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HomeMy WebLinkAboutBLD2019-00133 Final Pole Bldg - BLD Permit / Conditions - 10/10/2019 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2019-00133 GARAGE/ STORAGE PROJECT DESCRIPTION: CONSTRUCT NEW DETACHED POLE BLDG ISSUED: 05/10/2019 SITE ADDRESS: 581 E BAY HEIGHTS DR ALLYN EXPIRES: 11/06/2019 PARCEL: 122297890053 APPLICANT: MICHAEL E ZDILAR OWNER: MICHAEL E ZDILAR PO BOX 1394 PO BOX 1394 ALLYN,WA 98524-1394 ALLYN,WA 98524-1394 1.203.988.6995 GENERAL CONTRACTOR'S LICENSE: TOWN &COUNTRY POST FRAME BUILDINGS License: TOWNCPF099LT Expires: 06/30/2019 425-743-1555 VALUATIONS: FEES: Paid Due U VB Utility, miscellaneous 864.00 $41,299.20 State Fee-Residential $6.50 $0.00 Plan Check Fee $121.65 $0.00 Building Permit Fee $608.13 $0.00 Planning Review Fee $240.00 $0.00 Total: $41,299.20 Totals : $976.28 $0.00 REQUIRED INSPECTIONS Setback Inspection Rough- Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Shearwall Inspection BLD-Final Inspection Framing Inspection CONDITIONS Printed by:Genie Mcfarland on:05/14/2019 09:10 AM Page 1 of 5 f Mason County Mason County - Division of Community Development 10 / 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2019-00133 Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. * The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created. * A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel, the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC)of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section R401.3 & R402.4.1.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4.1.2. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 500 square feet. Reference IECC/WSEC R402.4.1.2. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate" and are available in '/4 or'/z sheets. The Mason County Permit Center will also have some available. Printed by:Genie Mcfarland on:05/14/2019 09:10 AM Page 2 of 5 r Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2019-00133 * All building permits shall have a final inspection performed and approved by 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. * All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * All property lines shall be clearly identified at the time of foundation inspection. * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * The foundation/footing must be placed on undisturbed, firm-native soil. * A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting 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. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. * WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. * The plan review checklist and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. * REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. Printed by:Genie Mcfarland on:05/14/2019 09:10 AM Page 3 of 5 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2019-00133 * Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the IRC, and IMC. Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.7. 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. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all 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 UL181 B and shall be marked 181 B-FX for pressure- sensitive tape or 181 B-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 181 B and shall be marked 181 B-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 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 ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit documenting test results in accordance to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the 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 to WA state law. * 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. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington 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. * A Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at (206)357-2620, ext. 630. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Printed by:Genie Mcfarland on:05/14/2019 09:10 AM Page 4 of 5 Mason County is Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2019-00133 All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * 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 and 14.17. * Adopted IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine -4C, Window(Max U- Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. * 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. * 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. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. RR5 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Author 6ec� gent: . Ik Date: Printed by:Genie Mcfarland on:05/14/2019 09:10 AM Page 5 of 5 N n 0 O -0 M 3 ID d ° z z z � X j I N N Z 0 013 n m <D N O O 71Z _ _ m 0 � n V} 7 3 u Z m Z N C cl) D ( o m 0 r � � >p m o 0 O z o CD 0 w c rn Z T o (n n m m r \. 3 r 3 Z 0 y m O O m m Z � � 0 0 cn wCD T v D rn � N ° � o ohm W m � cn a O ' er d� O An °: d a co (0 O cn -1 n 3 Gaf r Z CD _ Z 7 73 ?x CD ^ coo -a m, O 00 C Vl O ``♦ M .n+. fD fC n Z N N" i1 M : m C 7 3 7 C Z A c D � °� m Z 0 0 N —4 D y `< 0 .� M D 0 O cn w► x = m W O r m m 0 G) 3 `n No 3 � w cD w 00 N a00 m M to w M 41 MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No: •BUILDING.PLANNING.PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone tX.St Be/fair.(360)275-4467.Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION BUILDING PROPERTY OWNER INFORMATION: CONTRACTOR INFO NAME' NAME:Town&Country Post Frame Bu' MAILING ADDRES lb MAILING ADDRESS:16521 H 9 `• CITY: STATE: ZIP: CITY:Lynnwood (�,�ff A 98037 PHONE#1: Gig bIP: PHONE#2: ^ ��a� PHONE:425-743-1555 CELL: �— EMAIL :permits@permabllt.com EMAIL: L&I REG#TOWNCPF099LT EXP. �/Lo PRIMARY CONTACT: OWNER❑ CONTRACTORS_ CST E$_f1 NAME ,uV1 MAILIN D SS EMAIL rrn 1�- PHONE }'14F�� `j CELL CITY g��_ Ems_ ZIP PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) I� - $-_ 9 UU 53 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS_S � i Rt �, CITY 4A LOA- DIRECTIONS TO SITE ADDRESS Se�lPttached u IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES`k NO E] Geo A S� IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF E]STREAM E] TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) _ 4P- IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDI&OMS NUMBER OF BATHROOMS C7 HEATED STRUCTURE? YES(Whole Bldg)❑ YES (Partts/00749) ❑ NO DESCRIBE WORK Alvilplo SQUARE FOOTAGE: (propose+existing) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 46 6 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: SEWAGE/SEWER SOURCE: SEPTIC&I", SEWER / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES E] NO e If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO&/' EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS .-M 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) o19 Signature o OWN R (Mu5i be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED D T DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH e Name ftuL ;z Q,U c Parcel# 104' `—It-— 0(C>()53 BLD# 2019- 601 35 Mason County -f m o".01q - 60 I AD BU ' L D kN(;ment 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 whenevg ng a lication is made for residential development, or redevelopment', with more than 2,000 square feet io�s%d' i 2. 'Redevelopment fez 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,sral��d ent including construction,installation or expansion of a building or other structure,and/or replacement of impee��io�T'surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impe� ;*C,development. '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 z- = V 6 ti X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: 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/Contractor(circle one)Date: i If the Total Impervio s 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 ��g �( 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 cond ted only hap after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 C r 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage o Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary infib at nand plans for Public Works to review and approve. Per Department of Public Works this document will consti to an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the storm\THEE m adversely affects any septic system (see En ironmental Health information below). If an alternative systused a plan will need to be submitted to Pu Works for approval. A design by a registered professional may for more complex sites. *These details are found in the documng Storm Drainage on Small Lots, Th all Parcel Stormwater Site Plan on the pages that begin with"Handou PLEASE INITIAL BELOW TO INDICATRMWATER MANAGE NT PLAN FOR THIS SITE A) The relevant details from Managing Storm Draina on Small Lots a Small Parcel Stormwater Site Plan will be instal led in their entirety AND the system will be located as not to adve ly affect y septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be su fitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic syste o this,or any other,parcel. If you have further questions pertaining to parcel d ' age and sto water management Mason County's Public Works Department can provide additional instructions, dance and exam p s. (Section 14.48.130)contact Public works at: P ne: (360)-427-9670 E T.450 M : P 0 Box 1850, Shelton 98584 P ysical:415 N 6th St,Shelton W 98584 If this development has,or will e,a septic/drainfield system you may ed to contact Mason County Division of Environmental Health to ens that the stormwater system will not adver ly affect the septic system of this,or any other,parcel.You may so wish to consult with the septic design professio al involved with the project.Mason r; County Division of Envir ental Health can be reached at: + Phone:(360)-427-9670 EXT.352 Mail: P 0 Box 1666,Shelton WA 98584 l Physical:426 W Cedar St, Shelton WA 98584 f 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. y X Owner/Agent/Contractor(circle one)Date: - LA Page 2 of 2 111 7' i!i town & Country, A Division Of v.a., . .u.. f E R MAa I LT 16521 Highway 99,Suite C•Lynnwood,WA 98037-3161 Please Check After Doing Site Plan: [],Septic and drainfield of size Draw North Arrow in Circle Puyallup:(253)840-9552 ❑Property dimensions d Sewer lines Elevation of property Administrative Headquarters:(425)743-1555 0 Existing buildings [.Setbacks of proposed&existing buildings ❑Bodies of water O . FAX:(425)742-4378• 800-824-9552 El Proposed building El Main road with name ElFloorplan ' Contractor's Lic.#:TOWNCPF099LT permabilt.com • facebook.com/permabilt ❑•Easements . ❑Access to proposed building E `tlopes&Contours(5'increments) BuildingProud"' �`-'-° r,r ttzPr" Job Name: Job Site Address: � -'� Legal Description: _• I N i% Tax Account#: 1 s ..c. t i t" o s" 1 ' 3� ` HO t i +. f Eo 2ol-9 - � •� Aw 4 J t 6A isJP (J k/ 2-K,0 r T t17(di Exis+l • 1 (7 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. CUSTOMER SIGNATURE LEAD# ©2012 Perma-Bilt®Industries FR-34 10/17 1111111 IIIII 1111 IN 1 0 vav � ui town & Country, A Division Of E R MAa I LT Highway Suite C•Lynnwood,WA s8037-3t61 Please Check After Doing Site Plan: ❑:Septic and drainfield Lot size Draw North Arrow in Circle Puyallup:(253)840-9552 D.Property dimensions d.�Sewer lines ❑Elevation of property Q Administrative Headquarters:(425)743-1555 0 Existing buildings [];Setbacks of proposed&existing buildings ElBodies of water FAX(425)742-4378 • 800-824-9552 0 Proposed building 0 Main road with name ElFloorplan Contractor's Lic.#:TOWNCPF099LT • permabilt.com facebook.com/permabilt Building Proud • [Easements 0 Access to proposed building ❑Slopes&Contours(5'increments) T"" Job Name: Job Site Address: Legal Description: Tax Account#: - - RECEIVED 19 2019 615 W. Alder Street 3t S f 2a} v 4f. 5 EE Ci f �; Eo Z.o I q jo N Y^ t ~� PLANNING . ' Qn� ! jy . ,t34 ?�1 ALL SET6ACKS ARE MEASURED VED Pv"ASOf'l COUNTY DCD PLANNING FROM THE FURTHEST PROJECTION OF THE BUILDING f SITE PLAN REQUIRED TO BE ON SITE C G SUBJECT TO APP O�JA tic • By Date- _ PLANNING