HomeMy WebLinkAboutBLD2013-00042 Remove 2nd Floor, Balcony - BLD Permit / Conditions - 5/8/2013 Inspec _!ne (360)427-7262
MASON COUNT ''DEPT. OF COMW LAITY DEVELOPMEN-r Phone: , a.0 427-9670, ext. 352
Mason County Bldg. I ' : W. Cedar P.O. Box 2-
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2013-00042
OWNER: JOHN CARROUGHER RECEIVED: 1/15/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 5/8/2013
SITE ADDRESS: 7611 E STATE ROUTE 106 UNION EXPIRES: 11/8/2013
PARCEL NUMBER: 322334400010
LEGAL DESCRIPTION: TR 1 OF E1/4 OF LOT 1 &TL S 6/64
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REMOVE THE EXISTING SECOND FLOOR, REPLACE, ADD NEW BROCKDALE RD TO MCREAVY RD RIGHT ON DALBY RD RIGHT HWY 106
BALCONY PROPERTY ON ELFTAT 7611 WATER SIDE
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3 Lot Size: Deck: 351
Type of Work: ADD Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:1,651
Valuation: $ 131,199.59 Building Height: Occ. Status: Seasonal Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 25.0 Ft. Shoreline: 15.0 Ft. Water Body: HOOD CANAL
Rear: N 15.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 30.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: W 15.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 1 Furnace<100K 1 Plan Check Fee TW 1/15/2013 $577.69 S2201300000001
Lavatories 1 Ventilation Fan 2 Planning Review Fee TW 1/15/2013 $205.00 S2201300000001
Showers 1 Fireplace 1 EH Plan Review MRB 1/15/2013 $ 103.00 S5201300000001
Water Heaters 1 Building State Fee DLC 2/1/2013 $4.50 S2201300000001
Building Permit Fee DLC 2/1/2013 $ 1,172.95 S2201300000001
Mechanical Permit Fee DLC 2/1/2013 $ 109.30 S2201300000001
Mechanical Base Fee DLC 2/1/2013 $2&50 S2201300000001
Plumbing Permit Fee DLC 2/1/2013 $34.80 S2201300000001
Plumbing Base Fee DLC 2/1/2013 $24.70 S2201300000001
ADJUST--Plan Check Fee DLC 2/1/2013 $ 184.73 S2201300000001
Total $ 2,445.17
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES �-OR
BLD2013-00042
CONDITIONS FOR
BLD2013-00042
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
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 ( t1 -
2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
XC'ly
3) 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.
X 4-
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
removal of approved documents will result in failure of required building inspections.
X k-
5) All wall cavities serving as exterior walls, exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and
inspected prior to covering. Insulation R-values shall be as follows: 2x4 wall cavities min. R-15 and 2x6 wall cavities min. R-21.
X e/Z.—
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
Building Department prior to any further inspections being performed or approvals granted.
X `
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 2 of 6
7) Washingt- State Energy Code Compliance has been approved as fc
Heat Type. 'ectric or other than electric Compliance Method: Presc. c: ve option III, Window(Max U-�--actor):0.30, Skylight(Max U-F icror):0.50, Doors
(Type/Ma= �actor):0.20 or less, Wall rsulation R-21, Floor insulaticr :- 30, Ceiling Insulation R-38 :3c.anced or R-49 standard, Vau , .-:sulation R-38,
and Slab s..iation R-10.
In addition 'he following credit from Table 9-1 shall be completed: Op-cc, Addtn less than 750 sq. ft
X ('1�-
8) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower
door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required
for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in %or%sheets. The
Mason County Permit Center will also have some available.
X
9) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s) with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Referenc WSEC 505.
X
10) All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during
inspections.
In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference
IRC RKL 2.1.4 & IBC 1609.4. The design criteria for this project is established at 85 mph wind speed, exposure C.
X11—
11) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
X �,2�
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 3 of 6
12 REQUIREMENTS FOR ROOF COVERINGS. Roof o .e:ings shall be applied in accordance with the applicable pro. -,--is of the current code and -e
manufacturer's installation: instructions.
X (" `L-
13) 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 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 is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X C, �4_
14) In addition to the inspections required in IBC, Section 109, the owner, the engineer or architect of record acting as the owner's agent shall
employ one or more special inspectors who shall provide inspections during construction on the types of work listed under Chapter 17 and as
specified by the design professional. The special inspectors duties & responsibilities shall be as specified in Chapter 17.
