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----PR JE . .. LA REQUIRED TO BE ON SITE
TOPOGRAPHY PROFILE: MANGES SUBJET TO APPROVAL
3 l 0
Direction: Scale: �1_ Approval: for office use
Building Permit number: 2,01 Building:
Owner/Applicant: 54UMVW 1 Date of Planning:
O � �t application: Env- Health:
Parcer tvumoer. 1
l
Name
S Parcel# 23✓� 0�0 5 BLD# Z O I LQ • Do Co'l l
Mason Coun
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page l 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.
ZCommon 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 TyMX
Width = Area *All dimensions in feet
Buildings 2.8 = I ��
Q = Z Measurements for buildings are taken at the
v perimeter of the farthest projections(example:
= eaves/gutters)
X I =
Driveways " 0 X 0 = n
X = Length of drive begins at the right of way
X =
Parkin Areas X 2 = u� (�
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks �p X _ Z
5 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
mall 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
kno ledge at the i rmation provided is accurate and employees of Mason County are granted access to the above-
further ac g p i
described p _rty e and inspection as may be required.
}_ Owner/Agent/Contractor(circle one)Date: 7
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
Name 7�UAU& Parcel# �2 +y 1 %' 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 Stornewater 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/kwww.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/Agent/Contractor(circle one)Date:
Page 2 of 2
MASON COUNTY COMMUNITY SERVICES Permit No:-1 d 2z 1
aor cosy PERMIT ASSISTANCE CENTER:
BUILDING PLANNING FIRE MARSHAL G)
615 W.Alder St-Shelton,WA 98584
_ = Phone Shelton:(360)427-9670 ext.352 Fax:(360)427-7798 n I I
Phone Q,g/fair.(360)275-4467 Phone Elma:(360)462-5269 1 ®
�' ''�`� BUILDING PERMIT APPLICATION ��� �V
PROPERTY OWNER INF/(ORMATION: CONTRACTOR INFORMATION: �' J 2016
NAME: rtU.I Sl-,wF1 �i✓ NAME: I `r street
MAILING ADDRESS: �� ^ MAILING ADDRESS:
CITY:�' STATE: UtA ZIP: _ CITY: STATE: ZIP:
PHONE#I: � (� �7 '(0�Zll� PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: I REG# EXP. / 1
CONTACT PERSON:
OWNER.Z CONTRACTOR[I *OTHER/See Below❑
*NAME: " tf MAILING ADDRESS: I,LI 0-6
CITY: STATE: ZIP: PHONE: CELL: 51-0-5 1-9
EMAIL:
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 7.3 L-r7 1' ZONING
LEGAL DESCRIPTION(Abbreviated I F+ �'f/ 6•q C 1. F DIS C�'_ _
SITE ADDRESS I'1 CITY I -�,
DIRECTIONS TO SITE ADDRESS rC
DIRECTIONS "M -;Gd II dl� NE fur crl 1 jY Yi 1 C11
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW Z T ADDIION ❑ ALTERAT�IOnN❑ REPAIR❑ OTHER n
USE OF STRUCTURE�,({Residence,gage,commercial Bldg Etc.
rJ
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS .-J NUMBER OF
BATHROOMS 2-
HEATED STRUCTURE,? YES,ffIh.o.le Bldg),[ YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK_ 11�/+I lANV1fI �tA%IROI/(.S
t (Valuation/Project Bid Amount:$
SQUARE FOOTAGE:
1ST FLOOR 1008 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE 32 sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached Detached F1 CARPORT 2-d 3 sq.ft. Attached Detached
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
AKE MODEL YEA ---
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'rf 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
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
r—
Ayor ��Na B U I PL.-r-)IN
.� MASON COUNTY PERMIT NO. t�lG� LO
_ DEPARTMENT OF COMMUNITY DEVELOPMENT
y
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. 111,426 West Cedar Street (360)275-4467 Belfair ext. 352
PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: .AWYo O 'R ; 5'1AA ynA "-e NAME:
MAILING ADDRESS: F0 9-al MAILING ADDRESS:
CITY: FA440 STATE: ZIP: X5n CITY: STATE: ZIP:
PHONE: CELL: ,W- y-S 7 q G PHONE: CELL:
EMAIL: t7 A la'M4('y(2, 0%j1:LCn" EMAIL :
L&I REG# EXP.
PARCEL INFORMATION: _
PARCEL NUMBER(12 DIGIT NUMBER): j ZW,'51'60015'
LEGAL DESCRIPTION(ABBREmTED): gads Joye xro
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:_ L"&AI' k' = W+ o7n N4i 10Y1 0I i I�uIkk U��
l 0 r-44Y-11 On rL j iA 4'
TYPE OF JOB
NEW X ADD ALT REPAIR OTHER USE OF BUILDING /ZS 1d+ta,
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:Electric�LPG Natural Gas Heat Pump_
Toilets Z Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs 1 Heatpump
Showers i Spot Vent Fan 2
Water Heater i Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove
Dishwasher / Kitchen Exhaust Hood 1
Hosebibs 2 Dryer Vent /
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 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 nts employees of Mason County access to the above described property and structure(s)for review and inspection.This
permitlapplica' n becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended`P ape ' d o 0 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT LIC I OF'1 AYS WILL INVALIDATE THE APPLICATION.
Signature o pplicant Date
X 5't I a �Y Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL