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HomeMy WebLinkAboutBLD2019-00960 Final Garage ADV2019-00108 - BLD Permit / Conditions - 5/18/2020 Mason County i 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 BLD2019-00960 GARAGE/ STORAGE PROJECT DESCRIPTION: GARAGE ADDITION ISSUED: 11/26/2019 SITE ADDRESS: 10091 E STATE ROUTE 106 UNION EXPIRES: 05/24/2020 PARCEL: 322365100018 APPLICANT: RICHARD S&SUSAN M CHARBONNEAU OWNER: RICHARD S&SUSAN M CHARBONNEAU 3029 CORAL BELL LN 3029 CORAL BELL LN FRANKLIN, TN 37067 FRANKLIN,TN 37067 GENERAL CONTRACTOR'S LICENSE: BRAD WILSON CONSTRUCTION License: BRADWCI033DF Expires: 05/13/2021 (360)426-0277 VALUATIONS: FEES: Paid Due U VB Utility, miscellaneous 448.00 $21,414.40 Change in Tenant- Minor EH $110.00 $0.00 Plan Review Plan Check Fee $239.70 $0.00 Building Permit Fee $368.77 $0.00 State Fee-Residential $6.50 $0.00 Planning Review Fee $240.00 $0.00 Total: $21,414.40 Totals : $964.97 $0.00 REQUIRED INSPECTIONS Setback Inspection Shearwall Inspection Footing Inspection Framing Inspection Foundation Wall-Pre-Pour Inspection BLD-Final Inspection CONDITIONS * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Printed by:Julia Kerkes on:11/26/2019 09:12 AM Page 1 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 BLD2019-00960 * 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. * 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. * 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. * 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. * 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. * When parcel development requires direct access to county road(s), 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. * When parcel development requires direct access to state road(s), 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. * 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. * 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. * 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. * 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. * The plan review check list 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 r building inspections. removal of approved documents will result in failure of required g p Printed by:Julia Kerkes on:11/26/2019 09:12 AM Page 2 of 5 Mason County i 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 BLD2019-00960 * 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. * 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. * The foundation/footing must be placed on undisturbed, firm-native soil. * 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. * 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. * 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. * 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. * 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. * All property lines shall be clearly identified at the time of foundation inspection. Printed by:Julia Kerkes on:11/26/2019 09:12 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 BLD2019-00960 * 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. 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. * 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. * 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. * A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with the 2015 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S1 designate GARAGE PORTAL WALLS with fastener spacing 4 inches or less. The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton, WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said project. Printed by:Julia Kerkes on:11/26/2019 09:12 AM Page 4 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.masonma.us GARAGE/ STORAGE BLD2019-00960 I 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 Authorized Agent: �6� Date: Z— Printed by:Julia Kerkes on:11/26/2019 09:12 AM Page 5 of 5 MASON COUNTY COMMUNITY SERVICES PermitNo:bMof "uylub PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax.,(360)427-7798 PhoneIgo AUG 2 8 20�.7Q Belfair.(360)275-4467•Phone Elms:(360)482-5268 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: nn qJ I�ic.lc i NAME: r �►�SeI CC h S (• MAILING ADDRESS: 3W MAILING AD RESS: 10 - Ceti fA Ae r CITY: RetA tier STATE:2_ZIP: CITY: 4 h STATE:�A._ IP: $ PHONE#1: PHONE: CELL: 3.0 PHONE#2: EMAIL:MI&i& lu [+'Se it 0 G0 I•G a`� EMAIL: L&I REG 1 033 OF EXP.06 If T Z EREAAAY CONT OWNER❑ CONTRACTORg, OTHER❑ NAME AACG J .-SOLA EMAIL ?tc,!.L.,(uf.PSO4%© gof.Ca-, MAILINGAD RESS C,V' CITY SI•C •. STATE LO ZIP_11-SV1' PHONE q-%1119— G 2(65 CELL PARCEL INFORMATION: ,,qq PARCEL NUMBER(12 Digit Number) Z2 3�o — 51" lid Q Q (g ZONING 2 R 5 LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Nogo t G+qtr- R4• /O CITY (�A•!lh DIItECTIONS TO SITE ADDRESS S• t O ' �.JCie" 0411 sriG 4 Q i,t.,l`mS wl rest /00 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO J& IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER a LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION A ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Gamge,Commercial Bidg,Etc.)_ iC� S f S� r IS USE: PRIMARY❑ SEASONAL K NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Mole g)❑ YES(Partls]ofBldg)p NOA II DESCRIBE WORK /� 1304�S to r-• F)H C SQUARE FOOTAGE:(proposed) I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK osq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE O 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❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO M, Ifyes,attach completed Water Adequacy Form PERMffiTER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 r . w and inspection. This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or rf construe work is suspended for a period of 180 days. PROOF O CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) c X ZY �7 Signature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDrfTONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV 61� - C�(�I Ua Building.Plannuxl,t,vironmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 AUG 2 8 2019 Request for Administrative Variance for 615 W. Alder 5:1 @Q1 Reduction in the Required Setbacks For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and /guutters. Applicant/Owners: c-IQ 1± Cu S Mailing Address: Z C, Lo r c e l l L ti City: r;-q.1 -1 State: Zip: 31 d 6 7 Telephone: (9 !S — 3 S N - u(4 l L' Email: J -C-Ln 4✓�b d vt n -f e V rg C o,4 c S S . t`t �- If this reduction is tied to a building permit,please give permit case number. BLD 20 1 Q - 0 0 5 U U Parcel Number(s): 30Z _ �� b Zoning ,S Site Address: t o o q Requested setback variance: 10 ft. 15!�Front ❑ Rear ❑ Side �►�r ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water,wetlands, critical areas, septic,well and driveway. Show all proposed new development. FRONT AND OR REAR YARD REDUCTION REOUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): lb-a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. A* V0 Ens Itr9b GcV'C�C�C for- S fo r SvS I`�r+A S Owner/Agent(please indicate) Af 7 6 Signature Datc �fflCl[1/ l:r.S'[' OnlyApproved by: Date 2. Denied by: Date Reason for denial: catch basin State Rt 146 28 2019 W.Alder 5►.aet - D ri L— — _--- J 220 sc:f 2 existing �d+l- 2 oudoor 0•_ storage o t0 t �o v x � � D a 7 0 36 } O N w o _ 24 � 2 � In �X Reserve Drainfield for 10091 3 bedroom 600 sgft drainfield reserve type 4 soil's_ swc -oo167 b app rate �7 L I � 9 A ? °� 5t00449 ��it� �AAICAH T1iANi�1.iiAt\2�'t10H'�f. � LICENSED DESIGNER Existing cabin E s:OW10 f� 125'+/- PLANNIN • Exels ant,', PLAN ING: site plan boat storage. ALL SETBACK E MEAS RED Gharbonneau Rick & 5usie FROM T FURTHEST PRQJECTIO OF THE BUI DING 100g0 E 5tate Rt. 106 Union Na g85g2 ► o ads �f 'Z PLANNING Parcel # 32236-51 -0001 b C A DES`)*'j;r'-r :DPP OVALS 125' +/- E Pebble Beach Ln Name Ck4w�bon'tG✓ Parcel# Z BLD#--6.)LI 2,6Iq - Wq (p(� L) a �'r� � Mason County BUILDING 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 Ma site: http//www.co.mason.wa—us/code/commissioners/index.htm AA�V LL ��_Lout", Please follow the links to"Title 14, Chapter 14.48 Stormwater Management". 615 W. Alder Street 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);ei�rentirety The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in 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 knowledge that the information provided is accurate and employees of Mason County are granted access to the above- descri ed property for review and inspection as may be required. X _ Owner/Agent/Coi(zor(circle one)Date: 6 Page 2 of 2 Name CAarrbp hh e A y Parcel# 3Z Z 3 b -t7t ` 000 l� 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 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. 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 X = X = Measurements NsA5uildings are taken at the X _ perimeter oft arthest projections (example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way 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 = 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 Surfaeb Area (sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please re ,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 a owledge that the information provided is accurate and employees of Mason County are granted access to the above- describ pro erty for review and inspection as may be required. X Owner/Agent/C ract (circle one)Date: r: 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