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Home My WebLink AboutBLD2019-000128 Remove Mobile Home, New SFR - BLD Inspections - 3/27/2020 ri - \ INSPECTION HISTORY Page of Report run on: 07/17/2020 Application#: BLD2019-00128 Parcel# : 122065000900 Property Address: 18755 E State Route 106 Belfair Project: Inspection Type Description Inspector Date Status Comments SETBACK INSPECTION Setback Inspection Nicole Norris 06-Nov-19 PASS FOOTING INSPECTION Footing Inspection Nicole Norris 18-Nov-19 PASS FOUNDATION WALL-PRE- Foundation Wall-Pre-Pour Inspection Nicole Norris 18-Nov-19 PASS POINT LOAD FOOTING, FOOTING POUR INSPECTION PERIMETER, FOUNDATION STEM WALLS-PASS SHEARWALL INSPECTION Shearwall Inspection Nicole Norris 05-Feb-20 PASS FRAMING INSPECTION Framing Inspection ROUGH-PLUMBING Rough-Plumbing Inspection INSPECTION MECHANICAL INSPECTION Mechanical Inspection INSULATION INSPECTION Insulation Inspection Nicole Norris 27-Mar-20 PASS Per video and pictures sent-wall insulation ok. FRAMING/PLUMBING/MECH Framing/Plumbing/Mechanical David Kuzawa 16-Mar-20 PASS ANICAL 't� _ ,il-�� 1 _ - L_ _ i �� s `• � ; - � r _ // „ ,' � :�f �!� /, •.�a.�.i,. � � #i .. " mot.. E� I `� L n C' � � ��j r s v If• • _� __-�. i ri i�� fj Mason County Community... 15 W Alder St, Bldg.8 Shelton, WA 98584 360-427-9672 ext 352 www.co.masonma.us BLD2019-00128 NEW SINGLE FAMILY RESIDENCE Project Description: Issued: Site Address: Expires: 1 All property lines shall be clearly identified at the time of PROPERTY foundation inspection. LINES Landings and stairs must meet the same setback conditions as any permitted structure; and, must be 2 shown on your site plan. Please check your"Approved STALANDINGS SAND Site Plan" to ensure these structures are shown and meet the setback conditions listed. Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which PRESSURE 3 could quickly corrode metal fasteners, connectors, and TREATED flashing. Install metal connectors approved for contact LUMBER 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 SURFACE 4 properties nor increase the velocity flow entering or WATER abutting to any state or county culverting/ditching CONTROL system or road way. 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 5 days, upon the receipt of a written extension request PERMIT prior to permit expiration. Letter must indicating that EXPIRATION circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. By definition, propane tanks and heatpumps are 6 structures, which must meet setback conditions. Please ACCESSORY check your"Approved Site Plan"to ensure these STRUCTURE structures meet the setback conditions listed. 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- COUNTY ROAD 7 9670, ext. 450 or 100 W Public Works Dr. Shelton. The ACCESS building permit will not be finaled until the permit holder PERMIT can show proof that the access permit from Public Works has been finaled and approved. 1 All changes to "approved" building plans that effect compliance with the international codes as amended CHANGES TO a and adopted, or any other Mason County ordinance or APPROVED regulation, must be reviewed and approved by Mason PLANS County prior to construction. 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 MCPw 9 purpose. For further information regarding this DEVELOPMENT ordinance and the REQUIREMENT to obtain an REQUIREMENT ACCESS PERMIT for the installation/construction of a S 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. 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, 181 A-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 RESIDENTIAL 10 HEATING metal fittings shall be mechanically fastened. EQUIPMENT Mechanical fasteners for use with flexible nonmetallic air 2 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. All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason ALL 11 County and the State of Washington. Occupancy is CONSTRUCTIo limited to the approved and permitted classification. Any N non-approved change of use or occupancy would result in permit revocation. 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 12 Fire Marshal standards for Fire Apparatus Access A pp AcCcessCESS us Roads up to the point where such roads connect with a ROADS county maintained public road or to another fire apparatus access road which connects to a county maintained public road. 3 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 CARBON 13 MONOXIDand on each level of the dwelling. ALARMSE 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. 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 GROUNDING 14 (L&I). ELECTRODE For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. 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 15 Small Lots, The Small Parcel Stormwater Site Plan" STORMWATER MANAGEMENT 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. 4 REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the ROOF 16 manufacturer's Installation Instructions. COVERINGS REQUIREMENT S A drip edge shall be provided at eaves and gables of shingle roofs. WIND LOADS - Roof coverings shall be designed and 17 tested to withstand the maximum basic winds speed. ROOF WINS p LOADS The basic wind speed for Mason County is 85 MPH. A minimum of 75 percent of all permanently installed 18 lamps in lighting fixtures shall be high efficacy lamps in LIGHTING accordance with IECC/WSEC Section R404.1. 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 labels.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 PERMANENT 19 R401.3 & R402.4.1.2, and air leakage results if a blower CERTIFICATE/A door test was conducted. IR LEAKAGE 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 or sheets. The Mason County Permit Center will also have some available. Adopted IECC/Washington State Energy Code 5 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. 1a - EFFICIENT BUILDING ENVELOPE 1a: Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U = 0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 5%. 3b- HIGH EFFICIENCY HVAC EQUIPMENT 3b: Air-source heat pump with minimum HSPF of 9.0 20 Custom 5a - EFFICIENT WATER HEATING 5a: All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or less. 5c- EFFICIENT WATER HEATING 5c: Water heating system shall include one of the following: Gas, propane or oil water heater with a minimum EF of 0.91 or Solar water heating supplementing a minimum standard water heater. Solar water heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation (SRCC) Annual Performance of OG-300 Certified Solar Water Heating Systems or Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water Heaters 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 SITE PLAN 21 REQUIRED ON current fee schedule, minimum 1 hour) will be charged SITE and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. 6 The foundation/footing must be placed on undisturbed, FOUNDATION 22 PLACEMENT firm-native soil. 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 23 be changed or altered without authorization from the PLAN REVIEW g CORRECTIONS 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. Owner/Agent is responsible to post the assigned 24 address and/or purchase and post private road signs in ADDRESS/ P P P g ROAD SIGNING accordance with Mason County Title 14.28 and 14.17. 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 APPROVED not be granted. In addition, a re-inspection fee (refer to PLANS 25 current fee schedule, minimum 1 hour) will be charged REQUIRED ON and must be collected by the Building Department prior SITE to any further inspections being performed or approvals granted. 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 26 for using an unregistered contractor. Further information RCW 18.27 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. Approved per dimensions and setbacks on submitted 27 site plan. Setbacks are measured from the furthest SITE PLAN projection of the structure. A Road Access Permit or Approval must be granted and approved by the Washington State Department of STATE ROAD 28 Transportation. For more information contact ACCESS Washington State Department of Transportation, at PERMIT (206)357-2620, ext. 630. 7 CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. 29 The construction of the permitted project is subject to FIELD inspections by the Mason County Building Department. CORRECT 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 building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to FINAL 3o request a final inspection or to obtain approval will be INSPECTION documented in the legal property records on file with REQUIRED Mason County as being non-compliant with Mason County ordinances and building regulations. On-site Septic System final installation approval SEWAGE 31 required prior to temporary/final occupancy of the S ON-SITE SEWAGE residence. Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B.) Septic tank(s) requires 5ft setback from all RESPONSIBILIT 32 footing/foundations. IES FOR OSS C.) No foundation/ Perimeter Drains within 30ft, down AREAS gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over 45 degrees) within 50ft, down gradient of Drainfield/ Reserve area. Anchor bolts and hold-downs must be in place at time of 33 foundation inspection. See plans for locations and custom requirements All development must be landward of the common line and/or the 35 ft shoreline setback line measured from 34 the ordinary high water mark, whichever is the most Custom restrictive, including projections, such as, cantilevers, roof overhangs, decks, etc. 35 The maximum height allowed is 35 ft. Custom The Common Line Mitigation Plan (CLMP) , prepared by North Fork Environmental (Bill Rehe, biologist), received on July 2, 2019, shall be implemented prior to the final inspection of the proposed residence with an "as-built' 36 CLMP planting drawing. An "as-built' CLMP planting Custom plan was not provided with the CLMP report, however, the report stipulates that an "as-built'will be provided at the time of installation, which shall occur prior to the final inspection of the proposed residence. 8 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, owner's 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 holders 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 and 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. Signature Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) 9 MASON COUNTY COMMUNITY SERVICES PerndtNo.i4(Aao\9•-Cz)�ag PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL D 615 W.Alder Street,Shelton,WA 985 Phone Shelton:(360)427-9670 eM.352•Fax:(360J t ING Belfair:(360)275-4467•Phone Elma:(360)482-5269 RECEIVED BUILDING PERMIT APPLICATION q PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:i {a� FEB 19 2019 NAME: r--mi ke 1 AC+6-- - NAME: �� W. A!d@f St!@@t MAILINgADDRESS:7ra77 sp- MAILING ADDRESS: CITY: CWAI t- STAT ZIP: CITY: STATE: ZIP: PHONE#1: '"3(ap-'I I M- _ 7 3 PHONE: CELL: PHONE#2: EMAIL: EMAIL: wal I,itoMN L&I REG# EXP. PRIMARY CONTACT: OWNER F1 CONTRACTOR❑ OTHEFX NAME TAPtt ELZI-f 50-6krDESIGLU EMAIL @ hav , -om MAILINGADDRESS '1'I 2 C-T-IJLD CITY Y TAT tit,'A ZIP 31 PHONE 3G0-Co 414— jF26 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT � SITE ADDRESS 18''7sS F, �� '� Lo& CITY 13 c7*s-�q A ,G.'JA DIRECTIONS TO SITE ADDRESS_ yvt (3 54 S1�1p.E IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESg NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (checkati that appty): SALTWATER tZ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW,$ ADDITION❑ ALTEERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bids,Etc.) I-esl oekCt IS USE: PRIMARY`S SEASONAL❑ NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS'_.S HEATED STRUCTURE? YES(Whotemdg)r- YES(Parys)ofBldg)❑ NO❑ DESCRIBE WORK_R EMOIVE t4 Slt- N7yNE. - F3UJL-6 NAE-W DjFg C - SQUARE FOOTAGE:(propose+ewving) 1 ST FLOOR$2Z N.ft. 2ND FLOOR O sq.ft. 3RD FLOORS'_sq.fL BASEMENT _sq.ft. DECKS sq.fL COVERED DECK--1 kP sq.ft. STORAGE Q sq.& OTHER-_sq.ft. GARAGE_ sq.ft. Attached ElDetached ElCARPORT___C�2_sq.fL Attached ElDetached❑ 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 X EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS=rOSED? YES NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS Z TOTAL BEDROOMS 2— 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 permit/application becomes null 8 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) X Signature of OWNER(Must be signed bV the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTITONS BUILDING DEPARTMENT 7Z- 1 -'Z-( l PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: o (� ] Uo la'2) PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us e Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 e `• - Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: V-� M LLY 13 NAME: MAILING ADDRESS:z373D t1e= 3 -4 ct7 MAILING ADDRESS: CITY: 13t STATEW,6, ZIP:q& CITY: STATE: ZIP: Is'PHONE: 4c) -I i b -- PHONE: CELL: 2°d PHONE: EMAIL : EMAIL: cake( L,oj-rxa.,k t „c,,,,,,n L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: I inS� F-S . �i, ELT lO G CITY: DIRECTIONS TO SITE ADDRESS: OFJOB: (NEW_eJADD ALT REPAIR OTHER USE OF BUILDING CATION OF FIXTURES/UNITS-1ST FLOOR)(_2ND FLOOR BASEMENT_GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANIIecttrio ITS Type of Fixture No.of Fixtures Fees Fuel Type LPG Natural Gas Ductless_ Toilets Type of Um No.of Units Fees Bathroom Sink 3• Furnace Bath Tubs � Heat Pump Showers Spot Vent Fan Water Heater I Propane Tank Clothes Washer �— Gas Outlets v Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other-SPI'L j Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT JTZ 4-1--1-9 PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN RECEIVED q;�,X FEB 19 2019 New Drainfield Primary & Reserve Area ` 615 W. Alder Street 36' x 29.2' 199' 123' Setback Line 12'-9" Existing Bulkhead 32� 8'-�` �2° nc C Hood Canal - Beach Area m / I �' 4 mLn CL ( F. 16' 26'-b" 75' 20 ' New Residence (Replace obil H e 0f + �� + ��' Overhead Power Line + 225, + of + '8, 51TE PLAN 5CALE 1 " = 20' Parcel #12206-50-0990o ' 18755 E. State Route 106, Belfair, YVa. SELBY DE516N LTD DESIGN FOR: � 18755 E. State Route 1061?q2 Hogy Fork Cot � P nd��4;8 b2 F9 EMILY $AtCHEL Belfair, Yva. December 28, 2018 2 1 0 Name lit' E4V-*� Parcel# BLD# Mason County B U ' L�LJ�Y NG 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. '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 3 ' X �?!ZyS' _ X Z 3,2 4O s Measurements for buildings are taken at the Z X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways Z X 2 = X = Length of drive begins at the right of way X = Parking Areas 0 X 0 = X _ Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition X _ above table Others X Z = 2 e c, 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) (� (op If the Total Impervious Surface Area is LESS THAN 2000 Sauare 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 acknowled F that the info ion provided is accurate and employees of Mason County are granted access to the above- described prope for revie and spection as may be required. X OwnerJA'�eContractor(circle one)Date: /Z-Z-.1a/dr-" 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 I of 2