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HomeMy WebLinkAboutBLD2012-00616 Cancelled Pole Bldg - BLD Permit / Conditions - 8/30/2014 Ipspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9 70, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 279 Shelton, WA 98584 too RESIDENTIAL BUILDING P IT BLD2012-00616 OWNER: JERRY JOHNSON RECEIVED: 8/20/2012 CONTRACTOR: TOWN & COUNTRY 800-824-9552 LICENSE: TO ZZ T EXP: 6/30/2013 ISSUED: 9/20/2012 SITE ADDRESS: 171 E RAUSCHERT RD GRAPEVIEW EXPIRES: 3/20/2013 PARCEL NUMBER: 121181200040 LEGAL DESCRIPTION: TRACT 4 OF GOVT LOT 2 TGW 1/10 INT IN LOT 41 MO TAIN SHORES PROJECT DESCRIPTION: DIRECTIO M\\AOAIN SITE: NEW DETACHED POLE BLDG GRAPEVI W LOOP RD, R ON RAUSHCERT RD TO SITE ADDRESS ON THE LEFT D General Information Construction &Occupancy Infor tion Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. p: Lot Size: Deck: Type of Work: ACC Fire Dist.: 3 No. of Stories: 1 Occ. ad: Building: Garage-Detached 1,152 Valuation: $ 44,524.80 Building Height: 16 Occ. Sta Prima Basement: Manufactured Home Information •--,wvt at n Shoreline&Planning Information Make: Length: Ft. Front: W 15.0 Ft. S ' e: Ft. Water Body: Bear: E 675.0 Ft. Slo e- Ft. SEPA?: Unkn Model: Width: Ft. Side 1: N 45.0 Ft. Shoreline Desig.: bWtiApplicable Year: Serial No.: Side 2: S 165.0 Ft. Comp. Plan Desig.. Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type r Qty. Type By Date Amount Receipt Plan Check Fee GMM 8/20/2012 $385.61 S1201200000001 Planning Review Fee GMM 8/20/2012 $205.00 S1201200000001 EH Plan Review KKK 8/20/2012 $ 103.00 S6201200000001 Building State Fee LDK 8/30/2012 $4.50 S2201200000001 Building Permit Fee LDK 8/30/2012 $593.25 S2201200000001 Total $ 1,291.36 10 BLD2012-00616 Please refer to the following pages for conditions of this permit. Page 1 of 5 N N O J N CASE NOTES FOR to S BLD2012-00616 0 0 m CONDITIONS FOR BLD2012-00616 C_ CD C_ 0 1 Contractor registration laws are governed under RCW 1827 and enforced by the WA State Dept of Labor and Industries,Contractor Compliance Division. I N There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor_Further information can be obtained at i O 1--80082.The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to WA state law. X Q CL 2) All 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 p or to any further inspections being performed or approvals granted. 3) Owner/Ag t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X i 4) The plan review check list and corrections are part of the approved plans and must remain thereto. it is the responsibility of the applicant to make the 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 pproved documents will result in failure of required building inspections. X 5) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for,a change of use permit shall be applied for, reviewed and approved prior to the change. LIZ 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED,NATIVE SOIL.X 7) The"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,then 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. X i�,✓ ' 8) 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. ,12 X 7� BLD2012-00616 Please refer to the following pages for conditions of this permit. Page 2 of 5 O) O fD N io N N O N —I M. 9) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design,sizing,placement, =r inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel_ It is the I owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel 0 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 D the building permit the ownerlagent/contractor i cknovyledging that all components of the stormwater management system have been installed as approved on the stormwater site plan.X_ I � 0 10) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. (A