HomeMy WebLinkAboutBLD2017-01141 Duplex - BLD Application - 11/17/2017 � I
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
L
NAME: DQwj' ir_ -
MAILING AD RESS: L MAILING ADDRESS:
CITY:CAI G TATE: - ZIP: CITY:aha STATE: ZIP:
PHONE#1: - - PHONE• _3- - (o
PHONE 42: EMAIL : itt
EMAIL: r , L&I REG
CONTACT PERSON : OWNER)( CONTRACTOR ❑ OTHERBEVICJ 2017
NAME: MAILING ADDRESS:
CITY: STATE: ZIP: PHONE:
EMAIL:
PARCEL INFORMATION: n 22 All 001A
PARCEL NUMBER(12 DIGIT NUMBER) pL ICJ 3 _ZONING
LEGAL DESCRIPT N ABBREVIA ED) FIRE DISTRICT
SITE ADDRESS6 CITY AR VN
DIRECTIONS TO SITEMS P -
IS PROPERTY WITHIN 200 FT: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVERICREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES[] NOX
TYPE OF WORK: NEW 74 ADDITION ❑ ALTERATIO/N ❑ REPAIR❑ OTHER El'
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) S!D - `�
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bld ) ❑ YES(Part[s]of Bldg);< NO ❑
DESCRIBE WORK NNF ,QCC
SQUARE FOOTAGE:
IST FLOORA sq.ft. 2ND FLOORJj9L sq.ft. 3RD FLOOR sq.ft. BASEMENT_ sq. ft.
DECK sq.ft. 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
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 or owner's legal representative. 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
Sifnature o WNER Date
PERMIT ASSISTANCE CENTER: rermit ivo:
•BUILDING •PLANNING•FIRE MARSHAL
615 W.Alder St-Shelton,WA 98584 B U I L D I N G &-i,�,. D
www.co.mason.wa.us
tX54 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 NOV 17 2017
Phone Belfair.•(360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATIA"W. 11,r Strut
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: ! lJ
MAIL G ADDRESS: MAILING A DRESS:
CITY: STA - ZIP: CITY: STATE: Ltyl ZIP:
l st PHONE: - O PHONE: CE
2nd PHONE: EMAIL :^ o
EMAIL: ( L&I REG# - EXP.
Um
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): o l '�1— `u�" Zoning: d
LEGAL DESCRIPTION(Abbreviated
SITE ADDRESS: CITY: AMN
DIRECTIONS�TO I DRESS: Clf Pp
(}
TYPE F JOB: _
NEW A ADD ALT REPAIR OTHER USE OF BUILDINGS
LOCA ION OF FIXTURESIUNITS— 1ST FLOOR 2ND FLOOR__>( _BASEMENT GARAGEX OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No. Qf Units Fees
Bathroom Sink lu 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.
Sigpature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT D= !y y f
PLANNING DEPARTMENT
FIRE MARSHAL
w
9NINNVId -�o PLANNING :-
N L—
ti ALL SETBACKS APE MEASURE'
QFROM THE FURTHEST o _
V o LEGAL DESCRIPBOM, PROJECTION OF THE BUIMNP ' . M �
W Z LOT 3 of SHORT PLAT N0. 3045 z
ASSESSORS PARCEL NO. Cti o
12217-50-91393 OLD RANCH ROAD
ALLYN, WA. 98524 cCDv n I
rn
C1 S 8838'18" E g k z
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SCALE: 1"=40 FEETz
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0 20 40 80 CURVE TABLE
BASIS OF BEARING ASSUMED Z�, R L
N6617'29'E ALONG CENTERLINE C1 18 55'08" 270.00 89.15 �QI PRpFF
OF PRIVATE ROAD C2 66'17'14" 50.00 5Z85
C u
BLAB --
DATE APPR VED_ -1-1 '�/�o17
iwesk 9esc,,Kc's LLC ��L ----
�— CCO�C.r�c.tld� I I DIRECTOR OF COMMUNITY SERVICES DEPARTMENT
7
f-G.13ax ZZ64' DECLARA77ON OF BOUNDARY LINE ADJUSTMENT
G,5 }Ic.IzrA WA A x as z I RECORDED UNDER AF N0. zoIt600'3
OI NOTE BOUNDARY LINE ADJUSTMENT DOES NOT CONVEY 777LE
SCALE: 1'-3D FEET
0 15 30 60
BASIS OF BEARING 0-')9,?'00�
ASSUMED N667729'E ALONG CENTERUNE OF PRIVATE ROAD
93
LEGAL DESCRIPTION:
L07S 1&J OF SHORT PLAT NO.J065
1221ASSE 17�9139ARCEL NOs c4 S 88'38.18"E
ASSESSORS PARCEL NO..12217-50-91393 r �1'O C:J 52.60 L4
REFERENCE SURVEYS o rn W i
1) LAKEAND KLUGE NO..It,VOLUME 10 OF PU IS PAGES C2 z c �n o i
7 87-93 f m NEW LINE _
2) SHORT PUT NO..3085,VOL 4 OF SHORT PUTS PAGE 12 �� N
AUDITORS FlLE NO.1983"BY TREVOR S LANGTREE / N P2 0 n
BASIS OF BEARING N Z
' > ASSUMED NORTH 667729'EAST ALONG THE CENTERUNE OF THE ul N P3 LOT 3 I
PRIVATE ROAD AS SHOW ON MASON COUNTY SHORT PUT NO. �.
30&5.
P1 w, SHORT PLAT N0.3085
LEGAL DESCRIPTION:
-9 LOTS 2 AND J OF SHORT PLAT NO..3085 AS REC6�DE Cl w LOT 2 G
G{J 28,2011 UNDER AUDITORS FlLE NO.1983300,k BEING A / > G SHORT PLAT NO.3085> N I,& C5 NOTE.'
O PORTION OF LOT 139 OF LAKELAND NLLAGE N.1t AS EASEMENT FOR NCRESS
N IN VDLUAIE 10 OF PUTS PACE 87,RE NTY,
WASHINGTON. I _ cn �l 'j EGRESS AND UBUTIES
La- ASSESSORS PARCEL Na I - 8139Y / LOT 1
SHORT PLAT NO.3085
J/r (NOT PART OF, BLA)
-/r-Bala 9 � /-
30 6
API O.-0.26 1ACRES-11134 SO.FT
\- ��,� 3y'•E `--�' 61. �/ Q RESULTANT Pi=PI-P3+P4-0.25 ACRES=11003 SO..FT.
AP NO.12217-90-JYUMN
P2=0.26 ACRES=11302 SO.FT.
RESULTANT P2=P2+P3-P4=a26 ACRES=11437 SQ.FL
P3=0.05 ACRES=2066 SQ.FT.
P4=0.04 ACRES=1938 SO FT.
LEGEND
SET 9j'REBAR AND PLASDO CAP ORNVE TABLE R L
Z^ MARK CH T-a LINE TABLE Cl
44.11
cno OCALCULATED POSITION LINE BEARING DISTANCE r? µup' 2 OLOOO 177a21
LI N6677'29 E I9.18 C3 35T5Y 270.00 IB37
FOUND%'REBAR AND PLASTIC GAP- L2
a`.^ 'BCE'03789. ,� N34 •3] +Zg6 C4 I5VY11' 270.00 7a78
L4 ' 'IB' ILOD C5 667714' S0.00 57.85
Br AUDITORS CERBFICATE AGATE LAND SURVEYING, PLLC
FXED FOR RECORD n6s2'7 DAY of b 2017 SURVEYOR'S CER7IFlCATE ��CSBECyT BOUNDARY LINE ADJUSTMENT FOR PROFESSIONAL LAND SURVEYOR
�a A• EQUIPMENT&PROCEDURE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR UNDER MY On.^ a r 2680 E.AGATE RD.-P.O.BOX 246
a$ AiY.M NXULIE4`I OF SURVEYS PAGE il3 `� A CEDARLAND FOREST RESOURCES LLC
IGO WTA WAS TACrw Al I R7H A KRS RECOROW IN C AT THE RE OATH THE REQUIREMENTS OF THE SURVEY ea,,_� SHELTON WA 9B584- 360 426-4172
N�'—' AT l)ff REIA.EST CR 90NEY G BECN7TA.T JL SECLND RACY EETS AHO VS TRAIERSE RELYROMC ACT AT THE REWEST OF - IN THE
ALGVRACY YEE1S QR FXXCfFFDS MQSE .o DRAWN BY OATS 12/13/2017 1 JOB NG 3920
PRECI9CW STANDARDS 5TA10 IN WAC
an-uo-ovo LIDARIANp Fwm RESDIMQT uc w oErnaR,aen NE1/4 SW1/4
s"a +<orsTaae°e'er MJB
ZOSlo004 COLA tY AUD IOR Si 5 1 SCALE 1 RICHE 30' SFIEET
AWIDRS�ma e _ CERIFIUTE NO.28237 4 -& DIAL AHD 3 SEC 17 T22N, R1 W W.M. �5�Br ELE N03920_CFR-BLA Rav19fon.DWC
Nam D Parcel# I I ~q `�fl BLD#R60L 2
D' G Mason County RE
CEIVLLJ
Department of Community DevelopmentNOV 17 2017
Small Parcel Stormwater Management Application/WoF 1;(pp*ggr 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:
h_ptt //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
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in the The
AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
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/drainiield 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' spection as may be ed.
X caner/ gent/Contractor(circle one)Date: l�
Page 2 of 2
Nam Parcel#1ai-i ` n o BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 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 2.
'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 140 X = 1
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways I Y X 1-1
_
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 prope for review 4nd inspectio ay 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.
Pagel of 2
- DECEIVED
NOV 17 2017 PLANNING
MASON COUNTY 615 W. Alder Street Mason County Permit Center Use:
COMMUNITY SERVICES DDR
615 W.Alder Street,Shelton WA 98584 11 1
360.427.9670 ext.352 [Date Rcvd 1 — 1 7-Z n i
Request for
►
Administrative Variance for Reduction in the Required Setbacks($it *MW
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 proiection of the structure
including roof eaves and gutters.Applicant/Owners: CEnAQLr4 P Fvausr ResmzcsS LLC
Mailing Address: P. O. BOX
City: G 1(7 AI W Q b l_ State: �- Zip:
Telephone: (2 53) Z 01r- $ t 3 4s
Email: j D e, y Ce d ckr lq n d forts t rQsvc�n .Cow
If this reduction is tied to a building permit, please give permit case number.
BLD 201-1 - Q 114 1
Parcel Number(s): 1 12 1 7- 5 4 -11313 (LOT 3) Zoning f� I
Site Address: _
Requested setback variancg� /
ft. Front Q Rear ❑ Side 1500,I1,
ft Ud Front ❑ Rear _ Side
r7oe_�
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.feei except.for certain shoreline designations.
An illustrated site plan is required
Your site plan must show the following: north arrow,abutting street or easements, set backs to all
property lines and existing buildings, slopes, surface water, wetlands,critical areas, septic, well and
driveway. Show all proposed new development.
Edited on 2/18/2016
�' �►4L
FRONT AN OR REAR YARD REDUCTION REQUESTS:
t For existing ots of record as of March 5, 2002;
You mu meet one of the following:
i) of the following exists on the lot(check all that apply).
A 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;
Ad) 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;
❑ 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 for Rural Residential 2.5, 5, 10. or 20 zones.
P Na );L211-SO- If 913 CLOT 3)
STWp SLvpFiC P o WIT Dt,1WV44 &asy To ptiv+rr �QaAA
\4 T Lo-r btjF hP jtt5Wj> f 8 rb II1440JF
57I6oT DI aCE
kk� ��
Owner/Agent(please indicate) � I— 1 7" ZQ I
ignature Date
Official Use Only
Approved by: ��.es►J f3 Date /Z Z [AZ
-
Denied by: Date
Reason for denial:
Editcd on 2/18/2016
r
North Mason School District
71 E Campus Dr.
Belfair, WA 98528
Receipt #: 80804 Clerk: Buck
Manual #: Terminal : 1
2/16/2018 10:07 AM
MISC
MISC
Miscellaneous, Customer
f
Qty Item Price
1 2900 1938.00
CPF Mitigation Fees
CedarlandHomesLot2Parc1122175091392Di
V11
1 2900 1938.00
CPF Mitigation Fees
CedarlandHomesLot3Parc122175091393Div
11
subtotal 3876.00
Tax 0.00
Total 3876.00
Check 1938.00
1241
Check 1938.00
1242
Change Due 0.00
MASON COUNTY
;. Sewerwin FA Water Per it
Permit No. , Date Owner
Contractor
b Description
Job Locationt! 4,
Inspection By Approved for Cover
Remarks
uate
Applicant Must Call
Utilities & Waste Management
For Required Inspection Issued By
360-427-9670
Ext. 652 Post this card in a conspicuous place
at Front of Premises