HomeMy WebLinkAboutBLD2017-00813 Final Ductless Heat Pump DDR2017-00014 - BLD Permit / Conditions - 1/5/2016 o CONCRETE Gas piping MANUFACTURED HOME n
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Date. By Walls
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Groundwork Vault TANKS
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MASON COUNTY
COMMUNITY SERVICES
IT�Q' " Building.Planning,Environmental Health,Community Health
Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584
Shelton Phone: (360)427-9670 ext 352 s• Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: 'AI6Zo17 -Do613
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:T)\11 (suLA rkhh NAME: N60 p C-( , 'i'�) U
MAILING ADDRESS: SS N V--VG.Y-,,)v0 \)\VU MAILING ADDRESS.20 9 A 2-90 U
CITY:';;--C 4�!" STATE: 0 ZIP. 5 2 CITY: 4�f, c�:\f STATE: ZIP:e
15t PHONE: -!3ul A -1`jyLA PHONE: 0 - -c 2 CELL:
2nd PHONE: EMAIL : f n ICO huej corlrx C tuat, ►u4-
EMAIL: -VnLrn\c-- L&I REG# 800 C 02 Z L'al EXP. 3 /-,:3 /y
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number):1'7 Z5t---N - Zoning:
LEGAL DESCRIPTION (Abbreviated): I.ot TA
SITE ADDRESS: C=CiQ NE L QLYS!YI ?)\2D CITY: V�e\�VO l
DIRECTIONS TO SITE ADDRESS: IArtP, �00 ' L)C- la[W IV-a.( 1DY- , UL Lar�t�n �i1UO
TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(notee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) Furnace [E/G/LPG]
Bathroom Sink(s) Heat Pump [E/G/LPG]
Bath Tub(s) o Ductless H.P. �_ [E/G/LPG] A 2-0
Shower(s) Spot Vent Fan
Water Heater(s) PG/LPG] Propane Tank I gal.)
Clothes Washer(s) [E/G/LPG] Gas Outlet(s)
Kitchen Sink(s) Heat Stove [E/G/LPG/W]
Dishwasher(s) Kitchen Exhaust Hood
Hose bib(s) Dryer Vent
Other Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal Vt.10
Plumbing Base Fee Mechanical Base Fee 2A.
Final Inspection Fee Final lnsp2Ltlon Fee -1- &Uu
TOTAL PLUMBING TOTAL MECHANICAL \ VlaD
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 contractor. I further declare that I am entitled to receive this permit and to
do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this
project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not
commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTION.INACTBfflX-0FZldI5 PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X 44
�1 �13'
S gnature of Applicant Date
X Z 1fs-A n �&Am (`" Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
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MASONCOUNTY Mason c orint, Permit Center l se:
COMMUNITY SERVICES DDR (-
Building,Planning,Environmental Health,Community Health
Date Stamp Rcv'd:
Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584
Shelton Phone (360)427-9670 ext 352 •:• Fax (360)427-7798
RECEIVED
Request for Administrative Variance in the FEB 16 2017
Required Setbacks 615 W. Alder Street
Application Fee: $115 Rcv'dBy Planner.�26
For administrative review, the minimum variance on a setback request ' 5 feet from the side yard
lot lines and 10 feet from front and rear lot lines or any access easement. Request for further
reduction requires a standard variance with a public hearing.
***Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters***
Applicant(s) Name . 1l
Mailing Address �, �i • oX J�5 C�rl� L)0A %3aoAV
Phone 0' 0,0Af1gc 6n-J'h6MAS
If this reduction is tied to a building permit, please reference permit#: BLDoZO I co - 012 3a -
Property Owners Name (it different that,applicant)
Site Address: 69a n c n ,-13 I O'd I C/I A i W A G��1
Tax Parcel # �,� L - Jr3 - �`y Zoning.-
Requested Setback Variance: --� *** Minimums ***
Front Setbacks- Minimum: 10 feet
ft. ® Front O Rear O Side (Measured from access easements and/or road right
of ways)
Fr Re Rear Setbacks - Minimum: 10 feet
ft. O Front O Rear O Side (Measured from the rear property line)
Side Setbacks - Minimum: 5 feet
ft. O Front O Rear O Side (Measured from the side property line, exception for
certain shoreline designations)
Page 1 of 2
Rev.Feb 1,2017
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\`,� Fron nd/or Rear Yard Reduction Request: DDR � C� 7 -
For isting lots of records as of March 5, 2002)
You must meet one of the following (check ALL that apply):
o a) critical areas present: steep slopes, wetlands, streams, etc.
o b) soils that restrict building or septic development;
o c) lot width at the front yard line of no more than 50 feet;
® d) lot size of no more than one-fourth acres;
o e) existing improvements of buildings, septic systems, and well areas
❑ Side Yard Reduction Request:
(For existing lots of records as of March 5, 2002)
You must meet one of the following (check ALL that apply):
o a) critical areas present: steep slopes, wetlands, streams, etc.
o b) soils that restrict building or septic development;
o c) lot width at the front yard line of no more than 50 feet;
o d) lot size of no more than one-fourth acres;
o e) existing improvements of buildings, septic systems, and well areas
Exception Details: Please explain how these circumstances preclude a reasonable development
proposal from meeting the setback standard for Rural Residential-2.5, RR-5, RR-10, or RR-20 zones.
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An Illustrated Site Plan is Required. Provide a site plan on a separate piece of paper (IIxIT max)
that includes the following: Critical areas (ie: slopes, surface water, wetlands, etc.) North arrow,
septic/sewer, well/water hook-up, driveway, abutting street or easements, setbacks to all property lines
from new proposed development and distance to existing buildings/structures.
Signature (ownerlAgent): Date;3
For Official Use Only
Approved by: ) !S Date: Z Z I
Denied by: Date:
Reason for denial:
Applicant notifie p royal Denial by: [Mail❖e-Mail❖ Via phone❖ =itp/uB : Date: 9
Rev.Feb 1,2017
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