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HomeMy WebLinkAboutBLD2011-00834 Final Garage DDR2011-00100 - BLD Permit / Conditions - 1/4/2012 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 i� RESIDENTIAL BUILDING PERMIT BLD2011-00834 OWNER: MATT ROY RECEIVED: 10/11/2011 CONTRACTOR: LICENSE: EXP: ISSUED: 10/28/2011 SITE ADDRESS: 551 E SHERWOOD RD ALLYN EXPIRES: 4/28/2012 PARCEL NUMBER: 122307590264 LEGAL DESCRIPTION: TR 26-D OF SURVEY 2/108 LOT: D OF SP#1545 AF#444249 PROJECT DESCRIPTION: DIRECTIONS TO SITE: GARAGE(STOCK PLAN 2009-0001) STATE ROUTE 3 TURN WEST ON SHERWOOD CREEK RD TURN LEFT ON EAST SHORWOOD ROAD PROPERTY IS CORNER PARCEL WHERE ROAD FORKS LEFT AT TOP OF HILL LIGHT COLORED DOUBLE WIDE ON LEFT General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building: Garage-Detached 864 Valuation: $ 33,393.60 Building Height: 13 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: S 10.0 Ft. Shoreline: Ft. Water Body: Rear: N 28.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Shoreline Desig.: Side 1: E 10.0 Ft. Year: Serial No.: Side 2: W 55.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee TW 10/11/201 $96.43 S1 201 1 00000001 Building Permit Fee TW 10/11/201 $ 101.57 S1 201 1 00000001 Building Permit Fee TW 1 011 1/2 0 1 $380.58 S120110000000i ` Planning Review Fee TW 10/11/201 $205.00 S1201100000001 EH Plan Review KKK 10/11/201 $ 103.00 S6201100000001 Building State Fee LDK 10/27/201 $4.50 S1201100000001 Total $891.08 BLD2011-00834 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2011-00834 CONDITIONS FOR BLD2011-00834 1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has been "finaled"and approved. y+ X 2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at X 800-647-0982. The peyso `igngg this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 3) Owner/Agent is respo�,sit�le t�t the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X � � 4) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation W n 30ft, down gradient of drainfield/reserve area. X 5) All surface water and potential runoff will be controlled on site using drywells or swa/es, shall not adversely affect any adjacent properties, and shall not increase the velocit flow entering or abutting to any state/county culvert or ditching system or onto a road way. x h 6) Approved per-dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 7) Temporary erosion control measures must be implemented to prevent water quality degradation o .pdtjWentwaters or prperties. Silt fencing, straw, or jute matting must be installed and maintained until upland vegetation has become established. X �f ' 8) All construction and demolition debris must be removed from the site after project completion. Proper diWos f construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 9) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X BLD2011-00834 Please refer to the following pages for conditions of this permit. Page 2 of 5 10) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X LAP 11) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior an further inspections being performed or approvals granted. d 12) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal proved,,-documents will result in failure of required building inspections. X f jr 13) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use permit shall applied for, reviewed and approved prior to the change. xp 14) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X !/� 15 The"approved" site Ian is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site Ian is not on site then PP P q P P P P q PP P approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building D lartment prior to any further inspections being performed or approvals granted. x a e 16) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. x 4 L 17) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting 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. By calling for a final inspection of the building permit the owner/agent/contractor i's_acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 7 1Z BLD2011-00834 Please refer to the following pages for conditions of this permit. Page 3 of 5 18) Stock Plan Identification number: 2009-0001 This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department, original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building Inspector at each required inspection. 4g j�''�r 19) This structure is limited to U-occupancy use only (private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the international,`I csd�and Mason County Regulations unless a"Change of Use" permit is applied for, reviewed and approved. X 20) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be X charged ands all collected by the Building Department prior to any further inspections being performed or approvals granted. �$ �` 21) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project.�� X 22) Placement of ructure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. Xk: 23) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County X dinance or la ion, must be reviewed and approved by Mason County prior to construction. ��z 24) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector a be ade prior to requesting additional inspections. X 25) All property lines shall be clearly identified at the time of foundation inspection. X �� BLD2011-00834 Please refer to the following pages for conditions of this permit. Page 4 of 5 26) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County�r inanc s and building regulations. Z 27) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X_L,?2Z 28) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 1'r'g; 29) Retaining walls needed to support a surchar ch a structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to thee above described property and structure for review and inspection. OWNER OR AGENT: /tG'! �'!�i f� , �r DATE: BLD2011-00834 Please refer to the following pages for conditions of this permit. Page 5 of 5 ur t o CONCRETE MECHANICAL MANUFACTURED HOME o Footings I Setbacks Gas Piping By Ribbons o Interior Date�j—Aec/ By Interior-Date By Date g D Y Exterior Date j B Exterior-Date B Setup INSULATION Point Load/isolated Footings Date By BG/SLAB INSULATION — — — Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date B Data By DECKS FRAMING Wails Date By Date By Data By PROPANE TANKS PLUMBING — vault Date By Date By OTHER Groundwork Attic Date By Date By Type- Date By O.w.`V DRYWALL Type. Int.Brace Wall Date By � Date By Date By FINAL INSPECTION m v N Water Line Fire Separation CD m Date By Date By Date ^ ^ By m o Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments co T I �i4� dy 1,SS ,Z7 ,, ,zy Will— tj 0 0 S� a Vl O S N. 'a N 3 tU (Q CD 0 Perrhit# MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain co lance y —9-04 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK IQ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a cor4plete inspection disasters.This is NOTa Date Department CORRECTION NOTICE. Inspector/1 ■ , L * NPT THIqx T*m * qu MASON COUNTY PERMIT NO.�T I� BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670• Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name I OLJ h 2CaLA ki l r,r 196S4- Pro,r 4 e- Mailin Address SS I S (- Mailing Address S G City- III-In ycr State�_Zip Code S 2 City Lys n nf. d State IA/4- 2ip Code 9 9d 3 7 Phone 3(oCJ-27S~9372_ Other Ph. Phone `I 9L5-743—/5SS Other Ph. Lien/Title Holder Contractor Reg. #"15DWNCPF09-1aT Exp. E mail address E Mail Address �►�n L�-Sna /J�ma 10L "vh Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well__X_Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No 2 O 2 Fire District Legal Description Site Address(Please include street name, street number and city) I E n VAI A 9 Direc'ons to site a Stz.* �� } r r - r Wil timber be cut anh sold in parcel preparation?Yes Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work k�_R oo Eran a No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor _ 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached - Y, Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. OWNER/BUILDER Acknowledges 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.lt permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information n rants m ees of Mason County access to the above described a and stricture for review and inspection. provided is accurate and g e y ty property pecti PROS OF CONTINUATION O RK IS BY MEANS OF A PROGRESS INSPECTION. X Date: (_044nectio—w—ne-r a resenta i /Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 1 2 t, Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee Review Fee Plumbin & Base Fee [EH lannin Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES �.AW lown & countae �te rlan �sr suite C•16521 Highway 99•Lynnwood,WA 98037-3161 PI se Check After Doing Site Plan: Septic and drainfield of size POST FRAME BUILDINGS Everett:(425)258-4171 Puyallup:(253)840-9552 'Property dimensions Draw North Arrow in Circle DIVISION OF Administrative Headquarters: (425)743-1555 p y Sewer lines Elevation of property Existing buildings tClj Setbacks of proposed&existing�� 1 PERM A'{ZI I T PAX: (425)742-4378 Toll Free: 1-800-624.9552 ,-r� g buildings ❑BOd18S Of water L Contractors Lic.#:TOWNCPF099LT VRroposed building kmain road with name ❑3loorplan Quality:Our Future Depends On it.- 6! Easements [Access to proposed building L7Slopes&Contours(5'increments) Job Name: L'a•TF)1-1,0 ('A N k A )y ��^ Job Site Address: Tax Account#: C �," U _Lj Legal Description: 3 wtt.t, /� �owiJ4�Uur '1`0 +'s-Q 5 LASN'?,LOc-Y— —' oa PLANNING: >P,IV- ,,, ,.» ALL SETBACKS ARE MEASURED FROM THE FURTHEST , �c i PROJECTION OF THE BUILDING r•- o .� MA APPROVED SON COUNTY DCD PLANNING SITE PLAN Pr--OWRED TO BE ON SITE ��T TCi APPROVAL Date u I n 4 r A 2-Z e Y w S�J:"]Vi:A 4. 3t� '�: . sf-��Rwu�D �rfvcS �✓ I`)e 40.0 r' lL4`y IUD it ' f . 5ficaw h' Lstt DO NOT SIGN INCOMPLETE SITE PLANT ' Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy utilities are shown on this drawing in the correct location. -" > CUSTOMER SIGNATURE LEAD# 75 �} I IIIIII lllll I'll IIII 01995 Perma-Bilt Industries FR-34 6/07 v 0 0-mm—unnibs lown Oz l;ountrv- J) POST FRAME BUILDINGS Everett:(425)258-4171 Puyallup:(253)84 te Tian Suite C•16521 Highway 99•Lynnwood,WA 98037-31s1 PI se Check After Doing Site Plan: �f Septic and drainfield 0-9552 DIVISION QF Administrative Headquarters: (425)743-1555 L Property dimensions Sewer lines of size Draw North Arrow in Circle PERMABILT FAX: (425)742-4378 Toll Free: 1.800-824-9552 ����JJJJ Existing buildings �I Elevation of property Contractors Lic.#:TOWNCPF099LT -.Existing building Setbacks of proposed&existing buildings ❑Bodies of water ®® g 9,�main road with name �,Floorplan Quality:Our Future Depends On It.TM Easements M Access proposed building �f Slopes&Contours 5'increments Job Name: "1 f�+'Tl-1 Erie rN DN 1 C'A p r } ) Le al Descrl !`—���— Job Site Address � � Ski u!F,r} ?1�x Account#: >' Z 3 c) 7'�cj C) :2 t} 9 ptlon: Ls 1 + o I�` a DDC334 - 3 iwet.� o f �10wt41�Uur fio � L oG�.Tl a ra r) 1 � V ts,o .. �. APPROVED MC p HEALTH pCT 19 2011 ' rz ADR L � w i ,I x 0 Aj p Sf?FFtWc�vU }}t1t.S P �� �0.0 4 L7A., — --- ©•o t 3tz c � } ►a P"R• ►.� �1si� F s r••i ys !�l5 . �f1 iytl w.� t ii i.ti DO NOT SIGN INCOMPLETE SITE PLANT Customer has verified and approved tl�e location of the building,orientation of the building to the North,and verifies that all White-Customer Copy; White-Office Copy utilities are shown on this drawing In thercorrect location. CUSTOMER SIGNATURE I -I LEAD# Zc 4l 0 �� 01995 Perma-Bilt Industries FR-34 6/07 I IIIIII II'll'lII II'I Name Y Parcel# ZZ 3b 1 5q GZ G t-' 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 constriction, 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. 2Common 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, A.....%. ..... ��V� �1y,/{ �F ..:•!%�: :v?¢�?:n•::�:n:r.:........;?':;4:L:.::i.i:.:::?•:?ii:::}'4}}}:^:�::%i}}>l:i:?9YY:•::.::+.v::.•w:. gxy}yl��{./y�•T�S�,.�f',�1, r.v :'p i}:•�:•:?�:.is%:•i}:v?:+,.; Surface Type Length X Width = Area "All dimensions in feet Buildin s 3(e X sf X = Measurements for buildings,are taken at the X = perimeter of the farthest projections(example: X = eaves/gutters) -F Driveways X - X - Length of drive begins at the right of way X Parkin Areas EX 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 = ..F...i yjy::'..v•: :.},�Fr}}}i£r/.•:};::•,$`$n<h•r.,.r::w.v::ri w:::::::::.,::+ii$:::J}:::i<$' .:F., ...>:.:.•..,<i; :< s>;:ii ?<=`?.::::; -r:............... �'! JJ:!!!!!+.•':.F..,.:i:•i'i�iiTii:�rri i:i•Ti�ii;�ii'ii'r''•: r'•Y•7'' — ^r.�J v.:T•: �,;:}r}. �i1K}j:::}��:}� •;•,••}:i•}}'?i;;i:.:44•'}ii}:;::;n`: ?;:./:r:??r :L•:.:F.::•ij:i' : •:w•:.... (�rr;yy`,���.�t•�y. .y1L� ��{1 ,,} . .F,.,, i r...:.v• 'r..^}.}Y.?:,•:...}}£:::.+;>:::::::v:.:;•r::::::n.:.,.•,,,.,.V.7,+.:1'�.!4'P,•.:.<�.•}S..�. .••.l'F %:::.}} £':�.,, , a,� '"J. ,r t;.{.+::;?:.;;:X;:i'i'2Y?1•}}}:•::'^' :rr�}?�v:ii£J:i'if.'•'}!.ii.�M�??!!,}::i}:::.:::}:?.i:.}::.�i!:::;:i i ':.'3:.`•t'�•�,,Sxt2 •R�7+fi'.'.:.; y�.y� /.�,y� 2�,�}+y' y�yyy '.�}\y j .}}ry rS•. ..:}F,is?r.•.':p�vy»}?..t{:yy},.}.y}r„f}<}t ,a?<.•:u;?o:<:::::::.::a' •.•% r•�i#'y•':.::.::.•: ..:C�i•.+7f.•':r';•• '.', %:.7GFQ.....:�4tl;i`�.�.` F.�rSi ./.•±.,r%•Fr:{`: r�:�•: 3.r5{».::2`};%.,..... ?•}.v•. ... :�.......�..r.x......r.?f•yr•FF?.:::./.:'iX!.,v.:r:}::•.v. ''.:v ...n.r.:;•'.?:'::::':: ...:.....?... .. ...... ...n.r..S r. ....:.{,....... n.,....�..:.::•}:•}:...:.i:?rr.r}}:.:::...�:�.,:�:,� «yr ....r •f rF: •.fS•r ^r£ ?'.£i. ..,�I4.:'•':.! l: :rr;'•}Frrfi/'/ i`/,.':';::r,.:ff >.�:.!r. ::•. r•./•r' %..::": :` 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 pection as may be required. X Owner/Agent/Contractor(circle one)Date: `(/Z-7 0 If the Tot 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 '7 t • N ' 1 L' �l Mason Coun ermit Center Use: MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 411 N. Fifth Street/P.O.Box 186, Shelton WA 98584 360.427.9670 ext.352 Date Rcvd Lj Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) 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. lican Owners: to W o tit-l'TRy B u l L'D 11^L G S Mailing Address: 9 City: bKRI W o o'D State: IDA Zip: �28 0 3 7 Telephone: 900 ^ 01-y- 55�2 Email: ?F—IRA ITS IFL) PERMA16 1 L`Te e OM If this reduction is tied to a building permit, please give permit case number. BLD An I I - 005 3-1 Parcel Number(s): 1223 0 -75-- g o 2 G y Zoning Site Address: I F 1;Hp p,-ww o j2V U)6 c P Sty - Requested setback variance: 10 , ft. EfFront ❑ Rear ❑ Side I O' ft ❑ Front ❑ Rear R Side (gEcgs!> FONT I e0PApR TAR ear) 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 S 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, set backs to all property lines and existing buildings, slopes, surface water,wetlands, critical areas,septic, well and driveway. Show all proposed new development. IACommunity DevelopmentTACNARIANCMAdmin Variance.doc Edited on 7i FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) O of the following exists on the lot(check all that apply): 7a) 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; (1"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) O 7a of the following exists on the lot (check all that apply): ) 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; V 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. TN15 to ►RUI ?AACIL L AS _QNQy ©KL A"A L.>=vci V QQGa `To Ru IUO P GAILA G . __04E RE-AA(WDM of 7RP pAaceL SLoPV_S Of -rO SQPTIC APDA wt� aohl g af- Owner A en please indicate) Signature Date Official Use Only Approved : ( Date l PP b Y Denied by: Date Reason for denial: IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/