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HomeMy WebLinkAboutBLD2019-01335 SFR - BLD Application - 11/25/2019 MASON COMMUNITY SERVICES Permit No: p,(,1�010l —0i R5 PERMIT APNNINVG -PUBLIC E CENTER: •BUILDING HEALTH•FIRE MARSHAL x 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone Belfair. (360)275-4467•Phone Elma:(360)482-5269 RECEIVE[ • BUILDING PERMIT APPLICATION NOV 2 5 2019 PROPERTY OWNER INFORMATION: CONTRACTOR INFORIYIAT,>w.:Q:. Skeet NAME: �_ %S-c) �;l �le �.� NAME: Wt���f'4t,.� J flPvPl op w-Pit,7L MAILING ADD S: MAILING ADDRESS: f?. O, 17 6 CITY: STATE: ZIP: CITY: r9 l(xh STATE: ZIP: PHONE#1: PHONE: 360 —royS`Zjm' CELL: PHONE#2: EMAIL : w f l G S.k_5.or J e/o ? EMAIL: L&I REG # W LL,� i)`fD 160/Vi EXP.O�/ PRIMARY CONTACT: OWNER ❑ CONTRACTOR V OTHER❑ NAME a ( 4--. EMAIL w f l, g c`l. 2J c .. O f"�w�C� MAILING ADDRESS F•a• cox I "7S"',.6 CITY STATE ZIP r Lfe PHONE 2" - G 1 gq- 12 S-o 01 CELL It T PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2Z �(- �d -' �O ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 3-t '�ff- CITYT- DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES, NO ❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NETarage, ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE( sidence, Commercial Bldg,Etc. r tyljell Cc IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg)'( YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) I ST FLOOR sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK _sq. ft. COVERED DWK sq. ft. STORAGE sq. ft. OTHER sq. ft. GARAGE Lt-L( _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 / W EXISTING ❑ PLUMBING IN STRUCTURE? YES NO ❑ If s, attach completed Water Adequacy Form PERIMETER&OUNDATION 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 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 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 oEOWNER(Must be signed by the OWNER Dafe DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY I1`\ COMMUNITY SERVICES RECEIVED Building,Planning,Environmental Health,Community Health \ BUILDING WV252019 Physical and Mailing Address: 615 W Alder St.,Bldg 8,Shelton, WA 98584 Shelton Phone: (360)427-9670 ext 352 •b Fax (360)427-7798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: T on t 7,.1 If t'S t-,-S NAME: GJ I1 b'Q --S (�> _0e/0 ,R,4 -- cI C CITY: STATE: ZIP: CITY: (t s, STA E:(/ ZIP: 1It PHONE: PHONE: 0-GY - Z.SG CELL: 2nd PHONE: EMAIL: l,.li -%--J. J.P 0e(o(.2 µ. look.C � EMAIL: L&I REG#tQT LGz 1' (Y60 PV A) EXP.Q'i-/ f-S / 20 2 v PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): 00© 6 7 Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: 57 r-- L-,Ae -/- i we, P CITY: 411 .X4 DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW- ADD ALT REPAIR OTHER USE OF BUILDING S r PLUMBING FIXTURES MECHANICAL UNITS Electric in-wall heaters(nofee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) ► Furnace V' tG/LPGI Bathroom Sink(s) Heat Pump ✓ G/LPG] Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) Spot Vent Fan Water Heater(s) __I [E/G/LPG] Propane Tank L_gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) — Heat Stove [E/G/LPG/W] Dishwasher(s) I Kitchen Exhaust Hood v Hose bib(s) 3 Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL 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 o.-the-work--as-proposed.LhavE-obtained-pennissiomftorr>-allihe-necessary--paa#iesrincludinganTeasement-bolder-or-pa# ng-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 APPLICATIO BO DAYS WILL INVALIDATE THE APPLICATION. Signature aApplicant Date --� X T—�2 L' r.,J, / 9 1 Owner/Owners Representative Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) Visit us on-line: http:,/www.co.mason.wa.us/COmmunity_dev/ Rev:3/08/2017 ' MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES `q , ADV�,O 1 l - 001j?�) Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bld 8,Shelton,Wa 98584 •� g� Date Rcvd 18Ai+QS a8p1�1 c t Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 MIN& Request for Administrative Variance for a�nt���� 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: --� 70� /., r �c cCt c lc'Z� DF%..)p 1Orn.,Cnf_ Mailing Address: G e City: f4-(I ter^ State: Zip: C57r2 Y Telephone: coo ^ C --(?j — 2--J 0 Email: W i t(-4 Cl PJ c- �e ©'J*moo t I, Co L, If this reduction is tied to a building permit, please give permit case number. BLD QO R - O J Parcel Number(s): j V_ja— 50_ GQ 0 Zoning 1�� Site Address: Requested setback variance: 11D ft. Front ❑ 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, 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 REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) O e 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, ❑ 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. Owner/Agent (please indicate) C— t S igna Date Official Use Only Approved by: Zk Date Denied by: Date Reasefi-for- l: �JSt" RO Prescriptive Energy Code Compliance for All Climate Zones in Washington ` Project Information Contact Information WILLIAMS DEVELOPMENT 12219-50-00067 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGCb'e n/a n/a TOwnzen &Associates, Inc Ceilingk 49i 0.026 Plan Review Approval g m,n The plans area proved: Wood Frame Wall 21 int 0.056 [ ]With comments.area comments. Mass Wall R-Value' 21121' 0.056 noted on the plans. Floor 309 0.029 Date:/10.c'o Below Grade Wall°m 10/15/21 int+TB 0.042 Slab R-Value& Depth 10, 2 ft n/a 'Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 1.Small Dwelling Unit: 1.5 credits ❑ Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are greater than 500 square feet of heated floor area but less than 1500 square feet. F�]2. Medium Dwelling Unit: 3.5 credits All dwelling units that are not included in#1 or#3. Exception: Dwelling units serving R-2 occupancies shall require 2.5 credits. F-]3. Large Dwelling Unit: 4.5 credits Dwelling units exceeding 5000 square feet of conditioned floor area. ❑4. Additions less than 500 square feet: .5 credits Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope 1a 0.5 0.5 1b Efficient Building Envelope 1b 1.0 1c Efficient Building Envelope 1c 2.0 1d Efficient Building Envelope 1d 0.5 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 2c Air Leakage Control and Efficient Ventilation 2c 1.5 3a High Efficiency HVAC 3a 1.0 3b High Efficiency HVAC 3b 1.0 P-1 1.0 3c High Efficiency HVAC 3c 1.5 3d High Efficiency HVAC 3d 1.0 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 5a 0.5 El 0.5 5b Efficient Water Heating 5b 1.0 5c Efficient Water Heating 5c 1.5 F11 1.5 5d Efficient Water Heating 5d 0.5 6 lRenewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 3.50 *Please refer to Table R406.2 for complete option descriptions Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation, the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights. The SHGC column applies to all glazed fenestration. "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-13 cavity insulation at the interior of the basement wall_ "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Reserved. 8 Reserved. h Reserved. The second R-value applies when more than half the insulation is on the interior of the mass wall. Reserved. k For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. Reserved. `"Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. < m ? a \ / ) (p/ / e - © > \ o 7 & o / / � \ @ r § \ / 0 mo 5 a < a) Ee m 7 O / ƒ ƒ co co 0 ? E / q; 2 0 / 0 k p o / 0 0 2 ƒ} / \ / f O 0 0 2 ] ] § ' � \ 2 0 0 ] 0 ƒ ƒ \ a o , o_ m @ 3 j / \ CD ƒ » 7 CL Eƒ / o = � x � � 2 m f 0 0 0 0 0 0 0 0 0 © c 6 Q Q Q Q Q Q Q Q \ 4 _ 0 Q / \ 2 x t ¥ & u c a a I m / / CD \ E S & 5 0 6 u 4 a a c 9 I - I CT) o o @ tttl 2a & � rQ m = = o e a « 0 77 z2 > > 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 \ \ I \ / / 0 / 3 0 o E 6 6 0 0 6 6 6 6 6 6 6 6 6 6 0 6 6 6 6 6 6 6 6 6 6 6 6 » 6 6 6 6 6 6 6 = 6 6 ° 00 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 # a — o . A t \ > o o > a a o 6 6 6 6 6 6 6 6 6 6 6 6 66 6 6 6 6 6 6 6 6 6 6 s 6 6 x 4 E a 6 6 00 0 0 0 0 00 0 0 0 0 cc 0 co 0 0 0 0 0 0 0 0 0 0 « 0 = NJ _ = 0 0 0 0 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Vertical Fenestration Area and UA 211.8 59.30 Vertical Fenestration Area Weighted U= UA/Area 1 0.28 Overhead Glazing (Skylights) Component Width Height Description Ref. U-factor Ot. Feet Feet i,rn Area UA 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 0.01 0.00 Sum of Overhead Glazing Area and UA 1 0.0Ro 0.00 Overhead Glazing Area Weighted U= UA/Area .00 Total Sum of Fenestration Area and UA (for heating system sizing calculations) 1 211.8 59.30 Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2015 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you. If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information _S7_1 c W U 1,Alc.-) hz, 9 6(-1 -- S Q Heating System Type: ()All other systems *Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Design Temperature Design Temperature Difference(AT) 47 AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Conditioned Floor Area(sq ft) 1:851 Average Ceiling Height Conditioned Volume Average Ceiling Height(ft) 8.0 14,808 Glazing and Doors U-Factor X Area = UA 0.280 212 59.30 Skylights U-Factor X Area = UA 0.50 ® --- Insulation h Attic U-Factor X Area = UA C y R-49 0.026 41.60 o o Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA co n° o c C a az T R-38 vented 0.027 ® 6.78 O Q ^a rq 3 o Above Grade Walls_ (see Figure 1) U-Factor X Area UA Q A? f0 06 > c 0 R-21 Intermediate 0.056 130.03 a o Floors U-Factor X Area UA � to - o 3 0.029 ® 53.68 o a~" m t— 3 Below Grade Walls(see Figure 1) U-Factor X Area UA Select R-value No selection -- Slab Below Grade(see Figure 1) F-Factor X Length UA Select conditioning No selection --- Slab on Grade(see Figure l) F-Factor X Length UA Select R-Valuee No selection --- Location of Ducts - - — - — - — -- — — Duct Leakage Coefficient Conditioned Space 1.00 Sum of UA 291.39 Envelope Heat Load 13,695 Btu/Hour Figure 1. Sum of DAX AT Air Leakage Heat Load 7,517 Btu/Hour Volume 0 6 X ATX.018 Above Grade Building Design Heat Load 21,212 Btu/Hour Air Leakage+Envelope Heat Loss Below Grade - - Building and Duct Heat Load 21,212 Btu/Hour Ducts in unconditioned space:Sum of Building Heat Loss X 1 10 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 26,515 Btu/Hour Building and Duct Heat Loss X 1.40 for Forced Air Furnace Building and Dud Heat Loss X 1.25 for Heat Pump (07101113) Name I `-7 3c"n (,J!1��5••,S Parcel# (2,Z 1 Q -�—V— CbO C�f 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 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. '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 c" X `� = Z�6 0 X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways e> X I d = '30 p 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) 'Z,�C� If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. - Based-Upon-the-information-youhave-provideda Stormwater Site PlamISNOT-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. r1� X caner/ �gencircle one)Date: «S`�Z 0/9 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. Pagel of 2 Name 17 (f 1. 5 Parcel# 1 Z211- S0 - 000 6'7 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: hLtp//www.co.mason.wa-us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". Regulated activities shall be 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 450 100 W. Public Works Dr 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 400 - --- - - -- 41-5_Nr6th_St-—Bldg-#&lower--level-- ------ - _- - _ - 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/Agen Co actor( 'rcle one)Date: Page 2 of 2 _�_ I ibs soil 141 h v 145' !J/ N 3-BED ,w 5FR z � 5 F � w PLANNING: - PARCEL NUMBM ALL SETBACKS ARE MEASURED FROM THE FURTHEST j 1221q-50-00067 FRO;ECTION OF THE BUILDING APPROVED PNNING LA "4.30N COUNTY DCD PLANNING StTE PLAN REQUIRE13 TO BE ON CHANGES SUBJETT O APPROVAL 3y A�D&W I?-- RECEIVED ? 5 2019 51TE PLAN 615 W. Aiuer Street 1" = 20'-0 TH15 SITE PLAN IS DRAWN BASED ON DATA SUPPLIED BY CLIENT AND WITHOUT BENEFIT OF SURVEY OR TOPOGRAPHY