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Home My WebLink AboutBLD2020-01284 BLD2020-01286 SFR, Garage - BLD Application - 9/11/2020 MASON COUNTY COMMUNITY SERVICES Permit No.Fpid 2D20 -6 iA&4 PERMIT ASSISTANCE CENTER: is •BUILDING •PLANNING•PUBLIC HEALTH-FIREMARSHAL 615 W.Alder Street,Shelton,WA 96W RECEIVED ? Phone Shelton:(360)427-9670 ext.352-Fax:(36W)427-7798 Phone C Belfair.(360)275-4467-Phone Ekna:(360)482-5269 c CD 20�� BUILDING PERMIT APPLICATION JCr ' PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: n NAME:Batjack Holdings LLC NAME: J& J DEVELOPMENT LLC MAILING ADDRESS: PO Box 2264 MAILING ADDRESS:PO BOX 623 CITY:GiK Harbor STATE:WA ZIP:9833 CITY: BURLEY STATE: WA ZIP:98322 PHONE#I: 253-208-8136 PHONE: 253-208-8136 CELL: O S V PHONE 42: EMAIL : info(rr�cedarlandforestresources.com EMAIL:info(�cedarlandforestresources.com L&I REG#JJDEVJD852QW EXP_ 12/6/21 Z PRIMARY CONTACT: OWNER CONTRACTOR ElOTHER❑ O NAME JOE CEDARLAND EMAIL ♦^ II.ING ADDRESS SAME AS ABOVE CITY STATE Q IP PHONE CELL PARCEL NFO MATION: PARCEL NUMBER(12 Digit Number) `C7 V Jl� 1�� ZONING _ LEGAL DESCRIPTION(Abbreviated) FIRE FIRE DISTRICT SITE ADDRESS CITY ALLYN DIREC ITONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER TRAN 14%: YES❑NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING:(Check all that apply): SALTWATER❑LAKE❑RIVERICREEK ❑POND ❑WETLAND ❑SEASONAL RUNOFF❑STREAM❑ TYPE OF WORT{: NEWA ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) RESIDENCE IS USE: PRIMARY ySEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 HEATED STRUCTU YES (4hole Bldg)❑ YES(Pmt/s)ofBkig)❑ NO❑ DESCRIBE WORK NEW CONSTRUCTION-SFR SOIUARE FOOTAGE: (propose+existing) I ST FLOOR 922 sq, ft. 2ND FLOOR 1 024 sq.ft. 3RD FLOOR sq.ft_ BASEMENT sq.ft. DECK sq. ft. COVERED DECK 22._4�sq.ft. STORAGE sq_IL OTHER sq.ft. GARAGE_ `sq. ft. Attached❑ Detached CARPORT sq.ft.Attached❑Detached❑ MANUFACTURED HOME INFORMATION: *4 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? YESX NO❑ v/If yes,attach completed'grater Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit rewcation.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 _.....__.......K.._ _.-.._,.__«..-.6.-.q..-:_i......_.:.._-41—1__-.....r.._--1--w...........1_.._..__[am_-..-..�...._w.----....4.....{........J.......1...d............. MASON COUNTY COMMUNITY SERVICES Permit N-BJdZaZ -a PERMIT ASSISTANCE CENTER: t •BUILDING •PLANNING •FIRE MARSHAL RECEIVED 615 W. Alder St-Shelton,WA 98%4 www.co.masonma.us Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 SEP 11 2020 Phone Beffair:(360)275-4467•Phone Elma:(360)482-5269 -- 615 W. Alder Street PLUMBING & (MECHANICAL PERMIT APPLICATION OWNER INFO MATION& 4CONTRACTOR INFORMATION: 1VAME: J& J DEVELOPMENT LLC _ NAME:Batjack holdings LLC x � MAILING ADDRESS: PO BOX 623 MAILING ADDRESS: PO Box 2264 CITY:BURLEY STATE: WA ZIP: 98322 CITY:Gi IiE arbor STATE:WA ZIP:983 7� PHONE: 253-208-8136 CELL: PHONE#1: 253-208 8136 PHONE N2: EMAIL : infoL@cedarlandforestresoluces.com L&I REG#JJDEVJD8520W EXP. 12 /6 /21 EMAIL:info(n,cedarlandforestresources.com PARCEIL INFORMATION:PARCEL.NUMBER(12 Digit Nrunber): I( —0o�''\\ U-1 Zoning: LEGAL DESCRIPTION(Abbreviated): Q q SITE ADDRESS: CITY:ALLYN DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE LOCATION OF FIXTURES/UNITS-1 sr FLOOR X 24'FLOOR X BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Elesr is LPG X Natural Gas Ductless_ Toilets I V_ Type of Unit No.of Units Fees Bathroom Sink 3 V11 , Furnare �_✓ Bath Tubs —2 V-- Z Heat Pump Showers Spot Vent Fan �_____✓ Water Heater 1 Propane Tank 1 ✓ Clothes Washer 1 Gas Outlets 3 ✓ Kitchen Sinks 1 / Wood/Gas/Pellet Stove�_✓ Dishwasher 1 Kitchen Exhaust Hood 1 ^✓ Hose bibs Other 2 V"' Dryer Vent 1 ✓ Solar Panel Base Fee Other TOTAL PLUMBING Base Fee TOTAL MECHANICAL OWNER acknowledge 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 contracoor_I further declare that I am entitled to receive this permit and to do the work as proposed.1 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 permittapplication becomes null 3 void if work or authorized construction is not commenced within 180 days or it construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. nature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/COND-FTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL \� MASON COUNTY COMMUNITY SERVICES Ferwk No:_ 0/QZ(Q PERMIT ASSISTANCE CENTER: ( •BUILDING•PLANNING•PUBLIC HEALTH•ftRE AL4RSHAL 615 W.Alder Street Shokoik VM 9WZ4 SEP 11 2020 \ -<'� T •/' PWm Snenorr:(360427-9670 80.352•Far r"Y27-7798 Pt— Balfak-(360)275.4467•PWW Ecru(")Q12-WW 615 W. Alder Street - BUILDING PERMIT APPLICATION '. Y OW R INF ON: CONTRACTOR INFORMATION: ZE: Batiack Holdings LLC I Nam_ J&J Dgyelp�t LLC r AILING ADDRESS: PO Box 22G4 i MAILING ADDRESS: PO BOX 623 O CITY:Gig Harbor STATE:WA ZIP:98335 CITY: Burry STATE:WA ZIP:N= N PHONE#I. 253-208 8136 ! EMAIPHONE: CELL: eLcom 36 PHONE 92: LAI REG# EXP_�21b13121 EMAIL:info,'i�cedarlandforestresources.com � —'I'O�'�'�— z TRIMARY CONTACT: OWNER$ CONTRACTOR❑ OTHER❑ NAME JOE CEDARLAND ,` EMAIL Cm Q'^ —J MMLINGADDRESS SAYE AS ABOVE CITY_ SPATE ZIP V+ 0. PHONE CELL --.—-- PARCEL INFORMATION: C U PARCEL NUMBER({2 Digit Ntuuba') tev _`��O� ZOIrTWG O LEGAL DESCRIPTION(Abbiuted)_ B� l�T —1 FIRE DISTRICT l'len'- SITE ADDRESS CITY AUNN vI 1 DIRECTIONS TO SITE ADDRESS I IS THE PROJECT WITHIN 360 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[] IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: rt'Aerk d7 rAar�phy: SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW)( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ { USE OF STRUCTURE(Rcckirxa.Gucgc,Co a ac at Bldg.Fx.J GARAGE jIS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 i HEATED STRUCTURE? YES fkVh6 kDk1g)❑ YES 1Am*$1-fear❑ NA DESCRIBE WORK NEW CONSTRUCTION-SFR+DETACHED GARAGE i SOUARE FOOTAGE:rrrnpau+ezw,gl 1ST FLOOR sq.ft. 2ND FLOOR sq.Ii_ 3RD FLOOR sq.tt BASEMENT sq.IL I DECK sq.it COVERED DECK sq_11- STORAGE sq.11. OTHER sq.11 GARAGE 340 sq.ft. Alktcked❑ Detached CARPORT N-tt Anac-ked❑ Detached❑ MANUFACTURED 11OME INFORMATION: s4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: ! SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ I NEW❑ EXISTING❑ I s PLUMBING IN STRUCTURE? YES❑ NO)< IJ es,anarh comptried iVarcr Adcquacv Fonn } j PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS__a____ TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may rss it a stop work order or permit tevocstian-Acimawledgement of such is by signabau below.1 declare that I am the owner and I furfhtr declare Nat I am enf3fed b recetm Mis pet.,k and b do ffo vow*as proposed.I tore } obtained permission from an the necessary parties,k,ckalrg arty eaurrom hokker or parties of owest regarding tti s project.The owner or legal reepresenstative,reprosarts fiat the wormabon Provided rs accuraee and grants ompioyeas of Main Canty access b the above describe0 Proptdy and suucture(s)for review and inspection. This permlfapphcabon beeornes MA 3 odd if work or authorized corrstrudion is not commencod wdtm teO 3 days or i comtmction work is atsprded for a period of 19D days. I PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF DAYS OF MORE wt„ fsAUSE THE APPLICATION TO BE EXPIRED.(MASON i t11�Y CODE t4 OB.42) X — j49gmbire of OWNER(Must be signed by On 0Wt1ERl vale DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESA`ONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH NORTH BAY SEME)4 PORT OF ALLYN WATER ALLYN RzI� z =ai z8�- (�w,&yYECEIVED . JAN 15 20212..�\ 1 FIANNING 615 W. Alder StrTet i P!A PLOT RENI1StbN 30' gA WitAur I- 15-ZoZ.t sr e4OC�, eo �d 4or.9 -00 of CCU �64 ?o g. roT Jo ors 84.t . 'q8A APPROVED P 1NG: �1RST BOOR: 997 SQ. FT. MAS N COUNTY DCD PLAN NIN(rb'W FLOOR. 1024 SQ Ft ALL S BACKS •RE MEASURED SITE LAN REQUIRED TO BE ON SITEROON P 10 F p{N TH FURTHEST CH GES SUBJECT TO APPROVAL By Date 1-16-2021:,,. ,. PRO GTI.ON F THE BUILDING . FIRST FLOOR 528 SQ. tT. SECOND FLOOR X2 SQ. FT. LEW Q%MjjON Aw= BAIT"FIQLDW&S uc LOT 7 BLOCK 64 R � E SUWVAN STREB'T BAI BoxOLD PLAT O AlLYX ALLYN, WA. 9=4 V13ilWE 1 {*PLAN PACE 1.7 QIG NARB01� :wA OR= AP Na 12210-50-80007 �7 (2.r3}208-8136 sic SITE PLAN MAP AGATE LAND SURVEYING, Mc FOR 26o E AGATE A. -PA Box 246 BA TJACK HOLDINGS LLC �'-T'K M (M)4X-�41M IN THE DRAW BY DATE 11/07/2010 41 48JOB �6007 z NW1/4 NE1/4 Mpg Ll►Ti�o• AA Cf1ECKE� 8Y . 1110 . 3o' �� 1 OF 1 LJI SEC20i ZN, R01 W, W.M. s FXE Na 4148-r6007JU-SITEPLAN.D NORTH BAY SEWER PART OF ALLYN WATER ALL YN UGA R.2 RECEIVED PLANNING SEP 11 2020 615 W. Alder Street i / 3p 1» = 30' BCK 6' � � BCpCK 60 4pT20 v r � l 8 0,4R�� W �4 � � o l P N rilNG: E '2 .00 8 ALL SE TB K E MEASURED tOT 6 � _ B41r s9 FAO T FURTHEST PROJECTION F THE BUILDING HOUSE FIRST FLOOR 992 SO. FT. ?p SECOND FLOOR 1024 SQ. FT. FRONT PORCH 144 SO. FT. AP FOR PORCH 80 SO. FT. MASON COUN DmaNNING SITE PLAN REQUI TOW 6"T1: 528 SO. FT CHANG SUI .IET TO AR eft R 312 SQ. FT. AMgqa�AM 161 of 2l LOT 7 BLOCK 60, BATJACK HOLDINGS LLC PLAT OF ALLYN, ADDRESS WA. 98524 P.O. BOX 2264 VOLUME 1 OF PLATS, PAGE 17 GG HARBOR, WA 98335 AP No. 12220-50-60007 CED 2017 0M (253) 208-8136 SITE PLAN MAP AGATE LAND SURVEYING, PLLC 4`"oFBAsk 7 PROFESSIONAL LAND SURVEYOR q �� FOR 2680 E AGATE RR - P.O. BOX 246 :�t o %%ION. WA 98584 - (360) 426-4172 BATJACK HOLDINGS LLC b` 'o IN THE DRAWN BY DATE: 08/28/2020 41 8N 007 28237 - '� NW114 NE114 MJB ass REGISTER$v. v SCALE 1 !N( l = 30' SHEET 1 OF 1 f0A'AICHECKED BY SEC 20, T22N, RO1 W, W.M. SGe FILE NO: 4148-6007_BJ_SlTEPLAN.DWI NORTH BAY SE10 PORT OF ALLYN WATER ALLYN L,CA Rz -g i d 20't� 6`6A&c y E C E I V E D JAN 15 202Q.�n'' PLANNING 615 W. Alder Street �1*1 3o Pus< Ito gv1StbN 30' S 48A DATE 1- 15-ZoZ l C , BO �� e• s �300°o"E / e• 3,r 4o7-.e W 3o 4 ors APPROVED �1 ooR 992 s. Fr. P ING: MAS N COUNTY DCD PLANNINcTaa�D FLOOR 1024 50. FT. ALL S BACKS RE MEASURED SITE LAN REQUIRED TO BE ON SITERONT PORCH 144 SO. FT CH GES SUBJECT TO APPROVAL REAR PARCH 80 So. FT. F OM TH FURTHEST By _Date 1-15-2021 PRO. CTIQN F THE BUILDING FIRST FLOOR 528 SQ FT. SECOND FLOOR 312 SQ. rT. LOT 7 BLOCK 60, E SULLIVAN STREE7 SAT44M HOLDWGS LLC PLAT � IALL YN, WA. 98524 P.0. BOX 2264 WELAW 1 OF PLAN. PACE 17 GIG MAROM WA 98335 AP Na 12220-50-B0007 (ED W 7 (20)208-8136 Bic SITE PLAN MAP AGATE LAND SURVEYING, PLGC A, o SWWM WA To. FOR ara owu LAtD 1W E AGATE RD. -P.Q. BOX 21B BATJACK HOLDINGS LLC MTW 0 M` - (SO) 4�172 IN THE DRANK BY oATE 11/07/2010 JOB 48-6007 Na 2 NW1/4 NE114 MJB rsrteg�° 4 SCALE 1 NO! - 30' Sh1: 1 OF 1 !0h'AL SEC 20 , 1�2N, ROl W, W.M. sGB FILE Na 4148-6007JJ_SITEPLAN.D NORTH BAY SEWR PORTLL OF A ALLYN WATER I� 2,02,0 - d �� RECEIVED **l lle PLANNING SEP 11 2020 W. Alder Street 19 PLANNING: ALL ETBACKS ARE MEASURED 1" = 30' I FROM THE FURTHEST / P ECTION OF THE BUILDING elk 6/ eC00 60 4or 8 �'3bO00, 20 I `8' cgRAceJo g , .00 COT 6 `��q 59 AP►PTV , �N'HST FLOOR 992 SQ. FT. �N pA COUNTY WD COND FLOOR 1024 SQ. FT PLAM REOUIREL3 TO B ON Sf T ON PORCH t 44 SQ. FT. CHANGES UejtT TO ApPRO AL REAR PORCH 80 SO. FT. 10 30 A FIRST FLOOR 528 SO. FT SECOND FLOOR 312 SQ. FT. LEGAL DESCRIPTION LOT 7 BLOCK 60, ADDRESS BATJACK HOLDINGS LLC PLAT OF ALLYN, ALLYN, A. 98524 P.O. BOX 2264 VOLUME 1 OF PLATS, PAGE 17 GIG HARBOR, WA 98335 AP No. 12220-50-60007 CEO 2017 0008 (253) 206-8136 SITE PLAN MAP AGATE LAND SURVEYING, PLLC of ASk PRQFESSIONAL LAND SURVEYOR �w FOR 2680 F AGATE RO. - P.O. BOX 246 SHEL TON, WA 9M& - (360) 426-4172 _ 76 BATJACK HOLDINGS LLC JOB NO.- IN THE DRAWN BY DATE: 08/28/2020 4148 6007 28237 w NK14 NE114 MJB ass R OISTER.v ti} SCALE: f INCH = 30 SHEET 1 OF 1 I"AL LPL 9 SEC 20, T22N, R01 W, W.M. C"E" BY SGB FILE No. 4148-6007_BJ_SITEPLAN.DWG NORTH BAY SEWR ^' n PORT OF ALLYN WATER �lU ALL YN UGA R.2 RECEIVED ENVIRONMENTAL sEP 11 2020 / HEALTH 615 W. Alder Street ,I 30 1" = 30' 6� 6� �� 4940C 60 T \Q 4 oT 8 GJ p 9 �3b0 0,0 T cy. o 0 ooSE a 8• I 40T 2' o �. I 8• � G'�RAc �` � 5,4 � � O 30 / Op 2 Q L OT 6 S 6� S9 HOUSE FIRST FLOOR 992 SO. FT. 2n SECOND FLOOR 1024 SQ. FT `VI FRONT PORCH 144 SQ. FT. REAR PORCH 80 SQ. FT. AP 1� GARAGE FIRST N� ONMENZQ�N FLOOR SECOND FL 312 SQ. FT MPSON OO�NS��REZ LEGAL DESCRIPTION LOT 7 BLOCK 60, ADDREBATJACK HOLDINGS LLC PLAT OF ALL YN, A WA. 98524 P.O. BOX 2264 VOLUME 1 OF PLATS, PAGE 17 GIG HARBOR, WA 98335 AP No. 12220-50-60007 CED 2017 0008 (253) 208-8136 G.B ECK SITE PLAN MAP AGATE LAND SURVEYING, PUC ��. PROFE5SI0NAl LAND SURVEYOR FOR 2680 E. AGATE RO. - P.O. Box 246 %R TON, WA 98584 - (360) 426-4172 BATJACK HOLDINGS LLC b o IN THE DRAWN BY DATE: 08/28/2020 4148-6007 N. 28237 'y'� NM/4 NE1/4 MJ° , ASS R'GISTERv SCALE 1 INCH = 30 SHEET 1 OF 1 f0 - LA�� SEC 20, T22N, ROl W, W.M. CHECKED BY SGB FILE No: 4148-6007_BJ_SITEPLAN.DWG Name R RtK_ Parcel B U I L D 1 41�rtment Mason CountySEP 11 2020 1 of Community Development Small Parcel Stormwater Manazement Application/Wo"gtf(RW 12UL Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/conunissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Pubic 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 Worksdocument 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 AM 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 StormwaterSite Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) X 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 98594 Physical:415 N 6th St,Shelton WA 98594 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 98594 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 ainftsrpection as requi j� (l a{ • , Owner/ ent/Conmtaor(circle one)Date: U v Page 2 of 2 NameP)A-nj2LLParcel v - a-(O(x -7 MUDINbs bS 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 arenas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwate r.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate k»Pervious Surfaces Please ComPWO This Table Surface Type Length X Width = Area •All dimensions in feet Buildings 52 X 24 = 1248 22 X 24 = Measurements for buildings are taken at the 528 X - perimeter of the farthest projections(example: eaves/gutters) X - Driveways X r - X = Length of drive begins at the right of way X = Pe Areas X = X a Any paved,gravel or packed area per definition above table X = Patios/Walks 24 X g s144 10 X $ gp 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) t If the Total Impervious Surface Area is i.LSS TAAN_2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT s equtred 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 . X Owner/ gent/Contractor(circle one)Date:_ _ If the Total Impervious Surface Area is -RFATER THAN 2af10 Serrate F please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2