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Home My WebLink AboutBLD2016-00776 Cancelled SFR - BLD Application - 8/9/2016 IV1MJuI1 LVUtYI Y LUMMUNITY SERVICES PERMITASSISTANCE CENTER: ,PeI�Ialiit No:_��I • BUILDING• PLANNING. FIRE MARSHAL Recv'd 615 W. Alder St- Shelton, VVA 98584 r fr�s(„ _m Phone Shelton:(3G0)427-9670 ext. 352 Fax:(360)427-7798 t ' ' , •" Ns ' Phone Belfelr:(360)275-4467 Phone Eltna:(360)482-5269 t "" 092016 BUILDING PERMIT APPLICATION RI YL NER INFORMATION; CONTRACTOR INFORMATION: NAME: T-Q V� �;) NAME: :Sc "AI MAILING - DDEES MAILING ADDRESS: CITY:'`.� STATE: ice/ Z1:1: CITY: STATE: ZIP: PHONE#I: - iC t`U 0 - 2- Stir L" /y 0 HONE: CELL: PHONE#2: 6�!� L V,., `'t AIL : EMAIL: rv► e a 5Vt V C 4&,I&T0 , REG# EXP. CONTACT PERSON : O ER C TOR� *OTHER/See Bellow ❑ *NAME: s T [v�NU IL G DRESS: b_l ho A-)-VJ. 0,T rJW CITY: STATE_ Z P IO CELL: 2C'5-3 77 7i t j EMAIL: 6qR_ PARCEL INFORMATION: 11',ANNt 1L_ PARCEL NUMBER(I2 Digit Number) 3 2-13 t"f"z ZONING LEGAL DESCRIPTION(Abb►"eviat uto -T 5e (/Z 3 RE D STRICT SITE ADDRESS...... Q_ r'f Po C DIRECTIONS TO SITE ADDRESS . � I, 3 ti i_k, -I— t-4' �_sh-ka - WAL AoX IS THE PROJECT WITHIN O O S)GRE ER THA 4%e: YE NO�. IS PROPERTY WITHIN 200 eck all that apple): SALT' TER❑ L RIV ZEEIC❑ PO TLAN SEASONAL RUNOFF❑ STREAM❑ TY OF RK: NE ADDITION ❑ ALTE ZO ❑ REPAIR❑ OTHER ❑ USE 0\ST 10 TURE tesi ge,Conunercial Bldg,Etc.) IS USEARY�SEASONAL❑ NUMBER OF BEDROOMS�� NUMBER OF BATHROOMS Z HEATTURE7 Y S (Whole Dld�M YES (Part[s]of Bldg ❑ NO ❑ DESCRIBE WOKI ��S«t�,.. �FI�c, i q�� W/,r d 4eVtAgZ (!Valuation/Project Did Amount: $ ) SQUARE FOOTAGE: IST FLOOR sq. It. 2ND FLOOR _�sq.ft. 3RD FLOORT sq.ft. BASEMENT sq. Il. DECK sq.ft. COVERED DECK &0 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 3,5r< sq. ft. Attached-4 Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MA OF- CTU ,D DOME INFOR MITION: *4 COPIES OF THE FLOOR PLAN RE,E,QWREI D* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS ATHS SERI NUMBER OWNER acknowledges that submission of i*curate 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 or owner's legal representative. 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 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 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 C NTINUATAON OF ORK IS BY MOANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLIC 10 OF 1 0 YS L CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) 71 Signature of OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS hinalApproved&Ready for Pick-Up: Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev. 112712016byJON MASON COUNTY COMMUNITY SERVICES � 7E� ZL,16� �� PERMITASSISTANCE CENTER: Permit No: F. W •BUILDING•PLANNING•FIRE MARSHAL `t 615 W. Alder St- Shelton, WA 98584 Phone Shelton:(360)427-9670 ext 352 Fax:(360)427-7798 Phone Selfair. (360)275-4467 Phone Elma: (360)482-5269 tr.D PLUMBING & MECHANICAL PERMIT APPLICATION 615 ,Vv ; OWNER INFORMATION: CONTRACTOR INFORMATION: irepf NAME: NAME: MAILING ADDRESS:�011ln-q?°d - 'r a)id NIAILING ADDRESS: CITY: /wS STATE: wA, ZIP:9 9 3 CITY: STATE: ZIP: 1 sPHONIP PHONE: CELL: 2nd PHONE: EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): .3 7-t 2- — d 1 O Z Zoning. LEGAL DESCRIPTION(Abbreviated): r (, S L &9y SITEADDRESS: '1 ce rr•I-e 1-� CITY: S DIRECTIONS TO SITE ADDRESS: WA ASZ" L - ULD602- Mf4WLJ TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 IT FLOOR 2'FLOOR BASEMENT GARAGES OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type 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 2 Heat Pump Showers Spot Vent Fan �- Water Heater Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hose bibs 2 Dryer Vent 1 Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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 d S. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT AP LICATION 180 DAY WILL INVALIDATE THE APPLICATION. X ��- 6--7 i Le Signature ofrA plic nt Date x Jtt'o� o 0 caner wners Representative/Contractor Print Name c e one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ nev:112 2016 JBN MASON COUNTY DEPARTMENT OF HEALTH SERVICES - - August 15, 2016 PO BOX 1666 Shelton WA 98584 Shelton (360) 427-9670 Fax (360) 427-8442 STEVE NOVOTNY Elma (360) 482-5269 6716 92ND ST CT NW GIG HARBOR WA 98332 Belfair (360) 275-4467 Case No.: BLD2016-00776 Parcel No.:321344290002 Dear Applicant: Your building permit will not be approved by Mason County Public Health until the following items are completed and received in our office. [j Application for water adequacy completed and signed by the water system manager. [j Approved septic design for 3 bedrooms Please call me at (360)427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services Comments: 8/15/2016 Page 1 of 1 BLD2016-00776 MASON COUNTY PUBLIC HEALTH OFFICIAL USE ONLY COMMUNITY DEVELOPMENT Date received: / ' Amo nt received: Rec ved ENVIRONMENTAL HEALTH REVIEW f 415 N.6th Street Shelton,WA 98584 Case number. (360)427-9670,Ext.400 (360)275-4467,Ext.400 r. 7—� _ 1.Applicant/Property Information Applicant Name Assessors Parcel Number 5 - 35opuZ 2 v_40 3z Mailing Address- Street 1city 25tat* lipST LT IQ L �.0 KKlIJ�r SiteA dross- Street��"J C Y Vp 3-s L �. Contact Perron Contact Phone Contact m rK i�ST Ve-NovPTMq, 2.Type of Review/Job 3.Job/Site Information Check all that apply Residential ❑ Commercial ❑Tennant Review ❑ New ❑ Replacement ❑ Pre-Application + _ Existing Number Proposed Additional Total Bedrooms ❑ Remodel ❑ Addition ❑ Other(explain below) Bedrooms Bedrooms Describe Work ree Use for remodels,additions,or replacements + Existing Sq.Ft. Proposed Sq.Ft Total Sq.Ft. Basement?(yes or Total Number of Floors Interior Remodels need to attach an Existing Floor Plan and Proposed Floor Plan with room designations.Max Paper size 11x17. Property on Shoreline(yes or 4.On-Site Sewage System/Sewer Information Property Served By: Perimeter Drains Proposed?(yes no On-Site Septic System New Existing Number of Employees(if applicable) ❑ ❑ ❑ Sewer ❑ New ❑ Existing 5.Water Source Information Permit No.(if applicable) Plumbing in structure? Yes ❑ No Name f Sevre Sy`tern(if applicable), If yes: e ( 5YtJ�l Using an existing on-site septYc system will requireY current maintenance report Please submit a completed Water Adequacy Form. and a Record Drawing(Asbuilt).Documents for both of these requirements may An incomplete submitted Water Adequacy Form may be be on file with Mason County Public Health.Other requirements may apply. returned,and hold up review process. Site Plan A scaled Site Plan is required with all permits,except interior remodels. An incomplete submitted site plan may be returned,and hold up review process. Paper size for site plan can be 8.Sx11,8.5x14,or 11 x17(max). Please use checklist below: ❑Property lines/dimensions ❑Primary Drainfield area ❑Reserve Drainfield area ❑Existing/proposed wells ❑Waterlines ❑Septic Tanks location ❑Location of curtain/perimeter drains ❑Direction of Slope ❑Driveways/Parking areas/Easements ❑Existing Structures/buildings ❑Proposed Structures/Buildings ❑Sewer lines/tanks ❑Additions ❑North Arrow ❑Scale Bar Applicant Signature Date Official use only Departmental Review Approval Intls. Date Notes,Conditions,Related Permits Water Adequacy Sewer/Septic System Tenant Review Revision THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised 2/6/2015 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES DDR 20 )6P- W109 615 W.Alder Street,Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd d v - cl-O?y L�a 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 and gutters. Applicant/Owners: 64-"exA- f oyc) `- ( RECEIVED Mailing Address: (s-71 U ��-�"' `� Lt 1- AUG 0 9 2016 I 615 W. Alder Street City: _�� I�7� State: � zip: �� 33 2 Telephone: 25-3 -377--?�-7� Email: m ST��►Sb�O`C nl I , Lom If this reduction is tied to a building permit, please give permit case number. BLD /?,(7)(o - aD�7 "7 LC Parcel Number(s): 32 17 q t4 Z 41 0oo2- Zoning 4e5— Site Address: Lcrt-e Requested setback variance: 11 ft. ❑ 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, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. Edited on 2/18/2016 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; 54,,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. )LAfio 1d fi c - .1 K Owner/Agent (please indicate) Signature Date Official Use Only Approved by: Date 41111114 Denied by: Date Reason for denial: Edited on 2/18/2016 00-7 7& PLANNING 3q o a PLANNING: `/y '��— —�► J--Zs' — �` ALL SETBACKS ARE MEASURED FROM THE FURTHEST ` PROJECTION OF THE BUILDING 7!t�— C� m m uj d s APPROVED MASON. COUNTY CCD PLANNING ti o c_. SITE PLAN REQUIRED TO BE ON SITE r m C CHANGES SUBJECT i 0 APPROVAL 7' By I — Date l� �- o T!' '300 20 )(o — 00 7 Tf� ENVIRON MENTAL a HEALTH 4no Ln m RECEIVED AUG 0 9 2016 v � 615 W. Alder Street VT � W w E cry `L