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BLD2022-00938 Final Carport/Deck ADV2022-001266 - BLD Inspections - 1/11/2023
f \ 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON: 360-427-9670,EXT 352 :! COMMUNITY SERVICES BELFAIR: 360-275-4467,EXT 352 Building,Planning,Lnvironmenhil Health,Community HealUi ELMA: 360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bld-inspection.pqp Permit Number BLD2022-00938 Date Issued 10/07/2022 Issued y Project 20x35 RV COVER Site Address 521 E Cronquist Rd Applicant WEBER GREGORY A&SALLY L Contractor ITIELS CARPORTS&METAL BUILDINGS LLC Contractor Phone 503.984.2415 Primary Code UPC IBC, IRC,IFC, IEC, IMC,& Type Permit Type CARPORT/DECK/COVERED Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.** PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks 23 S Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing [ Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building {/ ZZ3 Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other 1 MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 36 60-482-52 Belfair ext.352 360-482-5269 Elma ext.352 Building,Planning,Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: BLW 0p;)— W130 ADDRESS/LOCATION: (f ROA)Wdf R D FINDINGS - %oo PLAA)S o s 1TF Vt,c alsk vJt, 5%4c- 14r\ Items listed above must be corrected to fain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection. ❑ OK to d Date: I b''� ❑ Please contact our office regarding possible Department: 13LD structural damage incurred by recent Inspector:_ DEED "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 f Mason County I � Mason County - Division of Community Development ✓� 615 W. Alder St. Bldg.8 bum' Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us F 022-00938 CARPORT/DECK/ COVERED CT DESCRIPTION: 20X35 RV COVER ISSUED: 10/07/2022 DDRESS: 521 E CRONQUIST RD ALLYN EXPIRES: 04/05/2023 PARCEL: 122321002071 APPLICANT: WEBER GREGORY A&SALLY L OWNER: WEBER GREGORY A&SALLY L 1673 SOUTH MARKET BLVD 10057 1673 SOUTH MARKET BLVD 10057 CHEHALIS,WA98532 CHEHALIS,WA98532 360-219-6172 GENERAL CONTRACTOR'S LICENSE: ITIELS CARPORTS&METAL BUILDINGS LLC License: ITIELCM825BR 1755 MT HOOD AVE#120 Expires: 01/27/2024 WOODBURN, OR 97071 503.984.2415 VALUATIONS: FEES: Paid Due Covered Deck/Carport 700.00 $15,400.00 Technology Surcharge $9.12 $0.00 State Fee-Residential $6.50 $0.00 Plan Check Fee $179.64 $0.00 Planning Review Fee $240.00 $0.00 Building Permit Fee $276.37 $0.00 Total: $15,400.00 Totals : $711.63 $0.00 REQUIRED INSPECTIONS Setback Inspection Set-Up Inspection Footing Inspection BLD-Final Inspection CONDITIONS ' 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. Printed by:Amber Selby on:10/07/2022 10:08 AM Page 1 of 3 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 CARPORT/DECK/ COVERED BLD2022-00938 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. * 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 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * 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. * Proposed structure(s) must maintain a minimum of a 5' setback from all property lines, easements and 25' from all County and State Road right of ways. Setbacks are measured from the furthest projection of the structure. X * 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. * 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. * Setbacks are measured from the furthest projection of the structure. 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 o ny o er s t al law regulating construction or the performance of construction. Issued By.6 Contractor or Authorized Agent: Date: Printed by:Amber Selby on:10/07/2022 10:08 AM Page 2 of 3 J �` "`' � Mason County 4* 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 CARPORT/DECK/ COVERED BLD2022-00938 Printed by:Amber Selby on:10/07/2022 10:08 AM Page 3 of 3 I 61 d r S reqt 1 I I I { � i } 1 0A / � A ao 4.�y ��s le I Sic a.ddtndu.►� !sf f . Direction: Scale: Approval: for office use Building Permit number: ,2Q rf Building: Owner/Applicant: �/ �—�--S Date of Planning: E application: Env. Health: Parcel Number. t y'U3a1On 7 RECEIVED JUL 18 2022 0 �n 60 11 r�a 615 W. Alder Street Rod N PAMA JOY JOHNS()N S- Pi $ 1i� a'�� S`'1 l F Slef e _erX-�e�in 40't cV �.-`� C,OSA.S'TxLsG�:``O-t� .."'�^�-•� �yl ~� ""yam ._ A 4151� �- i�F oa LcL ki i7 v, t "' YYWc�ii4 �j SZ �1tt�St'QteA 40 x4e OAudio-Visual Alarm 2.q E O2 Cleanout + -m Gallon Pre-Trash tank- 0- � �00 G t I ONuWater BNR-500 ATU Tank 1,000 Gallon lump Chamber OValve Control Box ( �{ eon 4„ Si. 7¢ A tAI 2 0 2022 M; O COOP E 1 t GHQ. Masonun � '�winted from Amason County©ASS RECEIVED Q ) r� SCALES 1'=60'-0' JUL 1 g 2022 0 1515 3060 Q PROPOSED SEPTIC rol5 W Alder Strut DRAINFIELD AREA P PROPERTY LINE $�TP2 E OF SLOPE TPI. CCEEDING 40% CONSRTUCTION ENVELOPE cn /'♦l' / ,.lam/ ' �`' // ' ,/ !" �' 1I i �• � � ��/� �� 368t 1 c� --- ROOF DRAINAGE OUTLET TO 138t TOE OF SLOPE, DISSIPATED 20' CONSTRUCTI❑N W/ 3' TEE TOP OF SLOPE SETBACK EXCEEDING 407 10' VEGETATED DRIVEWAY ACCESS BUFFER TO PROPERTY i IF BUILDING IS 50 FEET OR MORE FROM TOP OF SLOPE, PROJECT/ OWNER/ LOCATION; j NOTES, SINGLE FAMILY RESIDENCE 1 1. EROSION CONTROL MAY BE REQUIRED FOR THIS SITE. GENERAL LOCATIONS T I G H T L I N E NOT REQUIRED ARE DEPICTED, AND ALTERNATIVES MAY BE UTILIZED AS EXPLAINED IN THE FOR ROOF RUNOFF. DOWN- GEOTECHNICAL REPORT , GEOTECHNICAL REPORT. WEBER 2. CONTOURS WERE NOT PREPARED BY A LICENSED LAND SURVEYOR. SPOUTS WITH S P L A S H B L O C K XXX E CRONQUIST ROAD CONTOURS WERE EXTRAPOLATED FROM A PUBLIC LIDAR SOURCE, AND PARCEL 12232-10-02071 INCORPORATED FIELD MEASUREMENTS AS EXPLAINED IN THE GEOTECHNICAI ARE ACCEPTABLE LEGEND MASS COUNTY, WA NGT REPORT. 3. BOUNDARIES WERE NOT PREPARED BY A LICENSED SURVEYOR. LOCATIONS TEMPORARY ENGINEER, OF SITE FEATURES THAT ARE SHOWN HERE, SUCH AS TOP OF SLOPES, TOE EROSION CONTROL ENVIROTECH ENGINEERING OF SLOPES, WATER FEATURES, ETC., WITH RELATION TO THE PROPERTY PO BOX 984 LIDS MUST BE VERIFIED BY THE OWNER. RECOMMENDATIONS IN THE SLOPE INDICATOR BELFADR, WASHINGTON W529 GEOTECHNICAL REPORT PROVIDE SETBACKS, BUFFERS, DEPTHS, ETC_ WITH 360-275-9374 RELATION TO GEOLOGIC FEATURES, NOT PROPERTY LINES. THESE GEOLOGIC - _ EXISTING CONTOUR FEATURES MAY BE LOCATED ON THE SUBJECT PROPERTY OR NEIGHBORING I&TP TEST PIT SITE PLAN PROPERTIES. EXHIBIT MAP �g FOR 30 FOOT EASEMENT TO BENEFIT PARCEL NO. 122321002071 O A PORTION OF GOVERNMENT LOT 2 OF SECTION 32, TOWNSHIP 22 RECEIVED NORTH, RANGE 1 WEST, W.M. MASON COUNTY, WASHINGTON. JUL 1 � z� 0 100' 615 W. Alder Street PARCEL # 122321002060 3'EASEMENT FOR INGRESS. EGRESS a 1371.67' UTILITIES S 8903647' E N 89056'34" E 291.49' r 1273 69' � 296.91' `ry'F52i .91' 238.58' L4 �' L1 N 89'55'4V E N 89056*34" E 4u - S 89056'34" W POB 255. .y6•��' E PARCEL # 122321002071 -`�`'a 5/8'B&C NE COR FND 518'BaC L8 r112 PER PREVIOUS LS#15653 in L7 369.67' o) suRVEv 2 �' PARCEL # 122321002072 ,4 z ; N 89036'47" W `J° 133.55' L5 L 22 L11 wood 98.45' `' �► N 88°55'06" E N 80°39-40" W �a LINE BEARING HORIZ DIST L1 N89056'34"E 31.77' Q L2 N 19001'15"E 31.74' L3 S19001'15"W 31.74' Q L4 N89056'34"E 85.00' LEGEND L5 N87015'44"E 4.88' L6 S6020'16"W 32.90' • CALCULATED POSITON L7 S89036'47"E 16.35' DR LAND SURVEYING Q FOUND AS NOTED L8 S89036'47"E 31.60' L9 N19001'15"E 30.64' PROFESSIONAL LAND SURVEYING O IRON PIPE FOUND L10 S18003'48W 49.72' 222 SE SNIDER RD •091 QUARTER CORNER L11 N85026'54"W 81.67' SHELTON WA 98584 L12 S87016'11"W 53.55' drsurveying@yahoo.com 360-427-8392 2016-024A e;A.Y;'a W inr,aU"17V col V4 VA iNM 5 Z&WRZZZ PERMIT ASSISTANCE CENTER: Permit No: 0 B ILDINa o PLANNING c PU5LIC HEALT-i,PRE A4ARShAL RECEIVED �1_ }p 615 W.Alder Street,Shelton,WA 98584 �✓E I V/a E D = Phone Shelton:(5WX7-.9570 ext.352 Fax:(°SC)427-7798 Phone Betleir.(360)275-4467•Phone Elms:(360)48252M tutu �i' G Y BUILDING PERMIT APPLICATION 695 V1 . H — PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: --, ,mot / 4 �r jt;t a `' t".��F+<. NAIAE:,T-t",�S 1 n rooe:2'nj F? ' R Lot, r r"Gi c MAILING AbDR$SS: - 1 Crq r +)- MAILING ADDRESS: P.O.Pox CITY: A I I STA r:�1 tL: 4e.;'.2 C7TY:]I)da6hI l t R STA T E.:0r. ZIF:37071 PHONE41: -aO-jSQ2 PHONE: CELL: PHONE#2:36O-a 19-`r?6 3rJ1AIL EMAIL: L&I RE:G#ai6�.2 EXP.�/ /2oa3 PRIMARY CONTACT: OWNER 8 CONTRACTOR❑ OTHER❑ NAME •�reoi©t^cf�r .Sa1. to fi}'P - EMAIL �r^ MOLr1, oryl; MAILING ADD SS- R I r=. Crn4fA;c-r RA_ CITY STATE�,)f - ZIP 9 PHONE .'�6,d- CELL ,�3t0-a;f9-7 PARCEL INFORMATION: J FARCEL NUMBER(12 Digit Number) ZOTQgG �. LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITEADDRESS,a•' E. C.ror,Grrf_/S? CITY - 1t, DIRECTIONS TO SITE ADDRESS r-rro 4 u v r' 1 KZ�' r P it' f . 1 w r� n reSS 1 c E� .^ c TFC3�?" ?3JLt F"rF S3?^E!S)GRFTEa THAN E9%: YE.S❑ NO'RL ISPROPER713WIlM 200 FT OF TBE FOLLOWING: (Check all that apph•): SALTWATER LAKE❑ RIVER/CRE'EK❑ POND❑ '?JET?_AND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWZ[ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Gamge.Commercial Bidg,Ere.I R,V e CLaAf%r-r- I.S USE: PRIMARY❑ SEASONAL"V NUMBER OF BEDROOMS_ NUMBER OF I3ATI-IROOMS-- HEATED STRUCTURE? YES(whole Bldg)❑ YES(Parr(s)°fxdg)❑ NOR ,S3^UAF._q FO TAIM.(prepare+existing) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. CO✓zRED DECK{ sq.ft. STORAGE sq.ft. OTHER sq.ft GARAGE sq.ft. Attached❑ Detached❑ CARPORT 7L a_n sq.ft.Attached❑ Detached, MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH W1DTF BEDROOMS LATHS SERIAL NUMBER SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO X If yes,attach completed Water Adequacy Form PER04 TER/POUNDAT'ON DRAINS PROPOSED? YES❑ NO;& EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS t9Y:rtvcK 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 obta:near neniseon ham all vie necessary parties,i nclr;d-irra any ease:gent holde,or parties of interest rat, this protect. The owner or legal representative,represents that the information provided is accurate and grants empioyees of Mason County access to the above described property and structure(s)for review and inspection. This pernittappliration 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 't ZF T�K u ANS V=I:OPE WCILL CAA-32 T aE AFFLM AT S`N 7-BE f'a`7-, EG.(,MAS'4 COUNTY CODE 14.08.42) 7- /F- -W ignature O ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS B=ING DEPARTM-F14TDec- Q"SiZ PLANNING DEPARTMENT FIRE MARSHAL PUBLIC IMAL TH `�t1ZZ i ° R�d�t Stet UILDIOGORSRUCTIOR BUILDING 53-285-8553(o Engineering Checklist Please complete the following form and sign to confirm accuracy of information provided.This form will be used for the process of engineering your metal structure. Once this form is signed &complete, any changes from this point forward may incur additional charges. Name: 0 r f ' (Name that will appear on drawings) Building Physical Address: YI u ) S 7` R, # Street 314.'12 �& 7T-5"3-�--- City, State Zip code Mailing Address (If different): a /--Z/ -e • # Street City, State Zip code Building Use: MCarport/minor storage/Utility(Category 1) IICommercial/Residential (Category 11) NOther Design Criteria: (Per county requirements): Snow Load: $ (Pounds per SQ FT) _LIVE Z 7f GROUND **(CHECK ONE)** Wind Speed: (ULTIMATE 3 Sec Gust) Foundation: []New Concrete Slab ❑Existing Concrete Slab (Pictures required) ❑Concrete Piers ❑Gravel as••anchors$70ea ❑Concrete runners ❑Asphalt DiRocky/Hard Soil ❑Soft Soil/Ground 30"anchors Do You Need: (Check All That Apply) PDF Copies emailed. If so, Email address: Wet Seal Stamp Drawings *Calculations ***Items require additional charge** Are you getting Permits? ®Yes ONo I *If you are getting permits, you will not be scheduled until you notify us that your permits have been approved. Sign Name: ��! "�--� DATE: C7 -D Zvi NameL", A.dr � Parcel# 19 20 a a VV �55.JJ ILDA Mason County! 20122 �1 artment of Community Development Small Parcel Stormwater Management A fipH6Mdnf heet (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 surface2. '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 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/Agent/Contractor(circle one)Date: 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 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/codelcommissioners/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 r MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADVti1- _ ovl2c� � Building,Planning,Environmental Health,Community Health a . 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Revd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee. .00 Request for Administrative Variance for pall 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 gutters. Applicant/Owners: L ttlietl— Mailing Address: . =� / ('�rs� �;�+ RSA . City: State: Zip: 4 P• SEP �Q Telephone: '30 61 V Email: <j U Wy C Q ryla i( . C'Ary� If this reduction is tied to a building permit,please givef er it case number. BLD / ( �3 v1 �����J� �t&' "O 0 1 3 Parcel Number(s): 1�A L-(00--1d 7 l Zoning_ Vl Site Address: ` f 1. l �n cc�s �cQ . f l�C�1n , W� 1.4 Requested setback variance: ,y ft. 1�11ront ❑ Rear ft ❑ Front ❑Rear 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. r FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) 0 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-fourth acre; 11-e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REOUESTS: 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): Pi'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; Ve) ) lot size of no more than one-half acre; 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. -4r-- an Ctc r e, av-d_ we cue- en CcM- �- c ,a/L,4le.v a-'-Ck Owner/Agent (please indicate) gnature bate Official Use Only Approved by: Date 2,6 2 Denied by: Date Reason for denial: J