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Home My WebLink AboutBLD2021-01202 SFR - BLD Application - 7/30/2021 MASON COUNTY COMMUNITY SERVICES Permit No:-BIa2 ?4 --0140L PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING •PUBLIC HEALTH.FIRE MARSHAL 616 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone RECEIV EF Belfair.•(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 13i2s-A,'no E i oaD NAME: l7"d Q .i��.r �a✓e `/«"y�� MAILING ADDRESS:bZl E• ?34a,�,gZ4& Wtv"S—L MAILING ADDRESS: //417 sZw.srF b CITY: s 4 e&rek; STATE: &CA- ZIP: 985� CITY: C F; 4-4 j-t s STATE: 14)A- ZIP: 853 2— PHONE#I: (C -tol -G l v PHONE IG Cr- 3877 CELL: PHONE#2: ( 2- 3;575'- EMAIL C GMA'z .Cove EMAIL: 3 ,} �,u �;,.(,� C �ry� `.��,rv� L&I REG#DB 23iq w- 0414'5'0 EXP._/_/_ PRIMARY CONTACT: OWNER El CONTRACTOR❑ OTHER❑ NAME .`5A-M As Ai3o✓>z EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32-D 2/- b S'' 01011 J- ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS `1/ I<cvov�l LAsv¢ CITY .S 4v-c yr'o.V DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 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 N ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence, Garage, Commercial Bldg,Etc.) /}l�ti�f%�4��7S2h� /"r- IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS Z- NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)& YES (Partfs)of Bldg) ❑ NO ❑ DESCRIBE WORK k rz u.: 4-yvrfL SQUARE FOOTAGE: (proposed) 1ST FLOOR IO2-G.'� sq. ft. 2ND FLOOR 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 (,'L-�y TOgJ MODEL G-C,44)0,-)a YEAR A D I c�3 LENGTH 3� WIDTH 7 l BEDROOMS 2 BATHS Z SERIAL NUMBER Do•v; F 4Yrr- Ytsr ENVIRONMENTAL HEALTH: ��a tLevycJ Fa-&-z( �cL SEWAGE/SEWER SOURCE: SEPTIC , SEWER❑ / NEW ❑ EXISTING ❑ 'LUMBING IN STRUCTURE? YES NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NOK EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS ?-- TOTAL BEDROOMS Z 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 RECEIVED F Mason County JUL 3 0 2021 COMM Unity Servians-Building Division 615 W. Alder Stre ,.*► MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS et UNIT INFORMATION: Snow Load `z� _^^ Mahe Modeld`�1 Go� 1—�-- Year Square feet r C Widt � Single/Double/triple•wi indicate Length- de ) NEW or Replacement(indicate) All footings must be min. 12'below grade within 24"of the skirting when perimeter blocking is required. , When manufacture specification is not available use ANSI A225.1 or HUD 24 CFR 3285. Must provide Pier plan with reference sections. Allowable Pressure(Pound Per Square Foot)No Allowances made for overburden pressure,embedment depth,water table hei ht or settlement problems L5011;lear7ing is assctmed at tSQ� , g�' If set-up is using a greater soil bearing capacity a soil report from deSi n professional is re airedct or urlcompacted) Com action Report required through Special analysis anic c14E Cornpactian Report required through Special analysis SEC UP SPECIFICATION . Manufacturer's,,7( Pier Plan FOUNDATION: ANSI A225-1/14UD24 CFR part 3285 Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/HUD24 CFR part 3285 O Pads n Continuous concrete footing(runners) Slab ANeHORJNG., r.'t Ground o Magnum Concrete-2500 Psi 0 J-bolt Expansion bolt ror new units,this inforrnntion can be obtained from the borne retailer or contractor.Previously ' owned units,which manufacture's instruction are not available must utilize the ANSI A 225.1/HUD24 CFR part 3285 code for instal{ 11 atrr�n, Wachrri,gtnn State law r��ull'es that a certi#ied Installer Install manufactured homes. i The undersignec( I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will he verified at time of j ins Lion l a/9 /� X -�� o can /Dealerfinstailer indicate t ) date Name' c C `C J Parcel#3W24 - SS - QIO / S BLD#_2o 20 JUL 30 2021 Mason County Department of Community Development —M M 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'. '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 Len th X Width = Area *All dimensions in feet Buildin s X 'g, _ U X = Measurements for buildings are taken at the X = perimeter of the farthest projections (example: X = eaves/gutters) Drivewa s X = X = Length of drive begins at the right of way X = Parking Areas X X = Any paved, gravel or packed area per definition X = above table Patios/Walks X X _ Any paved, gravel or packed area per definition X = above table Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Total Impervious Surface Area(sum of all areas) / Small Parcel Stormwater Site Plan is Required 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. wn Agent/Contractor(circle one)Date: 7 ZOJ� 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 MASON COUNTY COMMUNITY SERVICES Permit No:�Id2v 24 ' 012Z PERMIT ASSISTANCE CENTER: •BUILDING.PLANNING•PUBLIC HEALTH.FIRE MARSHAL look, er n,WA 98584 Phone Shelto 61(360)4217-9670 ext.352to Fax:(60)427-7798 Phone RECEIVE Belfair:(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: t� z=-ti,�7 1 a as � rL�a NAME: M 1 ili�JtiG.r D,-3Ve `16aA)& MAILING ADDRESS:Z-Z_l R. MAILING ADDRESS: lI49 PZuS0+ CITY: S 4 e e rd&i STATE: t A- ZIP: 98 CITY: C 44,41-0 s STATE: 14 A ZIP; 99,53 Z PHONE#1: (3(C fir_'1 -G i Ll o PH0NE(3t_,c),A:cl- 3877 CELL: PHONE#2: ( Z53) 3u - ogcfp EMAIL :nllsrtrzoayl C Grtngcz .C_0-rV1 EMAIL: `ram' t�IL6N (v�v C4 (yMA,� L&I REG#DB 2si,1*jr_.*0LJq-q EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME ;tjrm As A0o.;g EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3Z-0 2/- S S - O i O I ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS `// ft�-l-u�v✓� Lq?v¢ CITY SST d.0 DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX 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 N ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage, Commercial Bldg,Etc.)_ }lr�/tl�iFri a A(,--Me IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) °X YES (Part[s]ojBldg) ❑ NO ❑ DESCRIBE WORK & SQUARE FOOTAGE: (proposed) 1ST FLOOR /L° 4.s sq. ft. 2ND FLOOR 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 Ls4-iTbgJ MODEL VG-C>44-111,70D .lL YEAR a1 LENGTH 381 WIDTH 7 l BEDROOMS Z— BATHS Z - SERIAL NUMBER (�Do ' d4,erx Y&7J_ ENVIRONMENTAL HEALTH: �l-�NIVt'"(-- SEWlow, AGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ❑ EXISTING ❑ ;�'�`'� �0 a 20Z1 'LUMBING IN STRUCTURE? YES NO ❑ If yes, attach completed Water Adequacy Form / ro PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD( EXISTING SQ.FT. 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 J' R��a,N t/`��,%'•J i~; -`L"-�--' Jul 1]./�,%. PLANNING 0 fl M'Ve�. IAt V z;2(-a0 E C E I V E C% JUL 3 0 2021 IJ 615 W. Alder Street b182tV -5/&Z, t ,y,t�, E S1 1 ^ i O T { z_ W � Z z z z0 0 � \ P ANNING: m a �t; X . c% FLLSETS KS ARE MEASURED w r� o OH[ HE FURTHEST CTf N OF THE BUILDING 13LU t J s \ U <Z LLL,), Z a- ¢ O w = Q m / �i MASON COUNTY COMMUNITY SERVICES SE - ICES 401. HuiEdinry,PlAllllllt(E,tl•Vb'UI1111Qtltdl (0111n�MAY Hvolv)615 W.Alder St.-Bldg.8,Shelton,Wa 98584 Phone:(360)427-9670 ext.352 ♦ Fax:(360)427-7798 Request for Administrative Variance for Fee: $130.00 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 tters. ro ection of the structure includin roof eaves and u Applicant/Owners: PL G Mailing Address: Z Z ( � � X_ � City: State: (U)A Zip: Telephone: Email: 1 J01 If this reduction is tied to a building permit, please give 6�S �� 202I BLD _ � �/ g permit case number. '9�Uer stree t Parcel Number(s): .�Z Of) j I C? Zoning Site Address: Requested setback variance: ft. ❑ Front ❑ Rear A Side ft ❑ Front P1 ear ❑ 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 designation An illustrated site Ian is re uired. s' 401L Your site plan must show the following: north arrow, abutting street or easements, and set backs property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well a to ndall driveway. Show all proposed new development. FRONT AND OR REAR YARD REDUCTION REQUESTS: 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; Odd) lot size of no more than one-fourth acre; ❑ e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION RE UESTS: 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; Erd) 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 meetin the setback/standard for Rural Residential 2.5, 5, 10, or 20 zones. g �► d 1 J Owner/Agent (please indicate) ignature ate Official Use Only Approved by: Date /a•!1• Denied by: Date Reason for denial: f O i . J MFSRIA■ I OMPLAY-2M PLANNING 1iN167E-R B®FiOQt «aa2: � Ll ! , c1_ _• o FtTab _ Li i d s` • 1[u6ab + 1 - all t o ! o e uVM now W,ls was o 13_8_ V4r tvz s W-Z i �aaa�s aaplb �M 5L 9 i lzoz o £ inr Q n RedWOW! 2TX38 INS 382E 2 Bak=%2 safi - UM _ saFr. � ( 1 ENVIRONMENTAL HEALTH �. � � � �,.�----.. — i D o/ ref roved I`�CIv za,21-Dal E C U ' JUL 3 0 2021 V Ir, 615 W. Alder Street s N&D n � y Oopj O L. , �Q