The URL can be used to link to this page

Home My WebLink AboutBLD2026-00260 Cancelled ADU, WRIA - BLD Application - 4/13/2026 MASON COUNTY Permit No: r:►d q6 a(.Q -t0aLO d COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ) fl fl NAME: r e MAILING ADDRESS: (P7 MAILING ADDRESS: CITY: ?1i4D I r STATE: ZIP:gjS CITY: STATE: ZI .____ PHONE#1: A9O W1 1O1Z. PHONE: CELL: PHONE#2: EMAIL: / EMAIL: huh L&I REG# EXP._/_/_ PRIMARY CONTACT: OWNER O CONTRACTOR❑. OTHER❑ NAME EMAIL 1 O �Cl I '" on MAILINGADDRESS CITY P ' # 11! fATE WOQ_ ZIPq ZR PHONE CEL1O1 2- PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) I 2.2.D o ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS hail tZ1 CITY 14%1 r DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 4•h: YE J) NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check alt t apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ LAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW . ADDITION❑ ALTE ION❑ REPAIR❑ OTHER O USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) IS USE: PRIMARY @ SEASONAL❑ NUMBER BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg) YES(Par /oj ldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(prnpoaed) 1ST FLOOR1jCC) sq.R 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK_sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Del h dd❑ CARPORT sq.ft. Attached❑ Detached❑ MAN _CTURED HOME INF RMATION: 2 C r /_ MAKE_ MODEL 2 LS 3 i YEAR D2la LENGTH 45`-7 !I ( WIDTH B ROOM BATHS Z SERIALNUMBER 3sL 1 3 ENVIRONMENTAL H LTH: SEWAGE/SEWER SOURC SEPTIC SEWER❑ / NEW❑ EXiSTING❑ PLUMBING IN STRUCT ? YES' NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUND ION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. EXISTING BEDROv1S PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowled s that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I dare 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 permissi n from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative, presents 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 permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if co traction work is suspended for a period of 180 days. PROO OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW . APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH &2O3..5_- Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: . *****Snow Load `S �. LtPJLL Make1r S I I �� Model 2 = 3F Year Square feet I O 0 Width lQ - Length '+' • LA Single/Double/triple-wide(indicate) NEW or Replacement (indicate) All footings must be min. 12" below natural grade within 24" of the skirting when perimeter blocking is required. When a relocated unit AND the manufactures specification are not available the HUD 24 CFR 3285 must be used for required pier plan,standards and set-up. Allowable Pressure(Pound Per Square Foot) No Allowances made for overburden pressure,embedment depth,water table height,or settlement problems Soil bearing is assumed at 1500 psi If set-up is using a greater soil bearing capacity a soil report from a design professional is required Fill(compact or uncompacted) Compaction Report required through Special analysis Peat or organic clays Compaction Report required through Special analysis SET UP SPECIFICATIONS: XManufacturer's Pier Plan O HUD24 CFR part 3285 FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 El Pads Concrete(pre-cast) "1 ABS Pads (Poly) provide manufactures specification with capacities. -1 Continuous concrete footing (runners) rl Slab ANCHORING: Ground Cl Magnum El Concrete-2500 PSI El J-bolt El Expansion bolt For new units,this information can be obtained from the home retailer or contractor. Previously owned units,which manufacture's instruction are not available must utilize the HUD24 CFR part 3285 code for installation. Washington State law requires that a certified installer install manufactured homes. The undersigned I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will be verified at time of inspection. X Applicant/Dealer/Installer(indicate) Date Date Received. MASON COUNTY RECEIVED COMMUNITY DEVELOPMENT MAR 2 4 2026 Permit Assistance Center, Building,Planning 615 W. Alder Street Permit#:&JI !_. Li Property Owner's Authorization Letter Name\JRClfl OL& r \ Mailing Address PC) )( C\b 5 City ek-I ,L r State lh)f't ZIP q j Z j Phone jp0 -7 JI -8?)D 1 Email u pit% c sJDZ ' m5n_ Comm Parcel Number j 22_0q "N DOC C) Site Address C\D om( (Aa L, i I I d City e t Fair State /l&ZIP C 5jZTj I(we): 1 (Property ners Name) Hereby Authorize: 5�) , nf) (' ze of Person/Contractor to Sign Permit) To apply for, sign, and pick-up building permits for the following proposed work: c ftvu vTher O(A \fl /3eiic 2eYThL+ (Brief Description of Work to be Done) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above.All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). ro erty Owne gnat e) (Date] 2 /l Name Jl�l O Parcel# 12 2 - J� 0dO BLD# 26 e?( U.P - 66 2L 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 rope for revie and inspection as may be required. X 1-- Owner/Agent/Contractor(circle one)Date: __Z /Z Page 2 of 2 Nam h Parcel# _� -3-1 -`1 OOC() BLD# 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 surface2. '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 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 = 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 Impervious Surface Area (sum of all areas) 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 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 ~ 2238382 MASON CO WA 03/26/2026 1132 AM N0TCE SHINN, BAILEY #220270 Rec Fee $304.50 Pages: 2 111110111111 III IIII I!Ii!I IIIIII IIII IIII IIIII IIII 111!111 III IIIII 1111111111111 Return To Pik �pX 1c7 Grantor(s): (1) t\VC\_ k\e , (2) Grantee(s): (1) PUBLIC Legal Description (1) i' P- d r s E7 cL Lt Or HP " BE5 (Abbreviated form:i.e.lot, block,plat or section, township, range) Q Assessor's Tax Parcel: (1) 1 I - -fEEL d wn l TITLE NOTIFICATION OF WATER RESOURCE 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: Maximum Annual Average Gallons Per Day: _____ gallons Dated on this day of r\ 20 (ç Signature of Grantor(s): (1) (2) State of Washington ) County of Mason ) Page 1 of 2 I, the undersigned, a Notary Public ' nd for the above named County and State, do hereby certify tha this y of 120 1C�I Y'personally appeared before me,who is known to be signer of the above instrument, and acknowledged that e (she) (they gned it. GIVEN under my hand and official seal the day ye last a ve r en. o►`�ER SE tt��'''•,,� ,,`�`,, \gg1ONFCvY : ;'a to ub c in nd fo e State of Washington, NOTARY �FN rY 23038426 = residing at PUBLIcZ O?;: My commission expires: .,,'9�•., !1712,,. �G a ofwAS ,,s"'. Page 2 of 2 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv 2o 2L '(P - 0003 I Building,Planning,Environmental Health,Community Health j 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd .3-244-2 t� Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 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: ck.kX eAi\ s 11(1 Mailing Address: ) lX l 1Q 1 City: ,�Vct, State: Zip: 5Zg Telephone: J\9O O\ 0\Z Email: `1�U11\e111(S n -c mDll1 C0YYI If this reduction is tied to a building permit, please give permit case number. BLD _Cl p - b2.LOL)Parcel Number(s):\ -7-OCj /�- 5"1 -"I Don 0 Zoning - `j Site Address: IA 12 l 1 IRJ &WO 1{ ti C15ZE3 Requested setback variance: 15 ft. )4 Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, 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. pp /IRON1E AND OR REAR YARD REDUCTION REQUESTS: (Eoiexisting 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; ❑ 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 gent(please indicate) �� 3/z �7- Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: