HomeMy WebLinkAboutBLD2011-00738 Addition - BLD Permit / Conditions - 10/13/2011 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
IP Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2011-00738
OWNER: GLORIA WITTER RECEIVED: 9/6/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 10/13/2011
SITE ADDRESS: 340 E LAKESHORE DR ALLYN EXPIRES: 4/13/2012
PARCEL NUMBER: 122205200002
LEGAL DESCRIPTION: LAKELAND VILLAGE 3 TR 2
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADDITION-CHANGING DECK LOCATION INTO ADDITION WITH NEW 2' LAKELAND VILLAGE SOUTH ALONG WEST DIE OF LAKE ABOUT 3
COVERED PORCH/AWNING BLOCKS OVER
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: ADD Fire Dist.: 5 No. of Stories: Occ. Load: Building:264
Valuation: $ 29,858.40 Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 80.0 Ft. Shoreline: 58.0 Ft. Water Body: Anderson Lake
SEPA?: No
Model: Width: Ft. Rear: W 58.0 Ft. Slope: Ft. Shoreline Desi
Side 1: N 5.0 Ft. 9 Urban
Year: Serial No.: Side 2: S 5.0 Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee GMM 9/6/2011 $287.14 S1 201 1 0001
EH Plan Review GMM 9/6/2011 $103.00 S120110001
Planning Review Fee GMM 9/6/2011 $205.00 S12011000,
Building State Fee LDK 10/11/201 $4.50 S1 201 1 0001
Building Permit Fee LDK 10/11/201 $441.75 S1 201 1 0001
Total $1,041.39
BLD2011-00738 Please refer to the following pages for conditions of this permit. Page 1 of 5
CASE NOTES FOR
BLD2011-00738
• CONDITIONS FOR
BLD2011-00738
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
X 800-6g7;092� The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Owner/,Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
3) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
4) The proposed project must be consistent alII applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X , Z)1)
5) All construction and demolition debris must be removed from the site after project completion. Proper,dispo$al of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X Az -/U
6) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent vya ers or wetlands. Silt fencing, straw, or
jute matting must be installed and maintained until upland vegetation has become established. X � �
7) 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.
X
8) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
X
9) Since plans submitted do not show design of covered porch, the mason county prescriptive covered porch detail will be used unless alternate
design submitted for review and approval. See plan review checklist for complete details for footings, beam, post(ht&spacing)and all
quir details.
BLD2011-00738 Please refer to the following pages for conditions of this permit. Page 2 of 5
10) 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
_ Departure pfigr)to any further inspections being performed or approvals granted.
X / (�
11) 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 approved documents will result in failure of required building inspections.
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12) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X �Z
13) 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 �<i
14) 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 Z
pa�ent prior to any further inspections being performed or approvals granted.
15) 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 swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSEC 505.
X ,t� rla�
16) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
X , '
BLD2011-00738 Please refer to the following pages for conditions of this permit. Page 3 of 5
17) 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/contractors,anowledging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X !_
18) 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.
X. No fou d do drains within 30ft, down gradient of drainfield/reserve area.
19) 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).
X
20) 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 /11�
21) 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.
X
22) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
X
23) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinanc�e,or regulation, must be reviewed and approved by Mason County prior to construction.
X 1
BLD2011-00738 Please refer to the following pages for conditions of this permit. Page 4 of 5
24) 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
Inspectors hall be made prior to requesting additional inspections.
X (�
25) All property lines shall be clearly identified at the time of foundation inspection. X�o
26) 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 qunty orlinances and building regulations.
27) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevgnted action from being taken. No more than one extension may be granted.
X l�ti
28) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors,-an� d�hing. Install metal connectors approved for contact with the new types of pressure treated material.
X :/
29) Retaining walls needed to support a surchargg such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X "d (�
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County access to the above described property and structure for review and inspection.
DATE:
OWNER OR AGENT:
BLD2011-00738 Please refer to the following pages for conditions of this permit. Page 5 of 5
i
o CONCRETE MECHANICAL MANUFACTURED HOME
o Date By
Footings !Setbacks Gas Piping Ribbons m
o Interior Date By Interior-Date By Date By
Exteror Date Z lr/Z- By ►(� Exterior-Rate B Set-up
OD INSULATION
Point toad r Isolated Footings Date By 0
BG!SLAB INSULATION ---- X
Date By Data By FIRE DEPARTMENT y
Foundation Walls Floors Date By
Date By Data 7��6`L gyT� DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Data By
Date By — OTHER
Groundwork Attic t
Data By Date By Type
Date By
D.w.`V DRYWALL Type.
ir►t srs WqP� y Date By o0
� Date By / b
Date 2— t3 CD
v FINAL INSPECTION p
0 water Line Fin Seperation IV
Date By Date By Date By
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5 Type of Insp. Fail Date Date Dane By Comments w
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MASON COUNTY PERMFT NO.
BUILDING PERMIT APPLICATION '}
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 c � /
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 t'� r [� I /�� ) i l l ? Company Name
Mailin Addressi —�1� - t� /: i v[ Mailing Address t� ,. r
City �
State L Zip Code V S_ COY State Code
Phone C 7S C z D70ther Ph. /� Phone Other P Ph.
Lien/Title Holder 4, Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB H /c Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No I `? 1 -j Fire District
Legal Description
Site Address (Please include street name,street number and city)
Directions to site i 1� / L /L c-- -
y
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New AddAlt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work `'
No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floor / �' 2nd Floor
3rd Floor Basement Deck Covered Deck I ?_ Other Sq.ft.
Garage 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/BUILDc'R 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 CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date
Owner/Owners Reoresentatfve/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department ilV �� N G✓u1r
Planning Department
Environmental Health Department ISE
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Owner: " Parcel#: Type of project:
P
Total Sq. Ft. 15 Floor : 2" floor: Heated Basement:
of heated area::
Heating System Type: `IEeectric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance O Prescriptive Option see reverse side circle one: I II III
Percentage: Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
O Other (specify):
Check one O Whole House Ventilation system O Whole House Ventilation O Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents(M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1 credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply.if the table is not attached to this form you can access the table on our website at:
hftp://www.co.mason.wa.us/forms/Community Dev/index. h .
CREDITS Option: Description:
Table 9-1 r
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
k �p
Windows: Total Sq. ft.
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window &door area4E�. /(divided by)total sq.ft of heated area T -d—_%of glazing
32
mA SON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: 'W t � _ Date: Reviewed By:
Documents:
Building Permit Application Completed A—Stormwater Checklist
Planning Intake Checklist Completed,
Site plan includes:Allowable building area,roof overhangs,decks,etc.
Fire Apparatus Access Road info required? Yes/No
Energy Code Application Form-WElectric wall heater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type )
O Other. Specify:
Mechanical/Plumbing Application-WATER HEATER FUEL TYPE/LOCATION
Engineering? Yes/No Snow load: Seismic_
Stock Plan—approved snow load Seismic:
Manufactured Homes—4 FLOOR PLANS
Foundation Type: ANSI/Manufacture method Engineered footing/foundation Basement
Decks: Covered? Uncovered over 4 x 6 and over 30"? Construction plans required.
Construction Plans 3 COMPLETE SETS —
Plans Le le _Recognized Scale _Elevation Views Cross Section
_Foundation Plan _Roof Framing Plan _Floor Plan-Use of rooms noted(all floors)
_Floor Framing Plan-all floor levels including loft,crawlspace, etc. (<200 S.F. ??—stairs?)
Deck Framing Plan,incl cov.porch framing
Plan Details: , I
Roof framing details,truss lay-out may be needed (Hip and girder location shown) 4 x to
Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) X Eo �o t✓
Floor framing: Floor joists(size&spacing): 2 Y% Z L/ ,Floor beamWindow headers. Typical header. Garage header.
�K_�oundation: footing size,reinforcement �
y —
_Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required see details)
%V Landings at all exits?Less than 30"above grade?Y/6z�
'V Heated By Furnace-Location of furnace Fuel type:
~V Fireplace/Stove Information Shown-Fuel Type? Location(s):
Window Sizes Marked on Plans
Braced wall panels(shear walls)marked on plans or lateral engineering?
�L 2-story garage? (Engineering may be required) l�`story of two story D1—45%,D2—55%
COMMENTS:
ENGINEERING REQUIRED
Braced wall panels/brace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed
building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow__psf.
IRREGULAR BUILDINGS R301.2.22.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or BWP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3)End of BWP extends more than 1 ft. over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft. or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc:fireplaces, chimneys,and veneer).
When this applies the entire story shall be designed.In accordance with accepted engineering practice.
H:\permit tech building checklist doc Revised 11-29-2007
Name 'I tt , P" Parcel# 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.
'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
perimeter of the farthest projections(example:
X — eaves/gutters)
X =
Driveways X
X t Length of drive begins at the right of way
X =
Parking Areas rX =
= 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)
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/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 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:
hLtp//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: ()60)-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/Agent/Contractor(circle one)Date:
Page 2 of 2
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