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HomeMy WebLinkAboutBLD2011-00008 MFG Home - BLD Permit / Conditions - 4/19/2011 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 tooShelton, WA 98584 too RESIDENTIAL BUILDING PERMIT BLD2011-00008 OWNER: DIANE WALTER RECEIVED: 1/4/2011 CONTRACTOR: LICENSE: EXP: ISSUED: 4/19/2011 SITE ADDRESS: 101 E KUHN AVE UNION EXPIRES: 10/19/2011 PARCEL NUMBER: 322325062002 LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO BLK: 62 LOTS 1-4 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MFG HOME (1982) BROCKDALE RD, MCREAVY RD, L ON KUHN AVE TO SITE ADDRESS ON THE RIGHT SIDE, JUST PAST TACOMA ST General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: MH Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 6 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:SKYLINE Length: 46 Ft. Front: N 60.0 Ft. Shoreline: Ft. Water Body: Rear: S 10.0 Ft. Slope: Ft. SEPA?: Unkn Model: Width: 27 Ft. Side 1: E 10.0 Ft. Shoreline Desig.: fttiApplicable Year:2011 Serial No.: Side 2: W 20.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type City. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee GMM 1/4/2011 $264.25 S12011000 Address Fee GMM 1/4/2011 $173.50 S1201100-0 Planning Review Fee GMM 1/4/2011 $205.00 S12011000 EH Plan Review KKK 1/4/2011 $103.00 S62011000 Water Adequacy Plan Review KKK 1/4/2011 $103.00 S62011000 Building State Fee LAW 1/6/2011 $4.50 S12011000 Mobile Home Issuance Fee LAW 1/6/2011 $264.25 S12011000 Planning Dept. Permit RDH 3/11/2011 $65.00 S12011000 EH Permit Revision ADR 3/23/2011 $41.00 S12011000 Additional Plan Check Fee LAW 4/12/2011 $73.00 S12011000 Total $1,296.50 BLD2011-00008 Please referto the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2011-00008 CONDITIONS FOR BLD2011-00008 1) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X C CL,z 2) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County X din q,Lregulation, must be reviewed and approved by Mason County prior to construction. 3) 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. X 4) All building permits shall have a final inspection performed and approved by the 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. x G(2 11�1 5) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "A pproved Plan"to ensure these structures are shown and meet the setback conditions listed. 6) If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (ANSI). To order the ANSI instructions you may either get an order form from the Mason County Building Department or you can contact the Offfice of Manufacturing Housing (360) 725-2800. X 7) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clear�ar d in the installation instructions. X BLD2011-00008 Please referto the following pages for conditions of this permit. 2 of 5 8) Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or inst lied. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X � 9) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X P 10) Permanent Address must be posted and visible from the road Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code. All guardrails and handrails must be in good condition and meet code for year built or current code if replaced. Skirting must be vented 1:150 and backfill sloped away from unit 2% for a minimum of 5' around the perimeter of the unit Gutters and downspouts must be installed with splash blocks provided All exterior penetrations must be sealed HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24" above grade. The unit shall have a minimum of 16"x24" crawl space access provided HOWEVER, if the unit has not received a set up inspection and is skirted, 4 panels centrally located (one on each side of unit) shall be removed by the owner/applicant prior to requesting the inspection. All conditions on the original or issued permit must be met If the unit was installed by a WAINS certified installer/contractor since July 1, 2003, CTED Installer Tags must be available It shall be the responsibility of the person requesting the inspection to provide the manufacturer specifications, ANSI Standards or approved engineered design for the installation of the unit and have them available on site for inspection. Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees will be assessed each time an inspection is requested and required items are not completed prior to the inspection being performed ENFORCEMENT PROVISION: Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation are subject to enforcement action and subsequent violation and penalties pursuant to the Mason County Code. X 11) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X BLD2011-00008 Please referto the following pages for conditions of this permit. 3 of 5 12) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)wil ted for the residence. , WNER/C NTRACTOR(indicate which) Signature X 13) 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 prevented action from being taken. No more than one extension may be granted. 14) 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 off approved documents will result in failure of required building inspections.( ely 15) 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 to any further inspections being performed or approvals granted. 16) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conn tt d flashing. Install metal connectors approved for contact with the new types of pressure treated material. Xy ,Q 17) All property lines shall be clearly identified at the time of foundation inspection. X ny, 18) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at X 800-47-0%82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 19) 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 Build' Depa� ent prior to any further inspections being performed or approvals granted. 20) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM X C X BLD2011-00008 Please referto the following pages for conditions of this permit. 4 of 5 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 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 occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structu a for revie and inspection. OWNER OR AGENT: 42L:=���E: 'Y Z© BLD2011-00008 Please referto the following pages for conditions of this permit. 5 of 5 Go & o CONCRE MECHANICAL MANUFACTURED HOME D Footings J bac s Date By Ribbons Gas Piping m o Intenor Date By Interior-Date By Date By M Co Exterar Date By Exterior-Date B Sat-up Point Load INSULATION Isolated Footings Date ( t3y j,© BG/SLAB INSULATION -- - Z Date By Data By FIRE DEPARTMENT rn Foundation Walls Floors Date By Date. By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By _. OTHER Groundwork Attic Date By Type Date By Data By D.w.v DRYWALL rype. Int.Brace Wall Date By W Date By Date By FINAL INSPECTION v Water Line Fin Separation N Date By Date By Date By O m `° Pass or Request Inspect. c Type of Insp. Fail Orate Date Done By Comments c CD CD o _ 0 _ 0 N (D 0 MASON COUNTY PERMIT NO'DO 2011 D6002) BUILDING PERMIT APPLICATIONe�,d 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670- Belfair (360) 275-4467- Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION p �j / � CONTRACTOR INFORMATION Owner - a A;e LA ors �. e il- V Company Name Mailing Address .6 •AK-IZ9- Mailing Address City 6,-1 tat o City State - Zip Code Phone hcv Ph Phone Other Ph. Lien/Title Hol r T Contractor Reg. # Exp. E mail addres E Mail Address Drivers Lic.# ID -- Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Sep ica!�%t-7'g Existing Septic Connect to Water System PC.(0 Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel N 3 a ra IR po Fire District 1-12 Legal Description `L a ti Lots /-' Site Address (Please include street name, street num er and ci y)� 0 Q( J 1a P.1 Directions to site t I3 tS- 'o 6ca +- °= V, f z#-k. I V. Will timber be cut and sold in parcel preparation?Yes P t-a Is property within 200'of Saltwater MO Lake )U0 River/Creek /U O N5 Aj o Wetland lU0 Seasonal Runoff�Stream CQSlopes or Bluffs > 15% JAI 0 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 PRllylAgY RESIDENCE n SEASONAL ❑ Use of Building Describe Works cs-L1,s -t-,,o b t, Q Vm:> D6<2 No. of Bedrooms —�No. of Bathrooms�Square Footage- 1 st Floor 9 SY 2 d Floor N f(,I,3rd Floor N/v1- Basement N1 Pr Deck u/ Covered Deck ft- Other z 042!sSq. ft. 4-1 Garage-DJ-& Attached_��Detached Carport Attached AJI"'I- - Detached N MANUFACTURED HOME INFORMATION - Make oe- Model 60 A/ Yearl 482 Length 0 Wid /3 1?"oer l�v�� �`� No. of Bedrooms� No. of Bathrqoms3�_ Type of Heat E- - t w urchase r4`ce$ "� d� �teplacement Unit? Yes/No /Acai-T,4 K ooTe- Installer Name eT�k �ZI-e1a 's a`'T���s iXlertification No. a S2 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 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 permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF CPPXMATION OF WO K IS BY MEANS OF A PROGRESS INSPECTION. X Date:D Owner Owners Representative/Contra for (indicate which one FOR ICIAL USE BEYOND THIS POINT Accepted b Date — - DEPARTMENTAL REVIEW APP OVED DENIED NOTES Building Department Planning Department A Environmental Health Department Public Works Department Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO.HE ON SITE CHANGES SUW APPRO A rL /5A/ - /�/-� y cc L- 0 7. c� 1 ' p►=',rKuVED � c-HEALTH Mc 55 (�orr. LANTS MAR 3 2011 I p c-_l 7/4 7 Air t iv(, ti Bn u Af 777 L 1 41 j -- - / - -A v �4.'Snen ZnlSTALC � S RECTU PJ EL ;1M. 3'' 2011 MASON CQVNTY 27'-0" ■ N a J pN i m rn ' aaa -t fill O z v b o rn �v z p 1 m ? fill - - 17i Z = .1= E Request To Revise An Approved Plan Permit Number: BLD0'/ - Namea / Parcel Number 3.;)a3 1 Phone Number da ime ( 2 0O ) Project Address Mailing Address �� • �� ���/�� Please provide a complete, detailed description of the proposed revisions to the approved plans: Are two sets of the revised plans or addendum indicating the changes included? Yes ❑ No Are the approved site plans included? Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysi,� es ❑ o If Yes, Has the engineer or architect approved this revision? �Ullll e ❑ Yes ❑ No Is a stamped and signed approval included with this request? es ❑ (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.l Does the proposed revision modify the footprint or location of the structure? Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: hlApplicant's signature G� Date: 3 �f� Office Use Only Received by: Date Sent Assigned To Approved B Date ' I A \ Original Valuation: $��w 1.� / Additional Valuation: $ Sq. Ft. x$ $ 7 Sq. Ft. x$ $ E.H �� Z3�1 Total New Valuation $ Additional Fees: ❑ P.W. Additional Planning Dept. $ C o Additional Plan Review $ Additional Conditions/Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ ty Additional E.H.Dept $ 1A k-00 Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ - 1 • MASON COUNTY PERMIT N6f',� � OD�� BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION �" CONTRACTOR INFORMATION Owner CQ Company Name Mailing Address_ Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Il Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No Fire District Legal Description Site Address(Please include street name, street number and ci y) Directions to site Will timber be cut and sold in parcel preparation? Yes/No Is property within 200'of Saltwater Lake A ver/ e k Pond Wetland Seasonal Runoff StreamSlopes or B uffs > 15% Is this permit submittal the result of a Stop Work Nott orrection Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt RepairjSquar r PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Wor No. of Bedrooms No. of Bathrooms ootage- 1 st Floor 2nd Floor 3rd Floor Basement Deck eyed Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATIO - Make S bi�� Model Yea r_Z9_0 Length W6* Width -Z:7—_Serial No. 00 No. of Bedrooms_-2— No. athrooms Z Type of Heat ��- Purchase Price$ � Replacement Unit? Yes Installer Name Certification No. 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 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 permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CON UATION F WOR BY MEANS OF A PROGRESS INSPECTION. ` X ac J Date: r/Owners Representative/Co ractor (indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department 3•//// Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES PLANNING F r s RECEIVED _ S C/4 L e v'Qo ea _5� DEC 3 0 2010 PLANNING: 426W. CEDAR sti i ALL SETBACKS ARE MEASURED I FROMTiIEFe✓RTHEST (�L,U % ��L /�}/�✓ - �/-I /�tccL32, �� %� �O ��a®� PlOJECTION OF THE BUILOII ` APPROVED 10UNTY DCD PLANNING 'AeA r,y 'LA N REQUIRED TO SE ON SITE H N ES SUBJET TO APPROVAL 0_-, PL(I N TS y DateL ue �-- 5 mi n 4-6-FA — x 2 o S 2 VqI ve l 5 an8 PLAN75 �\ 42 NSTAI-ti=0 S f� RECEIVED JAN 10 4 2011 426 W. CEDAR S.T; January 4, 2011 To whom it may concern: This is to authorize any questions about my building permit be addressed to my step dad, Clifford A. Payne (Buz), since I work nights and most questions are dealt with during the day when I am sleeping. The property which is in the permit process is parcel # 322325062002 which has just recently been split into its own parcel, lots 1-4 of Union Hood Canal Land & Imp. Co Blk 62. It used to be part of my parcel which included lots 17-29, now in its own parcel which is # 322325062017. He can be reached at the following numbers, 360-898-2352 or his cell which is 206-909-9634. Thank You for your cooperation, D. Diane Walter Name D.0 i co-t..,e V lc,-[�-e 1- Parcel# 3 ;�Z 3 vZ SO (2,0,n2, B LD#Cob I i-06W P11 Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This,Table Surface Type Length X Width = Area ' All dimensions in feet Buildings 0 0 f X /30�'r = $3 z o , X (o e = t'X 0 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 /5-11 = 3 o a X = Any paved, gravel or packed area per definition above table X = Patios/Walks 41 , X X = a P A�,paved, gravel or packed area per definition c "i 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 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 pr erty for review and inspection as may be required. X J Owne Agent/Contractor(circle one)Date: l y— 20 1 ' 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/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 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/d ra infield 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 APPROVED MASON COUNTY PERMIT NUMBER: BUILDING DEPARTMENT I� REVIEWED FOR CODE COMPLIANCE L Z)2-0k- nO(�d� DATE / I NAME ON PERMIT: l !\ Jc� ADDRESS: PARCEL NUMBER.- 2 Z-3 Z_S_0�Z CO 2— See Mason County Manufactured Home Checklist (attached) Review pages 9-12 for general requirements and a manufactured home inspection checklist. All decks, stairs and guards must meet minimum code requirements. Useful details and information are attached to the checklist. See also item numbers 1 , 30, 31 ,32,33,34, 35, 36, 44, 49, 53, 55, 56, 69, 96, and 110. For information about skirting vents and crawl space access requirements see item #51 and #60. Site address must be posted see item #78.