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Home My WebLink AboutBLD2020-00481 SFR - BLD Application - 5/26/2020 j MASON COUNTY COMMUNITY SERVICES ]P" it N 019Z Do L4 PERMT ASSISTANCE CENTER: .BUILDM*•PLANNING•PUBLIC HEALTH•RRE MARSHAL 615 W.Alder Street.Sheftm VM 985" MAY 2 6 2020 l Phone Slwftm:(36W427-9670 ext.W•Far(9B0) -7M Phone Beff OW)275.4067•Phone Etna:( /fs2ur93t9 �- 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: ---�CONTRACTOR INFORMATION: i NAME: Cedadand Homes LLC NAME: J&J Development LLC MAILING ADDRESS:PO BOX 2264 MAILING ADDRESS:__PQ BOX 623 d CITY: Gig Harbor STATE:WA ZIP:98335 CITY: Burley STATE:MIA ZIP:98322 PHONE#1: 253.2%4j36 PHONE: CELL: M2W$136 PHONE#2: 253732-5115 EMAIL:an idlanbesommem i EMAIL:_ angleNcedarban&onmtresourm corn L&I REG# .r rn V jM2QW EXP. 1250211 j PRIMARY CONTACT: OWNER, CONTRACTOR❑ OTHER❑ i. NAME JOE CEDARLAND EMAIL MAILINGADDRESS SAMEASABOVE CITY SPATE ZIP PHONE CELL 29-2N8136 tARCEL INFORMATION: ` a&01 O PARCEL NUMBER(12 Digit Nwnba)_ 12220-50�600/ ZONING LEGAL DESCRIPTION(A vi Allyn Block 44r, Lot7"-I Q FIRE DISTRICT SITE ADDRESS —c CITY ALLYN DIRECTIONS TO SITE ADDRF , Ian 1 glop E l'�- Y+614.wal N O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ O IS PROPERTY WITHIN 200 Fir OF THE FOLLOWING: (Chakaumwgpp(vl: � Q SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WEnAND❑ SEASONAL RUNOFF❑ STREAM❑ L� TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER [IZ V— USE OF STRUCTURE(Rawreee,aarw.connsrcwBkt,Fit.) RESMNCE N IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 V HEATED STRUCTURE? YES(Wreck eldg)❑ YES(furgsl of at)❑ NO❑ Z DESCRIBE WORK NEW CONSTRUCTION-SFR 1597 SO FT Z Q SQUARE FOOTAGE:fpvpposs+exisaegl O J IST FLOOR936 sq.fL 2ND FLOOR 9" s1.R. 3RD FLOOR sq.ft- BASEMENT sq.R Q a DECK_ _sq.ft. COVERED DECK 250 sq.It. STORAGE sq.8. OTHER sq.ft � 1 GARAGE- '_sq.ft. Anwhed❑ Detached CARPORT sq.ft. Attached❑ Detached❑ U O MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED• MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER j ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC[I SEWER , / NEW)( EXISTING❑ PLUMBING IN STRUCTURE? YES` ] NO❑ �jyes,attach Completed Water Adequacy Form PERDvIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER admowledges Mat submission of inaccurate Wormation may real in a stop work order or perm?revocation.Ack nowledgemerd of such is by signature below.I declare that I am the owtrer and I ft~declare that f am entitled to receive the permit and eo do the vmk as proposed.I have 1 obli irwd pemission from all the necessary parties,nduding arty easemard holder or parties of interest regarding Otis project.The owner or legal t iWesentative,represents that tlw hdomation provided is accurate and grants ernployees of Mason County access to the above described property and sbrncture(s)for review and nspeWon. TMs pemWappacaeon trsoomes nuM 6 voW d vwrk or auVar¢ed construdbn is rat canrrrenord wdhh ttl0 days or i(construction work is suspended fora period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPUCATI F 1e0 DAYS OF E'WlC USE THE APPUCA N TO BE EXPIRED.(MASON COUNTY CODE 14.00.421 X If Signature of OWNER(Must be slaved by the OWNER) i DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/c-ONDmoNS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I -Wqej PERMIT ASSISTANCE CENTER: .BUILDING •PLANNING P FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 exL 352- Fax:(360)427-7796 Phone Belfair:(360)275-4467- Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: CEDARLAND HOMES LLC NAME:i g i DEVELOPMENT LLC MAILING ADDRESS: p0 BOX 2264 MAILING ADDRESS: pp BOX 623 CITY: GIG HARBOR STATE: WA ZIP.98335 CITY: BURLEY STATE: WA ZIP: 98322 I'PHONE: 253-208.8136 PHONE: CELL: 2 33-208.8136 2"d PHONE: 253.732-5115 EMAIL : angie@cedariandforestresources.com EMAIL:angic@cedarlandforestresources.com L&I REG# JJDEVJDMM EXP. 121612021 PARCEL INFORMATION: 3 U6( O PARCEL NUMBER(12 Dlgir Number):_ 12220-5 7 Zoning: LEGAL DESCRIPTION(Abbreviated):_ Allyn BlockA( Lotjy SITE ADDRESS: tt 10 CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW_ X ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UMTS— 1s1 FLOORS 24DFLOOR_)(__BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS 1yo of Fixture No.of Fixtures F= Fuel Type:Electric LPG X Natural Gas Ductless_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink 1 Furnace 1 Bath Tubs 2 Heat Pump Showers 2 Spot Vent Fan 5 Water Heater 1 Propane Tank 1 Clothes Washer 1 Gas Outlets 3 Kitchen Sinks 1 Wood/Gas/Pellet Stove 1 Dishwasher 1 Kitchen Exhaust Hood 1 Hose bibs 2 Dryer Vent 1 Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or pemrt revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that 1 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 penrWappication becomes null&void if work or authorized construction is not conyrrenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS O RAON INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE ZAPPA �JQ X nature of Owner aoaft DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev 1!27'2016 JHN MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: .BUILDING•PiANNING•PUBLIC HEALTH•RRE MARSHAL MAY 2 615 W.Alder Street,Shelton,WA 9&584 6 2020 Phone Shelton:(3WW27-9670 exr.3W•Far(380)C7-7798 Phone 0 401 Bear(350)27511457•Phone E`na.(360ON-S 69 615 W. Alder Street am" BUILDING PERMIT APPLICATION aal11110% PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Cedadand Homes LLC NAME: J&J Developl�tit LLC MAILING ADDRESS:PO BOX 2264 MAILING ADDRESS: PO BOX 623 CITY: Gig Harbor STATE:WA ZIP:96335 CITY: Burley STATE:VIA ZIP:96322 I ealtety PHONE#I: 253-206-0136 PHONE: CELL: 253-2MI36 +k PHONE#2: 253-7325115 EMAIL:ang1a&redsrlendf6mdrnwfm.com ltwd { EMAIL: angle@cedarlandforestresources.com L&I REG# jMEV 1DB52QW EXP. 12VA21 1i PRIMARY CONTACT: OWNER, CONTRACTOR❑ OTHER❑ NAME JOE CEDARLAND EMAIL WAgedarlandforeshesogus.com MAILINGADDRESS SAMEASABOVE CITY STATE ZIP PHONE CELL 253-21t36 PARCEL INFORMATION: VV 31d0I 0 ] PARCEL NUMBER(12 DigitNumber)_ 12220-5 07 ZONING 1 LEGAL.DESCRIPTION(Abbreviated)_ Allyn Block �, LOj�r FIRE DISTRICT ] SITE ADDRESS ? _I —CITY ALLYN DIRECTIONS TO SITE ADDRESS Q N O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[] Q IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: tchecidl thwapply): O SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ 1* TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ Z USE OF STRUCTURE(Residence,Gorpge,Commercial8Mg,Fie.) RESIDENCE ••O•/ N 1S USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 -n V HEATED STRUCTURE? YES(whokBidg)❑ YES(Pmits/ofBt*)❑ NO❑ i z DESCRIBE WORK NEW CONSTRUCTION-SFR 1597 Ski FT � Z a SQUARE FOOTAGE:(propose+vasfing) O co I ST FLOOR936 sq.R 2ND FLOOR 964 sq,fL 3RD FLOOR sq.ft BASEMENT sq.fL Q a DECK_ _sq.it_ COVERED DECK 250 sq.It STORAGE sq.It. OTHER sq.ft I GARAGE_ �_sq.ft. Attached❑ Detached CARPORT sq.tL Attached❑ Detached❑ V O MANUFACTURED HOME INFORMATION: v4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER , / NEW)( EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ vlIf yes,attach completed Water Adequacy Fonn PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FF. i EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS-3. _ OW WR acknowledges that submisslon of inaccurate information may result in a stop work order or perm[revocation.Acknowledgement of such is by I signature below.1 declare that 1 am the owner and I further declare that I an eMiled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,Including any easement taller or parties of interest regarding aft project.The owner or Waal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures)for review and Inspection. This permlt/applicatlon becomes null&void i/work or arRhor¢ad construction Is not kxxmrenced mWAn 180 days or X construction work is suspended for a period of 180 days. t PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS j€ PERMIT APPLICATIO F 180 DAYS OF E Wi_L CAUSE THE APPUCATtON TO BE EXPIRED.(MASON COUNTY CODE 14.00.42) X 'A�� Signature of OWNER(Muirt be signed by the OWNE Pole DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT (,�-\I "t.p PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No� 7.a-�2j I PERMIT ASSISTANCE CENTER: -k� r` D -BUILDING -PLANNING -FIRE MARSHAL I V 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us �!-AY 2 6 2020 Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-779B Phone Belfair:(360)275-4467- Phone Elma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: CEDARLAND HOMES LLC NAME:,1 g j DEVELOPMENT LLC ____ _ MAILING ADDRESS: PO BOX 2264 MAILING ADDRESS: po BOX 623 CITY: GIG HARBOR STATE: WA ZIP:98335 CITY: BURLEY STATE: WA ZIP: 98322 I'PHONE: 253-208.8136 PHONE: CELL: 253-208-8136 2"PHONE: 253.732.5115 EMAIL : angie@cedarlandforestresources.com EMAIL:angie@cedarlandforestresources.com L&I REG# JJDEVJD8520W EXP. 121612021 PARCEL INFORMATION: 3(O 61 b PARCEL NUMBER(12 Digit Nunrher):_ 12220-50,460W Zoning: LEGAL DESCRIPTION(Abbreviated):_ Allyn Block W,Lqt T SITE ADDRESS: 3U I D CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS- I ST FLOORS 2ND FLOOR_)(__BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fes Fuel Type:Electric LPG X Natural Gas Ductless_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink 3 Furnace 1 Bath Tubs 2 Heat Pump Showers 2 Spot Vent Fan 5 Water Heater 1 Propane Tank 1 Clothes Washer 1 Gas Outlets 3 Kitchen Sinks 1 Wood/Gas/Pellet Stove 1 Dishwasher 1 Kitchen Exhaust Hood 1 Hose bibs 2 Dryer Vent 1 Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING _ TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or pemnit 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 perrriVapplication 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 OFTHIS PERMIT IS BY MEANS O CTIOK INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE7APPATION X nature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Genie McFarland From: Alyssa Law <ayssa@cedarlandco.com> Sent: Wednesday,January 26, 2022 5:06 PM To: Genie McFarland; Kell Rowen Cc: Joe Cedarland Subject: Approved permit transfers Attachments: 120 E Cedarland.pdf; 260 E Blackwell.pdf, Water Adequacy 260 E Blackwell.pdf;Water Adequacy 120 E Cedarland Lane.pdf Hi Ladies, Here are the first 2 swaps (attached are new water and sewer adequacy forms, as well as site plans) Swap Approved permit#BLD2020-00468 & BLD2020-00469 (91 E Cedarland Lane) to 120 E Cedarland Lan (12220-50-53010)� Approve permit#BLD2020-00481,& BLD2020-00482 (41 E Cedarland Lane) to 260 E Blackwell (12220-50-3601 Please let us know if you have any questions or if you need further information. Thanks so much!! Sis 1 RECEIVED PLANNING MAY 2 6 2020 SSAWARY Doom 615 W. Alder treet BY TOM OF ALL W 1 zF /1 1" = 3O' 1 r ABA ecocK Bak¢� 3 46 .. v o 9 S�3v0 1 A 4 6 All z 2a GARACF , v Do 46' v H � 0 0 tpT 2 � efK 6 3 Ag PANNINAP G: OVEC) ALL SETBACKS ARE MEASURED J FROM THE FURTHEST L7'.3 �t�s f•, s, y DCD P ECTIDN OF THE Bl1ILDING WM�j TO AP twHAN � LO 7 eLoac 4s A MEZ OF ALL7N E COAR M O LANE J k J DE►R PU NT PLAT PLAT O f OF PlATx PAGE 17 ALOW, WA. 98524 P.Q BOX 2264 KXU (7G HARBOR; WA 9W5 AP No. 12220-50-46007 CEO 1897 (253)208-8136 �.BEcjr? SITE PLAN MAP AGATE LAND SURVEYING, PLLC °F .•max FOR 2680ORr�aW 46 �_ � y _ 70 J & J DEVELOPMENT swim. wA gaw-(wo)426-4172 o IN THE DRAWN BY DA7E• 04/13/2020 NO. 3s' �?sTaR� OI SCALE 7 MCX= 30' SHLET- 1 OF 1 SON....._ AL LA2S� SEC 20, T22N, ROIW, W.M. BYsca F>rE W. 414s 4so7-,ulrPt,w.owG 156:,� la.n 2n 1 S -- COv29 RECEIVED PLANNING MAY 2 6 2020 POTABLE WER ANO Ile SANTARY SO"PRo4DED �� 615 W. Alder � Street ar7MOFM 1" = 30' i A a at S�3 GA A � 9Q 20 a co� 20 JA 000. 2.00 r coT c SA6A fs P NNING: MEASURED $MEREST !M C E qu DING S P C A BY OCK 46, PUT OF AI11M E CEDAR LAND LAN' J&J DEYaOPUWT i OF PLATS, PAS 17 ALOW. WA. 98524 PA BOX 2264 K LLW AT AP Na 1 OF PL0-4b007 GIG HN790P, WA 963m CAD 1897 (253)208-&M BEc SITE PLAN MAP AGATE LAND SURVEYING, PLLC PR%MMAL tANV SWW Re FOR 26M E AGA1F W -ACL WW 246 s= J & J DE00AMENT StiaTM IVA 9MR-(W)426-4772 IN THE DRAWN BY DATE- 04/13/2020 '8 No. NW1/4 NE114 MJB/RLs 4le-W SCALE; I OKU= 30, Sifff i OF 1 'O�aL T nN4 SEC 20, WN, ROIW, ft a£o"�o BY SGB fRE rMQ 4148 4607,id SfiEPiAN DNG -b lcl 202o - bo 46 Z. U87A 2. 1 NOR APPREWEB PORT OF ALLYN wAWASON COUNTY DCD PLANNING ALLYN UGA R.2 SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL By Date a•`I-ZOZ2. SANITARY SEWER LEGEND O SEWf:R MAIN CONNEC71ON �l ®CLEANOOT / E3 LOT STUBOUT ®SANITARY SEWER MANHOLE � � 30 � � k�UFMA X CROSSOVER "1 _ .30, px0 �o 140 0: ,� R 4 0 00 E 1? 00 a " ley lI �'.C� S;�ea 'jo 110 ?o, ��Zoz6 , coT 10 s Mo s olow s, AaE Zo 3e S oo° SS 9 Z 1?0 p �. I +� 2 If coT 9 01k j" S FIRST FLOOR HOUSE 936 SQ.FT 7�0p00 SECOND FLOOR 964 SQ.FT. F 0,00 ?0 GARAGE 528 SQ.FL oR FRONT PORCH 132 SQ.FT. REAR PORCH 96 SQ.FT. COLABLE WATER LEGEND 1?s s STORMWATER LEGEND W WATER METER BOX 1?�s Z CATCH BASIN - SURFACE WATER HOOKUP R22 CU. YD. ORY WELL w WATER MAIN CONNE077ON Q STORMWATER CONNEC71ON - INVERT OO 4" VALVE X CROSSOVER LEGAL CESCMP77ON LOT 10 BLOCK 36 AND VACATED KAUFMAN ST. 2660 9 ACKWLL STREET J J DEVELOPMENT PLAT OF ALLYN, ALLYN, WA. 98524 P.O. BOX 2269 VOLUME 1 OF PLATS, PAGE 17 GIG HARBOR, WA 98335 AP No, 12220-50-36010 CED 1897 0008 (25J) 208-8136 SITE PLAN MAP AGATE LAND SURVEYING, PLLC oF�ns TO PROFES90NAL LAND SURVEYOR 'R� 1 FOR 2650 E. AGATE RD, - P.O. 60X 246 �Oyo c 4y•.� SHELTON, WA 98584 - (360) 426-4172 J & J DEVELOPMENT � ' r�o IN THE DRAWN BY DATE: Ot/10/2022 4 N 3610 20237 ,41 SWI/4 NE114 MJB � SCALE 1 INC = 30 SHEET.. 1 OF 1 SjOA'AL LA y�Z CHECKED BY SEA 20, T22N, R01 W, W.M. SGB FILE No. 4148--3610_JJ_SITEPLAN.DWG Name CEDARLAND HOMES,LLC Parcel* 12220-5 7 BLE 0 W BUILDING Mason County MAY 2 6 2020 Department of Community Developm# 15 W. Alder Street Small Parcel Stormwater Management Application/Worksheet(page 2 of 2) Based Upon the information you have provided a Mormwater Site Plan IV 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 alterative 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 THLS 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 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.purceL 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 a to above- described property for review and inspection required. X 7 Owne gent/Contractor(circle one)Date:_ Page 2 of 2 Name CEDARLAND HOMES LLC Parcel# 12220-50-46007 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 surfacez. '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 36 X 26 = 936 22 X 24 = 528 Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveway s 20 X 20 400 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 = PatiosJWalks 22 X 6 = 132 8 X 12 = 96 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) 2092 If the Total Impervious Surface Area is LESS THAN 2000 Sauarc Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stornrwater 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, ownees 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: tf 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