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BLD2021-01159 ADV2021-00171 SFR - BLD Application - 7/23/2021
MASON COUNTY COMMUNITY SERVICES Permit No. �c`�(-U js 9 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 P-1 _ it lik, Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone lao Belfair.(360)275-4467•Phone Elma:(360)482-5269 JULp t 2 3 C O 4 1 BUILDING PERMIT APPLICATION 'LCC' }} PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: !�J NAME: NAME: II�J PQ( n&,q l,l/l� MAILPJG ADDRESS: VJ MAILING ADDRESS: CITY STATE:U319 ZIP. CITY: STATE: ZIP: PHONE#I: PHONE: CELL: PHONE#2: EMAIL EMAIL:r REG# / / PRIM CT: OWNERkf CONTRACTOR OTHER❑ NAME EMAlln MAILIN DES CI STATE ZIP PHONE CELL a PARCEL INFORMATION• PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviated F DIS CT SITE ADDRESS CITY D)QtECTION��S TQ S T� E ADj21SS nm r A L IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 9 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( esidenLe,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS r HEATED STRUCTURE? YES(Whale Bldg)Y,YES(Part(s)ofBldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:Ow msed) I ST FLOOR_sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK—_0.0 sq.ft. COVEREDV CK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE Q�sq.ft. Attached Detached❑ CARPORT sq,ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES 9L NO❑ Ifyes,attach completed Water AdequacyFotm PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ 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 projecL The owner or legal representative,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 permitlapplication 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) � X 1�a1�� gnature of OWNER st be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J (�•-2 1 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:81-�>a6 at-O t l S.5 PERMIT ASSISTANCE CENTER: �-• •BUILDING •PLANNING •FIRE MARSHAL R 1-7—r:^' 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us JUL 23 Eu21 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair. (360)275-4467• Phone Elma:(360)482-5 > W. Alder Stmet PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONT TQR INFORMATION: NAME: k2 iNAME: mo MAILIWJ ADDRESS:YO MAILING ADDRESS: CITY: STATE: ZIP. CITY: STATES ZIP. 1"PHONE: PHON CELL:. 2"d PHONE: EMAIL :Y Y' EMAIL:r I G# EXP. r. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 9 —S — Zoning: LEGAL DESCRIPTION Abbreviated): SITE ADDRESS: CITY: DP,ECTIONS TO SITE ADDRESS: lb acur,6S TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace �— Bath Tubs Z— Heat Pump I Showers � Spot Vent Fan Water Heater Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher t Kitchen Exhaust Hood Hose bibs t Dryer Vent 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. 1 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X gnature of OvMer Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT .17 - /O 27• PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN Larson Blvd © +2'el 'ei 36.78 �ka\o CA � D/W a�- -F' CO --� 12331-51-00111 'Z1X 1281 Larson Blvd g tiro" Three 141��!a0al " 0017 edroom Home VJ �Taoal -©o �,Lio CCD SL#1 0-60" Loamy Med Sand SL#2 0-60" Loamy Med Sand rn SL#3 0-60" Loamy Med Sand w _ JUL 23 2021 _o B°" 615 W. Nder Sireet f T i `.. joyy! 6•XA'r. i y 3 I c OMAS E NFAlFq 00/o R erve �., +5 el no I N G �r � - NNiNG: APPRMED C RE MEASURED MASON COUNTY OCD PLANNI UM THE FURTHEST ; SITE PLAN REQu!'RED T-) BE ON SITE F JECTION OF THE BUILDING CHANG Si .' APPROQVAL //d Fe: �a c v.n s H �cr:oA o r c- hv"w APPROVED bt}-wten ()VIS- 0 4 0l 6,f V +20'el JUN 2 8 2021 q��er y?4r' �I� G to 0-e f,(,k (31�,e )4ci('On nowt ASONCOUN"ENVIRONMENTALj1EAtT, �l I.YO Printed From Mason County DMs Printed from Mason County DMS Larson Blvd 121, 36.78 �4 �l v on►v —}� Cb 1 2331-51-001 1 1 � 2-1�C 1281 Larson Blvd Lit&" Three � 141��1 anal - cot- 1 edroom Home oD349 W r�Taaal -n ��o SL#1 0-60" Loamy Med Sand SL#2 0-60" Loamy Med Sand I SL#3 0-60" Loamy Med Sand JUL 2 3 2021 _ -o-Box 615 W. A;Qer Sireet /A, I 1 $f�U.3 00% R erve ti�0"'f"S a WEAVER +5'el r - ifS Wf,251 PROVEV AUG 0-6 2021 1001 &4pN COUNTY E VIR NMENtq HEALnLycy +20 el 50' A R ED 20'el JU 8 2021 Lyc WRA1 LTr Printed From Mason County QMS Printed from Mason County DMS rill -'"" MASON C - i Mason County Permit Center Use: 11 l Comm 99 ADv aU ac - or�t7� ft Building,Planning,Environmental Health,Community Health 615 W.Alder St—Bldg.8,Shelton,Wa.98584 Date RCvd Phone:(360)427-9670 ext 352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for J(JL 2 3 1L Z,,c; Reduction in the Required Setbacks fi 15 W. A;der Street 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: Mailing Address: City: State: Zip: b Telephone: S �J S 90(o 999 J ,(—7 Email: i 1 r C C,� C S�CA e MS)In , 0 G11VI_ If this reduction is tied to a building permit,please give permit case number. BLD '20 2 - 61169 Parcel Number(s): 199j3 I -S I- Co 1 I I Zoning Site Address: 1931 LC�- S(M �J(� a P wauz t IDVN O. ?T Requested setback variance: ft. 14 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. 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, 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): ❑ 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. Ao_ � C)c S UA i C ffic/tIo �- 1 ` Owner/Agent (please indicate) Signature Date Official Use Only Approved by: Date U `I' `�-,�[5 Denied by: Date Reason for denial: Name Parcel# L?5 31 —S) —60 L L 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'. '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 stormw-ater.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 X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: 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 property for review and inspection as may be required. � X caner/ gen Contracto (circle one) Date:1 lag I p!�` g O ii If the otal 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