HomeMy WebLinkAboutBLD2008-01219 SFR/Bonus Room - BLD Permit / Conditions - 11/24/2008 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
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2008-01219
OWNER: KEN & PEGGY CHOW RECEIVED: 9/25/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 11/24/2008
SITE ADDRESS: 260 E UNION HEIGHTS DR SHELTON EXPIRES: 5/24/2009
PARCEL NUMBER: 322327590151
LEGAL DESCRIPTION: TR 15-A OF SURV 5/59 SEE SURVEY 6/126 TR 1 OF SP#2196
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR/ BONUS ROOM McReavy to Union Store pass store to left on Union Heights up hill 3rd parcel on
left.
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3U Lot Size: Deck: 500
Type of Work: NEW Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:2,242 Garage-Attached 635
Valuation: Building Height: Occ. Status: Primary Basement: COVPORCH 35
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 37.0 Ft. Shoreline: Ft. Water Body: na
g SEPA?: No
Model: Width: Ft. Rear: N .0 Ft. Slope: Ft. Shoreline Desi
Side 1: E 146.0 Ft. 9.: Not Applicable
Year: Serial No.: Side 2: W 75.0 Ft. Comp. Plan Desig.: Rural
BLD2008-01219 Please referto the following pages for conditions of this permit. 1 of 6
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 9/25/2008 $918.94 S22008000
Hosebibs 3 Furnace<100K 1 EH Plan Review KKK 9/25/2008 $40.00 S22008000
Laundry Tray 1 Gas Outlets 2 Water Adequacy Plan Review KKK 9/25/2008 $40.00 S22008000
Lavatories 4 Propane Tank 1 Address Fee KKK 9/25/2008 $162.00 522008000
Showers 1 Ventilation Fan 5 Planning Review Fee KKK 9/25/2008 $190.00 S22008000
Kitchen Sink, w/disposal 1 Propane Stove 1 Fire Warden Review KKK 9/25/2008 $68.00 S22008000
Water Closets (Toilets) 3 Dryer Vent 1 ADJUST--Plan Check Fee ARC 9/30/2008 $29.12 S22008000
Water Heaters 1 Building State Fee ARC 10/2/2008 $4.50 52200800b
Bath Tubs 2 Mechanical Fee ARC 10/2/2008 $221.60 522008000
Clothes Washer 1 Mechanical Base Fee ARC 10/2/2008 $26.60 S22008000
Plumbing Fee ARC 10/2/2008 $128.11 S22008000
Plumbing Base Fee ARC 10/2/2008 $23.10 S22008000
EH Plan Review ADR 10/6/2008 $60.00 S22008000
Building Permit Fee ARC 11/19/200 $1,536.95 S22008000
Additional Plan Check Fee ARC 11/19/200 $170.00 S22008000
Total $3,618.92
CASE NOTES FOR
BLD2008-01219
CONDITIONS FOR
BLD2008-01219
1) Approved pp2r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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2) 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
1-800-647-0982. 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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3) 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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4) 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 to any further inspections being performed or approvals granted.
BLD2008-01219 Please refer to the following pages for conditions of this permit. 2 of 6
5) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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6) 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 of proved documents will result in failure of required building inspections.
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7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
8) 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
Buildin Department prior to any further inspections being performed or approvals granted.
9) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab
Insulation R-10.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
underside of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
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10) Per 2003 IRC -SECTION 1609 -WIND LOADS- 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC WIND SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
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11) Per IRC- SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS- R905.1 Roof covering application. Roof coverings shall be applied in
accordance with the applicable provisions of this section and the manufacturer's installation instructions.
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12) 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 ackno)hdedging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X /2
BLD2008-01219 Please referto the following pages for conditions of this permit. 3 of 6
13) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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14) 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 shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revoca on.
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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 within 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) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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18) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
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rdinance oregulation, must be reviewed and approved by Mason County prior to construction.
19) All property lines shall be clearly identified at the time of foundation inspection. X /=
20) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
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BLD2008-01219 Please referto the following pages for oonditions of this permit. 4 of 6
21) 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
holderliaveprevented action from being taken. No more than one extension may be granted.
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22) 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 /=T
23) 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 Site Plan"to ensure these structures are shown and meet the setback conditions listed.
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24) PER TITLE 14 MASON COUNTY BUILDING CODE-CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110:
A fire apparatus access road in excess of 14% grade and more than 150' to new residential or commercial structures will require an automatic fire
sprinkler system installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 273, for further information.
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25) Please note: A separate permit is needed for the fire suppression system on this structure, as required by the Mason County Fire Marshal's office.
Please be advised that the Fire Marshal's office needs to complete the fire suppression system inspection prior to the framing inspection request.
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26) 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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27) 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 foundation drains within 30ft, down gradient of drainfield/reserve area.
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28) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X T
29) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All
applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the
registered design professional responsible for the assessment, and may require special inspection by same. Structures and /or land modifications
(grading, cuts, fills, etc.) required in the geotechnical assessment, may require a separate permit. The geotechnical assessment shall remain attached to
the agpr2yed building plans.
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BLD2008-01219 Please referto the following pages for conditions of this permit. 5 of 6
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 anytime 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 stru for review and inspection.
OWNER OR AGENT: DATE:
BLD2008-01219 Please refer to the following pages for conditions of this permit. 6 of 6
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BG!SLAB INSULATION 90
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MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 S
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 YY'1
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner + PeAQ I rR0 Company Name
Mailing Ad ress r 14141 Mailing Address
City 50oY`r" State xAlAZip Code City State Zip Code
Phone 2A.)W—321.137Lx_J Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic. # DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X
Connect to Water System Name of Water System
Well___?``- Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description Q
Site Address(Please include street name, street number and ci
Directions to site
t k
Will timber be cut and sold in parcel preparation?Yes/ o
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New_>!�,_Add Alt Repair Other PRIMARY RESIDENCE .SEA ONAL ❑
Use of Building 1.40ME. Describe Work
No. of Bedrooms. —No. of Bathrooms Z_5 Square Footage- 1 st Floo IQ 04 2nd F oor C ly'4
3rd Floor Basement Deck Covered Deck OtherSq. ft.
Garage I D —'--> Attached ' —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 informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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 OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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X .�,.., _ Date: �
Owner/,,C wners Representative TiContractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: rr Date -
DEPARTMENTAL REVIEW APPRWEP DENIED 1 NOTES
Building Department 1. _
PlanningDepartment ' 1 •dOa5b,
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee 2 �T. / Z EH Review Fee
Plumbing & Base Fee / 5y• 2 / Planning Review Fee
Mechanical & Base fee Z 8.2r Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee /N!O 4EN/F. Pre-Paid at Submittal
Valuation $ 1'e Sao 4qT ITOTALFEES
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lv.e&,110144-
MASON COUNTY PERMIT NO.
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 sw f % Company Name
Mailin Ad re Ph X Mailing Address
City State \A Zip Code City State Zip Code
Phone aQ(p—32t—v Other Ph. Phone- Other Ph.
Lien/Title Holder Contractor Reg. #t-- Exp.
E mail address __ E Mail Address
Drivers Lic.# DOB 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._ 2'An -11 01'C- j Fire District
Legal Description -
Site Address (Please include street name, street number d city)
Directions to sit t t A r"
. � /W air o �!
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 t 1 ►�K,mfr�
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage_�_Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPQ Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs 00*p HeaSpot
Vent Ft
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas O Z
Kithen Sinks t Woo /Gas/ elletStove—T
Dishwasher Kitche xhaust Hood
Hosebibs Dryer Vent r
Other Other
I—A- Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
ONNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONT UATI Of WORK IS BY MEANS OF A PROGRESS INSPECTION. t�
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROV DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas /Pellet Stove Fee Other
Violation Fee TOTAL FEES
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TOPOGRAPHY PROFILE:
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Direction: Scale: Approval: for office use
Building Permit number: too
► Building:
Owner/Applicant: kl� ( w KI Date of Planning:
application: Env. Health:
Parcel Number. -3�Z 3a,�]5�(���J�
1-11
STgTF�.� MASON COUNTY
o A o N DEPARTMENT OF COMMUNITY DEVELOPMENT
N Planning Division
o Y n P O Box 279, Shelton, WA 98584
(360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
October 20, 2008
\,I KEN & PEGGY CHOW
PO BOX 1444fit
HOODSPORT WA 98584 -to "jxT -61 kQj
Parcel No.: 322327590151
Proiect Description: New SFR / BONUS ROOM
Dear Applicant:
You have submitted a permit application (case no. BLD2008-01219) for proposed construction or
development in the county. Upon review of your application, I have determined that the contents
of the application are incomplete or do not provide enough detail for review.
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,
VI
Pam Bennett-Cumming
Land Use Planner
Mason County Planning Department
10/20/2008 Page 1 of 2 BLD2008-01219
NOTIFICATION OF INCOMPLETE APPLICATION
�20/2008 Case No.: BLD2008-01219
Comments:
Planning staff conducted a site visit on Monday October 20 2008 to determine if there were critical
areas on or within jurisdictional distance of the proposal.
Mason County Resource Ordinance Landslide Hazard Area Chapter 17.01.100 addresses sites on
or within 300 feet of slopes greater than 15%. Based on staffs review, although the lot itself is
relatively level, it is within 300 feet of such slopes.
