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Home My WebLink AboutBLD2020-00244 ADV2020-00032 SFR - BLD Application - 3/2/2020 MASON COUNTY COMMUNITY SERVICES Permit No:bg'&;N —Co q PERMIT ASSISTANCE CENTER: - •BUILDING.PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 �I�[\� CI V • Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone ` `D Belfair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION MAR 02 ?O PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO ' VVAl der NAME: 40H O cv h��60 0 NAME: trOe t MAILING ADDRESS:I.E 11 tOW Mah MAILING ADDRESS: CITY:61 b A k140C STATE: PP( ZIP: 33L CITY: STATE: ZIP: PHONE#1: PHONE: CELL: PHONE#2: EMAIL: EMAIL: -.UDILVII 96 () SA• &M L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL , MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number) '?jZ(Id f!A—12d /,,Dfc) ZONING ly LEGAL DESCRIPTION(Abbreviated) 7,15) Q(,A II: 1:5—Z4_ FIRE DISTRICT SITE ADDRESS 1901) 0•g'f'A°(� U1,-3 L CITY Aej ft� DIRECTIONS TO SITE ADDRESS m Ii,FiP ob i 2.2, F. 5'rlri R.I J%i 302- IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] . NO X IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER LAKE❑ RIVER/CREEK 19. POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW)( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER El— USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.) t�`/S I D�i IS USE: PRIMARY] SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS Z Z HEATED STRUCTURE`?? YES(Whole Bldg)❑ YES(Part[s]of Bldg)X NO❑ DESCRIBE WORK U06-fR.L1.C" IDIL) DP 51 D ji'i i SOUARE FOOTAGE:(propose+casting) 1ST FLOOR t5 sq.ft. 2ND FLOOR 1010 sq. t. 3RD FLOOR C+ sq.ft. S NT �' sq.ft. DECK 603 sq.ft. COVERED DECK (I0bZ sq.ft. STORAGE sq.ft. SAHER j q 3 sq.ft. GARAGE__q4g sq.ft. Attached XDetached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: IL))q- *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER) / NEW)4 EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO)< EXISTING SQ.FT. IJ 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 pennittapplication 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 DA OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X �jjt��//Jii� �J•� na a of OWNER(Must be sia d by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I A 202O "6O Z Y� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us Rs Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 ��/V� • Phone Belfair:(360)275-4467• Phone E/ma:(360)482-5269 I,AR D PLUMBING & MECHANICAL PERMIT APPLICATI�1 ?O20 OWNER INFORMATION: CONTRACTOR INFORMATION: derSb-e&t NAME: TUN y L Ok600 NAME: MAILING ADDRE S:Zoti btanLrYt OD S >f- MAILING ADDRESS: CITY:G16 M1J'Rej69✓STATE: A- ZIP: CITY: STATE: ZIP: I"t PHONE: &5 5 - 5 -7 PHONE: CELL: 2°d PHONE: 263 4 EMAIL : EMAIL: I I f y;:41. 0, 6 ham- L&I REG# tq nix PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: Co LEGAL DESCRIPTION(Abbreviated): Z 4ZZ3Z PTIJ of-boy,LX'r Z—S 41 j(4 SITE ADDRESS: V 00 &- • STIR j?_tPLLTr:;, 50-2, CITY: DIRECTIONS TO SITE ADDRESS: (h I Lr-- POST Z.Z STA-Ttr 11 W y �L TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING Rat D�ILZC� T OCA ON OF FIXTURES/LINITS—IST FLOOR'ZP 2NDFLOOR 3 BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric X LPG X Natural Gas—Ductless— Toilets . Type of Unit No. of Units Fees Bathroom Sink 3 Furnace Bath Tubs I Heat Pump Showers 'L Spot Vent Fan Water Heater I Propane Tank Clothes Washer / 'Gas O ets ff 5 Kitchen Sinks I Woo a ellet Stove 2 Dishwasher f Kitchen xhaust Hood I Hose bibs Dryer Vent Other _ (,f}"OUK I Solar Panel Qip tK 5 0 v:-- 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDA HE APPLICATION. X Signature of Owner V Date .)EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT �� •Ili• PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 1 BN Name.-JOH 0 00,0 06A� Parcel i(P'z4- w*) BLD# RO Mason County 101s 1?0? BUILDIN4artment of Community Development w,ql 0 Small Parcel Stormwater Management Application/Worksheet (page qr 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 X X _ .� Measurements for buildings are taken at the perimeter of the farthest projections (example: X = 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) `6t-D 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 inspect'on as may be required. X Owner/Agent/Contractor(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 1 of 2 Name ORk) KAW l�it60 0 Parcel# BLD# 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: httD//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 The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B)X 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 net 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 ther acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- >cribed pro a for rev' d i ection as maybe required. X Owner gent/Contractor(circle one)Date: Page 2 of 2 WAT MASON COUNTY •' COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 415 N 6th Street, Bldg 8, Shelton WA 98584, \Shelton: 0)427-9670 ext 400 ❖ Belfair: (360)275-4467 ext 400 •:• Elma: (360)482-526 400 FAX(360)427-7787 Application for Determination of Water Adequa Inst 1. Complete art 1. No determination can be made until Part 1 is full m leted. 2. Complete o the portion of Part 2 applying to the type of water nection utilized. 3. Submit comp) d application, with any required attachments f eview. 4. Ana roved bul 'n site plan must accompany this a licat' Part 1: Applicant/ Parc \Intification Name on Applicant: 1. kklso 0 /one: f/ Mailing Address: U II Ui 111"�1p Q (bZ�y� �63-4a 11 Parcel Number: Z t0-Z Vt-00d �� 3� Type of Water System Reason for Application ❑ Public/Community Water System (2 or more X'Building permit connections) ❑ Division of land: J Individual water source (one connection), #of Parcels? SPL XWell ❑ Boundary line adjustment ❑ Spring/surface water Other(explain) ❑ Other(explain) ❑ eplacement or Remodel (please indicate name If you have more than one reside connected o ater system below if applicable- no to this well, check the Public/Co unity Water sig ture required) System box. Part 2: Water Connecti Information Complete the section appro ate for the type of water connection being evaluated: Public Water System Name of Water S tem: Water Facility I entory(WFI) Number: (write "no "for two-party) ❑ 1 am t manager of this water system. The water system has been approved for s ices. The r are presently connection(s) in use. This will be the connection. ❑ I a the manager of this system. This connection will be to upgrade or change the use of an a 'sting c nection on this system (i.e.: recreational to full time). Please indicate on the following line th nature this change: This water system is able and willing to provide water to this (these)connection(s)without exceeding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date This form may be scanned and available for public view at www.co.mason.wa.us. J:\EH Forms\Drinking Water Revised 1/25/2018 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV 2o?,c� _ObD3?/ 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: :SC KL) �12,�t-� ob-";00 Mailing Address: Zo 0 +4op /��^ �J City: b to r 0"cle— State: ,�J A- Zip: % 3-2— �qj eo?• Oers f/ Telephone: Za�3 3S3 - qz g I 1zS L4 Ltt Email: GI.S PLANNjf4G If this reduction is tied to a building permit, please give permit case number. BLD Zo 20 - o82-q V Parcel Number(s): 1211(o -Z4 0 Zoning K1 Site Address: 0 F• ST!{TL "(kT6, 302 1316-L�/}� Requested setback variance: �J ft. ❑ Front ❑ 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) 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): 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; r ❑ 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 f r al idential 2.5, 5, 10, or 20 zones. '� IAI1 1; - Y o bL v e 4�r u�a (I ' to den ; �e W.Vd Cy WIk - n Owner/Agent(please indicate) Signature ate Official Use Only Q' �v Approved by: � ` Date , 2ff2 Denied by: Date Reason for denial: RECEIVED NELSON RESIDENCE 2800 E STATE ROUTE 302, BELFAIR, WA 98528 MAR 0 2 �02J PARCEL # 1221 -24-00080 N PL G o , 54 �O MECHANICALEaul N€ MATfC TANK PANE TA VAC -GAS FURNANCE 3 " - ASPHALT ENTRANCE -ELECTRICAL PANEL ': . - . . �* r 'r' . FT LONG. 1334 F ROAD G KITCHEN j AVEL ' r > �::;:�:� : D j� - PROPANE STOVE �} � �r; bs., PTURF `� �I VAS -� ELECTRIC OVEN . `; BRIDGE W WOOD SHED , PROPANE ' GA,--� FI P CE 100'-01, \ \ PROPOSED - - - - - r 0 al qe 'A WELL - - -0- - _ 1 SALT WATER HWM P� WING: ` Off N ALL SETB S E MEASURED j ti N� s r j �p FROM 7HE F THEST N �{� r �� c ? G Bull POWER POLE. ,7p Pao!El T► �� -� r 10' UTILITY r' I � cu c� \ w EASEMENT LEGENb R ED �`� - WELL WATER LIN z WELL 0 MAR�O 2020 0 � ' —� - SANITARY SEWER "� " \ 615 .ardor Str t - - - - - - - - BURIED POWER t NE AP R ED -GAS- - D PNNI PROPANE GAS LI�\, W.90N C0U � IRED O 8E gRE - SITE PUN E ET APPR VAL IF SITE MAP o r %ScLE 1 " - 40' \ NELSON RESIDENCE 2800 E STATE ROUTE 302, BELFAIR, WA 98528 N PARCEL # 1221 -24-00080 LX 546 -10 - r- - 3e04 �- ASPHALT ENTRANCE 71 S 1344 F 3 sf 3 T 31 FT LONG 3 RF j e U C� . PAVERS G AVEL ROAD >- BRIDGE 1 M s cP P w WOOD SHED ' CLE- iNG LIMIT ' 100'-0" - - - - - - ---SILT FENCE 0�. WELL 0 ,0„ SALT WATER OHW _ 491 '-9" - o o �C, N o,�- 1f6' - 0„ ..__-__...__..- LEG ND OWER POLL r 1 ' UTILITY - BIOSWALE EA MENT r �v � - STO M WATER FILTRATI VEL TRENCH DRAIN 0 3a - 3 ' DIA X 4' DEEP DR WELL W WASHED DRAIN ROCK, OPEN BO ,TOM - - - - - - - SILT FENCE — ---- - CLEAFIING LIMIT \ - WELL \ ► - ROOF GUTTERS 20 FT 40 FT \ ATER PLA ., 2., Sc E 1 " - 40' ��.