Special inspections shall be performed by authorized inspectors representing Northwest Testing Co. to verify proper installation of epoxy and
shear panels designated on approved plans. All welding shall be performed in a certified shop. Welding not performed within the certified
shop shall be inspected in accordance with Chapter 17 of the 2009 International Building Code.
Special inspection reports shall be submitted to the Mason County Building Department, PO Box 279, Shelton WA 98584 and available for
inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing
and final occupancy inspections.
X (t__
15) 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
X arged (arxi shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
16) 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
permit revocat_rl _
X
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 4 of 6
17) The demolition r: disposal of debris must rr= �;; a regulations of Mason C:-:.:-,'y and Olympic Region Cle&�- : Agency(ORCAA).
It is unlawful for any person to cause or allow_.-_, : emolition (or major renova-;e of any structure unless all :asbestos containing materials have been
identified and removed from the area to be dE rr~_fished. Work shall not comr-e-w.e on an asbestos project c! Demolition project unless the ,,wner or
operator has obtained written approval from C�� ;CA.2490 B Limited Lane N`.v, Olympia WA 98502, 360.586.': 144/800.422.5623 www.orcaa.org
X r.��
18) 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 located 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 �
19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or r�gul�n, must be reviewed and approved by Mason County prior to construction.
X
20) 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
21) Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code, Section 503. When a
space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler, outdoor
condensing unit of a split system air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger), the duct system that is connected
to the new or replacement space-conditioning equipment shall be tested as specified in RS-33. The test results shall be provided to the Mason County
Building Department at the final inspection.
X_ L'l
22) All property lines shall be clearly identified at the time of foundation inspection. X C�f�
23) 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
24) 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
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 5 of 6
2E'' ' ALL SURFACE WATEF ivu POTENTIAL RUNOFF V.': _:_ 33E CONTROLLED ON SIT AND SHALL NOT ADVERSLI` , ;ECTANYADJACENT
PROPERTIES NOR IN:: <'._SSE THE VELOCITY FLO. -"�TERING OR ABUTTING ANY STATE OR COUNTY C',,_'•;ERTING/DITCHING SYST .°d
OR ROAD WAY.
X (1-1
26) 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.X (�—
27) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X (`I-
28) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
X e-.L--
29) No temporary or final occupancy until installation of SWG2013-00011 is approved.
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 b eans of a progress inspection. The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of oun y cc s to the above described property and structure for review and inspection.
OWNER OR AGENT: vrti� DATE:
BLD2013-00042 Please refer to the following pages for conditions of this permit. Page 6 of 6
J
MASON COUNTY PERMIT NO. 201
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner C7 ref �6re!�t,:k� . C'ar ro"he+^ Company Name 122' s km- :I-- rfl o err'-1�5
Mailing Address 35I b - 24-t'F+ tt"tx- C tr # N W Mailing Address-SS
City(f-I-q 16- � State W P� Zip Code 9g335 Cit State Ljj Zip Code
Phone LZ3"SILL-9/33 Other Ph. Phone la6 -37/07 Other Ph.
Lien/Title Holder Contractor Reg. #DtNNy R-1-37386 Exp.TJ/S
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 322.33 • 4•'1-• 000io Fire District
Legal Description -T'K I o-r C I'J+ c,f L c t I E T L.5 col Io 4-
Site Address (Please include street name, street number and city) 7(0:, E -Hwy Io(c , [,uLL',m
Directions to site bra-� � P_,� -ft Kc.-Re-a--ty Kd r i ooi Kt c-r. ��Lb�, 2d { r�tkE� t-h.�-�
Will ti ber 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 t olc�uu+� 2!�-goar Sf_d&b.LaA
No. of Bedrooms No. of Bathrooms 2- Square Footage- 1 st Floor 2nd Floor 7/`4
3rd Floor Basement Deck Covered Deck 3 `f Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length idth S o. No. of Be No f
N B oms
Type of at Purchase Pri Rer it? Yes o
Inst er Name tifico ment U .ati OWNER/BUILDE14 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
pennit 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 parry 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.
PROOF OF CPNTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date: 115�13
Owner/ w rs Re resentative Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROV D DENIED NOTES
Building Department rB/yl0 o1c%r 00/
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee 7a . 9 Site Inspection
Plan Review Fee 8 73 7 W.44a EH Review Fee
Plumbing & Base Fee 71 �_ ed Planning Review Fee
Mechanical & Base fee 14- / 3v Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal T 7
Valuation $ TOTAL FEES
� 910
05
� a x ,
a� x 7 ao 5-1
1 �x 3y
L
Xa-
� l C
AY'c h� = 3-7
0-15;e 314
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner t" � �� C1LX1 1lE► Company Name D"-Or S � `e
' ` 308 Mailing Address h-tx- Mailin Address
City► State ZipCode CiV
el)I� State Zip Code
Phone 3 -514- 9 33 Other Ph. Phone `fz�''37�'� Other Ph.
Lien/Title Holder Contractor Reg. # Exp._ 'Tf 5'
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic ;-' Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No -322.33 Fire District
Legal Description IT F- I & Q- III{- of L'C'l I !--rL-S
Site Address (Please include street name, street number and city) -7/011 f52 f'W lob LLI-Lt,rn-1
Directions to site t le. 12-8 `t c 9` S-E f -d, r i%tom' a� Pm t by d ►^i - ►e,1• v- r wtj
t C b rn e r C"\ �f -+ v i A e 7(o I I
Is property within 20 of Saltwater ✓ Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt ✓ Repair Other Use of Building -5�77-
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNIT
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas Heat Pump_
Toilets _ Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs — Heatpumps
Showers Spot Vent Fan Z
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher x Kitchen Exhaust Hood
Hosebibs ^ _ Dryer Vent �X
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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.
PROOF OF CONTINUATION(?f WO K IS BY MEANS OF A PROGRESS INSPECTION.
X Date:_
Owner Owners Re resentativ /Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Grou —Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
Hood Canal
EXISTING DOCK *'SHORELINE SETBACK LINE
CONCRETE BULKHEAD BELOW(MHW)
NEW UPPER FLOOR ADDITION BOTH
��, SIDES OF EXISTING UPPER FLOOR-
ROOF NG I23 8Q FT.TOTAL ADDED AREA
OVER
EXISTING DECK REMAINS TYP. EXISTING UPPER FLOOR
(REPAIR AND REPLACE AS Ma'D.)
NEW DECK IN EXISTING DECK 11 .20 (L0V T) �_
PLANTER AREA 115.15 (CALL) �— Zm'SIDE SETBACK LINE
` — xisting
\ ErUl-TAW SEPTIC 876TE1
CONCRETE BULKHEAD(MHw) �'' Residence \
NEW DECK ABOVE I'm Sa FT. I PARKING SPACE
PROJECTED \
NEW SPIRAL STAIR \ / \ -"� 1 _——— NEW Lh I ROOF
Im'FRONT SETBACK LINE _ \\ N 83_29_38_E-----------
(ADMINISTRATIVE VARIANCE \ —— —— I - ---- --------`----
EX16TNG BIND REMAINS -----------L
----- ----------`---- Shed I E \ HIGHLLt47 PAVING
------------------ 1 ___ \
1 \
�1 \
10
DRAINAGE OUTFALL '! SR J 06 LINES
1'o __
— EDGE OF HGFIWAY PAVING
-— N i3'i9'38" E E ----
1 ¢DITGH�------------------ -----`.----
----------------------------- 1 �HIGNWAY RIGHT-OF-WAY LINES
I0'FISH 4 WILDLIFE OLFFMSET15ACK LINE 1
1 I
1
�_...� APPROVED
IMASON COUNTY OCD PLANNING '
SITE PLAN REO ;I QED TO BE ON SITE
CHANGES SUS '_;;"f 7U APPROVAL I
PI-A 1
By Daa -_ 1
V I
LPROJERCT10tj
LL SETBACKS AREMEASUREDg1, THE FURTHESNG WELL
OF THE QU�LDING
Site Plan
Scale. P
EXISTNG RESIDENCE PROJECTED ROOF AREA- 1,IW 8Q FT.
PROPOWD ADDED UPPER FLOOR AREA- 123 6a FT.
(ALL WITHIN EXISTING ROOF FOOTPRINT)
Named lAt u°.r Parcel# .5 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 surface 2.
'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 �> v—"d�— Owne Agen Contractor(circle one)Date: I�15�13
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.
Pagel of 2
. Name r Parcel#32233 Coe I Q-) 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 for review and inspection as may be required.
X Owner/ g�enyContractor(circle one)Date:
Page 2 of 2