HomeMy WebLinkAboutBLD2016-00889 Final SFR - BLD Permit / Conditions - 4/27/2018 co
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DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Inspection Hotline (360)427-7262
Mason County Bldg. 8, 615 West Alder Street
18-54 Shelton,WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER:
ADDRESS/LOCATION: I rQ 15 ST?, TU4 trCA->-Jb fin.
FI� INGS:
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Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
Make corrections, items will be checked on the next inspection.
❑ OK to
Date: ` ❑ Please contact our office regarding possible
Departure L __ structural damage incurred by recent
Inspector:� "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO OT REMOVE THIS TAG
MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
Belfair ext.352
COMMUNITY SERVICES 360-275-4467 360-482 5269 Elma ext.352
Inspection Hotline 360-427-7262
Building,Planning,Environmental Health,Community Health
60 615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wams
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER:
ADDRESS/LOCATION: / zic—
FI INGS:
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Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
❑ OK to
Date: �� ❑ Please contact our office regarding possible
Departm structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
ORRECTION NOTICE.
D NOT REMOVE THIS TAG
MCC14.12
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Cori MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone:{360)427-9670, ext. 352
'r- Mason County
615 W Alder St
Shelton, WA 98584
IaSd RESIDENTIAL BUILDING PERMIT BLD2016-00889
OWNER: GERALD &WENDY BOLES RECEIVED: 9/8/2016
CONTRACTOR: LICENSE: EXP: ISSUED: 10/6/2016
SITE ADDRESS: 150 E STRETCH ISLAND RD NORTH GRAPEVIEW EXPIRES: 4/6/2017 `
PARCEL NUMBER: 121087500080
LEGAL DESCRIPTION: TRACT 8 OF SURVEY 1/115
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NE
W SFR SPLIT LEVEL HOME: 288 SQ FT 1 ST FLOOR, 1379 SQ FT LOCATED AT THE INTERSECTION OF E STRETCH ISLAND RD NORTH AND
2ND FLOOR WITH A 575 SQ FT ATTACHED GARAGE) E ISLAND CREST RD IN GRAPEVIEW
Gen
eral Information Construction&Occupancy Information Square Footage Information
No.of Bedrooms: 2 Type of Constr.: VB
Type of Usel'I SF Insp.Area: No. of Bathrooms: 2 Occ, Group: R-3, U Lot Size: Deck:
Type of Work:'; NEW Fire Dist.: No.of Stories: 1 Occ. Load: 8 Building:1,667 Garage-Attached 575
Valuation� $ 214,020.44 Building Height: 22 Occ. Status: Primary 1 1 Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Water Body:
Make: Length: Ft. Front: W 25.0 Ft. Shoreline: Ft. SEPA?: No
Rear: E 660.0 Ft. Slope: Ft. Shoreline Desig.: Not Applicable
Model: Width: Ft. Side 1: N 80.0 Ft.
Year: Serial No.: Side 2: S 115.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Heat Pump 1 Plan Check Fee JBN 9/8/2016 $ 1,064.54 S2201600000001
Lavatories 3 Ventilation Fan 3 EH Plan Review JBN 9/8/2016 $205.00 S2201600000001
Bath Tubs 1 Woodstove 1 Planning Review Fee JBN 9/8/2016 $205.00 S2201600000001
Showers 1 Exhaust Hood 1 Building State Fee SLC 10/3/2016 $4.50 S2201600000001
i Water Heaters 1 Dryer Vent 1 Building Permit Fee SLC 10/3/2016 $ 1,637.75 S22 01 600000 001
' Clothes Washer 1 Mechanical Permit Fee SLC 10/3/2016 $ 140.40 S2201 1 60000000
1 Mechanical Base Fee SLC 10/3/2016 $28.50 S2201600000001
Kitchen Sinki Plumbing Permit Fee SLC 10/3/2016 $ 101.90 S2201600000001
Dishwasher 1 Plumbing Base Fee SLC 10/3/2016 $24.70 S2201600000001
Hosebibs 3
Total $3,412.29
BLD2016-00889 Please refer to the following pages for conditions of this permit. Page 1 of 7
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C MASON COUNTY COMMUNITY SERVICES L� O�
PERMIT ASSISTANCE CENTER: � Permit No: � 1!J
• BUILDING• PLANNING• FIRE MARSHAL
615 W. Alder St - Shelton, WA 98584 R cn
Phone Shelton: (360)427-9670 ext. 352 Fax:(360)427-7798 c 1.� � - �
1854 Phone Belfair. (360)275-4467 Phone Elma:(360)482-5269 S5Erg h
U $ 2016
UILDING BUILDING PERMIT APPLICATION 615 V,/.
PROPERTY OWNER INF''O//RMATION: CONTRACTOR INFORMATION:
NAME: GERAW Ang NAME:
MAILING ADDRESS: Z7_4 MAILING ADDRESS:
CITY _Vl00 STATE:k1A ZIP. CITY: STATE: ZIP:
PHONE A: 3,60 — 55/— /Os/ PHONE: CELL:
PHONE#2: 360 —, 1p — 5939 EMAIL :
EMAIL: / C52) yYl . C902L&I REG# EXP.
CONTACT PERSON : OWNER, CONTRACTOR ❑ *OTHER/See Below ❑
*NAME:���!✓� W�21y 904r E:5 MAILING ADDRESS: tNo-'CELL:
Z24
CITY VIe4v STAT :��ZIP: 985q�PHONE:960 �/
EMAIL: 2FQTe5 /. COM
PARCEL INFORMATION: PLANNFR V.4
%PARCEL NUMBER(12 Digit Number) /Z/08 — 75— oc)ogo ZONING EKi5
LEGAL DESCRIPTION (Abbreviated)6by 9�f-063 7k__ J' AI ANI FIRE DISTRICT
SITE ADDRESS /J1O,6� TS G �' /(/pYj CITY 7
D RECTIONS TC TE ADDRESS G za /" h O
/ le Q or -
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO ❑
IS PROPERTY WITHIN 200 FT: (Check all that apply): It Sec Gc��lto— 000(05
SALTWATER ❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND,K SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW ,X ADDITION ❑ ALTERATI//O--N ❑ REPAIR ❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Sy,ngL� M%1Gf �
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 2— NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bld k YES (Part[s]ofBld NO ❑
DESCRIBE WORK /W CT-sAYL/Cf-/(r 61' Q /Y! /Le$/
(Valuation/Project Bid Amount: $ )
SQUARE FOOTAGE: level)
IST FLOOR 2O . sq. ft. 2ND FLOOR/,2 sq. ft. 3RD FLOOR�iQ sq. ft. BASEMENT sq.ft.
DECK��sq.ft. COVERED DECK U�sq. ft. STORAGE 1 sq. ft. OTHER N�iQ sq. ft.
GARAGE 575 sq. ft. Attached Detached❑ CARPORT sq. ft. Altached4E Detached-B
MANUF RED HOME INFOR *4 COPIES OF THE FLOOR PLAN REQUIRED*
rE MODEL V'.ER LENG
H BEDROOMS BATHS SERIAL NUMBER
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 or owner's legal representative. 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake: Approved&Ready for Pick-Up:
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev. 1/2 712016 by JBN
^=ASpN co- MASON COUNTY COMMUNITY SERVICES Permit No: 6L W D I b -Ibd Sq
PERMIT ASSISTANCE CENTER:
G •BUILDING•PLANNING• FIRE MARSHAL RECEIVED
615 W. Alder St-Shelton, WA 98584
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798
5 Phone Belfair. (360)275-4467 Phone Elma:(360)482-5269 SEP 0 8 2016
- IR4
D '-1LYD I N QUMBING & MECHANICAL PERMIT APPLICATIOIP15 W AlderShW
OWNTER INFORMATION: CONTRACTOR INFORMATION:
AME: ✓ - V &E 6,� NAME:
MAILING ADDRESS: 22 MAILING ADDRESS:
CITY Vle ll STATE: ,tlA _ZIP:9 .yb CITY: STATE: ZIP:
1 s'PHO 3G� - 551-- /05/ PHONE: CELL:
2nd PHONE: -%0 - 340- EMAIL :
EMAIL: 6v/ S O/Y,) L&I REG# EXP.
PARCEL INFORMATION: ejz-�:-5
PARCEL NUMBER(12 Digit Number): /2/� — ' — Zoning.
LEGAL DESCRIPTION(Abbreviatted) 3 �jert,•X 6 7 G/J e5
SITE ADDRESS: /Sty F .!7V/'.Q CITY:
DIRECTIONSO SI ADDRESS:
h
TYP OF OB
NEW X ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture . No. of Fixtures Fees Fuel Type:9Fic LPG Natural Gas Ductless_
Toilets Type of Unit •No. of Units Fees
Bathroom Sink 3 Furnace
Bath Tubs / Heat Pump
Showers Spot Vent Fan :5
Water Heater Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks �Gas/Pellet Stove �—
Dishwasher Kitchen Exhaust Hood /
Hose bibs ` le, Dryer Vent /
Other / Solar Panel
Other
Q E Base Fee Base Fee
k'i&401 S:I)k 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 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature of Applicant _ Date
x �.�E'-�' � ` �� � Owner/Owners Representative/Contractor
Print Na a (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT `
PLANNING DEPARTMENT
FIRE MARSHAL
l Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2._61BN
i I 1
-90014
31 , � 4 � � �L,D�ni(�- �v8b 1 I V E
I ' SEP 0 8 2016
12108-76 I 12108-76-90010 �12108-75` I 12108-75 1 '
1 \ -90013 N I - -00033 1 -00032 ' -00031 I -00030 -00043 I -00042 + -00041 1 -00040 12108-11-DO010 615 W. Alder SbW
N.A.V.D,8R o 'FOUND REBAR 71N0.CAP FOUND IRON PIPE 0.2' N.
\ 0.1' E. OF PROPER -UOE `AND 0.2' E.OF I FOUND IRON PIPE
1 I I HELD AS SE FOUND BENT IRON PIPE
\ CALCULATED POSITION FOUND IRON PIPE 0.2' E. CORNER LOT 4
' POINT OF BEGINNING ` S 89'15'27"W 0.3' E. OF CALCULATED
-90011 -90012 ;''. I( T e) E. ISLAND CR` RD. - S 8731'32"W 559.4T(0) TED POSITION ON --, - POSITION
1 k _ N 88 29'S6"W 227.72'(C)
• t N N 89'46'09" W:227.7
ao 0 4o so t i • - r'�T'il�■'�,r`>•ri■li■IICi�'7i � ii'i�rirf�5-�"ii ■, � ■ ■�' i�� .!.�■ ■ ■�� r ■ ■
'L` 'y0 6�� a `Y O C� a ti c' Qi C� A� O FS k n•
- n� ;VrO °' ��o� 6`O .6a C Gie� .`lf
�\ Scale in Feet / -f'' `: of ft68 SQ F1''
�jj , ''v/ ,_ ANC✓ �.•' ,/ / �' /' ' I
\ lA/ APPROX LOCATIONP, / � �
\1\1 OF PROPOSED WELL.. /�N�T7�E VEGETA'I/10!'TO
• 96:..:ti.::'9 :. � ti
30' ;•:hg:`'I::':;:...:; `':: ,r !; i• REMAIN TREE 'MINING// ./• i•• i, � / /
0. - `�.': '• •.l ONLY IN THIS AREA. N0
.............[ :�'t STUMPS'TO/'BE EMOjrED •I/ /- ./ ,
T
.'L'1Cr''ilT' h h aE .�17t„
nectt T j
'D 25 ,
I
S
,J /' _
/ Ri t�- 170 j _a o t -00 _Nf.21 8 2
OO SETBACK i,Y� A
d
iJ /i ,i
J ,,i• -
�PROPOSED0j1
n /7 `-'� /'� {� g`O [::'::.HOUySE, 1• J.I ./
UJ /10 A LI E)g^ /�D()0( 0 1 -r� I ' �iv� `E=675 %.:i:>, �,.: 1 / /24
'
•l/ I r ;`< - •ii ' • `i�y���+i�:+r/ /' ,' ,` ,- / / 12108-7 000t�0�/' ' „I/1 I _ $' o u
30 LF / ' / / / / / / / / 6C�e,0• '�
«-I ,390 SF' // ^• t61/OC,'FL/ 5
':CONCRETE PLAIITINO'
A5 j ` «T)RNEWAY_ • / / ' / / / / / / -,--*PROXIMATE o
�j' + .r , .' WETLAND BOUNDARY ,
ING
H 30.0'� .�, /'. . r • / % / / /.' • (NOT' ' PEP WETLAND REPORT DATED APRIL,' � 12t08-75-00050
pI.ANO a �+*a`•�n 4«r.•3.::,• a, / 2016 BY THE Y�ETLAND CORPS N
GOV'T LOT 8 z I : 20: ej �; ..• :w f:.*rfr,r• :'_:•:,':'•�; i .' //'�
1 1 0
[-__i is-• r• r+ n i`�«i•`'a y / /
1 �
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Q� � °.s-t'a i«4+` «,`•�`.' ` 4 � r." ray«..eii•a`•,f t�, / � I I
r ll
. J
i
C/) I ;.-__.., ; P C$ 0 To T+ R•~ O 0''o'P 1: O 0' ti - Si' N N N �'
1 21 08-1 2-001 80
{�-- ■•■ .._: �y� ■��t•,■ ■,' ■ N 88.530 E 1
N 87.09'11" E 787.70'(D)
/ FOUND BENT IRON PIPE
r EDGE OF WETLAND, �G�
I / ATM
t
(n .j'Z91f HELD F IRO PIPE / / , / ' WETLAND CORPS. N POSITION
LJ I i f AS SW CORN T 8 % /60,
I
I I 12108-75—oa070
APPROVE[ 30' 30' I GOV'T LOT 9
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUB.JET TO APPROVAL I 1 Q
�
E. ECKERT RD.
PLANNING -
n n r
NOTE ALL SETBACKS ARE MEASURED
THE APPROXIMATE LOCATION OF EXISTING UNDERGROUND UTILITIES [� C
ARE SHOWN ON THE PUNS.IT IS THE CONTRACTOR'S RESPONSIBILITY FROM
THE FURTHEST
TO DETERMINE THE LOCATION OF EXISTING UTILITIES PRIOR TO
COMMENCING WORK THE CONTRACTOR SHALL BE RESPONSIBLE FOR
DAMAGES THAT MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE PROJECTION OF THE BUILDING
TO LOCATE,PRESERVE AND PROTECT UNDERGROUND UTILITIES. I
CALL 48 HOURS
BEFORE YOU DIGS LFg
817
REVISIONS BY DATE A STTE PLAN FOR: SCALE: 1° 40'
NO. DATE1 BY JOESCRIPTION DESIGNED LLPT /16 fA. N.L.Olson&Associates,Inc. Gerald&Wendy Boles
OS
150 E STRETCH ISLAND RD.N. DATE: August E zo,c
DRAWN ABA 08116 g Surveying e rotca2P �`4 P.O.BOX 224 DRAWING NUMBER
Engineering,Plamin and SnTve 'n as p�17919
CHECKED NIAn 03/16 P'46JONAL£TT01� GRAPEVIEW,WA 98546 GRAPEVIEW,WA 98546
(360)895-2350 or pep1876-2294 (360)551-1051 16-9385
ACCEPTED
APPROVED 2453 Buhd Aran ,d.P.O.Box 637,Pon O,du WA 99366 AU that Portion of the Government Section 8,Township 21 North,Range 1 West,W.M.tW. n.in Lot 9 of Mason County,Washington BUTCH.BOLES@GMAIL.COM
SHEET ca.o
o"Cl
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: ��raldDate: 40 Project description:
Documents: RECEIVE
Building Permit Application Completed. RECEIVED
1 V G
Mechanical/Plumbing Application Completed. SEP 0 8 2016
Planning Intake Checklist Completed.
Site plan includes: Allowable building area, roof overhangs, decks, etc. 615 W. / r$U'98t
Fire Apparatus &Access Road info required? Yes No
Stormwater Checklist Completed.
Energy Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type )
O Ductless Heat Pump O Other. Specify:
Construction Plans:
-�/—/3 Sets ( 2 full size sets engineered calculation & 1 reduced sized set 11X17 min.(no calculation needed )
Plans Legible _ Recognized Scale �levation Views LzCross Section
✓foundation Plan _ Roof Framing Plan &.. F{oor Plan —Use of rooms labeled (all floors)
_ Floor Framing Plan -all floor levels including loft, crawlspace, etc.
Deck Framing Plan including covered porch, carports
Plan Details:
_Roof framing details, truss lay-out may be needed (Hip and girder location shown)
_Wall Framing - Does bearing-wall height exceed 10'? (Engineering may be required)
,G Floor framing: Floor joists (size & spacing): � )(t( (d//e110,C. , Floor beams:
_✓Window headers. Typical header: ,a X i i) Garage header: � + ram+r
_ Foundation: footing size, reinforcement
_Concrete Walls - Does Concrete Wall Height Exceed 8'? (Engineering may be required, see details)
_ Landings at all exits? Less than 30' above grade? Y/N (must be shown on site plan)
Water Heater: Location: (`,.o.c, kc�v.�;, 9— Type: 9 r
Heated By Furnace- Loca ion o urnace Fuel type:
Fireplace/Stove Information Shown - Fuel Type? Location(s):
L/ Window Sizes Marked on Plans.
Braced wall panels (shear walls) MUST be marked/indi on plans.
✓engineered E5p/ No Snow load: qd Seis rc: D2 )Design Code:_ Are plans stamped
Manufactured Homes:
_4 Floor Plans (rooms s must be labeled)
Foundation Type:
ANSI/Manufacture method Enginee /foundation Basement
Decks*: 44 min. landin uired at each entrance (must be n on site/plot plan)
*Covered d and/or any decks greater than a 4'x4' that exceed 30'from e requires a permit and
con ion plans.
COMMENTS:
Intake review (initials : Date9 )
H:\permit tech building checklist2015.doc Revised 8.5.2016
If any of the items listed below are either indicated or missing within the construction
documents; the plans must be engineered or returned to the applicant for resolution.
ENGINEERING REQUIRED:
Braced wall panels/brace wall lines are not marked on plans (R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA:
All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans.
Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf.
IRREGULAR BUILDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted
engineering practice. A portion of a building shall be considered to be irregular when one or more of the following
conditions occur:
1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost
story in which they are required. See exceptions.
2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges.
3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line.
4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below.
5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension.
6) Portions of floor level are offset vertically
7) Shear wall lines do not occur in two perpendicular directions.
8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be
designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as
permitted by the code).
***Applicant must take plans to a design professional to address items indicated above***
Notes/Comments for design professional:
H.\permit tech building checklist2015.doc Revised 8.5.2016
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Name 6L" td an Parcel# /ZI05- 75 BLD#_
c
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/*mdex.ht3n
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 Lou, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE D TTIAL 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
sys 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/d rain field 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: En
Phone: (360)-427-9670 EXT. 352 RECEIVED
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584 SEP 0 8 2016
A condition will be added to the building permit that states,in part,that all conditions the sto> WAgw Sem 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 vie nd inspection as may be required. /
X O /Agent/Contractor(circle one)Date: 3 ���
Page 2 of 2
L
Name JQI mil/ Parcel# /zlag 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'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
?Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings
X 44
Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = 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 Ar is GREATER THAN 2000 Square Feet, lease read,acknowledge and sign
the information provided on page 2 RECEIVED
Page 1 of 2
S
615 W. Alder Street