HomeMy WebLinkAboutBLD2013-00623 Laundry Room - BLD Permit / Conditions - 8/26/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427\9670, ext. 352
Mason County Bldg. III 426 W. Ce*ar P.Q-. Box 279
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2013-00623
OWNER: DON LINCOLN RECEIVED: 7/30/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 8/26/2013
SITE ADDRESS: 81 E HALLER AVE UNION EXPIRES: 2/26/2014
PARCEL NUMBER: 322325080001
LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO BLK: 80 LOTS: 1-2 &VAC HALLER STADJ &VAC HANNEGAN STADJ SURVEY 31/1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADDING LAUNDRY ROOM ADDITION TO SFR ST RT 106, R ON ORRE NOBLES RD, R ON SHARPE AVE, R ON HALLER
AVE TO SITE ADDRESS ON THE LEFT SIDE
General Information Construction&Occupancy Information Square Footage Information
o. of Bedrooms: e of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: up: R-3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 6 No. of Stories: 1 Load: Building:170 None 0
Valuation: $ 18,578.74 Building Height: 16 Occ'Status: Primary Basement: COV PC%ylld 28
Manufactured Home Information Setback Inf in Shoreline&Planning Inform
Make: Length: Ft. Front: N Ft. Water Body:oreline: Ft. -None
Rear: S 17.0 Ft. `, Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E Ft. 4%%4 ' Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 18.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type j Qt . Type By Date Amount Receipt
Clothes Washer 1 Dryer Vent 1 Plan Check Fee JWH 7/30/2013 $ 199.71 S2201300000001
Water Heaters 1 Ventilation Fan 1 EH Plan Review JWH 7/30/2013 $ 103.00 S2201300000001
Planning Review Fee JWH 7/30/2013 $205.00 S2201300000001
Building State Fee LDK 8/22/2013 $4.50 S1201300000001
Building Permit Fee LDK 8/22/2013 $307.25 S1201300000001
Mechanical Permit Fee LDK 8/22/2013 $ 18.00 S1201300000001
Mechanical Base Fee LDK 8/22/2013 $28.50 S1201300000001
Plumbing Permit Fee LDK 8/22/2013 $ 17.40 S1201300000001
Plumbing Base Fee LDK 8/22/2013 $24.70 S1201300000001
Total $ 908.06
BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2013-00623
CONDITIONS FOR
BLD2013-00623
1) Contractor re istration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are en lal risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-64 - 98 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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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 gr tied. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Depart et rior to any further inspections being performed or approvals granted.
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3) Owner 4nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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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. T e 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
remov o Tproved documents will result in failure of required building inspections.
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5) All wall cavifi s erving as exterior walls, exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and
inspected/ for to covering. Insulation R-values shall be as follows: 2x4 wall cavities min. R-15 and 2x6 wall cavities min. R-21.
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6) THE FOb�TION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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7) The "approved sit 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 wi of b 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 D � rtment prior to any further inspections being performed or approvals granted.
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BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 2 of 6
«� iLuv wiiiNiicllluu iiaa uccii aNNivvcv Cl,) iviivvr0.
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option, Window(Max U-Factor):0.30, Skylight (Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R 21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In additio the following credit from Table 9-1 shall be completed:
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9) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
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 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in %or'/z sheets. The
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Mason o ,hty Permit Center will also have some available.
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10) A minimum of 75 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installe io o around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Refer SEC 505.
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11) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufactuwr'A installation instructions.
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12) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ R serve requires a 10ft setback from all footing/foundations.
B. Septic tank( requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
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BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 3 of 6
i.J) concrete usea Tor casement wars, TcunoauUn wdns, UXLUI IUI wdIIJ, PUi c+iaa, Udi NUi i Wdua, aiUNa UnNUacU w u is WCOU ici, yai ayc nvUI JIOUJ ai iU UU ici
vertical) co cFete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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14) Carbon monoxide alarms, listed as complying with UL 2034 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
New and existi gidwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon
monoxide aq Carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms.
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15) 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 Washi gton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revoc Tn
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16) 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 wit in 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.
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17) Placement of stru t re ust comply with standards set forth per the international codes regarding descending and/or ascending slopes.
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18) All changes to "approve building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulatio st be reviewed and approved by Mason County prior to construction.
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19) 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 4s as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be prior to requesting additional inspections.
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20) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 4 of 6
"-1) Hn Dullaing perrnlls snail have a I111H1 1115YUUL1U1I YUHU1111CU A11U ANNIVVVU .,y ulc IVIAJVII vWUIIky w ...-
to request a final inspec '(on or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordin n s nd building regulations. '
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22) 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 x eed 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevent d ing a ion from being taken. No more than one extension may be granted.
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23) Pressure treated wood Mpnufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flas i V. Install metal connectors approved for contact with the new types of pressure treated material.
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24) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
25 B definition propane tanks and heat um s are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure
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these structures me t the setback conditions listed.
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26) Landings and stairs m st meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Pla 't nsure these structures are shown and meet the setback conditions listed.
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27) Approved per dim i ns and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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28) All construction and demolition debris must be removed from the site after project completion. Proper di pbs I of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X L
29) Temporary erosion control measures must be implemented to prevent water quality degradation of a �ewaters or properties. Silt fencing, straw, or
matting must be installed and maintained until upland vegetation has become established. X
30) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations.
B. Septic t I (s) requires 5ft setback from all footing/foundations.
C. No f d ion drains within 30ft, down gradient of drainfield/reserve area.
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BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 5 of 6
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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 w rk is by ans 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 Co hty acc tgthe above described property and structure for review and inspection.
OWNER OR AGENT: DATE
BLD2013-00623 Please refer to the following pages for conditions of this permit. Page 6 of 6
o CONCRETE MECHANICAL MANUFACTURED HOME 100
O Date B y/&j,.(, 0
w Gas Piping Footings J Setbacks /y Ribbons O
Interior Date By Interior-Date By Date By` _ Z
n3 Exter or Date -j ` 14 J 3 By L i Exterior-Date B Set-up 0
V Point Load!Isolated Footings INSULATION Date By O
BG J SLAB INSULATION Z
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date v /q /3 By �,�j -Data By DECKS
FRAMING Walls Date By
Date — By,OMData . 3— /`/ eye ,I-Z PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type_
Date By Date By Date By
D w V DRYWALL Type:
Int Brace Wall Date By lA
Date ' -/ B Date ey /' r1'� FINAL INSPECTION 0
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Date S'• '�-/ By Date By Date By
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Permit#
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTIC;E
Job Location 92 4� ��/Y Ali-e-
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
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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 ❑ Please contact our office
❑ Make corrections, i ms will be checked on next inspection regarding possible structural
�OK to # �C j7 damage incurred by recent
This is not a complete inspection "natural/man made"
❑ P P disasters.This is NOT a
Date -g7' -2-1/� Department d CORRECTION NOTICE.
Inspector��?M,,t
n* ,0 s4OT i 'pl* V 4 ' THI 0 T A k m
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. 314A 2013- 601cA3
PLEASE PRESS HARD BUILDING PERMIT APPLICATION+�" -Al
BUILD-IN 426 W. Cedar• P.O. Box 186, Shelton, WA 98584
"�elton (360) 427-9670 • Belfair (360) 275-4467 • Elma (350) 482-5269 /� a
On the web www.co.mason.wa.us 7
APPLICA INFORMATION CONTRACTOR INFORMATION
Owner n►��4L 1 V Cf� Company Name
o Mailiag,Addr s 0 Mailing Address
6 Ci State Zip Code
City Lk state /�.r Zip Code Phone ther Ph.
r Phone - 3a Other Ph.
Contractor Reg. # Exp.
E mail address 1 //yee 6 G6 / o S/V • LOIr E IViail Address
Dr4va;& ��' DOB 6 I/ S"6 Drivers Lic. # DOB
SEPTI YSTEM INFORMATION - Connect to New S c Existi eptic
Co ect to Water System Name of Water System
ell Sewer Syste Name of Sewer S `
PARCEL INFORMATION - 12 Digit Parce o. 344-94. -S'o - 8000/ Fire District-
- 112
Legal Description
Site Address (Please include street name, street number and city) e-'C ed ye"14e �/w�es✓
Directions to site/b& AO O,eC /Vn leS _ S'b[,r AL, oog GW C tynAll.s At ilAG/'e
lue 0" e
Will timber be cut and sold in parcel preparation?Yes G)
Is prope within 200'of Saltwater .[�(S�Laker River/Creek Pond ��
Wetland Seasonal Runoff, Stream Uo Slopes or Bluffs 15%
Is this permit submittal the resuit of a estop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - N w Add Alt Repair ther PRI RY E IDENCE ❑ SEASONAL ❑
Use of Building ��� Describe Work 1 '
No. of Bedrooms No. of Bathrooms Square Footage 1st Floo I 2nd Floor
3rd Floor Basement Deck Covered D k Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACT i E TlON - M d Model Yea
Length Width Serial No. No. of Bedrooms No. of Bathro
Ty of Heat Purchase Price $ Replacement Unit? Yes/ N
staller Name
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. 1 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 nd structure for review and inspection.This permit/application becomes null &void if work or authorized construction is
not co menced v✓ in 18 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
M F PR RES INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X • � . Date � ZJ
O Owners P.epresentative /Contractor (indicate which one)
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FOR O F iAL USE BEYOND THIS POINT Accepted by:6 Date�1-2S-2C) I
DEPA ENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES '
Building Permit Fee Site Inspection
Plan Review Fee
EH Review Fee
Plumbing & Base Fee Planning Review Fee 42.6 W. - -
Mechanical & Base fee Other
Wood /Gas / Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NOU I d 26113 - Coco a3
B I L I N C PLUMBING/MECHANICAL PERMIT APPLICATION '
426 W. Cedar•P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belb (360)275-4467•Elma(360)482-5269 W
On the we www.co.mason.wa.us
APPLIC NT INFOR ATION CONTRACTOR INFORMATION
Owner 00 C0 Cld Company Name
Maili Addres •b• 8K Mailing Address
City k State 14 Zip Code o City At2 Zip Code
Phone 2oG • 95f Q•Ss3eU Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
Email add ress6/aZcQ4 / 66 f AV s1.Siy -CDC'++ E Mail Address
Drivers Lic.# DOB C. Drivers Lic DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic ✓ Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Z2 z v • O o Fire District
Legal Description
Site Address (Please include street name,street number and city) ve
Directions to site%ram 1& plee "n es S -1 a I✓ 121u /yo/!rs
cv ! e/
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building �S
Location of Fixtures/Units- 1st Floor &,*'- 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNIT$
Type of Fixture No. of Fixtures Fees Fuel Type:Electric ,_/LPG—Natural Gas_Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent i
Other Other
Base Fee Base 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 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 ly for his permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and nts ployees of Mason County access to the above described property and structure for review and inspection.
PRO), NTIN ION WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 7-
Owner ners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by tanning Pd Ck# Date?-26- 17!) Bid Pd Receipt No.
DEPARTM NTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group T e Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
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,RECEIVED4ll
p 60 "
80 �: i k��{ SCALES 1 INCH = 40 FEET
� 40
JUL 2 5 2013 80 FT t 2��.//�X/ 0 5 10 a
426 W. CEDAR ST.
E HALW AVE
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PROJECTION OF THE BUiLDING RESIDEN
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CHANGES UBJECT TO APPROVA
By Date 3 32 50 80029
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PROJECT/ OWNER/ LIICATION
SINGLE FAMILY PROPERTY
GE❑LOGICAL ASSESSMENT
DON LINCOLN
81 E HALLER AVE
PARCEL 32232 50 80029
MASON COUNTY WASHINGTON
SITE PLAN SHOWS LEGEND ENGINEERi
DEVELOPMENT WITH❑UT ENVIROTECH ENGINEERING
PO B13X84
THE BENEFIT OF A LAND SLOPE INDICATOR BELR9WASHINGTON 98528
SURVEY. SITE FEATURES 360-275-9374
ARE APPR❑XIMATE. TPI@ TEST PIT SITE PLAN
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F gldnz Vp l 31 PG 19(o
RECORD OF SURVEY DESCRIPTION I i
LOT I a 2 20.JO BLOCK W.HOOD CANAL LAND AND IMPROVEMENT I I
COMPANY'S PLAN OF UNION City,VOLUME 1,PAGES B AND P.RECORDS OF I I
MASON COUNTY.WASHINGTON. I I
TOGETHER M1DI VACATED HALLER ST.
LEGEND
O SET CAPPED IRON BAF LS 16928
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I I JANUARY,,9006
.1 �Y I I I I2a17R8.DaG
CIA` j i BASIS OF MERIDIAN PER SURVEY
i FILED IN VOLUME 28 OF
J / SURVM,,PAGE 166.RECORDS
OF MASON COUNTY WASHINGTON
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SURVEY PROCEDURE
THIS SURVEY WAS COMPLETED WITH A FIVE SECOND TOTAL
STATION AND FIELD TRAVERSE ACCURACY MEETS OR EXCEEDS
THOSE PRE09ON STANDARDS STATED IN WAC 332-I30-090.
AUDITORS INDEXING DATA BRACY&THOMAS ""qq R'"`ST� THIS MAP CORRECTLY REPRESENTS A SURVEY
J•V•�ot YAl* MADE BY ME OR UNDER MY DIRECTION IN
LAND SURVEYORS y, ,{
FILED FOR RECORD THIS ��jj"�'� F CONFORMANCE CMTHOR THE REQUIREMENTS U
ydq,,DAY OF 10(�a, AT�1 A PROFESSIONAL SERVICES CORVORAnON THE SURVEY RECORDING ACT AT THE REQUEST
MINUTES PAST_I O'CLOCK�M.,AND RECORDED UNDER AUDITOR'S 1520 IR-O ST SW SUIIE B
TUMWAi�R,WASHwC ON 96612 OF DON LINCOLN IN OCTOBER,200�
FILE NUMBER IH 00 , AT THE REQUEST OF BRACY AND THOMAS. (76o)JST-339.7 1130 AUDITOR'S INDEXING DATA
4NLeTs*4O�
910T41.LAND ATE://1-06 NE 7/4 OF SECTION TONNSHIP RANGE
BY ���a REGISTERED PROFESSIONAL LAND SURVEYOR 32 2 3 WEST BT 28 7
MASON COUNTY AUDITOR DEPUTY CERTIFICATE NUMBER L.S. 16928 THE SE 1 4
!:
80 RECEIVED 60 N
P SCALE, 1 INCH = 40 FEET
JUL � 5 2013 80 FT �'X� 0 5 10 20 40
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,• E HALW AVE
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APPROVED F '
MC PUBLIC HEALTH 33 '
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AUG 2 6 2013
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U - A V E
PROJECT/ OWNER/ LOCATION
SINGLE FAMILY PROPERTY
GE❑L❑GICAL ASSESSMENT
DON LINCOLN
81 E HALLER AVE
PARCEL 32232 50 80029
MASON COUNTY VASHINGTON
SITE PLAN SHOWS LEGEND ENGINEER
DEVELOPMENT WITHOUT ENVIROTECH ENGINEERING
PO BOX 84
THE BENEFIT OF A LAND SLOPE INDICATOR RELFAIR9VASHINGTON 98528
SURVEY, SITE FEATURES 360-275-9374
ARE APPROXIMATE, TP1e TEST PIT SITE PLAN
NameL,I YAC-0 I i(1 BLD# 4a oaL
I �! - so - 9 a.o 1� a• oo10 3
�'. , 3�Mason County Z
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Tittle 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
trade for residential development,or redevelopment%with more than 2,000 square feet of impervious surface?.
'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 stonmwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
Talctrlafe Imperu�os Svraces=Please GoRipefe T1Yis 7'ab7s
Surface Type Length X Width = Area All dimensions in feet
Buildin s X =
X = --7 Z Measurements for buildings are taken at the
X _ —! perimeter of the farthest projections(example:
GrA/10 CA eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
La nA v
rn , rl = 1
Par}:in-Are 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 'lf,the total impervious area`bf the proposed site
X = development is.greatei than.DODO sglJare feet a
Small Parcel Stormwater Stte Plan is Required
J.
Total ImpErvious Surface Area (sum ofiall areas) 1
If the Total Impervious Surface Area ' ESS THAN 2000 Square Feet, p se read,acknowledge and sign below.
Based Upon the information you have pro 'ded a St ester Site Plan IS NO required for this deA]RCEWE
Owner/Builder/Agent Acknowledges that submiss ac a' ay result in a stop work order or perrrt t voCaiion:`1
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 tp,the atom l-'e -A 4'
described property for review and inspection as may be required. ^^
X Owner/Agent/Contractor(circle one)Date: ' 25•C•CJ
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 ApplicatioWWorksheet (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:
httD//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 D\TTrIAL BELOW TO LNDICATE 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 PubIic 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
Count
y Division of Environmental Health can be reached at:
Phone: -427-( )360 9670 EXT. :)52
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