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Home My WebLink AboutBLD2021-00336 SFR ADV2021-00052 - BLD Application - 6/28/2021 MASON COUNTY COMMUNITY SERVICES Permit No: B820 —00 PERMIT ASSISTANCE CENTER:BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R E C E I V E m 0 • 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone n y; Belfair:(360)275-4467•Phone Elma:(360)482-5269 `� 4 '° U • BUILDING PERMIT APPLICATION (-J `- W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: [,-atj NAME: E3. l2ISr - Six2�cs �rt�. MAILING ADDRESS: $tJ E. MAII ING ADDRESS: IQb L 0— 1,-)cvp cj- CITY: J1,1 IaIA.I STATE:WA, ZIP: q AJVZ CITY: stteuro&i STATE: WA- ZIP: PHONE#1: Ccos- � PHONE: CELL:34:0. _4gn--qfdI PHONE#2: EMAIL : ei— is dLi Lg4 e-ms ii .. cove► EMAIL: - L&1 REG# A—K R.rk S EXP. i/ l Y la PRIMARY CONTACT: OWNER TRACTOR OTHER❑ NAME `i i3O" _t341� �EMAIL --i ba-1/ A-07Si41• MAILING ADDRESS Pot tZr'-we Lz-jcrrl rr sE. CITY S ATE L-OA. 9Z-gaV PHONE L/.3Z -31112 CELL 0- fyo l PARCEL INFORMATION: BUILDING PARCEL NUMBER(12 Digit Number) Z aa_3 Al& I 060 7 cy ZONI LEGAL DESCRIPTION (Abbreviated) FIRE DISTRICT SITE ADDRESS_,SQ e_ i_ r.�,45H I+VCT r��cJ C�_ CITY (I c, I L-L)A , DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES® NO ❑ 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 ® ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc,) 7;�t—;Idemcp IS USE: PRIMARY X SEASONAL ❑ NUMBER OF BEDROOMS i NUMBER OF BATHROOMS 2- HEATED STRUCTURE? YES(Whole Bldg)® YES(Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK- 4/N1T6IJ SQUARE FOOTAGE: (proposed) 1ST FLOOR (b74 sq.ft. 2ND FLOORS 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* s MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING ® 62�%4C - I PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT. !-700 XISTING BEDROOMS 7— PROPOSED BEDROOMS i TOTAL BEDROOMS 3 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 rP.npRP.ntAtiVa. rpnrpspntc that the infnrrnatinn nrnvirlprl is arri irate and nrantc pmnlnvaac of Macnn r..ni inhi nrrocc fn the nhnvp riacrrihari mmnar/v MASON COUNTY COMMUNITY SERVICES Permit No: CBIA20 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St- Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 BUILDING PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: C..rc r I-yj-&J NAME:C15--Tom_ MAILING ADDRESS: Sp c /mo rM ct: MAILING ADDRESS: /oi SE-,c-,�6eLzerV e-r— CITY: ctvngac,l STATE: ZIP: ggag2 CITY: Ssr rTAr/ STATE: ey _,,4 ZIP: I"PHONE: PHONE_V,G-,e,3 Z z3ry 7 CELL: 3 GO -V 9 0—y y 1 2°d PHONE: EMAIL : Qi _ 11C i I'.f- e/? ///_rx>'-7. EMAIL: e _ hric 1�. �t� .�c.-» . L&I REG#Z:zud1Kq SS' p EX P.11 lei l PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 3 2 2 y�� do d z Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: 3d . �t i u_ �_t� ��/ r-T- CITY: yyi�A/ DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD X _ALT REPAIR OTHER USE OF BUILDING i?ec LOCATION OF FIXTURES/UNITS—I ST FLOOR_ 11"DFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Z Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs I Heat Pump Showers _/ _ Spot Vent Fan Water Heater l Propane Tank Clothes Washer / Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs / Dryer Vent I 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 perm itiappiication 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. Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN No 0 eNONNI 0 No MOENu IN mom No no mm 01 191 1 mom m m Mill ON m MEN on ■ i NOON 1 � o GENERAL.NOTES 1 THE OWNER AND CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL DIMENSIONS PRIOR TO STARTING CONSTRUCTION.ANY STRUCTURAL CHANGES TO BUILDING MUST BE APPROVED BY A LICENSED ENGINFER. 