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CONCRETE MECHANICAL MANUFACTURED HOME C
o Date By X
Footings I Setbacks Gas Piping Ribbons 0
C) into Date By Interior-Date By Date By
C)
Cn Exterim Date By Exterior-Date By Set-up X
Point Load f Isolated Footings INSULA11ON Date By
BG I SLAB INSULATION C/)
Data By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
WI N_G Wails Dale By 90
Data By C_
Date By PROPANE TANKS M
Vault Date By z
PLUMBING Date Byeez
OTHER -n
Groundwork Attic M
Date By Date By Type, X
Date By
MW.V DRYWALL Type:
DateBY Int Brace Wall Date By
te By
-0 Da
(D ........................ FINAL INSPECTION
W
(D(n Water Line Fire Separation
Date B Date By Date By
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Type of Insp. Fall Date Date Done By Comments Q
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PUMP HOUSE TOTAL.X. K 1(` X x X K, X t x rnThL
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' PUMP CN AMQIc p, y `� X X. . .
x x �,TR ES MOUSE � 5 ENLAP4ED
y a'
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5y
RECEIVED X y x X A
OCT 2 5 2017 y
xx
615 W. Alder Street
L
X x_ y v x X
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► 1 l ,h'LA EfcEi!lSCu ire ,� Y PRKI►k�X.
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DUNIEW14
=C2c�► 7—
TRv�r'Av Mr s�a�vc 000`'F51(5=►I
TOPOGRAPHY PROFILE: J7y.Ope f�4 9�n. y Slope.!' fl�r'
'TrulieA.0 lF't"� 'n r2 . �l��s l�� { s c)-n, ('rub"h,-Ush. PLANNING:
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
PROJECTION OF THE BUILDING
r�1 Direction: Scale: a Approva:for o 7ce use
Building Permit number: P�I��2 O�� V��y 1— Z1 8j Building:
Owner/Applicant: Sk-41wr f3ur ehLrc Date of Planning:
application: Env. Health:
Parcel Number: ZZ 3�Z- ]5"�f�ll�-
10-Z5•Zo)
(.2 " J5
FName�ry 41 �jwr 4 V( Parcel# � o� l ��7 J — /Q I BLOW-2-0) / r / ✓(�J
Mason County R U I L D I N Gj
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:
hnOL/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 INUUL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)�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.
er/ gent/Contractor(circle one)Date: 2 s ' 7
Page 2 of 2
' .Nam6k Arm' SUett d Parcel# 13I,10
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
Buildin s X y R = SZU
ca ZZ X 10 = ZZa' Measurements for buildings are taken at the
perimeter of the farthest projections(example:
01 ( `I X I Z� _ �l L ' eaves/gutters)
X =
Driveways X 18 = 2 q70'
Zvi X iLZA' = f?(j t Length of drive begins at the right of way
X =
Parking Areas �Z� X = L'o 7Z
X = Any paved,gravel or packed area per definition
above table
X =
Patios/Walks J C�t X _ i
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) Mel
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.
}( caner Agent/Contractor(circle one)Date: ia- 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 I of 2
: I!c.; a J'Q,
SMALL PARCEL STORMWATER SITE PLAN RECEIVED
WRITTEN DESCRIPTION OCT 2 5 2017
Skylar&Jennifer Burchard 615 W. Alder Street
Parcel#22302-75-90112
The site location is northwest of Trudeau Mountain Drive Road, Belfair. Parcel is a 2.5 acre lot
that gently slopes away from road until the last 50ft at the back of the property.About 325ft of the
property will be cleared from the road. 10-20 feet of trees with underbrush will be left on both the
north and south edges bordering the property.
The driveway will be approximately 18ft by 165ft with a turn adding a 20ft by 20ft area,with a
total area of 3,370 sqft. House and well pump house will be 3,936 sqft, parking area 672 sqft, patio and
walkways being 150 sqft with all totaling 8,128 sqft.
The first 60ft of the driveway slopes back towards the road.A berm running across the driveway
will direct water towards the southern end into an existing roadway ditch. The remaining portion of the
driveway will be slightly sloped towards the southern part of the property. Water will sheet off the
compacted gravel driveway being absorbed into the front lawn area following the natural flow of the
land into brush and tree area.The parking area will follow the same grade as the driveway and sheet
into the grass area.
Any water collected of the top of the pump house will be collected by a down spout on the
northeast corner and directed north into natural vegetation.
The house will have a curtain drain surrounding the house with gutter tie in's. This system will
collect all the water and tie in with the curtain drain east of the drain field. Where these two systems tie
together there will be a junction box with a larger pipe leading west to daylight past any cleared land
and into natural vegetation.
During construction the lawn area will have chipped vegetation and straw spread to help absorb
rain water.The border west of the drain field will have chipped natural vegetation and straw.This will
help absorb water and collect and sediment run off. All boarders will either be flagged or staked to help
prevent accidental removal of natural vegetation.
MASON COUNTY COMMUNITY SERVICES
Permit No:
PERMIT ASSISTANCE CENTER: (J✓(/J
` -BUILDING-PLANNING-FIRE MARSHAL
615 W.Alder St-Shelton,WA 98584
Phone Shelton.:(360)427-9670 ext.352• Fax:(360)427-7798 Phone RECEIVED C
1c<t Belfair(360)275-467• Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 0C. 5 2017
O` PROPERTY OWNER INFORMATION:/ CONTRACTOR INFORMATION:
ME NA :�Icy1aF f fenn�. Rure�aarcl NAME: CA"WA liAOrnt S 615 W. Alder Street
MAILING ADDRESS: lb717 f bA, P 4- ()k S 6 MAILING ADDRESS:2023 115 fA 5t t
CITY:/3,f CC442J STATE:tU# _ZIP: q8.%7 CITY: rAzar+a. STATE:WY4 ZIP:48yy5
PHONE#1:3Gv--66 Y9-109 5— PHONE:Z53' 2-9414 CELL:
PHONE#2:360•S-SV- 7 30 EMAIL: 4&:c,.\6 rtsic. 1r)0nKt S•to m
EMAIL:Skujars LbtI REG*LVRLHL. Qf4 Gb ENP. 1l /Lf/_U
CONTACT PERSON: OWNER V CONTRACTOR❑ OTHER❑
NAME: k r 8 Alt d►C MAILING ADDRESS:70 C bbe / Dr SE
CITY: a j c t rt.re STATE: Pj 4- ZIP: P 6 PHONE: CELL:30 - F5-
EMAIL:5k.�I&- c`A he%Itta r co"
PARCEL INFORMATION: `(a An t1r
PARCEL NUMBER(12 Digit Number) 2Z 30 Z '75' 1 Z ZONING (Q.-12-�'
LEGAL DESCRIPTION(Abbreviated)TR-11-0 PG Zoo TIL t3 of 5P*1(V95 FIRE DISTRICT
SITE ADDRESS 5ZQ NE rP-uPC" Inoul-f 1119 j-b CITY 13tLFrtIR
t DIRECTIONS TO nrE ADDRESS I*Ad -5,w G^Jlt %Ey699 1 Mc,att:'7-41A. kb 4-lu b
P)ZD PG/eT y /1 601 77V r Q l h Nr
LS THE]PROJECT WITFUN 300 FT OF SLOPE(S)GREATER THAN 1404- YES[] NOX
IS PROPERTY WITHIN 200 FT: (ch—k udwtcppty):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW/ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Eta.) Res/b'/tj(c
IS USE: PRIMARY/ SEASONAL❑ NUMBER OF BEDROOMS y NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Partfj of Bldg)❑ NO❑
DESCRIBE WORK A)C/ Qts i DZit.'T/AL >�IOME L�,VILD.
(Valuation/Project Bid Amount:$ 2 7 a CcG.
SQUARE FOOTAGE: "M*1 I MlPervr�XO 41133
I ST FLOOR 2 PY5 sq.ft. 2ND FLOOR IJ/E sq.& 3RD FLOOR N it sq.ft. BASEMENT N 0+ N.ft.
DECK /li pf sq.ft. COVERED DECK /�sq.ft. STORAGE Nd1k sq.ft. OTHER N 14 sq.ft.
GARAGE 7$R sq.ft. Attached Pf Detached❑ CARPORT N A sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
t
MAKE MODEL
BEDROOMS ATHS 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 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 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 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)
y
X j 1 L) t�C✓ -tit f-
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS e: Tanner: pproved&Ready for Pick-U
Visituson4ine: http://www.co.mason.wa.us/community_dev/ Rev.1/77/2016 by A?%
1
*/A*
MASON COUNTY COMMUNITY SERVICES Permit No: Z0) - vl 0�
PERMIT ASSISTANCE CENTER.•BUILDING •PLANNING •FIRE MARSHALW RECEIVED
615 W.Alder St-Shelton, A 98584www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 OCT 2 5 2017
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
�, .�: x �' GPLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder StreOt
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Qovella r NAME: (I vva j No M t S
MAILING ADDRESS: 7Cf I MAILING ADDRESS: 2tZ.3 125-F"' 5 f
CITY:f2,4 6;J&,c( STATE: u� r4 ZIP: '36 7 CITY: -rkto rh ok STATE: tc: ZIP: `l 41,15
I'PHONE: 3kp-411f l0 5 PHONE: Ls3-kJ3- f44(, CELL:
2"dPHONE: 340 730y EMAIL : oval l a��c .t ohs
EMAIL: S1b_-h,Skcc lCl!ivAiAt/fonr L&I REG h Co�►t�+i� Q9`I Q> EXP._Lt_/�i/ I
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Z U 0 2 7,5- Zoning:
LEGAL DESCRIPTION(Abbreviated):7'Q /l -L3 P(7 2[DO 7(Z 9 Of 95
SITE ADDRESS:.57D NF 7_,euP6tU Mow,,M A) P-D CITY: g&zFig/R
DIRECTIONS TO SITE ADDRESS: >y�t( Sta' cA► 7-R_U1L)e1f-P 1rl0QV714V ED 4$)) ;>9QP_-e Y
/5 eu 7/It± RiC,117-
TYPE OF JOB:
NEW >(' ADD ALT REPAIR OTHER USE OF BUILDING Ze516>4w'C
LOCATION OF FIXTURES/UNITS—IsT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 5 Furnace
Bath Tubs :2 Heat Pump
Showers I Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer I Gas Outlets
Kitchen Sinks I Wood/Gas/Pellet Stove
Dishwasher I Kitchen Exhaust Hood I
Hose bibs 2 Dryer Vent I
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
rgnature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN