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HomeMy WebLinkAboutBLD2017-00141 Garage - BLD Permit / Conditions - 4/13/2017 Inspection Line(360)427-7262 �PSoq cot, MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2017-00141 OWNER: FRED BADER RECEIVED: 3/3/2017 CONTRACTOR: LICENSE: EXP: ISSUED: 4/13/2017 SITEADDRESS: 90 E UNION HEIGHTS PL NORTH UNION EXPIRES: 10/13/2017 PARCEL NUMBER: 322327590123 LEGAL DESCRIPTION: TR 12-C OF SURVEY 5/59 TR 4 OF SP#610 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW GARAGE WITH HEATED HOBBY ROOM AND HALF BATH TAKE E BROCKDALE RD TO E McREAVY RD, FOLLOW E McREAVY RD TO E UNION HEIGHTS PL S IN UNION General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R3 Lot Size: Deck: Type of Work: ACC Fire Dist.: 6 No. of Stories: 1 Occ. Load: Building: Garage-Detached 960 Valuation: $ 42,844.80 Building Height: Occ. Status: Seasonal Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: W Ft. Shoreline: Ft. Water Body: Rear: E 5.0 Ft. Slope: Ft. SEPA?: Unkn Model: Width: Ft. Side 1: IN 175.0 Ft. Shoreline Desig.: DlaltlApplicable Year: Serial No.: Side 2: S 50.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 1 Ventilation Fan 1 Plan Check Fee JBN 3/3/2017 $372.48 S2201700000001 Lavatories 1 EH Minor Plan Review JBN 3/3/2017 $ 105.00 S2201700000001 Water Heaters 1 Planning Review Fee JBN 3/3/2017 $205.00 S2201700000001 Building State Fee MPB 4/12/2017 $4.50 S1201700000001 Building Permit Fee MPB 4/12/2017 $573.05 S1201700000001 Mechanical Permit Fee MPB 4/12/2017 $9.00 S1201700000001 Mechanical Base Fee MPB 4/12/2017 $28.50 S1201700000001 Plumbing Permit Fee MPB 4/12/2017 $26.10 S1201700000001 Plumbing Base Fee MPB 4/12/2017 $24.70 S1201700000001 Total $ 1,348.33 BLD2017-00141 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2017-00141 CONDITIONS FOR BLD2017-00141 1) Prior to final approval, all upland areas disturbed or newt geated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 2) Approve ,p�r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X i, 3) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is RR-5. x r- 9 4) Proposed structure or portions thereof, � maintain a 5' separation distance between adjacent structures. Separation is measured from furthest projection to furthest projection. X 5) 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-W-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X �� 6) 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 Xior to any further inspections being performed or approvals granted. X �V 7) Owner Lfipynt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X t- 8) 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 o approved documents will result in failure of required building inspections. X E= 9) THE FO�N ATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X BLD2017-00141 Please refer to the following pages for conditions of this permit. Page 2 of 5 10) 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 Building Department prior to any further inspections being performed or approvals granted. 11) 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. In addition the following credits from R406.2 shall be completed as follows: X F3 12) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. X ~� 13) 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 acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 14) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. X 15) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs,,or additions requiring a permit occur, or when one or more sleeping rooms are added or created. X r� BLD2017-00141 Please refer to the following pages for conditions of this permit. Page 3 of 5 16) 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 revocation. X ifS 17) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency (ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X r__� 18) Proposed structure or portions thereof, must maintain a 5' separation distance between adjacent structures. Separation is measured from furthest projection to furthest projection. X f:::�5 19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 20) 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 t egnade prior to requesting additional inspections. X V 5;, 21) All property lines shall be clearly identified at the time of foundation inspection. X l� 22) 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 C.flarl�v ordinances and building regulations. X E_1, 23) 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 j holder a prevented action from being taken. No more than one extension may be granted. 24) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connecto nd flashing. Install metal connectors approved for contact with the new types of pressure treated material. X BLD2017-00141 Please refer to the following pages for conditions of this permit. Page 4 of 5 OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. / - Signature ] R Date f5k&D ✓ A DE ` OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2017-00141 Please refer to the following pages for conditions of this permit. Page 5 of 5 MASON COUNTY COMMUNITY SERVICES LW O PERMIT ASSISTANCE CENTER: Permit No: • 7 _a_ BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 815 W.Alder Street,Shelton,WA 98584 RECEIVED Phone She (360)427-9670 ext.352•Fax:(360)427-7798 Phone -" Belfair.(360)275- MAR•Phone Elma:(360)482-5269 0 3 2017 834 B U 1LDING BUILDING PERMIT APPLICATION e15 W fier Sbeet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: fl?6 D A aZ`� NAME: MAILING ADDRESS: 07t MAILING ADDRESS: CITY: Ori (�V-tJ STATE: ZIP: CITY: STATE: ZIP: PHONE#1: tloj - "0 - -7 16> 6 C PHONE: CELL- PHONE#2: 3bo - $ 8 - Lcri l EMAIL : EMAIL: e_R A 0 r-R J5 TOND, C-'4 M L&I REG# EXP. PRIMARYCONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL C D rRF,D Q :Tywo C om MAILING ADDRESS ?.C)- L CITY STATE ZIP PHONE 3LCt . G 4�`[�9!1_ CELL 3/"0— qe® ._ PARCEL INFORMATION: n r1 P r PARCEL NUMBER(12 Digit Number) 3_;? oZ 3 o?, — 75 (? L Z 1iO2 ZONING e,C LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Qn G - Uh t� , COL CITY � /() DIRECTIONS TO 3 ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO k IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW�f ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY❑ SEASONAL K NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Partft]of Bldg) ® NO ❑ DESCRIBE WORK SOUARE FOOTAGE: (propose+existing) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. D s COVE CK sq.% STORAGE sq. ft. OTHER sq. ft. GARAGE sq. ttached❑ Detached CARPORT sq. ft. Attached❑ Detached❑ UFA E INFO TION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODE YEAR LENGTH WIDT4== ROOMS ATHS RIAL NUMB ENVIR'NTqfNTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC, SEWER❑ / NEW ❑ EXISTING.90- PLUMBING IN STRUCTURE? YES�9- NO❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such Is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON 1COUNTY CODE 14.08.42) S-4.10X3 -3 - Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH co&`= MASON COUNTY COMMUNITY SERVICES Permit No: o20) —_ 6V) ' A5 �T " PERMIT ASSISTANCE CENTER: RECEIVED t •BUILDING•PLANNING•FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 -- Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798 MAR 0 3 2017 Phone Belfair. (360)275-4467 Phone Elma:(360)482-5269 17e54 `''` 6'!5 W. Alder Street B r I N GPLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INF RMATION: NAME: r—ITED BAQ NAME: ,J y c— rA47 E 2 A MAILING, ADDRESS: ?,0• D k 1 -4, MAILING ADDRESS: CITY: vNipw STATE: ZIP: L CITY: STATE: ZIP: I s'PHONE: _ -1 1 O ff- G PHONE: CELL: 2nd PHONE: )(9G EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: ^ PARCEL NUMBER(12 Digit Number):�3 oL;1-7 -- -75' Z Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: qD 5� CITY: DIRECTIONS TO SITE ADD SS: TYPE OF JOB NEW :2!�,-ADD ALT REPAIR OTHER USE OF BUILDING L/I ��C LOCATION OF FIXTURES/UNITS- 1 IT FLOOR 2ND FLOOR BASEMENT GARAGE L�OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_�(___LPG Natural Gas Ductless_ Toilets I Tyne of Unit No.of Units Fees Bathroom Sink 1 Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater eO) Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Applicant Date x rR'5 6 8 Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:,1/27/2016 )BN Permit number BLD Mechanical Permit Checklist • Name of owner: Name of Installer: • Fuel Type? LPG Nat Gas Electric Other • If propane,what is the proposed size of tank(s)? • What type of mechanical unit will be installed?,(i.e.freestanding stove,forced air furnace, etc.) • If the unit is a wood stove,provide: Make Model Year Label Number • What is the use of the structure? (Circle one) Residential Commercial (A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan showing the location of unit(s)and layout of duct work with the permit application.). • Type of structure: (Circle one) Site Built Home Manufactured Home Other • What room will the mechanical unit be located? • Will the unit be located in a basement? (circle one) Yes No • How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.) • How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel. (Indicate B-vent, direct vent,L-vent,etc.) • What year was the structure constructed? Was this structure part of a PUD upgrade? • What type of controls will be installed? (i.e. thermostat, etc.) • Will the proposed mechanical unit be a heat source?(circle one) Yes No • Additional information: Signature of Applicant Date Typical mechanical fees: Forced air furnace $ 18.30 Heat pump 18.20 Propane tank 73..00 Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5) Mechanical base fee 28.50 or$ 9.00 if base fee was paid on an active building or mechanical permit Freestanding unit, fireplace,pellet stove or wood stove $73.00 Final Inspection fee 73.00 Name Parcel# v>2 Z 32— —/Yi—, �� BLD#`7 — M _ C BUILDING Mason County MAR 0 3 2011 Department of Community Development Small Parcel Stormwater Management Application/Worksheet (pe)l.ofkAr Street 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 . 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X = O X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = 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) I �w I 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 prorty for review and'inspection as may be required. X obj� - Owner/Agent/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 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 Stormx,ater 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 450 100 W.Public Works Dr Shelton.WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: 360-427-9670 ext 400 415 N. 6th St— Bldg#8 lower level Shelton. WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 �■��5SEE! �11110111 lw Ell 14W1111111111!111 NEON NEB 1N SESSION 1101 End MR M 0 No No-am 0 i mpul1OMEN MwNGmEElO 54AIEKAJ AN nWINSMEMIll R Mow, No Ill e����Sllmi■ � � I W- 01 rrrjmm �1I�OO�n11�1 mom� MI M.MH %IOL'.►_MA NONE I Ell �10111111 MENEM _r�arfi;*rilili111111 ii �i�iiOLO� ■ - jI 'Date .