A. Drainfield/Reserve requires a 10ft setback from all footing/foundations. � B. Septic tank(s)requires 5ft setback from all footing/foundations. C. No fou atio rains within 30ft,down gradient of drainfield/reserve area. o X 11) This structure is limited to U-occupancy use only(private garages,carports,sheds,and agricultural buildings.) Any other use will be in violation of the intemational d and Mason County Regulations unless a"Change of Use"permit is applied for,reviewed and approved. X�J ; 12) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed,approval will not be granted. In addition,a re-inspection fee(refer to current fee schedule,minimum 1 hour)will be charged an all collected by the Building Department prior to any further inspections being performed or approvals granted. X 13) All construction must meet or exceed all local ordinances and 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 revocatio 1 X 14) 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. X 15) Placement structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X I I 1 BLD2012-00616 Please refer to the following pages for conditions of this permit. Page 3 of 5 Ol cn rD , w N N O N 1o) All enanges to approves ouuoing plans trial enact wmpnance wun ule aumnduunai wues as U111ti'rlueu anu duuvwu,UI duly Vulul uvldbufu wulaty ordinance or r guI ' n,must be reviewed and approved by Mason County prior to construction. zT X 0 17) 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 (`D with the international codes as amended and adopted by Mason County. Any corrections,changes or alterations required by a Mason County Building Inspectors 11 be gode prior to requesting additional inspections. X P/ 0 i 18) All property lines shall be clearly identified at the time of foundation inspection.X J�sr I cn j 19) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The failure 4 a 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 Cou&ordjpances and building regulations. i 20) All permits expire 180 days after permit issuance,or 180 days after the last Inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days,upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have W ven ction from being taken. No more than one extension may be granted. X 21) -Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copperwhich could quickly corrode metal fasteners, connectors d fla ing- Install metal connectors approved for contact with the new types of pressure treated material. X 22) Retaining walls needed to support a surcharg uch a structures,roads,or to support slopes,shall require a separate building permit and approval prior to construction of the retaining wall.X 23) 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. X � i 24) 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 "te Pla "to ensure these structures are shown and meet the setback conditions listed. X I, 25) ApprovV per imensions and setbacks on submitted site plan.Setbacks are measured from the furthest projection of the structure. X 26) Temporary erosion control measures must be implemented to prevent water quality degradation of adiacen waters or wetlands. Silt fencing or straw matting must be installed and maintained until upland vegetation has become established. X_ .�. BLD2012-00616 Please refer to the following pages for conditions of this permit. Page 4 of 5 I cn (D A N N O _N 27) All construction and demolition debris must be removed from the site after project completion. Proper 'spos .of construction debris must be on land in Z- such a manner that debris cannot enter or cause water quality degradation of State waters. X O O <D This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any L time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be cD occupied.Proof of continuation of rk is byffians of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Maso s to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: 12— O 7 O 7 .O I o. 1 i I i BLD2012-00616 Please refer to the following pages for conditions of this permit. Page 5 of 5 I N co fD er r o CONCRETE MECHANICAL MANUFACTURED HOME p N Gas Piping Footings !Setbacks Date By Ribbons Z z Interior Date By interior-Date By Date By O ExterKx Date.1 30 13 BY xterior-Date B Z � Point Load/Isolated Footings INSULATION � tp Date By m BG J SLAB INSULATION Date By Data By FIRE DEPARTMENT X Foundation Walls Floors pate By < Date By Data _ By DECKS FRAMING 2 walls Date By Date 2 By Data By PROPANE TANKS PLUMBING Vault Date try Date By _- ___Groundwork � Attic OTHER Date gy 's Date By Type- Dato By DRYWALL D.W.V _._r Type- Date ByInt Brace Wall ante By W v CD v Date By FINAL INSPECTION p W Water Line Fire Seperation IV m Date By i Date By Date ByCD CD m N g Pass or Request Inspect. io s Type of Insp. Fail Date Date Done By Comments rn /3 ► 3D 3 j�,U 1✓ CDs S.esz.� 3 S � C� t�.L ,✓+ J +'cam Gc� v M CD O o _ 0 ? r y CD �s5 3 44 1- � II�'� a Sd . Q re.✓L �a� ,� ��s �r- ��-tti�- ('virl �Il`� �.t'z � r�� wt It {� u,',�� . /�"�� Nute.� I�-�►rar-1 ,v tic. .`t �`i Y' uLI 100 Las- S, w di 1514- cz�1l Fly h.` ate -vAt f 1,101 �hc� ' i tell C.L.Aw� Sc,Y s i 1 > fir,.�G� G�. i' 4� Owe-✓-� .4 y Permit# / l� MASON COUNTY V BUILDING 111 426 W, CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location / /1 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance -y is i- dWG/L t-7 YCs CAA 04,245ir-C, r if,4 u ✓ � v� Imo. �' GvIL v►�'c�SLv2s '- T ' J' rGt v1/ T , .. tiL eta rJ✓� N C,2f ems. You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ® Call for re-inspection when corrections are made before continuing Lj please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK t0 damage incurred by recent "natural1man made" ❑ This is not a complete inspection disasters.This is NOTa Date 113011 Department 5 Zo CORRECTION NOTICE. Inspector LO) (—, nJ N* ,0T , i•�l �4 ' ' THImolk T" 0 MASON COUNTY Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR tiV I�2 - Q=! 411 N. Fifth Street/P.O.Box 186, Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd �' 0— Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) 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: "Ohnsmo Mailing Address: gx 380 City: State: Zip: �85� Telephone: a'75. 2WO Email: If this reduction is tied to a building permit, please give permit case number. BLD 7-6 l2.. - Ma 1(,- Parcel Number(s): 2.' OW140 Zoning ' Site Address: Requested setback variance: ft. >�ront ❑ Rear ❑ Side 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, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. IACommunity DevelopmentTACNARIANCESWdmin Variance.doc Edited on 7/16/10 FRONT ND OR REAR YARD REDUCTION REQUESTS: For sting 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-fourth acre; W 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. vnad IA hA d Owner/ gent lease indicate) 1 _30 " 11 Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: IACommunity Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/16/10 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.��Cj PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar • PO. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-526�1-�On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION ""' Owner 5eynr�A �OhnCOy1 Company Name7►M C%A%' \ ��o uS"A Co 4ru Mailin Addres�EOX. ,318 3 Mailing Address l loS21 14wo q9 S. k- C- City ra State W14 Zip Code IM52-4 City W State _ W14 Zip Code 9�b03-1 Phone 3bo- 27.5-Z870 Other Ph. Phone 1 142 - 14 -/$ _ Other Ph. Lien/Title Holder Contractor Reg.# - A-W D 4T Exp. -3 /3 E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic ✓ Connect tg-Water System Name of Water System Well ✓ Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. ► Z Fire District Legal Description T rACf' Z/ o (40Y4- God Z T67W 00 14-1- /ij 10f U/4&At1,Aaj;7,ShA.-e-S Site Address (Please include street name, street number and city) ('71 P-au 5 r4- 19 is ef evi eA,3 Lola 7637 Directions to site 717ke Sit 03 /V or441 ie/'q 1<4 vk 61ra u/eu, (,00p RoAd) 10- at4 Sc-Ater oa d i 1"S' on -fk Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye TYPE OF JOB - New Add Alt Repair Other PRIMARY R SIDENCE SEASONAL ❑ Use of Building 6a►-Age Describe Work C_mnsfi-u�htsn oL a /IS2 S �_ qak�A 4.e. No.of Bedrooms No.of Bathrooms_e-Square Footage- 1st Floor 2nd Floor 3r loor Basement Deck �overed Deck Other Sq.ft. Gara ld5 Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. CNVNER/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 the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica- tion or the wo1k proposed in t I have obtained permission from them to apply for this permit and conduct the work proposed. X \/ - Date: Owner/ wners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b : L,151anning Pd Ck# Date -7L- I _ Bid Pd Receipt No. DEPARTME TAL REVIEW APPROVED DENIED NOTES Building Department d IZ 44)d " Planning Department Environmental Health Department Public Works Department Fire Marshal 1 �; FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES Nams.J 10 h✓1 Parcel# w y O L4 0 BLD# 2-0►a - 00to to Mason County 1 1 ' �® ' Department of Community Development V NG Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan ISRequired for this development activity. Title 14, Chapter 14.48 of the Mason County Code (MCC) regulates compliance requirementsT&rTtormwaterT';D 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 him Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". 426 W. CEDAR ST. 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 w111 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 r petty f vie d inspection as may be required. X Own eV'Agent/Contractor(circle one)Date: Page 2 of 2 �6Name Parcel# BI,D# 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, ':�" ate,: •.;,�'::..v. Surface Type Length X Width «.::.::.}:..................:.:::.::_..:::.:..:.:: Area All dimensions in feet Buildings X = SZ X = Measurements for buildings,are taken at the X = perimeter of the farthest projections (example: X = eaves/gutters) Driveways X = X = Length of drive begins at the right of way X _ ParkingAreas X = X = Any paved, gravel or packed area per definition X = above table Patios/Walks X = i = Alny paved, grave or packed area per definition X = above table _ :fSi}'u,.:£:}c.;a:�,Y,':<::i:::z: :<Ysn:}>::L.•.Ys;r}};:},z:::e a}t}>}.:r,.::>:•.:;}.2>•.,•sr.}Y:�:;.},;Y;�:::. 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LC•::L•r r........4rF ...... r�rr..:.. ::`v;:•. ...Fr:}iS'��::�%;�i�`:i i`::y% i4,'i i;::}v:•`.::rr.....{•.:.: r............r� r...::....un....r....+.�.. ,.r. .,... .,.......�...r .fF. .:..F....r f.,r Y:L: r��:;r'.< ..... ...r..:w,::?•;:H�F.rw:v:�!:•.::�:::•:}`:.:::{ V .�F"Y'•)i:{.?i`F:'r.i}F:�l.:•'f%`:f/:/.•{FF^ii$::�:::?..::b:::::::r.�:...•. r;::F::i}:}:.n..ry:•'...:........ r:f :::.v:::::;..,Fr:>C••;�::.rl,{•'f.•:f}L}i:::,.i•:�?Fi S,i;:rr 1.•rf...///.rx rrri��F..:,F.,;fj,L�F:I'f. Y'r3:u h:�'.} :..f•Y..:n •y%:.C'v 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 �Iseptic to gran ors TO" &COl�I1trV' Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 FPIseCLheck After Doing Site Plan: and drainfield �i-ot size Draw North Arrow in Circle POST FRAME BUILDINGS Everett(425)258 4171 Puyallup:(253)840-9552 roperty dimensions ❑ ewer lines �]Elevation of property - DIVISION OF Administrative Headquarters: (425)743-1555 )Existing buildings ,Setbacks of proposed&existing buildings ❑Bodies of water FAX: (425)742-4378 Toll Free: 1-800.824-9552 Proposed building ® am road with name ❑ loorplan PERMABILT r Contractor's Lic.8:TOWNCPF099LT fluality:Our Future Depends On Itn Easement ire]Access proposed building Slopes&Contours(5'increments) Job Name: E a�ic),J N SON Job Site Address: 1-71 "U SCA E 0.T ription: ��+1 X�L�.l�t Tax Account#: 1 z( �a— 12-000 L4 0 Legal Desc W Qsca RO 4'b �60 „A� = C1�3Y1vU� t i mi y"S t"R rtorV rt, vVVAM LL � Z s�'r SAP p 5 2012 PfUVATE 0 �Z Lo\o4-r TZ:> 6C --e%It,fU 11Z S'Pl iec�3 ,off V- ` C � v%,C N 0 s 8 1 a NN i rl �n CE;3 �t) t+{ t ) f+1 tit 4; r4 IY`) LU a e:..l O NOT SIGN INCOMPLETE SITE PLANI ustomer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy lilities are shown on this drawing in the corre t I tion. ) USTOMER SIGNATUREy -fir 74, LEAD _7 .f �! 01995 Perma-Bilt Industries FR-34 6/07 I I'IIII IIIII"I)I"I v y 1 0 ,V,f�L�r /M■■ �r IVWLL & C.OU11t1V` Suite C-16521 Highway 99-Lynnwood,WA 96037.3161 F'seperty Check After Doing Site Plan: IJ Septic and drainfield 0r of size Draw North Arrow in Circle POST FRAME BUILDINGS Everett:(425)258-4171 Puyallup:(253)840-9552 dimensions _❑_/sewer lines Kj Elevation of property DIVISION OF Administrative Headquarters: (425)743-1555 xIsting buildings 06d etbacks of proposed&existing buildings ❑Bodies of waterE) „� PERMABILT FAX: (425)742.4378 Toll Free: 1-800-824-9552 proposed building ©gain road with name ❑Pjloorplan t.. Contractor's Lic.#:TOWNCPF099LT ❑Easement td Access t proposed building lief Slopes&Contours(5'increments) Quality:Our Future Depends On It.- Job Name:—,E CRY nN t+!S chi Job Site Address: Legal Description: R Tax Account#: 112,1 l$— «.'OC?U r-10 RECEIVED Lk_ Y AUG 17 2012 �R,�� � �. qijig 426 W. CEDAR ST. N --- - ZO + Corkouys APPROVED �- P� tKxr � MASON COUNTY DCD PL.ANNIN e SITE PLAN RE UIRED TO BE ON SIT c„Z r . CHANGES BJET TO APPROVAL � e �/1C9 5S J P te W �t�r: 5,4�,4 3y_ Da WALL PLANNING : �, ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDINGt� � 1 IFL/i-fir ie. .vC,Lc s. o v'vc�,q • 4 m r � 1 1 C , r.I \ Uy CG r� ]4 {{rrra44l 11 t'L 4�rr �t f , aA i ,O NOT SIGN INCOMPLETE SITE PLANT ;ustomer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy tilities are shown on this drawing in the corre t loc tion. r _ �r :USTOMER SIGNATURE 1 `' ' LEAD# 77 7 '.; 01995 Perma-Bilt Industries FR-34 6/07 I IIIIII II'll"II I'll ✓/ • 1 0 ,. . •4 .` �' ..... ��Town &Count Frs(oeperty Check After Doing Site Plan: �Se tic and d.._air0!eld �ot size Suite C•16521 Highway99 Lynnwood,WA 88037.3161 9 P Draw Norilt Arrow in Cucle POSTFRAME BUILDINGS Everett:(425)258-4171 Puyallup:(253)840-9552 dimensions ❑Aewer lines Elevation of property DIVISION OF Administrative Headquarters: (425)743-1665 x'sting buildings etbacks of proposed&existing buildings ❑Bodles of water FAX: (426)742.4378 Toil Free: 1.800.824-9552 Pro osed building ain road with name ❑ loor Ian t, t PERMABILT contractor's Lie.A:TOWNCPF099LT 0E P 9 P • Quality:Our Future Depends On Ir.TM ❑Easement Access�proposed building Slopes&Contours(5'Increments) Job Name: 124 f+!S fJV*[ Job Site Address: Legal Description: Tax Account#: r 170'+ PLANNING. PLA REVISIO � lsQ-1N� '�..��CAJ. Al a, � ari t i miS CE DATE W aIiE A V VIE dr PAtkllX1q *�Rp M 'ASUNED ! I4a� •'..'"c� ..-•: z _ ` —' , T. t >� t PR .:�. i.`R T, l II�L 3ti�G Pf�IVATF w , +5 g4� A 1AS OtF BTE P CHANLA o . MStIdFtrf: ' - '• iV Dome 01 • �o evi5ion "Y RECEIVED a �7 JAN3 'k2013 426 W. CEDAR ST. APPROVED MASIM C )UN I i .)CD PLANNING \. SITE MAN REQUI rO BE ON SITt CHANGE4 SUBJECT TO APPROV& Date - � I i ,O NOT SIGN INCOMPLETE SITE PLANT 4 :ustomer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy tilities are shown on this drawin in the corre t Ipc tion. 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