This means the proposal will need either a geological assessment or geotechnical report. The
professional who does the special report will determine which of those is needed based on site and
adjacent area review, and consistency with the Landslide Hazard Area chapter. Enclosed please
find a copy of the Landslide Hazard Area chapter, an explanation of why a special study is needed,
and a list of professionals in the field who have submitted special studies in the past.
The copy of this letter provided to your contractor also includes the necessary blank submittal
checklists for the special study. We understand they will be working with a professional to obtain
the study. Your professional conducting the study will submit the appropriate one with the
documents. Mason County will need two original signed, stamped copies of the study, together
with two original signed stamped checklists.
10/20/2008 Page 2 of 2 BLD2008-01219
J Namely Vf Mn 4k Parcel# '15 9 pl e., I 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'.
'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
X = Measurements for buildings are taken at the
X = perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X (p l00
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
X _ above table
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 lrh er�ious urfai a Area(hum of all teas)
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 1 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:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Pagel of 2
L
j Name_ i L. Parcel# SOI d 1 Cj r BLD#
t --
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
TO httpHwww.co.mason.wa—us/code/commissioners/index.htm
E
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". PARCEL FILE
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) R The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/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-
described property for review and inspection as may be required.
X Owner/ ge Contractor(circle one)Date: 9 3. &K
(Ad� L
Page 2 of 2
SMALL PARCEL STORMWATER SITE PLAN
Written Description
KEN & PEGGY CHOW
322327590151
The site is located in Union. The lot is cleared in the center, with native vegetation and
trees on three sides of the property. The west side of the lot is flat. Near the center of the
site, it begins an 8% slope running east. The driveway will enter on the SW comer of the
lot,where it is flat. The driveway will be 15 feet wide by approx. 83' long. The house
footprint is 1904 sf All cleared areas, except the driveway and house foot print will have
vegetation replanted. The total proposed impervious surface is 4960 S.F.
All storm water flows will be dispersed through vegetation. To avoid saturated soils near
the foundation of the house, roof run-off will be directed towards vegetation using a
central gutter drain system. This system will flow into a perimeter foundation drain
which will direct water away from the house and into native vegetation areas. An onsite
septic system is installed and will be connected to. The septic drain field is located
downhill from the proposed home. With that in mind, the drain system will be installed
in a manner that directs water away from the septic and drain field. Because vegetation is
being left at the edges of the property, this will prevent water from flowing off the
property and into the road.
To prevent erosion...
-mulch will be spread over all cleared areas of the site during construction. After
construction, the mulch will be replaced with grass,blooming trees, and evergreen plants.
-silt fencing will be used downhill to trap any sediment and prevent erosion from storm
water or roof run-off.
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TOPOGRAPHY PROFILE:
5a
Direction: Scale: Approval: for office use
Building Permit number: Building.-
Owner/Applicant: k CK QEl W_-4 t. V\/ Date of Planning:
32Z•
Parcel Number. 3 2r7S�1015� application: Env. Health:
i
r
Request To Revise An Approved Plan
Permit Number: BLD200 - Q , S Name
Parcel Number - - Phone Number daytime 6} aaq—9/57) �? \
Project Address �lnp E. U,� t4c'cA Mailing Address C� f
Please provide a complete, detailed description of the proposed revisions to the approved plans:
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes No
Are the approved site plans included? 07-\ ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or ad" dendum? W Yes ElNo
Does the plan contain an engineer's or architect's lateral or vertical analysis? bz Yes ❑ No
If Yes, Has the engineer or architect approved this revision? ta,Yes ❑ No
Is a stamped and signed approval included with this request? br Yes ❑ No
(Note:No structural changes to a"designed"plan will be aparoved without the written consent of the engineer and/or architect of record
Does the proposed revision modify the footprint or location of the structure? ❑ Yes No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
❑ Yes hr No
Additional Information: 6 r7 Ot ✓*15SLA� _ Io
Applicant's signature Date:
Office Use Only Received by:
date Sent Assigned To Approved By Da
B Original Valuation: $ az 568. t"r
�1qn Additional Valuation: $
�1b Sq.Ft. 0,094$LiNP,11 $.
Sq.Ft. 50D . x$32gcK $
H Total New Valuation $
Additional Fees:
❑ P' Additional Planning Dept. $
Additional Plan Review $ O. o0
Additional Conditions /Comments: Additional Building Permit $
Additional Plumbing $ _
Additional Mechanical $
Additional E.H. Dept. $
Other $
Z ;ZlovIZ Total Amount Due: $
Amount To Be Paid Up-Front$