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HomeMy WebLinkAboutCOM2017-00068 Replace Stand with Espresso Stand - COM Permit / Conditions - 6/19/2017 NC NCRETE MECHANICAL MAN UFACTURED HOME M CD Data By Footings I Setbacks Ribbons 0 Gas Piping 0 C) InteeiorDate By inwrior, Date By 0ale, By -n 0 n C) 0) Externs Date 00 Y Exterior- Da!e-.-1-1 Set-up M M IN ULAT10N Point Load I Isolated Footings Date By 0 Date By BeaI SLAB INSULATION "a Date By FIRE DEPARTMENT 0 Foundation Walls Floors; Wn Date By --4 Date By Date By DECKS FRAMING Walls Date By Date By Date By PROPANE TANKS PLUMBING 'Vault Date y Date By OTHER Groundwork Attic Type, Date By Date By at�WALL Date By —ARYWALL Type'. 0 D.W.'v I Int.Brace Wall Data By 0 Date. B y D. By ic a FINAL INSPECTION iN Water Line Fire Separation L Date By Date By Data By v Pass or Request Inspect. Type of Insp. Fall Date Date Done By. Comments 00 'C Itse, T 00 co OD 0 00 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 "ems �D�rt Mason County 615 W Alder St k Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2017-00068 l OWNER: THE COFFEE SPOT RECEIVED: 6/19/2017 CONTRACTOR: LICENSE: EXP: ISSUED: 6/30/2017 SITE ADDRESS: 20 NE OLD BELFAIR HWY BELFAIR EXPIRES: 12/30/201 PARCEL NUMBER: 123294190220 LEGAL DESCRIPTION: TR 22 OF NE SE LOT: D OF SP#139 " PROJECT DESCRIPTION: DIRECTIONS TO SITE: REMOVED EXISTING ESPRESSO STAND (PORTABLE/ON ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, LOCATED ON WHEEL)AND REPLACED WITH NEW PRE-CONSTRUCTED THE CORNER OF CLIFTON LANE &OLD BELFAIR HWY STAND, THIS BLDG IS LARGER. General Information Construction&Occupancy Information it No. of Units: Type of Constr.: VB Type of Use: COFFEE STAND Insp.Area: No. of Bathrooms: 1 Occ. Group: B Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Exit Design. Load: Valuation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 192 deck: 60 Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: N 0.00 Ft. Shoreline: Ft. r Rear: S Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: E Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: W Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2017-00068 Please refer to the following pages for conditions of this permit. 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III, 426 West Cedar Street, Shelton, WA 98584 W www.co.mason.wa.us Shelton(360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 00 June 26,2017 St Fire Marshal Notes: Permit: COM2017-00068 C,IP Name: The Coffee Spot Phone: Strider Klusman 360-490-5272 • Post exit signs on all exits. • Fire extinguisher(1) (minimum rating of 2A:IOBC)shall be mounted not more than 5' above the ground. Travel distance cannot exceed 75'. Recommend one per portable. • All electrical installed per NFPA 70 and inspected by WA Department of L and I prior to fmal. • No Knox Box required due to size. • Fire Access per Mason County Title 14. • Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS OCCUPIED". Plan approval does not relieve the designer/contractor from complying with all applicable codes and requirements as adopted by Mason County and the State of Washington, not does it abrogate the requirements of the requirements of other authorities having jurisdiction. Reviewed by:Jeromy Hicks THESE PLANS MUST BE ON THE JOB SITE MUST MEET ALL FOR INSPECTION. -WASHlj{aTON STATg CODES BROWN if ji t 1G1+� 1 M 6/29/2017 Conditions Associated With 10:56:26AM Case #: COM2017-00068 Pro .Permit Condition Sta s Updatti" item# Code Title Status C-h#ngtd'; :By, Tpk,;" 'Date $Y 1) 270 Fire Marshal Comments NOT MET 6/26/2017 JNH Post exit signs on all exits. X Fire extinguisher(1) (minimum rating of 2A:1 OBC)shall be mounted not more than 5'above the ground. Travel distance cannot exceed 75'. Recommend one per portable. X All electrical installed per NFPA 70 and inspected by WA Department of L and I prior to final. X No Knox Box required due to size. X Fire Access per Mason County Title 14. X Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS OCCUPIED". X Plan approval does not relieve the designer/contractor from complying with all applicable codes and requirements as adopted by Mason County and the State of Washington,not does it abrogate the requirements of the requirements of other authorities having jurisdiction. X 2) 200 SITE PLAN NOT MET 6/28/2017 REB Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest PP projection of the structure. X 3) 255 ZONING ACKNOWLEDGEMENT NOT MET 6/28/2017 REB Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel.Zoning is FR-Belfair UGA. X 4) 1 "CUSTOM CONDITION" NOT MET 6/28/2017 REB The subject permit involves the switching out of coffee shop stands only. No other site work is being considered nor approved at this time. 5 700 RCW 18.27 NOT MET 6/28/2017 TW Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and risks and monetary liabilities to the Industries,Contractor Compliance Division. There are potentials s ary 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 Page 1 of 5 CaseConditions.rpt 6/29/2017 Conditions Associated With 10:56:26AM Case #: COM2017-00068 i� Permit condition tr& p ate'd item# Code Title Stat�is. C63tuecl" By '1<ag". Date B'. to WA state law. X 6) 1001 PLANS REQUIRED ON SITE NOT MET 6/28/2017 TW All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site,Approval WILL NOT be granted. In addition,a reinspection fee,based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.X 7) 1002 ADDRESS/ROAD SIGNING NOT MET 6/28/2017 TW 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. X 8) 1011 FOUNDATION PLACEMENT NOT MET 6/28/2017 TW THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED,FIRM-NATIVE SOIL. X 9) 1012 SITE PLAN REQUIRED ON SITE NOT MET 6/28/2017 TW The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site,Approval WILL NOT be granted. In addition,a reinspection fee,based on the current fee schedule,minimum one-hour will be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 10) 1900 GROUNDING ELECTRODE NOT MET 6/28/2017 TW A concrete encased grounding electrode must be installed and used at each new building or structure that is built on a permanent concrete foundation. In Mason County the electrical code is regulated b Washington bu up p ty g y gt State Department of Labor&Industries(L&I). For more information contact L&I for additional information. In Olympia call(360)902-6350 and in Bremerton call(360)415-4000. X 11) 4005 HARDWARE REQUIRED AT DOORS NOT MET 6/28/2017 TW Lever hardware is required at doors. The unlatching of any door shall not require more than ONE operation. Hardware with locks must open with a single action from the egress side of the door.Door hardware shall allow egress doors to be readily open able from the egress side without the use of a key or special knowledge or effort.Handles,pulls,latches, locks and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight-grasping,pinching,or twisting of the wrist to operate. X 12) 4010 MEANS OF EGRESS DOORS NOT MET 6/28/2017 TW All doors shall be pivoted or sides hinged and swing in the direction of exit travel.Means of egress doors shall be readily distinguishable from the adjacent construction and finishes such that the doors are easily recognizable as doors. Egress doors shall be side-hinged unless specifically exempted in the Section 1010.1.2.1 & 10.10.1.2 of the International Building Code&International Fire Code. X 13) 4020 LOCKS AND LATCHES NOT MET 6/28/2017 TW In an Assembly Occupancy group with less than 300 occupant load,occupancy groups B,F,M,and S you may only use a lock that prevents operation of the door at the MAIN door ONLY. In"Main"door(front door, primary door). It is intended to be limited to the door that customers come in. The main door only,a lock is allowed ONLY if the following three criteria are satisfied: 1. The lock is readily distinguishable as locked Page 2 of 5 CaseConditions..rpt 6/29/2017 Conditions Associated With 10:56:26AM (( Case #: COM2017-00068 �T Permit Condition usIat+� item# Code Title Statas Chahged T3 ". fe I3y (storefront door deadbolts that have an indicator that reads OPEN/LOCKED)and 2. A readily visible sign with 1" letters high on a contrasting background."THIS DOOR TO REMAIN UNLOCKED WHEN THIS SPACE IS OCCUPIED."And 3. The provision of key-locking doors allowance may be revoked by the building official. X 14) 5003 ALL CONSTRUCTION NOT MET 6/28/2017 TW ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 15) 5030 Changes to Approved Plans NOT MET 6/28/2017 TW Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC),ventilationrequirements),Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 16) 5045 FIELD CORRECT NOT MET 6/28/2017 TW 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. An corrections changes or alterations required b a Mason County Building Inspector shall be made tY Y g q Y tY g P prior to requesting additional inspections. X 17) 5300 WSEC ALTERED MECHANICAL SYSTEM NOT MET 6/28/2017 TW New and replaced heating equipment shall meet the requirements of the Internation Energy Conservation Code as amended Washington State Energy Code(WSEC),and applicable sections of the IBC and IMC. All new or replaced heating equipment shall meet the efficiency requirements of WSEC C403.2.3. Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code(WSEC), Section C101.4.3.2. 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 installed and sealed in accordance with C403.2.7. All new and replaced heating equipment shall comply with WSEC Section C403. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Provide design calculations during inspection. Referencing WSEC C403.2.7 and IMC Chapter 6,all new ducts,air handlers,filter boxes,and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants,gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181B and shall be marked 181B-FX for pressure-sensitive tape or 181B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181B and shall be marked 181B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches(38 mm)and shall be mechanically fastened by means of at least three sheet-metal screws or rivets Page 3 Of 5 CaseConditions..rpt 6/29/2017 4 Conditions Associated With 10:56:26AM Case#: COM2017-00068 i� Permit Condition to ins Updated item# Code itie Status . ., Chaffed By Tag " " Date ' By equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any new duct systems. When new ducts are located in unheated spaces the ducts shall be insulated to R-8 X 18) 5510 Property Lines NOT MET 6/28/2017 TW 1 line shall b clearly identified at the time of foundation inspection. Al property s e a y p X I. j 19) 5600 FINAL INSPECTION REQUIRED NOT MET 6/28/2017 TW 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 20) 5610 PERMIT EXPIRATION NOT MET 6/28/2017 TW 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 21) 5700 PRESSURE TREATED LUMBER NOT MET 6/28/2017 TW Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode metal fasteners,connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.X 22) 5710 SOLID WASTE STORAGE NOT MET 6/28/2017 TW Recyclable materials&Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area shall be designed to meet the needs of the occupancy,efficiency of pick-up,and shall be available to occupants and haulers.X 23) 6550 LANDINGS AND STAIRS NOT MET 6/28/2017 TW Landings and stairs must meet the same setback conditions as any permitted structure;and,must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X 24 7500 SURFACE WATER CONTROL NOT MET 6/28/2017 TW ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAY. X 25) 1 ALTERNATIVE FOUNDATION SYSTEM NOT MET 6/28/2017 TW A deffered submittal for the foundation and foundation achorage is required prior to Final Occupancy. Must provide calculations,prepared by the structure engineer, shall be submitted and approved by the Mason County Building Department prior to final occupancy inspection. Page 4 of 5 CaseConditions-rpt 6/29/2017 Conditions Associated With 10:56:26AM Case#: COM2017-00068 olo Permit Condition Status- ud � item#_ Code Tine" Status Cha►ged lay The foundation system shall be installed in accordance to the engineering specification's. Temporary occupancy may granted for a period of 180 days when all other life safety inspections have been completed. X X 26) 1 STORAGE RACKS NOT MET 6/28/2017 TW Storage racks greater than 59" and up to 8'0" in height shall be installed in accordance to manufacturer specifications for seismic attachment. When seismic attachment is not provided by the manufacturer an engineered design and attachment details shall be required. Installation specifications or engineer's design shall be available during inspections performed by the Mason County Building Department. Storage racks greater than 8-ft in height shall require an engineer's design addressing seismic conditions and attachment. In addition,storage racks 8-ft tall or more shall require special inspection performed by the design professional or an approved representative. The special inspection report and engineered design shall be provided to the Mason County Building Department for approval prior to the final occupancy inspection. X 27) 1 DECK NOT MET 6/28/2017 TW If deck is over 30" from grade OR covered it will require a building permit. X 28) 1 WATER ADEQUACY NOT MET Ok F9101 1PU O 6/28/2017 CEW Signed Water Adequacy form prior to temporary/final occupancy. X 29) 1 SEWER CONDITION NOT MET C7)( �+- ��/� 6/28/2017 CEW Signed Sewer Adequacy form prior to temporary/final ocuupancy. Page 5 of 5 CaseConditions..rpt C0 MASON COUNTY COMMUNITY SERVICES ,' PERMIT ASSISTANCE CENTER: Permit Nc:� ,� W7 OX&P BUILDING o PLANNING o PUBLIC HEALTH o FIRE MARSHAL .'14 1 615 W.Alder Street,Shelton,WA 98584 RECEIVED * �{ Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 9 == h Belfair.(360)275 �JOY-4467•Phone Elma:(360)482-5269 J 19 2017 _ 1854 VILDINGILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:,5'�(2►A 1_1,Z 14✓S:- L A^t NAME: MAILING ADDRESS: =14)0� AIt=/y&?2_&,,,4 'J MAILING ADDRESS: CITY:Pdy6---.A-3 STATE: WA ZIP: 4'` 7 0 CITY: STAT ZIP: PHONE#1: qo'o PHONE: ELL: PHONE#2: EMAIL : EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME 1�y-n cl e� Ki r�Hn EMAIL MAILING ADDRESS X9 0 A( CITY Pd-z--sd o STATE VA ZIP ' 370 PHONE PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviated)i R z-eir-Nt ,$e ,e i e > CC-So-"I ma FIRE DISTRICT Z SITE ADDRESS -&) AIC- dC.3 6(ar-AI A, 0 c, 4 CITY_a efzFA1 a2 DIRECTIONS TO SITE ADDRESS• Ci- IS THE PROTECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ 'WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER X A D J;-.2A_oe- rs-T- USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc.)ZD Lkl )-A 0 ) 4� 0_Txs 0 IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCT RE? YES (Whole Bldg) YES (Part sI of Bldg) ❑ NO ❑ DESCRIBE WO C� � � SSa� �dT OI�� Gt1 n o .ec SQUARE FOOTAG : (propose+existing) . IST FLOOR / Z sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. n BASEMENT sq.ft. DECK to sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH TH •O©�. _�� S SE R ENVIRONMENTAL HEALTH: � -� SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? ' YES, NO ❑ If yes, attach completed Water Adequacy Form PERIMETERWOUNDATION DRAINS PROPOSED? YES ❑ NOX' EXISTING SQ.FT. EXISTING BEDROOMS 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 permitlapplication 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 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 �' l 552 A 307E PUBLIC HEALTH %Q/V11 '� c� V 101 , 3 C•�- � j 3 VV n� 01 MASON COUNTY RECEIVE® COMMUNITY SERVICES Building,Planning,Environmental Health,Community Hea JUN 19 2017 BUILDING Physical and Mailing Address: 615 WAlder St.,Bldg 8, Shelton, WA 98584 615 W. Adder Street Shelton Phone: (360)427-9670 ext 352 4• Fax (360)427-7798 ��yy�� PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: %V\11011-'C.e 0&P OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: _51P_m erz kL s og&P a NAME: MAILING ADDRESS: 34>00/ 4 MAILING ADDRESS: CITY:'?vu"(3cj STATE-P" ZIP: q( 37G CITY: STATE: ZIP: 1st PHONE: :5661--'qq0 PHONE: CELL: 2nd PHONE: EMAIL: EMAIL:s r;d�o- Ki�s�� e_.!�OX40 � aO--- L&I REG# EXP. l I PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): Q32-or Zoning: I11 U&A LEGAL DESCRIPTION (Abbreviated);TRZ.z .,.c. alp sc-.c.-`D ex-S;° r3li 6 - SITE ADDRESS: ZQ IV4 0Cb f-35ezPAro4z- 14e.x,0-/ CITY: •t3azr41r?_ _ DIRECTIONS TO SITE ADDRESS: Coj,u I - de-:'e-ralz I wY £ C:L; rcio" P-d r TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER '3(.b 5 cy� i cll USE OF BUILDING '!)2jy��Tt�e� G� e(4xx 0 PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(noree) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) ( - e( Furnace [E/G/LPG] Bathroom Sink(s) �— Heat Pump [E/G/LPG] Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) ;Gas pot Vent Fan Water Heater(s) t [E/G/LPG] ropane Tank L_gal.] Clothes Washer(s) [E/G/LPG] Outlet(s) Kitchen Sink(s) Heat Stove [El G/LPG/W] Dishwasher(s) ', Kitchen Exhaust Hood Hose bib(s) 7 Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee r 0 Final Inspection Fee �.I77 �t Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL 11P) 0 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 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 permittapplication 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 IS BY MEANS OF ,INSPECTION.INACTIVITY OF TlilS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Si �turef App icant Date l - 0mm_erL0_wner_s_epr_esentativel_Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) Visit us on-line: htth://Ww+nA,.Co.inason.wa.us/Comniunity_dev/ Rev:3/08/2017 u f F.... Iv .14 Ir T j iL t 1 T ` t r ti t r � L C � �. ............... Ip 771 ....,RECEIVED JUN'1 9 2017 3F� t 615 W.Ader Street S��cszraa►Q, t,a1�1 ��3>o RECEIVED JUN 19 2017 �a 615 W. Alder Street /L Au-c7c 2 5trAp io /Yo 5 GA Ld -F6(jn6i6-+,on P� ■■■■■■■n■■■■■�■■■ e©;■■�■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■■�■■■■I■■■■■■■ MEMO, ■ mm ■► NI■■MM■■■■■■■ ®■■ ® ... burEEno i■� ■■■■■ ■ SC - r Nm® %■ MENNEN ■■■■■n■■■M MEMEM■■■M■■■ ■■■■ . II ■�• ■ow- MOMENTA Ir■■■e■■� ':.�. Rq- MEN END ,mmll i Us Mj r,POTARA IS 9' mam Date of i •. r_ • `f use �a1cela B � " *Izo,IItnhtes s�ib re teePc�pI�s ttoSample Site Plan and TopographyYOWSiteb iaScale. 1 - 40' OTO�STRU6,?ftk _ruv - - - - - - - - _ Main Street C.TA Ai G, 01Sn �.._.._..r.._.._.._.._.._.._.. 'The FAD. S _.._.._..—••—.--.._.._.._.._.._.._.._..— Pro �Y be°s sku , than 1p fsiaoII olocab00 i �OWable eet�ttlun tole I Buyd. the l , mg,gt•e � i 1 a i 1 des rye Drail�fi.eld m i 1 20 l j 6 -cu } — 56' 114' 40' •c° Existing IC i Garage j Wetland 1 171' ' ' Buffer Zone € I Stormwater ! `�.._.._.._.._.._..----.._..; run-off path ' I _ Allowable .70 j j 1 Building Area ,� 1 m r € i + r �`. 80' I Wetland \� 300'. Well 0 j North +45' ' . , +5' '81 5'�40'—+26+36'—�-36' 35' Name S/-R tD cM uLus s►tiaa f Parcel# IZ3Z5-Ai j 102., BLD#60M 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 orstorage 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,Calculafe lrrrpervrous Surfaces Please Complefe This°Table Surface Type Length X Width = Area *All dimensions in feet Buildings Ito: X 2 = X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X / = Z eaves/gutters) X = Driveways �' X 1 Z = Z I a 6 X = Length of drive begins at the right of way X = Parking Areas 7- 0 X Zip _ 0 X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = 77, X = Any paved, gravel or packed area per definition above table X = Others X = X = 7f the total knp6rvious;area of the,proposed site- X = :development is,greater than 2000 sgu are.feet a Small Parcel Stormwater Site Plan is Required Total Imperylous.Surface Area(sum of all areas), Z 4 Z 0 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/A nt/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 i I Name_s7ZIOL-YL Parcel# JZ3Zcj —l)/ -g0ZZ-0 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 Ball 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 450 100 W.Public Works Dr 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 400 415 N.6th St—Bldg#8 lower level 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 prop rty for review and inspection as may be required. X O gent/Contractor(circle one)Date: &_Z g-17 Page 2 of 2