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Home My WebLink AboutBLD2024-01264 ADV2024-00152 Pole Bldg - BLD Application - 10/23/2024 MASON COUNTY COMMUNITY SERVICES Permit No:b L0 ac Pay' b PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 985a4 Phone Shelton:(360)427-9670 ext 352•I=(360)427-7798 Phone51 C BeBalr.(360)275-4467•Phone FJma:(360)482-5269 /"illl uj�J (\V/C D BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Q C T 2 3 2024 NAME: MCA NAME:T(UW 1"W t'A MAILC� J�SS: 1�2� 'iR (' MAILING DRESS: 1 ,74 Alder Street CITY: STATE: ZIP:(AY$C STATE: ZIP: cl PHONE#1: (c0 �'4c: JL\'J.' PHONE: ()�a�� PHONE#2: EMAIL: '� EMAIL:�� L&I REG# Ex P. / / C%—\ PR]3 AW CONTACT:_ OWNER❑ CONTRACTOR OTHER❑ NAME L5 c EMAI MAILINGADDRESS L( 5 ye _CITY Cj t STATE ZIP S G PHONE \ CELL PARCEL INFORMATION: ` y V EJ 0��V ZONING bd t �J PARCELNUMBER(12DigitNumber) '_ LEGAL DESCRIPTION(Abbrcviated) 3 7 FIRE DISTRICT STTEADDRESS bo)�A S ( CITY 56e'(6f\ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Q� SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checked rharapply): SALTWATER❑ LAKE❑ RIVERIQS EEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWT ADDITION❑ ALTERATIIO/�N j❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residar<q agq CommercialBld&Efe) �C1— - {-c IS USE: PRIMARYA SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUC ? YES((o1eBldg)❑ YES(Part jofB1 ❑ N DESCRIBE WORK J` 14_/\1 {fi r SOUARE FOOTAGE:(prop.. 1ST FLOORS3;'a sq fL 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.fL COVERED DECK sq.R STORAGE sq.fL OTHER sq.fL GARAGE sq.&Attached❑ Detached❑ CARPORT sq.ft.Attached❑ Detached❑ MAM�AC_TURED HOME INFORMATION: *4 COPIES OF THE FLOOR.PLAN REQUIRED* MAgETH MODEL YEAR LENGTH WID EDROOMS ZBATHS SERIALNUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE7 YES[I Ndtl ffyas attach comp leted Water Adequacy Form PERINM-11 R/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.Admowledgement of such is by signature below.I declare that 1 am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed 1 have . obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal representative',repmsents 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 permlVapplication becornes 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 ION OF 180 DAYS OF MORE WILL CAUSE THE APPLI TIO TO BE EXPIRED.(MASON COUNTY CODE 14.09.42) X � v ` Signature of OWNER(Must be signed by the OWNERI Date DEPARTMEIVTAI._REVIEW APPROVEDt==DATE` _DENIHD :DAB?=iAGS/NOTES/CONDITIONS_';: BUII DING DEPARTMENT PLAN1,T NG DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 1 > I x — ` I C } Or, N a I \ x V I "ECEIVED OCT 2 3 2024 0„ HIV Alder Street Date Receu E I V E D MASON COUNT OCT 30 2024 COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning 5 W. Alderr Street Permit4y'��1 Property Owner's Authorization Letter Name A-A P_--Ao,,Ke_, Mailing Address Ac'Ccl�ck_ City ^ State WN ZIP ��rR9 9S Ll Phone S60 4aQ Email F;LF"—b 9=6?_CXj AA oa 1C&►V1% Parcel Number 0 k aC)or I U Site Address a �J t �+'c.o.Ov '1`� City S'1,eAyV'` State W1k ZIP �g�g I(we): tL k ',-�(a- (Property Owners N me) HerebyAuthorize: rlc iA" I , 5 (Name of Person/Contractor to Sign Permit) To apply for, sign, and pick-up building permits for the following proposed work: (Brief Description of Work to be Done) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above. All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). a4l — to So/;z Ll (Property Owner Signature) (Date) Namel"JII� ° Parcel#,5960?5`/R-6abW BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required 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: hLtp//www.co.mason.wa—us/code/commissioners/index.htm RECEIVED 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 stoi taoa;& (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works elnt entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site PICuil'5I'�i A"t i ist 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 relevant details* 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) 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 acknowled a't the information provided is accurate and employees of Mason County are granted access to the above- described erty for r view and inspection as may be required. }{ Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Name Parcel# BLD4;b1WRbRq-01 a 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 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. 7Common 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 Tattle Surface Type Length X Width = Area *All dimensions in feet Buildings X X = Measurements for buildings are taken at the perimeter of the farthest projections(example: 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 property review and inspection as may be required. Owner/Age o circle one)Date: 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 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv a ! Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 jute R Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for 0 C T 2 3 2024 Reduction in the Required Setbacks 5 W Alder 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: Lit� Av ,v"V City: `�►'`�1��- State: Zip: cl s'yo A Telephone: � �O Email: Mov -Cavr� Pcec.� ors G cl �cn�,t,core If this reduction is tied to a building permit,please give permit case number. BLD Parcel Number(s): 3 0�.d oZ oZ� ��J Zoning Site Address: ��. Y[!�' Requested setback variance: 10 1 ft. U Front ❑ Rear ❑ Side a ft ❑ Front ❑ Rear 51 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; m ) 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 a and for Rural Residential 2.5, 5, 10, or 0 zones 0 Owner/Agent(please indicate) re J WDa Official Use Only Approved by: 6-7gy'I vi Date /7/ G Denied by: Date Reason for denial: