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Home My WebLink AboutBLD2025-00191 SFR BLD2025-00192 Garage ADV for SFR and WRIA15 - BLD Application - 2/18/2025 MASON COUNTY COMMUNITY SERVICES Permit No: p, _07 O 7,C1 — C)i)o� w PERMIT ASSISTANCE CENTER: C E Y rv) BUILDING•PLANNING-PUBLIC HEALTH.FIRE MARSHAL D E 615 W.Alder Street Shelton,WA 98564 Phone Shelton:(360)427-9670 ext 352-Fax(360)427-7796 Phone ^O^[ Bellair.(360)275-4467•Phone Elmer(360)482-5269 FEB 1 L (5 BUILDING PERMIT APPLICATION quest - PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: g t NAME: M i N,F K l v .ul NAME: MAILING ADDRESS: 10 E. 1A h-1 AK Cr MAILING ADDRESS: CITY:S H E LTO hk STAT'E:WIx ZIP:, RSA CTTY: STATE: ZIP: PHONE#1: 7-53, Zol. Afz5W PHONE: CELL: PHONE#2: EMAIL: EMAIL:M I KE .91 Y E W(Z M I LZ S L&I REG# PRIARY CONTACT' ° ❑IV CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 11 02 O - 2:2> - 9 3 001 ZONING R 2,S LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT STTEADDRESS /D E. IA AVA A CT. CITY SIHELrpm DIRECTIONS TO SITE ADDRESS Q 0DEai_C AA A PS . IS THE PROJECT WITMN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chwk as zhat apply): SALTWATER❑ LAKE❑ RIVER)CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Re••&.4 Garage;Commercial Bldg.Etc) IS USE: PRWARY�SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS—?— HEATED STRUCTURE? YES(Whole Bld,),.,��YES(P-i j ofBldg)❑ NO❑ DESCRIBE WORK NCVV R T 0- SQUARE FOOTAGE:(propose 1ST FLOOR sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.fL BASEMENT sq.fL DECK sq.fL COVERED DECK-,�j tp Q sq.fL STORAGE sq.fL OTHER sq.fL GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.1 Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQU RED* MAKE MODEL YEAR �LEN�G�TH ��-7 BEDROOMS BATHS NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXLSTING� PLUM13ING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Form PEREviE=JFOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS Z OWNER acknowledges that submission of inaomrate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.!declare that 1 am the owner and I further declare that I am entitled to receive this permit and to do the woric 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 permitlapplication becomes null&void I 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. INACTMTY OF THIS ZLICATIO F 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.06.42) X Signature of OWN ust be si ned by the OWNER Date �EPARTII NTAI_REVIEW APPROVED``-=DATE-= _DENIIED = _DATE-=TAGSINOTES/CONDITIONS= = 13UII DING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:-BLl�)ZOZS- 00 1�)7- PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL V�6c RECEIVED 615 W.Alder Street,Shelton,WA98584 Phone Shelton:(360)427-9670 ext.352•Fax(360)427-7798 Phone Be7fab-(360)275 4467•Phone ana:(360)482-5269 BUILDING PERMIT APPLICATION FEB 8 2025 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIOMI 5 W. NAME: M1 I A E K t V F,L21 NAME: MAILING ADDRESS: 10 E. K h-1 AK Cr MAILING ADDRESS: CITY: SHE 1.TD tK STATE:Wb, ZIP:ajg CITY: STATE: ZIP: PHONEn1: 253, : Dnl. g015Sp PHONE: CELL: PHONE#2: EMAIL: EMAIL:M I K F .V I v E-1 4(Z_—MILES L&I REG# PRE%IARY CONTACT: ❑l'I CONTRACTOR❑ OTHER❑ NAME EMAIL MAILINGADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCELNUNIBER(12 Digit Number)- 11 020 - 225 cl 3 00 ZONING R 2.S LEGALDESCRIPTION(Abbreviated) FIRE DISTRICT SITEADDRESS l0 G. IA A%JA A CT- CITY .StleI.TDIV DMECTIONS TO SITE ADDRESS L9,�j e MAPS . IS THE PROJECT WTIHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf IS PROPERTY WE[BlEN 200 FT OF THE FOLLOWING: (Checkall thatapp7y): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEw�ADDTITON❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Aesidmcz Gaage,Commerda7Bldg;Era) IS USE: PRLMAR`�P-SEASONAL❑ NUMBER OF BEDROOMS_ _NUMBER OF BATHROOMS HEATED STRUCTURE? YES(nolemde2' YES(Part(s)ofBldg)❑ NO❑ DESCRIBE WORK 6 A Q t,t SOUARE FOOTAGE: 1ST FLOOR r sq.fl. 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.R DECK sq.ft. COVERED DECK s .& STORAGE sq.ft. OTHER sq.ft. GARAGE tp 2-q sq.L Attached❑ Defarhed CARPORT sq.R Attached❑ Detached❑ MA.NUFACTUREA HOME INFORMATION: . *4 COPIES OF TBE FLOOR PLAN REQUIRED* MAgE MODEL YEAR LENGTH BEDROOMS BATHS NUMBER ENVMONMENTAL HEALTH: - SEWAGE/SEWER SOURCE: SEP. WER❑ ! NEW❑ EXISTINC— PLUMBINCY IN STRUCTURE? YES NO❑ fj`yes,attach completed Water Adequacy Form PERTME'ERIFOUNDATIONDRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FP. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or penult revocation.Admowledgement 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 1 have _ obtained permission from all the necessary parties,inducting any easement holder or parties of irterest regarding this project The owner or legal representative;rep menu 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 pemtiJapplication becomes null&void r work or authortmd construction is not commenced within 180 days or if construdon 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 XPLICATIO F 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X s— Signature of OWN (Must be si ned bythe OWNER Date 'DEPARTMENTAL REVS W_==- :APPROVEDr-<DATE=='_DEA]F D_:DATE 'f.TAGSINOTES/CONDMOTIS}' B=ING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADvRECEIVED Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date RcKB 18 2025 Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 615 W.Alder &30.00 Request for Administrative Variance for Reduction in the Required Setbacks 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: K t, ANJ M i k1 V LE V Mailing Address: I K A A K CT— City: 5}4Et--b �/ State: bJ A Zip: Telephone: 9-5-3 3 0-7 4 S6 Email: 1)91/�F . A**/✓LC Y 0D L.CS RE Sa u rG o S , Co M If this reduction is tied to a building permit,please give permit case number. BLD - Parcel Number(s): d A Da20 — 2- 13001 Zoning 2— ,.-Site Address: /D E, A'A yA K- c_T s'N E t—TOP k)A leg.S7-8 4- Requested setback variance: t' ft. ❑ Front ❑ Rear amide t t1 C--ST S 0> 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 Ulan 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 REOUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) OV of the following exists on the lot(check all that apply): 9 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) Op of the following exists on the lot(check all that apply): E 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. I o o t /6 r Were PI'oDsn ,4r-AQ� &sN Do Lecr-y t a OF 5P Ace -fc: ec Cj wne Agent(please indicate) / 2� Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: 2221756 MASON CO WA C'CF MICHREL KIVLEY #206529 Rec Fee $304.50 Pages 2 . l!llllll!llll!III III!I!h!11 illlll IIII IIII IIII!!I!!I Illill!ll Ills Ill! Return To AV- `"r RECEIVE® ztLYati wA 98c FEB 18 2025 615 W.Alder Street Grantor(s): (1) ,t (2) Grantee(s): (1) PUBLIC Legal Description (1) GovT t_T 1 Ex moor 1 of' SP •f 11-15 S 3 1AS �S (Abbreviated form:i.e. tot, block, plat or section, township, range) Assessor's Tax Parcel: (1) 2 2 G 2. O 511�'3� TITLE NOTIFICATION OF WATER RE60CE INVENTORY AREA(WRIA) I (We), the undersigned grantor(s), hereby place this notice on record that the described real estate situated in Mason County, State of Washington is subject to water use restrictions and conditions set by Washington State Senate Bill 6091 and Mason County Code 6.68. These restrictions and conditions are based on location of property and/or Water Resource Inventory Area or WRIA. WRIA: 1 Maximum Annual Average Gallons Per Day: 95Q gallons Dated on this day of 20R� Signature of Grantor(s): (1) ' ' (2) State of Washington ) County of Mason } Page 1 of 2 I, the undersigned, a Notary Public in-and for the above named County and State, do hereby certifythat on this y of ^ 20 , ` personally'-appeared before me, who is known to be signer of the above instrument, and acknowledged that he (she) (they) sign d it. GIVEN under my hand and official seal the day and r las ove i n. H,I1"" ti SF�e .,,� otary ub'ic in r the Stat of Washington, \5910N•F ':� tAOTARy�p�; residing at N. 23038426 i My commission expires: PUBLIC ;02? -,��•.Corr 7/20?1:�G'��: ''•,,' OF WASH' Page 2 of 2