2.ANY DISCREPENCIFS BETWEEN THE STRUCIUALDRAWINGS/NOTES,AND THE ARCHITECTURAL DRAWINGS SHALL BE REPORTED TO THE ENGINEER OP RECORD PRIOR N TO CONSTRUCTING. 3.EXCEPT WHERE NOTED BY AN ENGINEER,ALL BUILDING METHODS,MATERIALS'AND O 0000 WORKMANSHIP SHALL 13E IN ACCORDANCE WITH THE INTERNATIONAL BUIDING CODE (IBC)2015 EDITION. h 4.TIM CONTRACTOR IS RESPONSIBLE FOR IMPLEMENTING SAFE WORK PRACTTCES AND 1 U Ems." O O CONFORMING TO ALL SAFETY ORDINANCES. II ® aj (y. DESIGN CRITERIA 0 5 10 20 U)Z G-t o E x M cq 1,ROOF:25 PSF(SNOW);15 PSF DEAF)LOAD. I t S Q Q (V 2.FLOORS:40 PSF LIVE LOAD;12 PSF DEAD LOAD. ZO 3 3 3.WALLS:10 PSF DEAD LOAD. -� M a 4.DECKS:60 PSF LIVE LOAD;10 PSF DEAD LOAD. n4 9 F 5.WIND:85 MPH;EXPOSURE 73' n W Q O U 6.SEISMIC:CATEGORY D2. i w 7.SOILS:1500 PSF ALLOWABLE BEARING CAPACITY. ' • I j I L7 � a CONCRETE AND STEEL REINFORCEMENT j G e � 1.ALL CONCRETE MATERIALS,MIXING AND PLACEMENT SHALL CONFORM TO CHAPTER 19 1 i +� PROPOSLD DECK 0 IN THE IBC. 2.UNLESS OTHERWISE NOTED IN THE PLANS.CONTRITE SHALL HAVE A MINIMUM 28-DAY a COMPRESSIVE STRENGTH OF 2500 PSI(Pc). 3.ALL STEEL REINFORCEMENT SHALL BE ASTM A615,GRADE 40 UNLESS OTHERWISE NOTED. O j 4.LAP ALL SPLICES A MINIMUM OF 32 BAR DIAMETERS OR IS",WHICHEVER IS GREATER. EXISTING STRUCTURE I �� LAP ALL HORIZONTAL STEEL AT CORNERS AND INTERSECTIONS IN FOTINGS AND WALLS `_�63 WITH CORNER BARS.LAPS WITHIN THE SAME PLANE SHALL BE STAGGERED. PROPOSED ADDITION 5.REINFORCEMENT STEEL IN FOOTINGS REQUIRE A 3"MINIMUM COVER FROM EARTIL A 1}" r IR o MINIMUM COVER IS REQUIRED AT INTERIOR FACES OF BOTH SLABS AND WALLS- / V / / TOP Of SLOPE. WOOD I / EXCEEDING 40% 1.PREFABRICATED JOISTS,TRUSSES,ETC..SHALL BE ENG=ERFD BY OTHERS,AND INSTALLED PER MANUFACTURERS SPECIFICATIONS.FABRICATOR TO PROVIDE ALL PROPOSED _ CONNECTION DETAILS. STAIRS I -sg _----- w 2.UNLESS OTHERWISE NOTED,HEADERS WITH LENGTHS OF 6'OR LESS SHALL BE 4X10 OR 6X8 DOUGLAS FIR#2.FOR OPENINGS GREATER THAN 5'IN WIDTH,USE AT LEAST ONE 4 _ � ..i m M CRIPPLE,AND ONE STUD AT EACH END.USH AT LEAST 2 CRIPPLES FOR OPENINGS gymoo !'-'j N GREATER THAN 5'. `" «I ^� 3.ALL BEAMS SHALL BE DOUGLAS FIR#2,UNLESS OTHERWISE NOTED. A/Z - y 4.ALL COLUMNS SHALL BE DOUGLAS FIR#2,UNLESS OTHERWISE NOTED. i '8 5.STRUCTURAL 2X FRAMING,AND 2X RAFTERS/JOISTS SHALL HE DOUGLAS FIR#2,UNLESS O OTHERWISENOTED. SOILS/FOUNDATION I A I -EXISTING DRIVEW:A' 1.SOIL BEARING CAPACITY OF 1500 PSF IS REQUIRED TO SUPPORT FOUNDATIONS AND TO BE REMOVED W BUILDING. I I EXISTING SEPTIC 2.ALL FOOTINGS SHALL BE LOCATED AT A MINIMUM DEPTH AS PROVIDED IN THE I 1 (� TANK GEU•TECHNICAL REPORT,AIND WITH 12"OF FINAL GROUND COVER,THIS INCLUDES FOUNDATIONS BEARING ON HARDPAN WITHIN THE SLOPED AREAS OF THE STIE,BELOW I FILL,AND ATOP FIRM/UNYIELDING SOILS.FOOTINGS MAY BE PLACED ON ENGINEERED a FILL PER THE REQUIREMENT'S OF THE GEOTECIINICAL REPORT. -� O 3.STEM WALLS MUST EXTEND AT LEAST 8"ABOVE FINAL GRADE.FOUNDATION WALLS � _- GREATER THAN 4'AS MEASURED FROM 7TIB BOTTOM OF-TITS FOOTING TO THE TOP OF �2�_0005•Z THE STEM WALL SHALL BE DESIGNED BY A LICENSED ENGINEER. -� � R•�p�flOA`'�M 4.UNLESS OTHERWISE NOTED,ANCHOR BOLTS SHALL BE}"DIAME TER,MMEDMENT DEPTH RESERVE S1iPIIC OF 7",SPACED @ 48"O.C.,AND LOCATED WITHIN 12"OF ALL ENDS.ALL ANCHOR BOLTS 1361: DRAINFIELD AREA SHALL USE 3"SQUARE X 1"THICK STEEL PLATE WASHIiRS. �\ EXISITING SEPTIC DRAINFIELD AREA FLOOR 1.ALL WOOD IN CONTACT WITH CONCRETE SHALL BE PRESSURE TREATED- PLANNING: \��EXISTING DRIV wxy 2.PRESSURE TREATED 2X MUD SILLS SHALL BE FASTENED TOTIM FOUNDATION WITH ALL SETBACKS ARE MEASURED ANCHORBOLTS. FROM THE FURTHEST 3.PREFABRICATED FLOORING MATERIALS SHALL HE ENGINEERED BY OTHERS- 4.USE DOUBLE JOISTS UNDER ALL PARALLEL PARTITIONS THAT EXTEND MORE.THAN 1 THE JOIST LENGTH.13OUBLE JOISTS ARE ALSO REQUIREDAROUND ALL OPENINGS. PROJECTION OF THE BUILDING -5.FLOOR FRAME NAILING SHALL BE PER 113C TABLE 2304.9.1. 6.SUB FLOORING SHALL HH TONGUE&GROOVE COX PLYWOOD(GLUED AND NAILED). ��o � W N 7.UNLESS OTHERWISE NOTED,SUB FLOOR NAILING SHALL BE FOD NAILS @ 6"O.C.ALONG E MT.WASHINGTON CT. YY {�L-1i PANEL.EDGES,AND 12"O.C.IN FIELD.STAGGER END LAPS. ol ROOFING r?('p PLANNING � z Mp;�N CrJtl�l (.PREFABRICATED ROOF TRUSSES SHALL BE ENGINEERED BY OTHERS,AND INSTALLED PER rM FLAN�E®��0 TO PF O SITE MANUFACTURERS SPECIFICATIONS OR PER THESE PLANS,WHICHEVER IS MOST CHA L+ E�1(2 q� 1�1rC1��AL// W Z� STRINGENT. a, •7 �$ U 2.ROOF SHEATHING SHALL BE}"CDX OR J}"OSB FASTENED WITH 8D NAILS®6"O.C.ALONG VV PANEL EDGES AND 12.O.C.IN PANEL FIELD.STAGGER END LAPS. V im' O HOLD-DOWN AND TIES ,��T 1.INSTALL ALL HOLD-DOWNS AND TIES PER MANUFACTURERS SPECIFICATIONS. SITE PLtil`1 2.ALL METAL CONNECTORS IN CONTACT WITH PRESSURE TREATED WOOD SHALL BE I^�10'�Oo. 1JT3 > CQ W SIMPSON Z-MAX,TRIPLE ZINC COATED OR HOT DIPPED GALVANIZED FOR CORROSION _ /\ li 2 3(p PROTECTION. 0(„J 3 F z O W �� /✓ � SCALE:AS SFOWN H000kAl DATE:6/320 PROJECT# 19163 s1MEET u S1 flame Of&\-, Parcel#��i✓`( "s� �(X�CZ� BLD# .26 33vO REC Mason County ► Department of Community Development B U 1 Ln, I SVWft pggJ Stormwater Management Application/Worksheet (page 1 of 2) Per NQ "18Ae,'Title lh,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 surfacez. '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 / L X ��' = a/ _ Measurements for buildings are taken at the Z 4 X 3. perimeter of the farthest projections (example: Z't 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) 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 and inspection as may be required. X ontractor le one)Date: /-2 7-Z! If the Total Impervious Surface Area is GREATER T 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 flame Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) i Based Upon the information you have provided a stormwater Site Plan IS Required for this development pm 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: httn//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 relevanetails* 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)_)(r 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. 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/Ag t/Contracto>cleone)Date: Page 2 of 2 MASON COUNTY Mason County Permit Center Use: J COMMUNITY SERVICES ADv 202I _ oyoS Z Building,Planning,Environmental Health,Community Health 2 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd ,3/8 2-6 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: i!�DIz!""�/l Mailing Address: \.96 /IT /.1/11 S M4,/ CT City: State: 6e14, Zip: 76"'15�Z Telephone: G�-SriD ��li� 3C�0 - 5!3,,l -,3/ 9/ 7 �� Email: i b .— da-( ( ec1 �2iiv►,5A) e0 vyl If this reduction is tied to a building permit,please give permit case number. BLD 207i1 - 063340 Parcel Number(s): ?,R2 `� Y- 5-/-- 0 00 Zoning Site Address: tcc«r r— c�04 5 H r,t,C—��J C u o l Requested setback variance: f l`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 inimum 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 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): 6 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; ❑ 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. ` 4/2 Or`,�q i,vA _ y-,e- rL f'1�� or- � �!� ��c E 7�-f�v_ T��G S �,�W'/ rr-, (` +r- c vAc c-S A t4 rc 4 t ( K'i CS p r- Ti 4c-- 4t)/J r7%CIIU 6>rAcV2n.A-C l4 C_-c, //7 r� E `7Ir L T— JACK AL-. i-T- 6-k AU G�} Owner/Agent(please indicate) - 2 Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: Evi,v%roteck Ev-L3ivxeerbvx O, PLLc A c,eotechw�caL EwvAvowvu.ewtaL 0 Drcl v aae o tzoadwa� 616 AR 09 2021 Gee2�z� �d�� W Alaer Stre. et February 27,2020 Kim Gordon PLANNING 40 E Mt.Washington Court Union,Washington 98592 RE: Geotechnical Report Addendum#1 for Gordon Single Family Residential Property Union,Mason County,Washington To Whom It May Concern: Envirotech Engineering (Envirotech) has completed this geotechnical report addendum for the above referenced project. The original report, dated November 26, 2014, was prepared by Envirotech (Project #14133)for Brian Hilgendorf.This addendum was prepared in order to address changes for the project. Envirotech revisited the property on several occasions, with the most recent in December of 2019. Changes to the existing development or new geologic hazards were not observed. The planned development is to extend the existing home towards the northeast and encroach the delineated buffer and setbacks. Envirotech certifies that the originally delineated 25 feet setback encroachment may commence for this project with the following mitigation. All foundations encroaching the setback and vegetation buffers shall be extended to the hardpan surface located approximately 3 feet below the top of ground surface on the hillside. This depth may vary, and the entire foundation width shall bear on the very dense glacial till (hardpan) where encountered. In addition, only vegetation requiring removal for development should occur unless allowed in the original report. All other recommendations provided in the original geotechnical report shall be adhered to. Please contact Michael Staten at 360-275-9374 if you have any questions, comments, or require additional information. Best Regards, Envirotech En 'neering CLYDE sT r 9 43045 din Fp/STV ' NAL6NG� 2/27/20 Michael Staten,P.E. Geotechnical Engineer PO gox 9A4 gelfa�r, washlvti.gtow,98528 D f f: 360-2,-6.9374 CELL: 360-689-604.5 ewvCrotech@geotech v,lca Liw f o.cows Request to Revise Approved P1aRE C E I V E D Permit Numbe : BLD/ om 2021 -0>331 LP Name Parcel Number Phone Numberdaytime Project Address �tQ r.. Mailing Address Iz�,5 Please provide a complete, detailed description of the proposed revisions to the approved plans: 4 -e.., I J • Are two sets of the revised plans or addendum indicating the changes included? p'Yes ❑ No • Are the approved construction plans included? 0 Yes ❑ No The RED stamped "site" approved construction plans must be included. • Are the revisions clearly and accurately identified on the plans or addendum? ,0 Yes ❑ No • Does the plan contain an engineer's or architects lateral or vertical analysis? 0 Yes ❑ No If Yes, Has the engineer or architect approved this revision? 2 Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No No structural changes to a "designed" plan will be approved without the written consent of the engineer and/or architect of record.) • Does the proposed revision modify the footprint or location of the structure? ❑ Yes 0 No If Yes, Is a revised site plan, with all new setback dimensions included with this request? ❑Yes ❑ No Additional Information: Applicant's signature , � Date: 2-6 Z I Received by: Date: 162 A OFFICIAL USE ONLY Initials Department Date of Date Reviewers Original Valuation: $ for Review Received Assigned Approved Approval Q Reviewer Additional Valuation: $ VV 8� Sq.Ft. x$ $ Building -�I 1 Sq.Ft. x$ $ Planning Total New Valuation Public Health Additional Fees: Additional Planning Dept. $ Pore Marshal Additional Plan Revie),?—,�K$ Additional Building Permit $ " 'c Additional Plumbing $ W rks Additional Mechanical $ itionai on i 'ons/Comments: Additional E.H.Dept. $ u Other $ � O Total Amount Due: $