HomeMy WebLinkAboutBLD2025-00187 ADV2025-00011 SFR - BLD Application - 2/18/2025 ygoz
MASON COUNTY Permit No: rQ01 87
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning FEB 18 2025
BUILDING PERMIT APPLICATION Eder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INIORMATION:
NAME: /vE L/c W S L G G NAME: O�/l/E �C7�/SJ���T/J� /4/C
MAILING ADDRESS:4 8&C Oe k' LING ADDRE S. 'S
CITY: �P•a 641 e STATE: �4 ZIP: 1 CITY: Jea: Vke STATE:,�ZIP: /
PHONE#1: AlOG 2�/-l�jj3 PHONE: CELL:f/r3-d'g-'2-'?1?b
PHONE#2: /-LS I. - Lean- 9 L s EMAIL : p Nf�!C
EMAIL4P114Ef 0mr1-A.(/LT/oPy1,G s4!C" L&I REG#Q(// Cl g S EXP. 7 / / 5-
PRIMARY CONTACT: OWNER I- CONTRACTOR OTHER❑
NAME EMAIL
MAILING ADDRESS U ID -PC /1 C T4 CITY STATE 40!' ZIP O
PHONE -151- &&2 - Y1Z ELL Z 0- L /- C R e.S
PARCEL INFORMATION: y� /� El ILI)
PARCEL NUMBER(12 Digit Number) 3;?`�4-5_40 12 0 ZONING 4
LEGAL DESCRIPTION(Abbreviated) FIREDISSTRICT
SITE ADDRESS,/O% /L-,> 0/!/ CITY 6_ 7/0-7
DIRECTIONS TO SITE ADDRESS �—
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO SNOW LOAD: rpsf
IS PROPERTY WITHIN 200 FT OF THE FOLLO G: (Check all that apply):
SALTWATER❑ LAKE❑ RIVE REEK OND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 1K ADDITION❑ ALTERATION❑ PAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) e L e G �'
IS USE: PRIMARY[L�SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS •S-
HEATED STRUCTURE? YES(Whole Bldg) YES(Pan[s]o(BI )❑ Ng
DESCRIBE WORK n e - �Jh
SQUARE FOOTAGE:(proposed) ����1ST FLOOR�l sq.ft. 2NP FL R 0_ / sq.ft. 3RD FLOOR sq.ft. BASEMENT_95 L sq.ft.
DECK / RE r
sq.ft. COVE D DE6 ft. STORAGE _ sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HO NFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ex'_ EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ I(yes,attach completed Water Adequacy Form
PERIMETERTOUNDATION DRAINS PROPOSED? YES 61-", NO[] EXISTING SQ.FT. �!
EXISTING BEDROOMS I PROPOSED BEDROOMS �- TOTAL BEDROOMS
OWNER 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 and 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 CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLIC ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY ODE 14.08.42)
nature of OWNER(Must be sinned by the OWNER) Date
D PARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSWOTES/CONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
rma•rw nccrwr
BUILDING
Permit No: �V Q'$ 7
MASON COUNTY
COMMUNITY DEVELOPMLfff
Permit Assistance Center, Building,Planning FEB 18 2025
PLUMBING & MECHANICAL PERMIT APPLICA-n • Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: L 1-F A--0A.1 LL L NAME: /`E ST vcfiO.r/ f/f/G
MAILING ADDRESS: 'MAILIN ADDRESS: Off/ f, _e 6 ✓
CITY: 5P,R Vle STATE: 4,0 ZIP: CITY: STATE: "A9 ZIP:_'
Is'PHONE:/-L06 - Z6/ -Z�6_35 PHONE:/- aV-16/-11-_'63 CELL:/153- O. v-
2n'PHONE: /-ts� - �' O - 14�2 Z G ors
EMAIL:t�l/yEc'y�sTA�/�T/y/v/tom �SACi Ca, L&I REG EXP.
PARCEL INFORMATION: r� 04
�c �r D 1Z 0 Zoning: /`
PARCEL NUMBER(12 Digit Number): C
LEGAL DESCRIPTION(Abbreviated): ,1-0r //-0 01,K / 15V W15r':.',AC 4�-0/
SITE ADDRESS: CITY: (/"7
DIRECTIONS TO SITE ADDRESS:
C O low% G L �'f3 U� �%c/� ✓�i�C L .
TYPE B:
NEW=ADD=ALT=REPAIR=O H =ER US F BUILDING
LOCATION OF FIXTURES/UNITS-11T FLOG 2ND FLOG BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNrpg
Type of Fixture No.of Fixtures Fees Fuel Type:Electri PC=Vatural GaEDDuctlescl/
Toilets Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs / Heat Pump
Showers Spot Vent Fan
Water Heater / Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks I Wood/Gas/Pellet Stove
Dishwasher — I Kitchen Exhaust Hood
Hose bibs 2— Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 days. PROOF
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INV ATE THE APP ICA N. (�
Signal re of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
MV%
BUILDING
Name�OL//2c LG c Parcel# 11 c2 BLD#
Mason County
Department of Community Development FEB 18 202�
Small Parcel Stormwater Management Application/Worksheet (pagg,�,pf!§Je�
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.
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.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings 30 X
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways Z 5 X /L = ?jt0
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 =
MIX = 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) .901
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 for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If thectal Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,ackn ledge and sign
the information provided on page 2 of 2.
Page 1 of 2
OW04-
Name 0L1�V�F hyti✓ES ec,c Parcel# 3 �-5:�rl;c'C20 /Z 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:
http//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 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 acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property fo eview and inspection as may be required.
X. Owner/Agent/Contractor(circle one)Date: 3b
ge2of2
EH SETBACKS m c
h)Drainfield/Reserve requires 10'setback from footing/foundations a 2 z
B)Septic tank(s)requires 5'setback from all footing/foundations D
C)No foundation/perimeter drains within 30'down-gradient of drainfield/' _ o a
reserve area a Z
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' o a y
down-gradient of drainfield/reserve area w 9
E)Sewer transport line may only be within 10'of a water supply line if a O
Papproved by the local health offigpr� t e1line is constructed IAW section No m
V C1-9 of the DoE"Criteria For Sewwllgq�� s Design". N) 0
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4 -TEST .1LO LE -- - — - Kew
RECEIVED Audio-visual Alarm
FEB 18 2025 0 Cleanout
O3 500 Gallon Pre-Trash Tank
- ^V Alder Street
O4 NuWater BNR-500 Fretreatment Tank
O5 1,000 Gallon Single Compartment
Pump Chamber/Clarifier Tank
14-V a 95 —
(DO l B7 O6 OSCAR Mound Drai.ifield
Total Balance Due: Permit #:
7
Applicant:pp C�`lvP n/1 P.L-Z,
�( Checked Contractor's Registration
Who was contacted?: Date Contacted: Via Phone or Email?: Contacted by:
0
Other Associated Cases Fee Amount
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MASON COUNTY s u i�, N G
COMMUNITY SERVICES
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Permit
Name 1 (g�(Y�° #:
CALCULATION •RKSHEET (eff,,�q4y: Valpa,b.on,.Determinabon.un.der202I
Occupancy Type Square Footage Valuation Amount Total Valuation
(vB) (sq. ft. x valuation)
Residence/Addition /Basement a $167.37 $ �,
Garage/Storage p2CQ $66.48 $ 1-711
5
Unfinished Basement — $31.50 $
Deck $17.00 $
Carport/Covered Deck 14 O $24.00 $ (�
Other $
TOTAL VALUATION $ 2?7 a oR
R Estimated Plan Review Fee: $
n tg2U&t. Review Fee ($275, $450, $1001: $ a O
ental Health Review Fee: $ b b
615 F re ccess & Grade Review Fee [$97.001: $
ADD Address Application Fee [$185.00]: $ , U v
GEO - Geo-technical Review Fee ($300.001: $
ADV bt> - Review Fee[$130.00] $ ` •
WAT O tD WAT Fee:
Other:
TOTAL DUE WHEN PERMIT IS SUBMITTED: $ 1
-7 -7
The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning
Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees, and plumbing permit fees
will be calculated during plan review. The balance of all other fees will be collected when permit is issued.
ESTIMATED BUILDING PERMIT FEES
Building Permit Fee (ICC, Table 1 - Building Valuation Data) $
Estimated Mechanical Fees (U.M.C., Table 1-A). nx CO
Estimated Plumbing Fees (U.P.C. ,Table 1-1) $
State Fee: $25 $6.50 $
Technology Surcharge:
Other: $ - dc)
Estimated Building Permit Fees WHEN PERMIT IS READY for pickup:
$
call fees subject to change w/o notice) GRAND TOTAL $ Co
r
f 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 Date Rcvd a
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
Ee
Request for Administrative Variance for
Reduction in the Required Setbacks DEB 18 2025
For administrative review, the minimum variance on a setback request is 5 feet from the side y
Street
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: 000 P V C 149 6�� G L C
Mailing Address: 9 f o 5 C/C/r (,a(-?
City: State: AJ Zip:
Telephone:-.1 3)Y<yO_ yo22.Y -2 - 9� 3
Email:LI UE(ONSTKuC.r1 DN / /VC &D
If this reduction is tied to a building permit,please give permit case number.
BLD L-�O 7
Parcel Number(s): ?)�'� L1 : )�-t O 1�-� Zoning &&57
Site Address:
Requested setback variance:
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear A 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;
❑ 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.
Owner/Agent(please indicate) / S
Signature Date
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial:
All setbacks are measured from the furthest
projection of the ui ng.
ADV2025-0601 1- SIDE 5' MIN 04/17/2025
PROPOSED PROJECT
AG Ai� ft 20 40 80
APPROVED
% 0
MASON COUNTY DCD P NING
5C07T RUED
sr,
co
C>
G
�Type Ns Stream
3
LU "Driveway ' Soil Test Point
Wetlands
aii tained'-'--, 10'Contours(Mason Co.)
Proposed evelopment
36'x 30' velope(White) Street—Centerlines
3bdrm SFR
(1,360 sq.ft.with Roof) MASON Parcels
Zo e2
Subject Parcel (mason Co.)
The approval oYthis projec is subject to the r ommQn tions
(and specifications outlined i the attached�l e ethnic
t All s e ifications
'assessmen applicable r commenclations nd p
s lb e appl
ied
I ied tolhe develo ment on this sit . Any eviation A
roposecly' requ�%stamp stamped
written appr val from the re ister�
00 sq.ft. profess nal responsible forth report and n equire specia
Primary Drainfield inspectic by same. structures nd/or Ian c rn)dific.1tions
(grading, cuts,fills,etc,)required the gecte(hnical assessme
may requir a separate permit.
SP2
Zone I 'A digitally
signed
by Scott
Rued
y 3,946 sq.ft. Proposed
E APPROVED Stream Buffer Reduction
- ,H
ZJ& 6,640 sq.ft. Proposed
D.Anderson 04/16/2025 Zone 2
Wetland Buffer Reduction
Disclaimer: Mason County does not r uire
...... "�u ey to obtain a building permit. A res It, site
A plan may not reflect accurate dat V is th Proposed Mitigation Zone 1
applicants respons' — t ply with setback BufferRestoration (2,845 sq.ft.)
.The destruction or alteration of wetlands and wetland buffers requirements. Proposed Mitigation Zone 2
BufferEnhancement(605 sq.ft.)
FIELDWORK ONDUCTED through clearing, harvesting, s ading, intentional burning--- - - - - - - - - - - - - - - - - P/NE
28AP IL2024 planting of vegetation that woul alter the chwacl&-o-f-a Proposed Mitigation Zone 3
designated wetland or buffer is n t4xrffiitted. Native Meadowscape(3,190 sq.ft.)
This map is not survey quality.Locations and measurements are approximate.Boundary information depicted
herein has been obtained from the County GIS Parcel Layer. GPS data was collected during fieldwork DATE 22 JUNE 2024 STR SEC 4,TWP 21 N, RNG 03W
CRATER LAND USE CONSULTING using a Juniper Geode with GNS3 sub-meter accuracy in appropriate conditions.Additional features shown are CLIENT OCHNIK, DANIEL LAVLONG 47.3326250,-123.0782780
from information supplied by the Client or obtained from State and Local GIS data.We assume no liability for
477 PARPALA ROAD,NASELLE,WA 98638 discrepancies between this site plan and ground conditions. COUNTY MASON, WA SIZE 0.23ACRES
509-942-9309 RYAN@CRATERLUC.COM COORDINATE SYSTEM:NAD 1983 StatePlane Washington Noah FIPS 4601 Feet PARCEL# 321045400120 ZONING RR 5
PROJECTION:Lambert Conformal Conic