL rt,UOR sq.R 3RD FLOOR sq.fL BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE.' - sq.R OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* YEAR LENGTH TH BEDROOMS BATHS ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES❑ NOV If yes,attach completed Water Adequacy Form PERDVIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO)X EXISTING SQ.FT. EXISTING BEDROOMS P- PROPOSED BEDROOMS Q TOTAL BEDROOMS C 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) Sn-'rD-'.-. . 10- Igni ture of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J .j,l• PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH I MASON COUNTY COMMUNITY SERVICES Permit No:120 201-1- 0 59L PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton,WA 98584 www.co.mt no(360)427-9670 ext.352• Fax.(360)427-7798 OCT 19 2021 Dinir.(360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: I n r-t 1\ S NAME: MAILING AD RESS: 0 4_ MAILING ADD S : . CITY: f— STA : t n-JN ZIP: CITY: STATE: ZIP: 111 PHO ��_till - .R PHONE: CELL: 2nd PHONE: n EMAIL: EMAIL: e rnA; . G�11� L&I REG# EXP. / PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning rL)raj r4L<.5C . LEGAL DESCRIPTION(Abbreviated):. SITE ADDRESS: CITY: DIltECTIONS TO SITE A DRESS: TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FDCrMSMNTTS—1ST FLOOR 2"FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL S / Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless F✓ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 projecL 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTNITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV (DATE THE APPLICATION. C, 1 I,� �,,,„ .}zJ—, -lei-J,Z0711 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN T�Tf t r ---------- ............. j q S.- V Di I .......------- TOPOGRAPHY PROFILE: FLAMING* RECEIVED ALL SETBACKS ARE N4EASURED' P FROM THE FURTHEST OCT 19 2021 RO)ECTION OF THE BUILDING 615 W, Alder Street Direction: Scale: Approval: for office use ermit number: Building: Planning: lOwner/Applicant'. ];&ni�) Date of application'. Env. Health: Parcel Number: axo I—,aa-(510 1 'a 0 Will 10-e a�+ty- �e!rnode 1 2 PLANNING: ^' V `JZ L- �arre i#ZZZU� �7�96�ZG ALL SETBACKS ARE JMEASURED CTIONOFROM THE THE FURTHEST PROJECTION OF THE BUILDING �J Spa ha : I ''z 20, yo �.b'' O�UnQ� i S res�o�S b o fo Z0 30 S�0 -�-O r pro,�e�+� A �ti � °° ZPS�rvP Showh 1 t e .h � J 51o0349 }� PAULA JGY JOHNSON -" L! - "r-DD OMMNsra EXPIRES 1 ,} Vv I I O l25t EH APPROVED Sept`` Rhonda Thompson 01/19/2022 APPROVED EH Setbacks MASON COUNTY DCD PLANNING PLANNING SETBACKS A.) Drainfield/Reserve requires 10'setback from footing/foundations SITE PLAN REQUIRED TO BE ON SITE Front: North 25' B.)Septic tank(s)requires 5'setback from all footing/foundations CHANGES SUBJECT TO APPROVAL C.)No foundation/Perimeter Drains within 30ft,downgradient of Front: South Septic. See EH DrainfieldlReserve area By:_1-11 Date: 01/19/2022 Side: West 5' ADV2021-00217 D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within Side: East 20' 50ft,down gradient of Drainfield/Reserve area t — - MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV6o2I - 06alI 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 -RE418VED 'oo Request for Administrative Variance for OCT r�e 2021 Reduction in the Required Setbacks 615 W. Alder Street 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: ���r1 n D" �S Mailing Address: City: -2\ State: Zip: _t �L•O Telephone: J(OD 56A- SX- Email: ko.CNV4 kS If this reduction is tied to a building permit, please give permit case number. BLD o�Do� ( - D 17 CIrT" ` �d,�eQ l Parcel Number(s): 7 2.ZD\-- Lam'q 0\ ZD Zoning Site Address: 3(6-1 c<e—ecot� r, L✓ Requested setback variance: �,� ft. ❑ Front ❑ G�Rear Side 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 REOUESTS: 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): ❑ 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 xi ting improvements of buildings, septic systems, and well areas. SI D Y REDUCTION REQUESTS: Fo existi lots of record as of March 5, 2002; t�� 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; Ga'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. -�-� Vtj cAs� Owner/Agent(please indicate) C)44 Signature Date Official Use Only Approved by: _ Date la -a9-20x. Denied by: Date Reason for denial: