HomeMy WebLinkAboutBLD2009-00859 Cancelled Garage DDR2008-00018 - BLD Permit / Conditions - 5/16/2011 Inspection Line (JIJU)421-/'2ti2
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
MECHANICAL PERMIT BLD2009-00859
OWNER: TOM, RICHARDS RECEIVED: 10/1/2009
CONTRACTOR: GOLDEN HOMES 1-360-697-3456 OR1-360-271-8551 LICENSE: GOLDEHP95OKB EXP.. 8/' ISSUED: 5/16/2011
SITE ADDRESS: 1800 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 11/16/2011
PARCEL NUMBER: 223305000903
LEGAL DESCRIPTION: HAVEN LAKE TR. 264 SHEET 8
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW 24'x30' single story GARAGE (not-bearing onto MH)(REVISED ST RT 3, L ON ST 300/ NORTH SHORE RD, R ON BELFAIR TAHUYA
DOORS ON EXT 5-12-11) -gas piping/outlet for generator RD, R ON TAHUY LACKSMITH RD TO LAKE DR TO 1ST DRIVEWAY ON
TH RIGHT
General Information Setback Information
Type of Use: MH Insp.Area Fr W 10.0 Ft. Shoreline: Ft.
: Ft. Slope: Ft.
Type of Work: ACC Fire Dist.: ar:ide 1: E 10.0 Ft.
Valuation:
Side 2: N Ft.
Me apical ixtures FEES
Type Qt Type By Date Amount Receipt
Gas Outlets Plan Check Fee GMM 10/1/2009 $274.01 S120090000C
Planning Review Fee GMM 10/1/2009 $205.00 S120090000(
EH Plan Review GMM 10/1/2009 $103.00 S120090000(
Building State Fee DLC 10/20/200 $4.50 S120090000(
Building Permit Fee DLC 10/20/200 $421.55 S120090000(
Additional Plan Check Fee LDK 5/1 212 01 1 $73.00 S120110000C
Mechanical Permit Fee GMM 5/16/2011 $6.20 S120110000C
Mechanical Base Fee GMM 5/16/2011 $28.50 S120110000C
Total $1,115.76
BLD2009-00859 Please refer to the following pages for conditions of this permit. Page 1 of 5
Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 111426 W. Cedar P.O. Box 186
Irflo Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2009-00859
OWNER: TOM RICHARDS RECEIVED: 10/1/2009
CONTRACTOR: GOLDEN HOMES 1-360-697-3456OR1-360-271-8551 LICENSE: GOLDEHP95OKB EXP: ISSUED: 10/28/2009
SITE ADDRESS: 1800 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 4/28/2010
PARCEL NUMBER: 223305000903
LEGAL DESCRIPTION: HAVEN LAKE TR. 264 SHEET 8
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW 24'x30' single story GARAGE (not-bearing onto MH) ST RT 3, L ON ST RT 300/ NORTH SHORE RD, R ON BELFAIR TAHUYA RD,
R ON TAHUYA BLACKSMITH RD TO LAKE DR TO 1 ST DRIVEWAY ON THE
RIGHT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VB
Type of Use: MH Insp.Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck:
Type of Work: ACC Fire Dist.: No. of Stories: 1 Occ. Load: Building: Garage-Attached 720
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 10.0 Ft. Shoreline: Ft. Water Body:
Rear: E Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: S 10.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: N Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee GMM 10/1/2009 $274.01 S12009000
Planning Review Fee GMM 10/1/2009 $205.00 S12009000
EH Plan Review GMM 10/1/2009 $103.00 S12009000
Building State Fee DLC 10/20/200 $4.50 S12009000
Building Permit Fee DLC 10/20/200 $421.55 S12009000
Total $1,008.06
BLD2009-00859 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2009-00859
CONDITIONS FOR
BLD2009-00859
1 The proposed garage is located adjacent to the existing dwelling, a manufactured home regulated b Washington State Labor& Industries. The garage
p P 9 9 J 9 9, 9 Y 9 9 9
will not bear onto the manufactured home. Over-framing onto the manufactured dwelling shall require approval by the Washington State Labor&
Industries as evidenced by written approval submitted to and approved by the Mason Building Dept.
In addition the dwelling shall be protected in accordance to the 2006 International Residential Code (IRC), Section R309 as follows:
1)All openings between the garage and the dwelling shall be equipped with solid wood doors not less than 1-3/8" in thickness, solid, or honeycomb steel
doors not less than 1-3/8"thick, or 20-minute fire-rated doors.
2) The garage shall be separated from the dwelling and its attic area by not less than '/2' gypsum board applied to the garage side. Penetrations shall be
protected by filling the opening around the penetrating item with approved material to resist the free passage of flame and products of combustion.
Garages located less than 3-feet from a dwelling unit on the same lot shall be protected with not less than 1/2-inch gypsum board applied to the interior
side of the exterior walls that are within this area.
X /
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 further inspections being performed or approvals granted.
3) Owner/Aclent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
4) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remov I f approved documents will result in failure of required building inspections.
X j
5) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use
permi sh�ll "plied for, reviewed and approved prior to the change.
X
BLD2009-00859 Please referto the following pages for conditions of this permit. 2 of 4
6) 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
Buil in epa nt prior to any further inspections being performed or approvals granted.
X
7) Per 2003 IRC -SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASI IND SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
X
8) Per IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accor an a with th the applicable provisions of this section and the manufacturer's installation instructions.
X /l �
9) 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/age nt/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 Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
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 with the project. By calling for a final inspection of
the building permit the owner/agent/contractor i ckn ing that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
10) The use, handling and storage of hazardo sr aterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X �d
11) This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the
intern ti nal and Mason County Regulations unless a"Change of Use" permit is applied for, reviewed and approved.
X
12) 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 classification. Any non-approved change of use or occupancy would result in
per vocati
X
:7
13) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be to ated within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.
X
BLD2009-00859 Please referto the following pages for conditions of this permit. 3 of 4
114) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordin or r ion, must be reviewed and approved by Mason County prior to construction.
X
r
15) 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
Insp ct shall be made prior to requesting additional inspections.
X
16) All property lines shall be clearly identified at the time of foundation inspection. X�� 2
17) 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 Cep ty ordinances and building regulations.
X ( �Q
18) 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
holder hav pr ted action from being taken. No more than one extension may be granted.
X
19) 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
1-800-64/ person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
20) Approve er dime and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X ✓
21) Temporary erosion control measures must be implemented to prevent water quali degradation of adjacent waters or properties. Silt fencing must be
installed and maintained until upland vegetation has become established. 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 owne 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 property prid structure
�for
�review nd inspection.
OWNER OR AGENT: A4uww`"— / DATE: r 6/Z�
BLD2009-00859 Please refer to the following pages for conditions of this permit. 4 of 4
Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
r Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
1T
MECHANICAL PERMIT BLD2009-00859
OWNER: TOM, RICHARDS RECEIVED: 10/1/2009
CONTRACTOR: GOLDEN HOMES 1-360-697-3456 OR1-360-271-8551 LICENSE: GOLDEHP95OKB EXP: 8P ISSUED: 5/16/2011
SITE ADDRESS: 1800 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 11/16/2011
PARCEL NUMBER: 223305000903
LEGAL DESCRIPTION: HAVEN LAKE TR. 264 SHEET 8
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW 24'x30' single story GARAGE (not-bearing onto MH)(REVISED ST RT 3, L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR TAHUYA
DOORS ON EXT 5-12-11) -gas piping/outlet for generator RD, R ON TAHUYA BLACKSMITH RD TO LAKE DR TO 1ST DRIVEWAY ON
THE RIGHT
General Information Setback Information
Type of Use: MH Insp.Area: Front: W 10.0 Ft. Shoreline: Ft.
Type of Work: ACC Fire Dist.: Rear: E Ft. Slope: Ft.
Valuation: Side 1: S 10.0 Ft.
Side 2: N Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Plan Check Fee GMM 10/1/2009 $274.01 S120090000C
Planning Review Fee GMM 10/1/2009 $205.00 S120090000C
EH Plan Review GMM 10/1/2009 $103.00 S120090000C
Building State Fee DLC 10/20/200 $4.50 S120090000C
Building Permit Fee DLC 10/20/200 $421.55 S120090000C
Additional Plan Check Fee LDK 5/12/2011 $73.00 S120110000C
Mechanical Permit Fee GMM 5/16/2011 $6.20 S120110000C
Mechanical Base Fee GMM 5/16/2011 $28.50 S120110000C
Total $1,115.76
BLD2009-00859 Please refer to the following pages for conditions of this permit. Page 1 of 5
14) , All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
X
15) 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 be made prior to requesting additional inspections.
X
16) All property lines shall be clearly identified at the time of foundation inspection. X
17) 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 ordinances and building regulations.
X
18) 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 holder have prevented action from being taken. No more than one extension may be granted.
X
19) 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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
20) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
21) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing must be
installed and maintained until upland vegetation has become established. X
22) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time ofjpspection t est pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system
shall be se nte' . he fin inspection has been performed and approved by a Mason County building inspector.
X
BLD2009-00859 Please refer to the following pages for conditions of this permit. Page 4 of 5
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 Mas Couun�nty acce to he above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2009-00859 Please refer to the following pages for conditions of this permit. Page 5 of 5
CONCRETE MECHANICAL MANUFACTURED HOME
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C) Date By
C) Footings t Setbacks Ribbons
1P Gas Piping >
C) Interior Date By Interior-Date By Date By X
C) 0
00 Exterior Date By Exterior-Date
U) sv tN,(By
(0 Set-up
Point Load I Isolated Footings INSULATION Date By
BG I SLAB INSULATION 0
Date By Dato By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date Bye Date By DECKS
T RAMik_d_ Walls Date By
Date B y Data By PROPANE TANKS
PLUMBING Vault Date I Y
Date BY OTHER
Groundwork AM
Type-
Date By Data By
Data By
D.W.V DRYWALL Type:
DateBy Int Brace Wall Date By
otr By
FINAL INSPECTION
0) Water Line Fire Soperation
CD
Date By Date By Data By CD
CD 1p
6 C)
Pass or Request Inspect. C�
0 Type of Insp. Fail Date Date Done By Comments co
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CD
0 77 . 116 0ae/1 C1?K 7--C-' F/Y,
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Permit# -Gi�B MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location g� T;o ll/ �
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
'7j
� C
�1
You a at the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
a office
Please contact o t c
❑ Make corrections, items will be checked on next inspection regarding possible structural
OK to S/O/� ��X ��T �� ICY/ L
damage incurred by recent
of
"natural/man made"
❑ This is not a complete inspection disasters.This is NOT
CORRECTION NOTICE.
Date ._� '-J� '%�:- Department j���
Inspector
• ,61 * `nT , r 1 t THIw,) T' -omw
F 1Rl-HE
THE )4
10
`3 ac.,,vv�. lacI I rn
o �P, -
6 a•-tt A .-'-,d L t L
160� At
eA
4
y-
APPROVED
MASON COUNTY DCD PLANNING
ITE PLAN REQUIRED TO BE ON SITE
�. (( HA SU JECT TO APPROVAL
E e k� �4 Date V E D
e7 4'VREe L
� ,' OCT U 1
426 W. CEDAR S` I
ANNING .
' I•- i'Sf, i r �� 1
ALL S.ET ACKS ARE MEASURED
PR CTION OF THE BUILDING
PLr�?,L, NINV
•�t G• I e. �
PROVED
MASON CO T` P NINC
SITE PLAN REQ I T E ON SITE
CH C' S Su` 0 AP OVAL
Na Parcel# aX?3o - 54) -CO lo� BLD#,�OCA MQ�Q- (� 8 1 .
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 stormwater.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 30 X 2 =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
rivew s X =
X = Length of drive begins at the right of way
J X =
Parkin 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 Impervio11,us SUrface Area(sum`of all areas)" ria
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below.
Ba�lron._the-infr,_ rmation, youhave-provided a ktnrmwaler.V&-Plan S.-N T-required.forllus-dey-e]Dp=ntzctivity-.
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 r view and inspection as may be required.
Owner/Age Contract (circle one)Date: l
,Y4�ekIf 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
I'
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:
httpHwww.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 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.,-4-26AV-Cedar 6t,-Shelton OVA-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
Request T o Revise An Approved Plan
Permit Number: BLD200 CQa99 Name -
Parcel Number. 03 Phone Number da a (.3 0 )foW 42(v2-1
Project Address JhDo NE "( b\c4,d N ih,Mailing Address �Da-1,
Please rovide a complete, detailed description of tl e proposed revisions to the ap rov d plans:
c.
r
Are two sets of the revised plans or addendum indicating the changes included? Yes ❑ No
Are the approved site plans included? Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes --11 No
If Yes, Has the engineer or architect approved this revision? ❑ Yes No
Is a stamped and signed approval included with this request? ❑ Yes No
(Note:No structural changes to a"designed"plan will be amroved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes ] No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
❑ Yes No
Additional Information:
Applicant's signature Date: 9
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
Additional Valuation: $
Sq. Ft x$ $
Sq.Ft x$ $
❑ E Total New Valuation $
Additional Fees:
❑ P.W. Additional Planning Dept. $
Additional Plan Review $
Additional Conditi �gri s� Additional Building Permit $ —77,
Additional Plumbing $
MAY Additional Mechanical $
%P Additional E.K Dept $
Other $
-_. CEDAR ST.
Total Amount Due: $
Amount To Be Paid Up-Front$
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MASON COUNTY PERMIT NO.J��rt�oo9 -UCS��
BUILDING PERMIT APPLICATION 5
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 A Ir l
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner �'� Pi rl /a/?(Y Z Company Name
Maili ddres G <i Mailin Address 1`1 t1-7 k`
hU Cit OJi J) State � Zi Code �
City State �Zip Code " Y > �-- P �
Phone Other Ph. "�f% Phone (< 3 at/SIG Other Ph.
Lien/Title Holder Contractor Reg.# 2 y r)-7 Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No.' -;/ (i Fire District
Legal Description /'' I I( ( P 1
Site Address (Please include street name, street number and city) 1P! ^ Ne T i' t
Directions to site 3 41) f� � � �1� -`'' f i a i'l a t)4 � G'l"
Will timber be cut and sold in parcel preparation?Yes/ o
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB/- New: Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No.of Bedrooms No. of Bathrooms Square Footage - 1 st Floor 2nd Floor �~
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached 2(�Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make I ,'- Model Year
Length Width Serial No. � o Bedrooms No.of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/No
Installer Name Certification No '`�-7 U/ 'f 'C
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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:
Rlf,-
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS OINT r�
Accepted by Planning Pd Ck# Date f Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROV D DENIED NOTES
Building Department bal /D/204
I
Planning Department
Environmental Health Department •r! -}CO
Public Works Department
Fire Marshal
FEES
i
Buildinq Permit Fee / •j Site Inspection
Plan Review Fee R0 EH Review Fee
Plumbing & Base Fee �` Planning Review Fee
Mecha • a & Base fee .® Other
Wood/Gas/Pellet Stove F State Fee 71
Violation Fee Pre-Paid at Submittal
Valuation $ AW / 2TOTAL FEES
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
411 N. Fifth Street/ P.O. Box 186, Shelton WA 98584
360.427.9670 ext. 352 0�) f
DDR � r
Rec'd by Request for
Administrative Variance for Reduction in the Required Setbacks ($105.00)
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 proiection of the structure, including 0
roof eaves. D �
Applicant/Owners: ?,:::"y
n �
Mailing Address: f 9GIY 7 Vr'k"YY '4v'e 'f/W m 'fl
r -+
Telephone �7-3 ifs 6 T Z
City.. �m,�c IS State: Zip K3 7o rn rn
If this reduction is tied to a building permit, please give permit
case number. BLD
Parcel Number(s): ;�233D -S0-00Jc03 Zoning I<c
Site Address: 3�i A//� zl'*�>% P/11
Requested varian : ro Rear/ �ideYar (please circle all that apply)
Requested setback variance: 712 ft.
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.
The following circumstances must apply:
FRONT AND OR REAR YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following: (Please circle all that apply)
2) One of the following exists on the lot:
a) steep slopes, wetlands, or streams present;
b) sols that restrict building or septic development;
lot width at the front yard line of no more than 50 feet;
lot size of no more than one-fourth acre,
e) existing improvements of buildings, septic systems, and well areas.
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SIDE YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
2) One of the following exists on the lot:
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;
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.
vc:> )oi4SiZ C
ire ,Qj- IA�F'4'LL 4/G r`a i?Ge
e b)e- cLo C-a A2 t
Owner/Agent (please indicate)
Signature and date
Official Use Only
Approved . Date o 2 U l O
Denied Date
Reason for denial:
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