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CD Type of Insp. Fail Date Date Dane By Comments -4 CD 0 pLr b�GSl� /107 G. 429 9 D, '(7 CD 7 Cn 0 0 0 5 CD .......... CD 0 Town & Country, A Division Of T 16521 Highway 99,Suite C•Lynnwood,WA 98037-3161 Please Check After Doing Site Plan: ❑Septic and drainfield I],Lot size Draw North Arrow in Circle R E R MAa I L Puyallup:(253)840-9552 C Property dimensions q,Sewer lines ll Elevation of property O © Administrative Headquarters:(425)743-1555 Q�Existing buildings d,Setbacks of proposed&existing buildings Bodies of water FAX:(425)742-4378 • 800-824-9552 + [n•Main road with name Floor Ian • J Contractor's Lic.#:TOWNCPF099LT El Proposed building p permabill.com • facebook.com/permabilt El Easements Access to proposed building Slopes&Contours(5'increments) Building Proud'" Job Name: Job Site Address: Legal Description: Tax Account#: 1 � f �Y �d 20 S �' 9 RECEIVED i70 =1 - A a,A JUL 12 2018 615 W. Alder Street S od t � '1 l 26 I r8 -od 7L4 l PLANNING PLANNING: j, y. � �� n A L SETBACKS ARE MEASURED P , Q,S FROM THE FURTHEST g PROJECTION OF THE BUILDING cb y'1_ �5 i 1+ ' i 1 t ;j J � r. 3 lV V. f tA\" A d�. t: APPROVED .I MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE SUBJECT TO APPR VA By Date (�4 i 1�vlt 4�J Qn I�'1Y DO NOT SIGN INCOMPLETE SITE PLAN! ' Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all Grid White-Customer Copy Plain White-Office Copy utilities are shown on this drawing in the-correct location. 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'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 51, X 39' = 1989 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X j = 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 N Total Impervious Surface Area (sum of all areas) 1989 4 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. 0 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 i`l further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- describe property for review and inspection as may be required. X (A)AZI/V5 6 Owne Agen ontractor(circle one)Date: If the T al Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. LJ LLI Page 1 of 2 _. yYf, it I�i Name Parcel# 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 I,'1 County Division of Environmental Health can be reached at: J 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. N 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. f"" X Owner/Agent/Contractor(circle one)Date: u I1J Page 2 of 2 it Ij� Date Received: MASON COUNTY RECEIVED COMMUNITY SERVICES DEPARTMENT BUILDING•PLANNING•FIRE MARSHAL JUL 12 2018 Mason County Bldg.8,615 W.Alder St ? Shelton,WA 98584 www.co.mason.wa.us 360-427-%70 ext 352 615 W. Alder Street ... : �U��g airBU ILDING Permit 4 Property Owner's Authorization Letter 1 (we): --SgAtL& psi e NAC1_E. (Print Properiv thcners Name;Firm/Organization) Hereby Authorize: MA=— RITTOH (A iicant-Name o Person to Sinn Permit PP f � ) Representative of: pw eck�, � POS-t H.F. bj ILD(NGS (,Applicant Company Name/Organization) To apply for, sign, and pick-up building permits for the following proposed work: V-PAL I A `DET,ACRrk7 3 :4 f8 -A IS TbLe- Bu101NC, GARACoE (Brief Description of Work to be Done) Job Location: 80 A.I)o a T&N I I`W `D al vf- -7AH U YA U (Property Site Address) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for, sign, and pick- up the building permit for the work as indicated above. All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). F4 roper caner Signci/ure) (Date) t� Rev,t13:'1 Q-2016 jlbn f� coU MASON COUNTY COMMUNITY SERVICES I O►1 G�q kit PERMIT ASSISTANCE CENTER; Permit No: I I .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHALutivtl 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427 9670 ext.352•Fax:(360)427-7798 Phone JUL 12 2018 00 .� _- Belfalr.(360)275-4467•Phone Elma:(360)462-5269 U) VON. r.. BUILDING PERMIT APPLICATION 615 W Alder Street UU ... PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 0 NAME: Nagel,Shane NAME: Town &Country Post Frame Bldgs LU MAILING ADDRESS: PO BOX 778 MAILING ADDRESS:1652 Hwy 88 suite C �+a CITY: Belfair STATE:--.WA ZIP:98588 CTTY:lvnnwood STATE:�[g_7.IP:��Q3L PHONE#I: 360-6 -3206 PHONE:. d�5T 743-9555 CELL; PHONE#2:. EMAIL: rmit@�ermabilt.com Z, EMAIL: cas200467(@msn.com L&I REG# WNCPF099LT EXP. 6-i 39 19 Q PRIMARY CONTACT: OWNER❑ CONTRACTOR M OTHER❑ NAME. Iodie Wilkinson EMAIL rmits ermabilt.com MAILINGADDRESS sameascontractor -CITY_.__ STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)_M_ 95_Q.QO097_ ZONING co LEGAL DESCRIPTION(AbbreviateO WOOTEN LAKE TRACTS TR 97-98 FIRE DISTRICT SITE ADDRESS 1 R0 N F Mountain V i w Drive CITY_ Ta WNj DIRECTIONS TO SITE ADDRESS�pe attached dirPcti(,1ns,to site IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall ihatappry): SALTWATER❑ LAKE® RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW N ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)_.-&t8.f I1.Pd ga rage _ IS USE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole RW❑ YES(Part(sf of Bldg)❑ NO DESCRIBE WORK Post frame riPtached garage to be built on future home site w/existing access SOUARE FOOTAGE:(propose+existing) IST FLOOR sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fl. DECK sq.ft. COVERED DECK sq.R STORAGE sq.ft. OTHER sq.ft. GARAGE_1718_sq.ft. Attached❑ Detached® CARPORT sq.ft- Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ N/A 0 J t PLUMBING IN STRUCTURE? YES❑ NO® {ryes,attach completed Water Adequacy Form {� PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO® EXISTING SQ.FT. 4 EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0 k I OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such Is by signature below.1 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 44 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 f 180 days_ 0 PROOF OF CONTINUATION WORK 0 THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS tl PERMIT APPLICATION OF AO DAYS MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) h X ULM -7 - 12 it e Sign to of OWNER(Must be signal by the OWN Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT (d L1J FIRE MARSHAL s PUBLIC HEALTH 7 U i1''1