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HomeMy WebLinkAboutBLD2012-00006 Final Detached Garage DDR2012-00002 - BLD Permit / Conditions - 3/23/2012 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 Ir Shelton, WA 98584 flo RESIDENTIAL BUILDING PERMIT BLD2012-00006 OWNER: JOHN UNDERWOOD RECEIVED: 1/5/2012 CONTRACTOR: SOUND BUILDING SYSTEMS INC 1.360.437.1219 LICENSE: SOUNDBS027NM EXP: 8/19/21 ISSUED: 1/30/2012 SITE ADDRESS: 140 NE MAPLE WOOD CT BELFAIR EXPIRES: 7/30/2012 PARCEL NUMBER: 123297590082 LEGAL DESCRIPTION: TR 8-C OF SURV 10/95 (SW) LOT: C OF SP#1749 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW DETACHED GARAGE ST RT 3 TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD. R ON SAND HILL RD, R ON MAPLE WOOD CT TO SITE ADDRESS ON THE RIGHT SIDE 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.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 1,008 Valuation: $ 38,959.20 Building Height: 16 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: W 185.0 Ft. Shoreline: Ft. Water Body: Rear: E 105.0 Ft. Slope: Ft. SEPA?: Unkn Model: Width: Ft. Side 1: N 10.0 Ft. Shoreline Desig.: bWtlApplicable Year: Serial No.: Side 2: S 107.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee GMM 1/5/2012 $ 346.22 S1201200000001 Planning Review Fee GMM 1/5/2012 $205.00 S1201200000001 EH Plan Review KKK 1/5/2012 $ 103.00 S6201200000001 Building State Fee LDK 1/17/2012 $4.50 S1201200000001 Building Permit Fee LDK 1/17/2012 $532.65 S1201200000001 Total $ 1,191.37 BLD2012-00006 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2012-00006 CONDITIONS FOR BLD2012-00006 1) 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. x 2) 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 Xepa� prior to any further inspections being performed or approvals granted. a 3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. x 21J 4) 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 documents will result in failure of required building inspections. X 5) 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 be applied for, reviewed and approved prior to the change. X C I, 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X ��l✓ 7) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not 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 shall be collected by the Building Department prior to any further inspections being performed or approvals granted. 8) 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 lef)- BLD2012-00006 Please refer to the following pages for conditions of this permit. Page 2 of 5 9) 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 is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X J-✓ 10) 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 drains within 30ft, down gradient of drainfield/reserve area. X 4f1✓ 11) 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 codes and Mason County Regulations unless a "Change of Use" permit is applied for, reviewed and approved. x 4rw 12) 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 and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. 13) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X )ftt/ 14) 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 Jt?k1 15) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X JCL✓ BLD2012-00006 Please refer to the following pages for conditions of this permit. Page 3 of 5 16) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X KL✓ 17) 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 shall be made prior to requesting additional inspections. X A=G✓ 18) All property lines shall be clearly identified at the time of foundation inspection. X &L✓ 19) 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 ordinances and building regulations. X )Et-/ 20) 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 Ifw 21) 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 a2i 22) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 23) 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 gw 24) 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 s2L,J 25) Approved per dimensions and setbacks on submitted site plan; for new building on concrete pad for existing court no closer to wetland to the rear of the property. Setbacks are measured from the furthest projection of the structure. X Ktl-) 26) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 4—c-w BLD2012-00006 Please refer to the following pages for conditions of this permit. Page 4 of 5 27) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Straw or jute matting must be installed and maintained until upland vegetation has become established. XL,/ 28) 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 drains within 30ft, down gradient of drainfield/reserve area. X 4 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 the above described property and structure for review and inspection. OWNER OR AGENT: '/!G�—�— DATE: BLD2012-00006 Please refer to the following pages for conditions of this permit. Page 5 of 5 o ' CONCRETE MECHANICAL MANUFACTURED HOME o � ... N Footings J Setbacks Gas Piping Date By Ribbons m o Interior Date By Interior-Date By Date By X Exterior Date Al 17 Z BY 1,17� Exterior Date B Set-up O Point Load!isolated Footings INSULATION Date By p BG 1 SLAB INSULATION Date By Data By FIRE DEPARTMENT `O Foundation Walla Floors Date By = Date By Data _. By DECKS Z FRAMING Walls Date By Crate By Date By PROPANETANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Type- Date By Date By Date By DM V DRYWALL Type- Date BY Int Brace Wall Date By IA 2) Date By FINAL INSPECTION p y Water Line Fire Seperation N cn CDDate By Date By Dale By CD m N g Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments o CD 0 q��' L ��iS 5 li• �Z Z JZ )Z LOl rn 1= /(- •3`-I L 3-7-1L /A y 0 0 a o' 0 0 0 (D 3 _ t N � t CD 0 Permit# ; - - 4 MASON COUNTY y BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location l,f& Ingec.a yzip!a,O c-r _ 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 compliance _ S /f�Lr/ 5 �� r i� �i'F � f/'T � —�" T� /� Xl-i✓!� .9 ov r �� a.✓ 5 L 1v L' POsT -f t l is /y©T — v -:� ^•✓e-),�✓ i O You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ 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 t� =� �' damage incurred by recent "natural/man made" ❑ This is not a complete i spectio , disasters.This is NOT a Date _ ,7 Department CORRECTION NOTICE. Inspector `f R Mar 16 12 09:33a Berkey 5097367557 p.2 2600 N.Columbia Center Blvd.4208 B ERKEY Richland, WA 99352 Telephone:(509)736-7552 Fax: (509)736-7557 E GZTTEERING E-mail: cliffCberkey.biz March 8, 2012 Mason County Building Division RE P.O. Box 186 J.J Shelton, WA 98584 MAR 'i Phone (360) 427-9670 ext. 352 Fax(360)427-7798 ' NT RE: Jolm Underwood Pole Building at 140 NE Maplewood Ct., Belfair, WA Inspector: In regards to the above mentioned pole building, it is acceptable place the double 2x12 rafters with one on each side of the post at the gable endwall. If you have any questions, please call. Best Regards, < AShrf�C4' Cliff Berkey, P.E. \ �' Principal Berkey Engineering 4 3 70 4 SSI Ll EXPIRES 08/18/ Job 4 13225.1 V4/L1/LVVO VO100 rAA JOV 4L! 11VO zAJV1v l,u rrIAAli t11A LR.J VVJ Name „ un e r wo0 c!' — Parcel# /.2 2 y-71v' H DO gZ BLD# 1 0� + (0 Mason County Department of Community Development Small Parcel Storm wi Ater Management Application/Worksheet(page 2 of 2) Based Upon the information you have provided a Mormwater Site Plan ISRegmired 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- htip//www.co.m,gon wa—us/code/coinmissioners/index.htm Please follow thu links to"Title 14, Chapter 14.48 Stormwater Management"_ Regulated activities ,hall 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 au approved plan if all of the relevant details* are to be installed in their entirety AKD no part of the stormwater system adversely affects any septic system (see Environmental Health information below). [f an alternative.system is to be used a plan will need to be submitted to Public Works for approval. A design by a re3istcred professional may be required for more complex sites_ *These details are found in the document Managing%rm Drainage on Small Lots, The Small Parcel Stormwaier Sue Plan on the Pa:-,as float begin with"H'tmdout' PLEASE INITIAL BELOW TO INDICATE THE STORMWA,TER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lo4 The Small Parcel Stormwater Site Flan will be installed in their entirety AND Ill a 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 f n-thi.-r 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/drainfeld system you may need to contact Mason County Division of Environmental I-Tealiih 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)1127-9670 M. 352 Mail:P 0 Box 1666,Shelton WA 985.84 '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/Aeon AiAnowledges thatssubmission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of sui%is by sigwtu below_I declare that I ami the owner,owner's legal representative, or the contractor.I further aeknowledg--that the information provided is accurate and employees of Mason.County arc granted access to the above- described property ibr review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 U4/L!/LUUB U6:0L t'AA :SOU 4L! !IVO AAbUA w rr:xmll 1_1A WJ VU4 AP j Parcel# �2� -7 to -I' Z sLn �a i a aoaoCp Name I Mason County Department of Community Development Small Parcel Stormwater Managemeut Application/Worksheet page x of 2) who Per Mason County Fade,Title 14, Chapter 14.48 a storntwater 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 - 'Rodevelopment 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 routine maintenance activity,and land disturbing activities associated with structurw or impervious redevelopment- 'Common jMperwous 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. •<-i.a ...,<x >:r>� 7:ai:l�' ����l::,r ,�t�J, :<�;•we<.xr:F�,«rc <':<��r:;�%�'.<�a<q:<w x•>:^y�'�.wx.:< ....{<.....o>.v2'J:. :. :'d. �' x.x.,:y- e. '>�.%e>. <k.J''ObS"f.•'f.»f.: Surface Type Length X Width = Area 'All dimensions in feet Buildings 8 X X = Measurements for buildings are taken at the X = perimeter of the farthest projections(example; X _ eaves/gutters) 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 X above table = PatiosMalks X X = Any paved, gravel or packed area per definition X _ above table Others X = �`Y�-''%"�r b'�, x ,:,;,,. �r= '�'"�'`'�?x>,�: @a�'�._:,.,;r.,......a��«•z,,.�, s'r:.%%d`'`<':'S:" % :k��;�, .>,•'>."".•:?�`�<n>y'r;W.47,�,.. �k xi'ni! 1M-<r%S �,y<?e� X :xk .�,yrp� .S'iTf�f��:•'f9.'o-, :''iy�'F��,,y)`:1yx,�.ol>;x�r�/'.it P+;?`!..��=s.i'>i:kx tirT•.:v�`>i}x.x"^k:+`i>i>.,s>..R;,.>•.,i?<'.4x%ti.:r,sx>,i.7..k,..xG,Mr<..',:x9.<=..•x'''gs-;r.>1':`.lxn1.i"".p',.zy.wx�i%i`:F£9.,�f�:�.:5'>�O:";'5`:£fs��xt>>; ;.l?St�.r>„i 7::y;rii.;i'F,3:.;'s�:/';a.,h<,xo»e.'f<�.'�ayxt+.h'r:xi`y2;^,;,'f»',�3i�.x e.us$»>✓::K:Rr�£`J�":<3.�:.�y�::.;;..:.�'ryz:.E+..^�;F'��xwe�rica`�>+��•.>;r�!:^rx.^r<•.'`'..AufisNt:.:<:<t.f,�sta'::�s�;X.�:,;,f5,^,c;x'g, MR.. yt',i xe�' xy ;•i; ; rKr:?{r�>.<',•,,x ryF.jn, �:x;x e.x •;4f' i%:,`.`n°.�`.sS .,k;�e„1>:v:5i. If the Total Impe vic us Surface Area' LESS THAN ware Fee please read,acknowledge and sign below. Based Upon the infonaation you have provt cd a m er ePlan ISN01^requirod for this development activity, OwnerBuilder/Ag ut Ai*nowledges that-submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of sul,b is by signature,below_I declare that I am the owner,owner's legal representative,or the contractor.I fluther acknowledg a that.the information provided is accurate and employees of Mason County are granted access to the above- dmribed prope for*ew and inspection as may be required. OF X IBC Owner/Agent/Contractor(circle one)bate: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 BUILDING -A052012 MASON COUNTY r • i 1 3° Egli+$ o?DI 2�•L�Gl�O a s , -1 I� ' ° O 7 10 \ ��v \ \ 34".j W t J-O k A) U)lv de,r W ooJ ��j A*k0ti i may/ Be � fH►r O !R� SSA/e 5 +a �ETBICKSARE NfEASURED X APPROVEDFhO.� THE FURT 'EST [O ASON COUNTY DCD PLANNING r=CT ON OF T HE EUILDINC r .. SI1 E PLAN REQUIRED TO BE ON SITE u CHANG `' SUBJEC-i TO APPROVAL v By Date p ��$ I NG ,l. MASONCOUNTY i BUILDING- MASON COUNTY PERMIT NOZ 16120 ►A- 0"(ra 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 �',>hn U/Ak--rwood Company Name Sven 645ild S tems -h Mailing Address 120 /thE Ma�ile✓ood Caf«-f Mailing Address 3s'yz, 7-her„ I v Z. City Be/f4,r State u/9 Zip Code ?Y.Sa y City 8,r7 l.r�ltew State W.4 Zp Code ?83z--' Phone 3b0- 21-5- 98-2 2 Other Ph. Phone .36 a-y 3-7-iz i ' Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address so�zn�l_�::,1.4-4 5 p te_w5 6&Lna;/ -&v-, 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 Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 3 `7- too?.It Fire District Legal Description Site Address(Please include street name, street number and city) /y v iyE M�!e_ lL7cad CO,:rt.. Directions to site N �c ����n Sc ifik on /4u y 3oo Shoe IQE�d, /j�iuhf or $c�� N,!/ �d Srie is Un rickf Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB-New X Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No.of Bathrooms quare Footage-1 st Floor 2nd Floor 3rd Floor Basement ck Y1CDvqred Deck Other Sq.ft. Garage X Attached Detached "09 rport Attached Detached MANUFACTURED HOME INFORMATI - a e Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ 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.If 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 provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROO=ONUATION O WORK IS BY MEANS OF A PROGRESS INSPECTION. _ Date- Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department ( I-7 1 Z 1 voJ n Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbinq& Base Fee Planning Review Fee Mechanical &Base fee Other Wood/Gas/Pellet Stove Fee State Fee 0AN 0 5 2012 Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR ao i a _0000 a 411 N. Fifth Street/P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd Request for Administrative Variance for Reduction in the Required Setbacks (S115.00) 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. Applicant/Owners: Z-Oh r1 uro'e 'Wo0c1 Mailing Address: n E WGan LQwnnc( Ozo City: State: WA Zip: zg Telephone: Ui'1 CU IDu i )� i Yl 64-e Yl`b - 1"1 Email: If this reduction is tied to a building permit, please give permit case number. BLD 9 �5 Parcel Number(s): 'Jiv ' 'q00 8A Zoning��-Jr Site Address: 14 o ne' U-0 ocd bu e-l Requested setback variance: ft. ❑ Front ❑ Rear Aside ODeA+ 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, 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 DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/ .e, 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) 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) e asting i ments ofluildings, septic systems, and well areas. L E YARD REDUCTION REQUESTS: existin lots of record a of March 5, 200 u 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. Owner/Agent(please indicate) 0.0 Z-:�5- Signature Date O icial Use Only SV Approved by: Date l , / 1-0 7i � T Denied by: Date Reason for denial: I:\Community Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/ I