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Home My WebLink AboutBLD2021-01678 SFR ADV2021-00236 - BLD Application - 11/15/2021 MASON COUNTY COMMUNITY SERVICES Permit No= PERMIT ASSISTANCE CENTER: `� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R E C E I Y `u 615 W.Alder Street,Shelton,WA 98584 Phone Sheton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone130 NOV 1 5 Z021 Belfair-(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICtT9*. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ' t DING V NAME: i5 0,Ne 50"1 NAME:(r4U;5 ,y MAILING ADDRESS: L£A�, MAILING ADDRESS:loci t 5C- 6-4r ,r .4 CTTY:Uj-%(Cyt STATE: Z1p: IL CTTY:,%.Ak-P STATE: ZIP: S y PHONE#I:Z S 3 3?'1 68 5-o PHONE:3G0 L?G'("D CELL: PHONE#2: EMAIL:Tr'-v,5 P f c �r/kc4:m fit lm hi, CC-K% EMAIL: r r i L&I REG#!k)K helic `PY3 f1CI PRIMARY CONTACT: OWNER❑ CONTRACTOR Ir OTHZ NAME �A EMAIL'`2v.5 Q eGc�tU►t�ed�7(i}� rGs„t MAILING ADDRESS 10n I 5r_ c.%n( yr,41 CITY j4,4yn STATE ¢ ZIP r/£ PHONE 160 62 0 (2 b-1 CELL PARCEL INFORMATION• PARCEL NUMBER(12 Digit Number)32Z`3 25`pZCr)z Z ZONING LEGAL DESCRIPTION(Abbreviated)U,Mwn 6-d 114J 1 HQ 1-46' Q-K 2b, FIRE DISTRI SITE ADDRESS '--7 D £ Wlet.,,A # CITY DIRECTIONS TO SITE ADDRESS to i 4- K 'L Inc Sp `C L pqd r } IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO K SNOW LOAD:_psf 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$_ ALT�E�R�AT�ION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc. f-td' t-L.e- IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ 3 NUMBER OF BATHROOMS_ HEATED STRUC �?�.�Y}}E�S� (whole B/d YES(Part(s)ojBldg)❑ NO❑ DESCRIBE WORKT40�C;. ' J SOUARE FOOTAGE: (proposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq,fL 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 Qf, PLUMBING IN STRUCTURE? YES g NO❑ If yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS '5 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 perniVapplication becomes null&void 9 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 ignature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BULLDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH nl MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 RECEIVED www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 NOV 15 2021 • Phone Belfair(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPIL'Klift Street OWNER INFORMATION: CONTRACTOR INFORMATIO NAME:K,,v 1 4- c 5 may, NAME:fln;u�5 Pcw k vJ MAILING ADDRESS:Z7U r wa.<,^ 54-- MAILING ADDRESS:l Cet i CrAftG- ✓W, CITY:LG§1L41Ci STATE:ZIP: J6 5-f2 CITY:5k-e-1/*,, STATE: L,-�G3- ZIP'li'5'PrI 1-PHONE: t-j 3- 3 72`i 6,+; d PHONE: 365 h 01 Zb'7 CELL. 2"PHONE: EMAIL :fi'yxv,; H EMAIL: K4 t-l A-e(5C g i Q p eaw,"S- 4-1 L&I REG#f,,<1,c I,c c1`I 3 rr EXP.cl Z PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 3 22 325-o?- vo 2,Z Zoning: LEGAL DESCRIPTION(Abbreviated):Gn,a— ,! tc r,cJ e 4-40�- 'D SITE ADDRESS:2 76 f- ~,t'g S CITY: Ct y%M DIRECTIONS TO SITE ADDRESS: �- (.. �+11) L +� ��" fir , f ��► �' TYPE OF JOB: NEW=ADI)g ALT=REPAIR=OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 ST FLOOR 2ND FLOOR=BASEMENT=GARAGE=OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electrid ,PG=Natural Gas=Ductless� Toilets Tyne of Unit No.of Units Fees Bathroom Sink 1 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 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 INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN � G . s A4 MEx«i,i , � x� ► n FI o0 la-V �aUV 1 5 2021 615 W• Alder Street 1 d i FF AN REf %`jvj) NU 15 2021 615 W. Alder Street toot r� ?,0 1 65 W w\ai'A c g rsio ti v t�21 6151IV. Alder Str -f PLANNING ALL SETBA, JRED FROM 1 ,iT PROJECTION i' _,UILDING t V �tt II Parcel# � � Z 00 Z Z BLD# / LOX21—011Name /a ' BUILDING Mason County Department of Community Development t40V 15 2021 Small Parcel Stormwater Management Application/Works plp ,4pgy i f 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 X 7 = k08 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) 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 inspection as may be required. / X Owner/Agent/ �(circle one)Date: I�/ f 2 t 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 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. I I 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: hM//www.co.mason.wa—us/code/comn-dssioners/index.htrn 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 Storm water Site Plan on the pages that begin with"Handout" PLEASE EWrUL 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. I 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 I 2177297 MASON CO WA 03/02/2022 03.24 PM CERT ROWLAND, TRAVIS C 71765 Rec Fee $204 50 Pages: 2 Return To IIIII IIII IN too 1 �_,e �k`�� THIS IS NOT AN ORIGINAL DOCUMENT Grantor(s): (1) Kzr /"•e lsdri _' (2) Gran±ee(s): (1)PU.RIJC LOB S 1 a 1, ';L I Legal Description (1)C(,►11'a. Vwd C"d NMI QLA 10-13 QLK261R 3 o.-ir 2Z,J (Abbreviated form:i.e. lot, block,plat or section, township, range) Assessor's Tax Parcel: (1) 3 Z 2 3 Z - S d - 2 U Q 2, -2- CERTIFICATE OF RESIDENTIAL USE: LIMITATION ON NUMBER OF BEDROOMS I (We)the undersigned grantor(s), hereby place this notice on record that the above described real estate situated in Mason County, State of Washington; is subject to the following understandings and conditions: 1. The use of this parcel will be restricted to no more than bedrooms. 2. The on-site sewage system as designed for, and the building permit was issued on the basis of no more than _S bedrooms, and a maximum residential occupancy of no more than_4 persons (two persons per bedroom). 3. Use of the other rooms as bedrooms, in excess of the number identified herein, could result in hydraulic overload and premature failure of the on-site sewage system, and could result in Mason County taking steps to cause vacation of the premise. 4. In the event of any future residential remodeling, expansion, or replacement that results in additional bedrooms to the number specified herein, the property owner will obtain the appropriate permits for`expansion of the on-site sewage system. Dated on this day of 1tC,'C1G'V '�20�. Signature of Grantqr(s): _VA (2) Page 1 of 2 MAR 0 2 2022 By r State of Washington ) County of-Maeerr e f e rC4 ) I, the undersigned , a Notary Publi in and for the above narn.ed Courety and State, do hereby certify that on thi r—LdaY, of Le � 20a , 441 Nelson Q� L�S�i tV91SO'1 personally appes..-ed ba;cra me, who is known to be signer of the above instrument, and acknowledged that !ate-(chro) (they) signed it. GIVEN under my hand and official seal the day and ye ast above(�vritten. Notary P lie i �n f rq the State o Was ington, y000111 'Oi�� v ✓� ��,,,�� // residing a Pip''�n,� //r My commission expires: ��. s p 's o \59 p fey 4-2 Page 2 of 2 r � 4.0� MASON COUNTY 5 Mason County Permit Center Use: COMMUNITY SERVICES ADV a o 2 L - 0?3(c Building,Planning,Environmental Health,Community Health V tl7 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date RcvdRE C E I Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 Nov 1 ee. 0.00 Request for Administrative Variance for 615 W. Alder Street 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 jZutters. I �f Applicant/Owners: Mailing Address: City: jnrn State: Zip: QZ Telephone: �,� �)— ! )D�.g �� Email• . If this reduction is tied to a building permit, please give permit case number. BLD - Parcel Number(s): Zoninggg/�)# S Site Address: Z7 0 rr Requested setback variance: t 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. r' c. 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; ❑<d) ) lot width at the front yard line of no more than 50 feet; 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 for Rural Residential 2.5, 5, 10, or 20 zones. 0 ItA- I 7-f (i 'e, 401n Owner/Agent (please indicate) Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: