HomeMy WebLinkAboutBLD2011-00101 SFR - BLD Permit / Conditions - 3/11/2011 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
1r Shelton, WA 98584
f;4
RESIDENTIAL BUILDING PERMIT BLD2011-00101
OWNER: LEANDER GEIST RECEIVED: 2/8/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 3/11/2011
SITE ADDRESS: 351 E MCREAVY RD UNION EXPIRES: 9/11/2011
PARCEL NUMBER: 322325500017
LEGAL DESCRIPTION: WONDERVUE TR 17 & INT IN TR A
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE GO 12 MILES FROM SHELTON OUT BROCKDALE RD TO MCREAVY RD
WE ARE 351 ON THE LEFT SIDE OF MCREAVY RD
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3/U Lot Size:14,000 Deck: 0
Type of Work: NEW Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:1,472 Carport-Attached 576
Valuation: Building Height: 28 Occ. Status: Primary Basement: COV PORCH 240
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 15.0 Ft. Shoreline: Ft. Water Body:
Rear: N 84.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 6.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 29.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type City. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee GMM 2/8/2011 $911.66 S12011000
Hosebibs 3 Ventilation Fan 1 Planning Review Fee GMM 2/8/2011 $205.00 S12011000
Kitchen Sink 1 WOodstove 1 EH Plan Review KKK 2/8/2011 $103.00 S62011000
Lavatories 3 Dryer Vent 1 Building State Fee LDK 3/3/2011 $4.50 S12011000
Showers 1 Building Permit Fee LDK 3/3/2011 $1,419.35 S12011bob
Water Closets (Toilets) 2 Mechanical Permit Fee LDK 3/3/2011 $104.20 S12011000
Water Heaters 1 Mechanical Base Fee LDK 3/3/2011 $28.50 S12011000
Bath Tubs 1 Plumbing Permit Fee LDK 3/3/2011 $101.90 S12011000
Clothes Washer 1 Plumbing Base Fee LDK 3/3/2011 $24.70 S12011000
Total $2,902.81
BLD2011-00101 Please referto the following pages for conditions of this permit. 1 of 6
CASE NOTES FOR
BLD201 1-00101
CONDITIONS FOR
BLD20 1 1-00 1 01
1) Project approval is subject to the Erosion and Sediment Control Plan prepared by Michael Saten of Envirotech Engineering, dated March 10, 2011. Prior
to final approval, all upland areas disturbed or newl re d by construction activities shall be seeded, vegetated or given an equivalent type of erosion
protection (silt fencing or straw matting). X
2) 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)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
been "finaled' approved.
X
3) 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
1-800-647-098 rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
4) Owner/Agent mv �
ible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
5) 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 prior t n rther inspections being performed or approvals granted.
X
6) Owner/Agent is re s o sible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
7) 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 permitohnoler 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 appr uments will result in failure of required building inspections.
X
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2011-00101 Please referto the following pages for conditions of this permit. 2 of 6
9 The"approved" site Ian is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site Ian is not on site, then
P q P P P P qP
approval will no be r nted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Dep t for to any further inspections being performed or approvals granted.
X
10) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, 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 addition the following credit from Table 9-1 shall be completed: 6
X
11) 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 '/4 or'/z sheets. The
Mason County Per it Ce er will also have some available.
X Ylv
12) A minimum of 50 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
installed in or around swiInming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSE
X
13) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
X �Xd
BLD2011-00101 Please refer to the following pages for conditions of this permit. 3 of 6
14) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's i al ation instructions.
X
15) 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 Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system
of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contractor is a n ing that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
16) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from outs i e i ordance with the international codes.
X
17) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundatio r within 30ft, down gradient of drainfield/reserve area.
X
18) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete Tex7
ed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X
19) 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 Marshal standards for Fire Apparatus Access Roads up to the point where
such roads o ith a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
20) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be
charged and be Ilected by the Building Department prior to any further inspections being performed or approvals granted.
X
21) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revo TV
X
BLD201 1-00101 Please referto the following pages for conditions of this permit. 4 of 6
22) 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 vyithin 2 ' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.
X
23) Placement of s v ust comply with standards set forth per the international codes regarding descending and/or ascending slopes.
X
24) All changes to"appro ed" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regula o t be reviewed and approved by Mason County prior to construction.
X
25) 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 mvija o requesting additional inspections.
X
26) All property lines shall be clearly identified at the time of foundation inspection. X
27) 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 ordi n a building regulations.
X
28) 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 a ceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have pr i tion from being taken. No more than one extension may be granted.
X
29) Pressure treated wood anufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, an f . . Install metal connectors approved for contact with the new types of pressure treated material.
X
30) Retaining walls needed to support a sur a h as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
BLD2011-00101 Please referto the following pages for conditions of this permit. 5 of 6
31) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structLKes meet the setback conditions listed.
X rVI\Q -
32) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved "to ensure these structures are shown and meet the setback conditions listed.
X
33) Approved per d"ions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
34) The Washin t to Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
X
This permit becomes null and void if work orconstruction 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 structure for review and inspection.
OWN ER OR AGENT: DATE:
BLD2011-00101 Please referto the following pages for conditions of this permit. 6 of 6
o CONCRETE MECHANICAL MANUFACTUREDMANUFACTURED HOME
Date "/ By�� Ribbons to
Footings !Setback Gas piping :-I
oInterior Date 1 By Interior-Date By Date By
o Exteroor Date .4 Ct—J y By//� Exterior-Date __ B Set-up D
Point Load I Isolated Footings INSULATION Date By Z
BG I SLAB INSULATION -- 0
Date __ BY Data ey FIRE DEPARTMENT M
Foundation Wails Floors Date By
Date y ii By C.►0` Data j� ( By tiC) Y DECKS
FRA ING wails Date By
date 7 - By Data 7-21- 11 By L✓ PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Date rI �( By (�i�J Type-
Date By
113MV DRYWALL TYPO
/ _/� B Inc Brace Wail Date By 0
Date
Y Date By FINAL INSPECTION 0
Water Line Fin Separation d Date �/ By Date By Date l �l/1 By CI, �
m
Pass or Request I nspect. c
Type of Insp. Fail Date Date Done By Comments c
If( f=/1
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MASON COUNTY PERMIT NO. )L-PL J
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 I �
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 Le-aAdal Q kajhIeZ17 6C/S�,- Company Name Ol tinar
Mailing Address • 8 nX to ON Mailing Address
City LLrL;ari State JdA_ Zip Code City State Zip Code
Phone O-`1q0 -4 Other Ph.3`0-yob -8a76 Phone Other Ph.
Lien/Title Holder OW L'nmm, LY&c4 /Liltrn Contractor Reg. # Exp.
E mail address 4isfAihefC. eom E Mail Address
Drivers Lic.# S1<'l D D D08 3- )R 54 Drivers Lic.# DOB
SEPTIC/WATER SYSTEM NFORMATION - Connect to New Septic Existing Septic
Connect to Water System )IIA Name of Water System
Well Water System Name of Water System 0- • ok-
PARCEL INFORMATION - 12 Digit Parcel No. Fire District.
Legal Description Wmde-,Vua Tit ytI '7
Site Address (Please include street name, street number and city) 351 MC R"_cLjU_2 d • I knLm 0A
Directions to site GO IA Mi"-- nn S
Will timber be cut and sold in parcel preparation? Yes/ "o w 1 •`n&P#' 0-
Is property within 200' of Saltwater uc Lake ► 0 River/Creek ►.>0 Pond
Wetland No Seasonal Runoff up Stream wo Slopes or Bluffs > 15% Ise
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yemp
TYPE OF JOB - New ✓ Add Alt Repair Other PRIMARY RESIDENCE � SEASONAL ❑
Use of Building 5 F'R Describe Work �I ;- S'for
No. of Bedrooms—No. of Bathrooms I AN Square Footage- 1 st Floor 7 � <4 2nd Floor � 7=St
3rd Floor Basement Deck Covered Deck al Other Sq. ft.
Garage —5 7 to Attached- k" Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
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 Gounty access to the above described property and structure for review and inspection.
PROOF OFC%71NUATIjPN F ORK IS BY MEANS OF j�PROGRESS INSPECTION.
X t- Date: 1-3�"12011
ner ' wners Re esentative/Contractor (indicate which one
FOR FICIAL USE BEYOND THIS POINT Accepted b Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department $ /I I-4
Planning Department
Environmental Health Department )Q, Kf C-O
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL 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 f'/ ree b Company Name nWA)L
Mailing ddres D Mailing Address
City State_ Zip Code a City State Zip Code
Phone 790-a k-13 Other Ph. -YS0t/ Phone Other Ph.
Lien/Title Holder 0 ILI, 004,0- 14ELA& dAt1t Contractor Reg. # Exp.
E mail address a W-It E Mail Address
Drivers Lic.# y LD k DOB 3 01 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,—...--A S S DDO j 7 Fire District
Legal Description
Site Address(Please include street name, strept`numb r and city) M L, &C/ 04,
Directions to site �fi'bM
M &a�? -
Is property within 200' of Saltwater do Lake aAj River/Creek AICJ Pond ND
Wetland IUD SeasonalRunoff A)#_Stream Ad _Slopes or Bluffs > 15% A/d
TYPE OF JOB - New Add Alt Repair Other Ccn 14 c e. Use of Building R
Location of Fixtures/Units- 1st Floor ✓ 2nd Floor ✓ Basement Garage Closet kb�Lajr
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
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 I Gas Outlets
Kithen Sinks 1 Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood 1
Hosebibs Dryer Vent 1
Other Other r] rPAL't- Wu
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 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 NTINUA O OF WOR IS BY MEANS OF A PROGRESS INSPECTION.
X Date: "3 0_0I
Owner/Owner Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building De a tment
Occ Group—' Type ConstrVt,5
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
ON_STA MASON COUNTY
BPS C DEPARTMENT OF COMMUNITY DEVELOPMENT
O A 0, (0
N 2E Planning Division
y 0T 2
7 N y Y P O Box 279, Shelton, WA 98584
of o (360)427-9670
1864
REQUEST FOR ADDITIONAL INFORMATION
March 04, 2011
LEANER GEIST
PO BOX 604
UNION WA 98598
Parcel No.: 322325500017
Project Description: RESIDENCE
Dear Applicant:
You have submitted a permit application (case no. BLD2011-00101) for proposed
construction or development in the county. Upon review of your application, I require
additional information to complete the permit review process.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 287 if you have questions.
Sincerely,
Rebecca Hersha
Land Use Planner
Mason County Planning Department
3/4/2011 Page 1 of 2 BLD2011-00101
6r- ST
REQUEST FOR ADDITIONAL INFORMATION
3/4/2011 Case No.: BLD2011-00101
Comments: A site inspection was conducted on March 3, 2011 to assess critical
areas relevant to future residential construction. It appears that the
property is on or near slopes of more than 15 percent, therefore a
Geological Assessment will be required to evaluate slope stability for
development.
The assessment must meet the requirements of the Mason County
Resource Ordinance section 17.01.100 EA (enclosed). The
assessment must also state that the hazards of any landslide area can
be overcome in such a manner as to prevent harm to property and
public health and safety, and must also assure that the project will
cause no significant environmental impact. See Mason County
Ordinance section 17.01.100, E.7. A Geotechnical Report may be
needed if through a Geological Assessment it is determined necessary.
The proposed project is also in a seismic hazard area and an erosion
hazard area. Therefore, in addition to the requirements per the
Landslide Hazard requirements, the Geological Assessment shall also
address the seismic hazard and include a Soil Erosion and Sediment
Control Plan.
The geologist and/or geological engineer must submit the enclosed
checklist with his/her Assessment. If you have any questions, please
don't hesitate to contact me at 427-9670 extension 287.
3/4/2011 Page 2 of 2 BLD2011-00101
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M,A4.IAL fW VESTLRN VASMINGTUN BY THE VASHDLGTON STATE ICPARTWXT CF [F ELM LOGY.
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T-£Btif THE i1SE fF MA-C*25.NETTG6.PLASTIC SlEET4 EROSION DL*WETS. TANCC THkAWNG MATERIAL,ETC, BY SEPTErGER 30 OR SMAEER
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Cn.NVERt. * rM AS mkfmrHG, F£1TM.PLAT.T'S S EEUWI ERUSM BLANKETS.ETC,MOST BE bLSTALLED BY NO LATER TMAN SEPTEMBER 00.
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ALL EROSION AN SZV[MCNT C:OAPGIL FACIL;TiCS.
HET SEASON QICT132Eti 1 THE)APKIL 30 --ON SITES WWW XINWERLIPiED C17fSTRLCTMN ACTIVITY [S IN PRODWSS. YHL CLE.AkW,OF LARD.
INCI--WAG THE REWvAL IF EiciSTIm VEGLIATIM AMD OTHER GROUND CUVM SHALL BE LB{OTED TO AS MUCH LAM AREA AS CAN IE COVO=
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2,IlUMK SEI:.DWN INSTALL HEEDED SURFACE R%AC F CONTROL HEAWMS SUCH AS
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plot plan for geist
351 mcreavy rd.
160'el. i 16 el. 32232-55-00017
APPROVED
84' 1ASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO HE ON SITE
CHANGES SUBJET TO APPROVAL
3 aka { 8y ���T Deft
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existing and location of new house topog
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Cr
ea rd 16
180'el.
P G
scale 1/4" = 8'
Name ��t L Parcel# Yj 2�-�j� "�j �'00!C J/ 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) YIThe relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has, or will have, a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other, parcel. You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition 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-
describe r perty for revi and i pecti as may be required.
X , Owner/Age ontracto circle one)Date: Z O
Page 2 of 2
Name Parcel# �2� 3� ' 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 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 X = 3
X = 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 =
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) 3Cjy 3,/0
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/A gent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2