HomeMy WebLinkAboutBLD2008-01310 Cancelled Retaining Wall TPN322344400010 - BLD Permit / Conditions - 1/6/2009 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 1
IP14 Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2008-01310
OWNER: DAVE KAMIN
CONTRACTOR: LICENSE: EXP: RECEIVED: 10/22/2008
SITE ADDRESS: ISSUED: 1/15/2009
PARCEL NUMBER: 322344400010 EXPIRES: 7/15/2009
LEGAL DESCRIPTION: PCL 2 OF BLA#05-10 PTN OF GL 1 S 24/53
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Construct one rock retaining wall no greater than 285 square feet(shown as Approx. 1.25 miles past Ald brook on right.
Wall "A" on revised site plan received December 29, 2008).
General Information Construction&Occupancy Inform t n Square Footage Information
No. o Bedrooms: Type of Constr.
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group Lot Size: Deck:
Type of Work: RW Fire Dist.: 6 No. of Stories: 1 Occ. Load. Building:
Valuation: Building Height: Occ. S atus: fnkno n Basement: ret. wall 285
Manufactured Home Information Setback Inff r0ptiod I Shoreline&Planning Information
Make: Length: F . Frn2:
F . hor ine- 100.0 Ft. Water Body: Hood Canal
R F ope: Ft. SEPA?:
Model: Width: Shoreline Desig.: Urban
Sid Ft.
Year: Serial No.: Sid Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures echanical Fixtures FEES
Type Q Type Qty. Type By Date Amount Receipt
Plan Check Fee KKK 10/22/200 $217.91 S22008000
Planning Review Fee KKK 10/22/200 $190.00 S22008000
Building State Fee MAL 10/22/200 $4.50 S22009000
Building Permit Fee MAL 10/22/200 $125.25 S22009000
ADJUST--Plan Check Fee MAL 12/29/200 -$136.50 S22009000
Plan Check Fee MAL 12/29/200 $34.00 S22009000
Geotechnical Asses. Report PBC 1/6/2009 $255.00 S22009000
Total $690.16
BLD2008-01310 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2008-01310
CONDITIONS FOR
BLD2008-01310
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
X 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.
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
Department prior to any furtherfu inspections being performed or approvals granted.
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3) Owner/Agent;9V
ponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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4) 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.
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5) 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 A li g pp cation/Worksheet the document entitled "Managing Storm Drainage Small Lots The Small Parcel Stormwater Site Pla
n"an'' constitutes
an approved plan based on the criteria listed on the a lication/worksheet. If pp the development has, or will have, a se tic/drainfield system you are
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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 p g p with the project. By calling for a final inspection of
the building permit the owner/agent/contractor is ack o edging that all components of the stormwater management system h v�� P ghave been installed as
approved on the stormwater site plan. X
6) 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
charged aAd shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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BLD2008-01310 Please referto the following pages for conditions of this permit. 2 of 4
7) 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 cla:nification. Any non-approved change of use or occupancy would result in
permit revocation.
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8) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
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rdinance or regulation, must be reviewed and approved by Mason County prior to construction.
04
9) 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�e ade prior to requesting additional inspections.
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10) All property lines shall be clearly identified at the time of foundation inspection. X_J214
11) 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 o in nces and building regulations.
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12) 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
(older have prevented action from being taken. No more than one extension may be granted.
13) Per engineer of record the backfill for the ret W
wall requires compaction to 80-90%. Provide report onsite for Mason County inspector or deliver to
Mason County Building Department. X
14) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X_&k
15) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program. Permit is approved for 285 sq ft rock wall "A" as shown on site plan. Applicant understands that any proposal to
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nlarge this al or add other walls will require application for and approval of a Shoreline Substantial Development/Conditional Use Permit
16) Temporary erosion control measures must be implemented to prevent water qua.ty d gradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
17) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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BLD2008-01310 Please refer to the following pages for conditions of this permit. 3 of 4
18) Proposed W,�II "A" shall be a minimum of 50 feet from the area of the site with slopes greater than 40%, as shown on engineered site plan.
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19) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All
applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the
registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and/or land modifications
(grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall
rem ai��ttached to the approved building plans.
X
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 prope an structure for revie and inspection.
OWNER OR AGENT: DATE:_
BLD2008-01310 Please refer to the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
N 0 Date B _
w Footings!Setbacks Gas Piping y Ribbons Z
o Interior Date By Interior-Date By Date By
o Exte+rior Date By Exterior-Date B Set-upD
INSULATION <
Point Load t Isolated Footings Date By m
BG!SLAB INSULATION - --
Date By Data By FIRE DEPARTMENT
Foundation Walla Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Data Ely
Date By OTHER
Groundwork Attic
Date By Type
Date B Y Date By
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Int Brace Wall Date By W
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WWAAPPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES UBJET TO APPROVAL
By Date
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35'-0"
79'-0"
Parcel #: 32234 44 00010
Owner: Kamin Properties, LLC
Total rock wall
Description: Addendum A Rock Wall Area is 285 Sq. Ft.
Modification
Date:12/18/2008
Prepared by: Brandon Kamin
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SITE PLAN RE UIRFD�BE O�'SItE PROPOSED L❑C OR ROC
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LOT 3
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PROJECT/ OWNER-
ROCK RETAINING WALL
DESIGN
CLYDES KAMIN PROPERTIES, LLC
�q STATE HIGHWAY 106 OF WASH �� PARCEL NO. 32234 44 00010
MASON COUNTY, WASHINGTON
CONTRACTORi
'KAMIN PROPERTIES, LLC
P❑ BOX 2491
J SHELTON, WASHINGTON 98584
DRAWN BY- ATE,
mcs D S
ENGINEER- REVISIONS, S FCIST6��0 �� DESIGNED BY- DATE-
REV. SCRIPTtW Y TE F S'IONAt,E Michael Staten, P.E. 08/05/08
ENVIROTECH ENGINEERING SHEET
74 NE HURD ROAD 1
BELFAIR, WASHINGTON 98528 _ 1
PHONE (360> 275-937a EXPIRES JAN 10. 2009 SHEET 1 OF 2
FAX, (360> 275-4789
PLANNIN PLANNING : SCALE I INCH 100 FEET
ALL SETBACKS ARE MEASURED 50 FROM THE FURTHEST too
TEE PROJECTION OF THE BUILDING
Ocl Lu r
(,c-UNT HOOD CANAL
HIGHWAY 106 ��"
I' P❑ IBLE—LOCATION FO ROCK
20 J TAINING WALL .AT.-6' IAX ROAD CUT
PR P S D LOCATI❑N FOR ROC(
RE AINING WALL AT 9' MAX F OAD CUT.
L MAY TAPER, OR TERMINATE
E RE THE ENDS OF THE CUT.
PROPO D LO TION- OR R❑CK-
RETAINI _ - LL AT OX."12' MAX _.
40---� ROAD--CUT. ALL MAY TAPER, OR
_.—TEPMINA EFORE T E ENDS OF THE
_ CUT.
LOT 2
LOT 1 _ �/
120 ' �! LOT 3
i
140 _
160
180 r 16 ,Tt 165FT:t
200' / \
PROJECT/ OWNER'
ROCK RETA NING WALL
��pF DES N
�P� ST KANIN PROPERTIES, LLC
Lt F WASfl/�G qJ STATE HIGHWAY 106
F PARCEL N0 32234 44 1
/r > NASON COUNTY, WASHING
CONTRACTORi
KAMIN PROPERTIES, LLC
PO BOX 2491
SHELTON, WASHINGTON 98584
43()45 DRAWN BYs DATES
fi
ENGINEERS REVISIONS 0�` �FClSTF MCS 08/05/08
ENVIROTECH ENGINEERING REV. 1•+ by WE �sS/O�YA L FNG` DESIGNED By, DATEi
Staten, P E. 08/05/08
74 NE HURD ROAD
BELFAIR, WASHINGTON 98528 SHEET
PHONE, (360) 275-9374
FAk c360> 275-4789 EXPIRES JAN 10,2009 SHEET 1 OF 2
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Name Parcel# 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:
hits//www.co.mason.wa—us/code/commissioners/index.htm
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 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 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 entire AND�th will�Ioted as t to verse a�fem c s o this or an other, arcel.
ty I,IJIX lr'�� - Vv T 1 VA— Y P
B)�A 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 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 Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
10
Name,J }1� t"s�h 1 Parcel#� -�`J `'-�`� "��Q [� )
� P l f T
Mason County •
Department of Community Development
Small Parcel Stormwater Management Applicadon/Worksheet (page 1 of 2)
Per Mason County Code, Title 14, Chapter 14.48 a stormwatcr 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.
2Common 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.
:< 16Qml . TJ�_ C @ e. . Uf
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 =
PatiosNValks X =
X = Any paved, gravel or packed area per definition
above table
X =
.................................................................................................................
..................................................................................................................
... ......................................-.............._.......... ...
Others X
X = I€;tFt total l penny s al ea of the prop zed site
X = rleu iopmer t:is greater than 27 : square feet a
m 11 k rcej orr. .. r tt F�1 n is l�ter{taired
-To f mpety-Jous Surface Area{surr of all are j
If the Total Impervious Surface Area'
s THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have p Stormwater Site Plan IS NO required for this development activity.
Owner/Builder/Agent Acknowledges that s inaccurate ormation 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-
desi Tibcd property for revi w d inspection as may be required. f/�
X Owner/Agent/Contractor(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
ON_STgTF MASON COUNTY
oPs Ao it N DEPARTMENT OF COMMUNITY DEVELOPMENT
F o N X Planning Division
7 N y ti P O Box 279, Shelton,WA 98584
1864 (360)427-9670
REQUEST FOR ADDITIONAL INFORMATION
December 02, 2008
_ v)
DAVE KAMIN W
PO BOX 2491
SHELTON WA 98584
Parcel No.: 322344400010 �
w�- a Via�
Project Description: Upland Retaining Walls.
Dear Applicant:
You have submitted a permit application (case no. BLD2008-01310) for proposed
construction or development in the county. Upon review of your application, krequire
additional information to complete the permit review process.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 287 if you have questions.
Since ,
Pam B nnet -Cumming
Land Use Planner
Mason County Planning Department
12/2/2008 Page 1 of 3 BLD2008-01310
REQUEST FOR ADDITIONAL INFORMATION
12/2/2008 Case No.: BLD2008-01310
Comments: In Notification of Incomplete Application letter dated November 21,
2008 - planning staff indicated that they would conduct a site review in
order to provide you with additional information regarding next steps for
this project review. Staff conducted that review on November 26th
2008, and provides the information below and enclosures, so you have
the necessary information to continue the permit process for this
project. Please be aware that the current fee ordinance has been
enclosed. Submittals after the end of 2008 are subject to Ordinance
123-08 which provides for new fees beginning January 1, 2009.
1. Shoreline Substantial Development Permit. Your proposed
retaining walls are within 200 feet of the Ordinary High Water Mark of
Hood Canal, and valued at over$5,718.00. Therefore the project will
require application for and approval of a Shoreline Substantial
Development Permit. An application packet is enclosed, together with
the fee schedule (Shoreline permit fee, Hearings Examiner fees and
MEP fees highlighted) .
2. Mason County Resource Ordinance Fish and Wildlife Habitat
Management Area Chapter 17.01.110 (F & W Chapter): This chapter
specifies that buffers on this saltwater shoreline is 100 feet as
measured from the Ordinary High Water Mark of Hood Canal. At this
site the Ordinary High Water Mark is directly adjacent to the north
boundary of State Route 106. At its closest location the cut face that
will receive the rock wall is less than 90 feet from the Ordinary High
Water Mark of Hood Canal. Therefore that portion of the road-related
support wall within the 100 foot buffer will require application, review
and approval of a Resource Ordinance Mason Environmental Permit
per section 17.01.110.G.i. As you will see from the chapter, other
forms of activity within the buffer require a Variance, but there is a
provision for road/street expansion and construction with a Mason
Environmental Permit and Habitat Management Plan. For the purposes
of Resource Ordinance review we are considering the retaining walls a
necessary part of the road, due to site conditions. Forms are enclosed,
together with a list of HMP professionals; Section J of the F & W
chapter provides the requirements for the HMP. Once the applications
and HMP are received, the HMP will be distributed for comment, during
the MEP review process.
3. Project-specific Geotechnical Report: This site has slopes greater
than 40% at and within 300 feet of the proposed road retaining walls.
You have submitted two original geotechnical reports, however they
specifically address proposed residential development at the site and
do not address the walls associated with the roads. Please have your
geotech revise this report to include the proposed approximately 240
linear feet of rock retaining walls on the upland side of the existing
1212/2008 Page 2 of 3 BLD2008-01310
REQUEST FOR ADDITIONAL INFORMATION
12/2/2008 Case No.: BLD2008-013'10
roads. Your engineer provided design for the rock retaining wall, but: it
is not addressed specifically in the geotech report. We have also
enclosed Geotech report submittal checklists with the copy of this letter
being sent to your engineer; these wet-stamped originals need to
accompany the two revised geotech reports.
In addition, per staffs site visit, the road(s) appeared to be quite
narrow. If they need to be widened to accommodate the walls, then
that activity also needs to be addressed within the geotech report,
including amount (cubic yards) of material to be graded. Based on that
information we can determine whether a grading permit or SEPA
review is needed.
12/2/2008 Page 3 of 3 BLD2008-013'10
Kkw i t4
PyON.STgrFo� MASON COUNTY
o A° �, DEPARTMENT OF COMMUNITY DEVELOPMENT
S N Planning Division
07
Y ti P O Box 279, Shelton,WA 98584
(360)427-9670
186A
NOTIFICATION OF INCOMPLETE APPLICATION
November 21, 2008
DAVE KAMIN
PO BOX 2491
SHELTON WA 98584
Parcel No.: 322344400010
Proiect Description: Upland Retaining Walls.
Dear Applicant:
You have submitted a permit application (case no. BLD2008-01310) for proposed construction or
development in the county. Upon review of your application, I have determined that the contents
of the application are incomplete or do not provide enough detail for review.
Therefore, review of your application will not proceed until the necessary information is provided
(see the comment section of this letter for details.) Once the information is submitted and -the
application is complete, I will continue to process your application accordingly. If the additional
information is not provided to the County within 180 days of this request, the application shall
expire and no further action on the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 287 if you have questions.
Sinc TBett_\Cumr�ming
Pam
Land Use Planner
Mason County Planning Department
11/21/2008 Page 1 of 2 BLD2008-01310
l
NOTIFICATION OF INCOMPLETE APPLICATION
11/21/2008 Case No.: BLD2008--01310
Comments:
This porject proposes to install approximately 240 linear feet of rock wall near the bottom of the
sloping parcel on the south shore of Hood Canal (parcel no. 32234-44-00010). According to the
site plan there is an existing dirt road, however based on a site review by staff several years ago
that road is not well developed. The rock walls will be on the upland side of portions of the road, at
times protecting 12ft road cuts, some other areas may be 9 ft max. road cut. Based on the
proposed road cuts a grading permit may also be necessary. No information is currently provided
for the road grading necessary to install the walls.
A Planning Pre-inspection was applied for and conducted in August 2008, for a proposed future
dock. It did not request review for the current rock wall project.
Mason County Shoreline Master Program: Site is within 200 feet of the ORdinary High Water Mark
(OHWM) of Hood Canal, therefore is within Shoreline jurisdiction. As a structure proposed within
the shoreline jurisdiction, the project will require application, review and approval of a Shoreline
Substantial Development Permit. Application materials are enclosed. The process requires
application, public notice and notification, a public comment period, and a public hearing before the
Mason County Hearings Examiner. The process can take several months, so you would want to ,
apply soon, with that in mind.
SEPA: Depending on the amount of material that will be graded, SEPA review may be required.
This entails a 2-week comment period which would be run during the review of the shoreline
permit.
Mason County Resource Ordinance: If the proposed rock wall and road grading is within 1 CIO feet
of the ORdinary High Water Mark of Hood Canal, a Resource Ordinance Variance will be required.
This process requires application, public notice and notification, public comment period and a
public hearing before the Mason County Hearings Examiner. A Habitat Management Plan is also
required, which will be reviewed by jurisdictional agencies during the comment period. Staff will
conduct a project-specific site visit to make that setback determination, then notify you.
Project-specific geotechnical report: Landslide Hazard Area Chapter 17.01.090 provides that a
special report is required for projects on steep slopes such as this parcel. If there are slopes
greater than 40% within 300 feet of the project, a geotechnical report will be required. Your
geotechnical professional will make that determination based on field review, and provide the
necessary report. Two wet-stamped originals are required, with original wet-stamped submittal
checklists. The documents must be consistent with the current version of the chapter.
Following staffs site review, we will contact you to discuss next steps. In the meantime, please
feel free to contact me with any questions you may have.
11/21/2008 Page 2 of 2 BLD20(18-01310
it
MASON COUNTY PERMIT NO. C� V
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 YY I
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFOR ATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Address 2 1 Mailing Address
City b ll,", r. StateSs r d Zip Code {? K '1 City State Zip Code
Phone�,</= 2 =f� f�S'Y Other Ph. �t()-rilr',-tYY}.3 Phone Other Ph._
Lien/Title Holder Contractor Reg. # Exp.
� _
E mail address ZA'm^,Adv� w t^C 1 � Aee4V(^�,r!».<<tv1 E Mail Address
Drivers Lic.# '_,Kns+ti,�14, 1 DOB •� Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Ta 2.23y xi e—ey,, /C` Fire District
Legal Description
Site Address (Please include street name, street number and city) H L42P /(V
Directions to site A!rP'rr i ' M ',=} A dpr�rr„�
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
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 Rep air Other PRIMARY RE I9 E NAL
Use of Building Describe Work 'fir , cee K. s alb G t-
No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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. This permit/application becomes null & void if work or authorized construction is
not com ced within 1 0 days or if co struction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS(ORAPROGRESS SPECTI .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X �r a•- Date:
Owner/Own rs Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date I� as Ub
DEPARTMENTAL REVIEW APPROVED DENIED C , TES
Building Department y Y VTti
Planning Department c } ' DDI P4L
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee 2 Site Ins ection
Plan Review Fee g? -7 EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee 4 S
Violation Fee Pre-Paid at Submittal .2 7T
Valuation $ R-010 ,80 TOTAL FEES