HomeMy WebLinkAboutCOM2008-00069 Hay Storage and Bulk Feed - COM Permit / Conditions - 10/8/2009 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352
Shelton, WA 98584
too
COMMERCIAL BUILDING PERMIT
COM2008-00069
OWNER: VALLEY FEED RECEIVED: 5/28/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 1/15/2009
SITE ADDRESS: 461 NE OLD BELFAIR HWY BELFAIR EXPIRES: 7/15/2009
PARCEL NUMBER: 123291290081 I
LEGAL DESCRIPTION: PCL 1 OF BLA#04-33 PTN NW NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Commercial/Storage Old Belfair hwy to address.
Hay storage and bulk feed
General Information Construction&Occupancy Information
No. of Units: Type of Constr.: VB
Type of Use: storage Insp.Area: No. of Bathrooms: Occ. Group: S1
Type of Work: NEW Fire Dist.: 2
Valuation: $ 179,460.00 No. of Stories: 1 Occ. Load: 8
Building Height: 28
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 3,600
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline& Planning Information
Front: E 95.00 Ft. Shoreline: Ft.
Rear: W 30.00 Ft. Slope: Ft. Water Body:None Shoreline Desig.: Not Applicable
Side 1: S 30.00 Ft. SEPA?:Unknown Comp. Plan Desig.: Urban Growth Area
Side 2: N Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2008-00069 Please refer to 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
Plan Check Fee KKK x,/9A/9nnA AQ51 7n g99nnAnn
Planning Review Fee KKK F/9A/7nnR RR1n nn g99nnAnn
Address Fee KKK r,/9A/9nnA Tisq nn C?9nnAnn
EH Plan Review TAA/ R/1 i/9nnA Tan nn R17nnAnn
Non-Res. Energy Code ni(,. Fi/1Fi/9nnA 1RA nn R19nnAnn
IFC Plan Check Fee ni n R/1R/9nnA TAF;R 57 R19nnRnn
Building State Fee ni r. R1iR/9nnA oA 5n R19nnAnn
Building Permit Fee ni c R/1a/9nnA Q1 A41 75 R19nnRnn
Total $3,446.52
CASE NOTES FOR
COM2008-00069
CONDITIONS FOR
COM2008-00069
1) 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.
X (9
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE QCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WSEC), ventilation and Indoor Air
Quality Code ( i�kC ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X ,
T��
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected b the Mason County Building Department prior to any further inspections being performed or approvals granted.
X
5) CONSTRUC ION 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 Buil ing Inspector shall be made prior to requesting additional inspections.
X
COM2008-00069 2 of 6
6) 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 Mas ounty ordinances and building regulations.
X
7) Install 3A40BC fire extinguisher o the maximum distance of travel does not exceed 75 feet in any direction. And is mounted no more than 48
inches above the floor.
X
Install a key box (knox box) on th�fr t of the building per section 506 of the 2006 International Fire code. Please contact the local fire district for
more information and inspection.11
X
The applicant has resubmitted a change to the approved plans showing that the maximum storage height of the hay will be at or below 12 feet at all
times. An NFPA 13 fire sprinkler system will only be required if this height is exceeded. A separate permit application is required to be submitted
for and approved prior to the installa ign of the system.
X x
Bulk feed storage is required in approved 5 sided metal bins per the 2006 IFC.
X
8) 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 in lied. Contact the Mason County Fire Marshal at (360) 427-9670, extension 273, for further information.
x
9) The use, handling and storage of hazardous materials or flam le and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X
10) 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
11) All permits expire 180 days aft r 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 r have prevented action from being taken. No more than one extension may be granted.
X
12) All approved plant are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be ch and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted.
13) All property lines shall be clearly identified at the time of foundation inspection. X
COM2008-00069 3 of 6
14) 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 1-800-647-0982Merson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
15) Recyclable materials & Solid aste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designed to m e needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X
16) This structure i pprove as an unheated space as identified by by the Mason County Semi-heated Building Exemption Guidelines.
X
17) The mechanical system for which energy consumption, performance, or mode of operation are regulated by the Washington State Energy Code
(WSEC) and Ventilation And Indoor Air Quality Code (VIAQ) shall be tested to ensure that control devices, equipment and systems are calibrated,
adjusted and operate in accordance with approved plans and specifications. Drawings and notes shall require commissioning in accordance with
WSEC section 1416.
Lighting controls shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in
accordance with the approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the
owner. Drawing n e hall require commissioning in accordance with WSEC 1513.7.
X
18) Accessibility desig ply to parking, signage, entrance/exit.
Exit/entrances shall be provided with a landing with not more than 1/2-inch threshold height, 5-ft x 5-ft landing, and door hardware that meets or
exceeds accessible requirements.
Handles, pulls, latches, locks and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not
require tight-grasping, pinching, or twisting of the wrist to operate.
Ramps shall comply with ICC/ANSI 117.7, section 405 including a running slope not steeper than 1:12 and be provided with edge protection and
handrails.
X
19) Rooms and enclosed spaces shall have Class C interior wall and ceiling finishes or better. Class C finishes shall have a smoke developed index of
0-450 and a flam read index of 76-450. Provide classification information during inspection.
X
20) Interior Lighting shall be limited to .5 watts per sq. ft. or 1800 watts. Installed lighting wattage shall be calculated using the lamp and ballast
wattage.
All exterior building grounds luminaires that operate at greater than 100 watts shall contain lamps having a minimum efficacy of 60 Im/W unless the
luminaire is controlled by a motion sensor. The total exterior lighting power allowance for all exterior building applications is the sum of the
individual lighting power densities permitted in Table 15-2. Trade-offs are allowed only among exterior lighting applications listed in WSEC Table
15-2, "Tradable S ces" section. Exterior lighting for this project shall not exceed: 690watts.
X
COM2008-00069 4 of 6
21) Aisles shall be maintained, at least 36-inches wide throughout and located so that
the travel distance to an exit door shall not be greater than 200 feet measured along the line of travel in nonsprinklered buildings. Travel distance
shall not be more
than 250 feet(76 200 mm) in sprinklered buildings.
X
22) Water quality is not to be graded to the detriment of the aquatic environment as a result of this project.
X
23) Prior to final approval, a upland areas disturbed or newly creatN construction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X
24) Temporary erosion control measures must be implemented to prevent water quality degra of adjacent waters or wetlands. Silt fencing must
be installed and maintained until upland vegetation has become established. X
25) Approved pe nsions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
26) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are require his proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
27) All Best Management Practices must be strictly adhered throughout the proposed development. X
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 inspectio he 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 S115review and inspecti
OWNER OR AGENT: DATE: Li : C COM2008-00069 5 of 6
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352
Shelton, WA 98584
i�
COMMERCIAL BUILDING PERMIT COM2008-00069
OWNER: VALLEY FEED/CLINT & KELLY SHUMAKER RECEIVED: 5/28/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 6/26/2008
SITE ADDRESS: 461 NE OLD BELFAIR HWY BELFAIR EXPIRES: 12/26/200E
PARCEL NUMBER: 123291290081
LEGAL DESCRIPTION: PCL 1 OF BLA#04-33 PTN NW NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Commercial/Storage Old Belfair hwy to address.
Hay storage and bulk feed
General Information Construction &Occupancy Information
Type of Use: storage Insp.Area: No. of Units: Type of Constr.: VB
.
Type of Work: NEW Fire Dist.: 2 No of Bathrooms: Occ. Group: S1
Valuation. $ 179,460.00 No. of Stories: 1 Occ. Load:
8
Building Height: 28 '
Pre-Manufactured Unit Information Square Footage Information
q 9
Make: Length: Lot Size:
Model: Width: Building: 3,600
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline& Planning Information
Front: E 95.00 Ft. Shoreline: Ft.
Rear: W 30.00 Ft. Slope: Ft. Water Body:None Shoreline Desig.: Not Applicable
Side 1: S 30.00 Ft. SEPA?:Unknown Comp. Plan Desig.: Urban Growth Area
Side 2: N Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2008-00069 Please refer to the following pages for conditions of this permit. 1 of 6
Plumbing Fixtures Mechanical Fixtures FEES II
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KKK F/9A/9nnA TQF1 7n C99nnRnn
Planning Review Fee KKK F/9A/9nnA "1n nn g99nnAnn
Address Fee KKK F/9R/9nnR 1R9 nn -q99nnann
EH Plan Review TIN R/1s/9nnR 'Mn nn R19nnAnn
Non-Res. Energy Code nl r R/1R/9nnA QRA nn R19nnAnn
IFC Plan Check Fee nl r R1iR/9nnA OARA 57 R19nnAnn
Building State Fee nl(,, R/1R/9nnR Ra Fn R19nnAnn
Building Permit Fee nl r. R/`IR/9nnA T,1 AA1 7c, R19nnAnn
Total $3,446.52
CASE NOTES FOR
COM2008-00069
CONDITIONS FOR
COM2008-00069
1) 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.
X
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x �
3) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Quality Code (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X �
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
X collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.
5) 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 unty Building Inspector shall be made prior to requesting additional inspections.
X
COM2008-00069 2 of 6
6) 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- liant with Mason County ordinances and building regulations.
X
7) Install 3 40BC fire extinguishers so the maximum distance of travel does not exceed 75 feet in any direction. And is mounted no more than 48
inches aWyethe floor.
X
Install a key box (knox box) on the front of the building per section 506 of the 2006 International Fire code. Please contact the local fire district for
more infr�and inspection.
X V//
An NFPA 13 fire sprinkler system is required to be installed. A separate permit application is required to be submitted for and approved prior to the
installpraf the system.
X �--7
Bulk feed storage is required to be in approved 5 sided metal bins per the 2006 IFC.
8) 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.
x
9) The use, handling and storage of hazardous materials mable and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X
10) 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 wor ch may affect your project.
X
11) 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 per der have prevented action from being taken. No more than one extension may be granted.
X
12) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour vre charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals grante .
13) All property lines shall be clearly identified at the time of foundation inspection. X
COM2008-00069 3 of 6
14) 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- he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X s�
15) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be design 9 meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X
16) This structure is approved as an unheated space as identified by by the Mason County Semi-heated Building Exemption Guidelines.
Xq'
17) The mechanical system for which energy consumption, performance, or mode of operation are regulated by the Washington State Energy Code
(WSEC) and Ventilation And Indoor Air Quality Code (VIAQ) shall be tested to ensure that control devices, equipment and systems are calibrated,
adjusted and operate in accordance with approved plans and specifications. Drawings and notes shall require commissioning in accordance with
WSEC section 1416.
Lighting controls shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in
accordance with the approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the
owner. Dr tes shall require commissioning in accordance with WSEC 1513.7.
X
18) Accessibility design shall apply to parking, signage, entrance/exit.
Exit/entrances shall be provided with a landing with not more than 1/2-inch threshold height, 5-ft x 5-ft landing, and door hardware that meets or
exceeds accessible requirements.
Handles, pulls, latches, locks and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not
require tight-grasping, pinching, or twisting of the wrist to operate.
Ramps shall comply with ICC/ANSI 117.7, section 405 including a running slope not steeper than 1:12 and be provided with edge protection and
handrails.
X 0�
19) Rooms and enclosed spaces shall have Class C interior wall and ceiling finishes or better. Class C finishes shall have a smoke developed index of
0-450 and a flame spread index of 76-450. Provide classification information during inspection.
X
20) Interior Lighting shall be limited to .5 watts per sq. ft. or 1800 watts. Installed lighting wattage shall be calculated using the lamp and ballast
wattage.
All exterior building grounds luminaires that operate at greater than 100 watts shall contain lamps having a minimum efficacy of 60 Im/W unless the
luminaire is controlled by a motion sensor. The total exterior lighting power allowance for all exterior building applications is the sum of the
individual lighting power densities permitted in Table 15-2. Trade-offs are allowed only among exterior lighting applications listed in WSEC Table
15-2, "Tradal Surfaces" section. Exterior lighting for this project shall not exceed: 690watts.
X
COM2008-00069 4 of 6
21) Aisles shall be maintained, at least 36-inches wide throughout and located so that
the travel distance to an exit door shall not be greater than 200 feet measured along the line of travel in nonsprinklered buildings. Travel distance
shall not be more
than 250 feet ((76 200 mm) in sprinklered buildings.
X �J
22) Water quali to be degraded to the detriment of the aquatic environment as a result of this project.
X �
23) Prior to final approval, all upland areas disturbed or newly crga�pd by construction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X I,��
24) Temporary erosion control measures must be implemented to prevent water quality d gradation of adjacent waters or wetlands. Silt fencing must
be installed and maintained until upland vegetation has become established. X
25) Approv er dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
26) All other necessary permits from Mason County, Washington State and/or Federal Agencies that ayo)(e—quired for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
27) All Best Management Practices must be strictly adhered throughout the proposed development. X
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 an ure for review and inspection.
OWNER OR AGENT DATE:
COM2008-00069 5 of 6
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Name A vA ie_ Parcel# 12 3 Z1 1-7-1 on 9 BLD# 2-
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.
P P > > q P
'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.
2Common 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.
"ter:: Mate: . .
:.:::.;::.;:.;:.:::<.::.;::.;::.;;::<.;:.;:.;:.;:.;;:.:
1m enrnus<.
ut`f ,e5:< /�k 5�::;.>:�D#111 nt�::::T r ::> "� f�:::::::::::::>::......:>:>:>::»>»::::> > ::::::<:>:::
........... .....�t.......................... ....... ......... ........................................ ....... ............... .......................................
.
.............::...........................::::::. .:: . p::.::. . :::: ::.:::...............................................................................................................:::.
urfaceType- -- Length- ---X -Width- --_- ---Area - - - *All dimensions-infieet- -Buildings 76, X S _
X = Measurements for buildings;are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 34. X ti/ _
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/V1lalks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others
X =
X = if ttt trtaijerq� ar €tl}e.:prgppsed site
dev�tap t i t et. theft 2000 square feet a
X = ..
Str ll Panel B or. .w tet Site Plan,s hequ€i d
"Ct tal:::lri r.qd&- i f £e a (hum of (I.; real ;:;:.,....:
. .
:>::>::
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 nd inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: -�:;I LZ'-1 0 6
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
1
Namesl.E U wt4KE l' Parcel# Z 3 Z L°� _ BLD# Z
ArU-E
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:
httpHwww.co.mason.wa—us/code/commission.ers/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
Aj�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 revi w and inspection as may be required.
X wner/ gent/Contractor(circle one)Date:
Page 2 of 2
MASON COUNTY PERMIT NO. __UI
BUILDING PERMIT APPLICATION 00c)( 1
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 C 111^4 t tA I%I Company Name A&2 yl e
Mailing Address Mailing Address
City '�_-i-fir.'I r' State � Zip Code City State Zip Code
Phone-4;n9-5303 Other Ph. •a75-.598 r Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address V �_ y « Vt-Ja C&W c •L'jr)'> E Mail Address
Drivers Lic.# INd DOB -44-7a Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Sept' Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System-
PARCEL INFORMATION - 12 D' it Parc I No. Fire District AAC
Legal Description ��
Site Address (Please include street name, street number a d city) / Cc .t r
Directions to site Zmile- ricy-ii, 'DA CU, &ert)65 jrorYi ft1 *
LZ
IF
Will timber be cut and sold in parcel preparation?Yes/
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 ❑ SEASONAL ❑
Use of Building s F15W/' Describe Work IC,� kA'
No. of Bedrooms, No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck— Covered Deck 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/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. 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.
X `QC__.wit./ ll Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED ENIED NOTES
Building Department �G- F,9kA00 J..
Planning Department 1� A00 /le-'t_t4 :2`
Environmental Health Department l� -
Fire Marshal
FEES
Building Permit Fee / /. Site 4p4spee6on / r.S,
Plan Review Fee / /� EH Review Fee
Plumbing & Bas
e e Fee
PlanningReview Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal 5 C�
Valuation $ p 9S = 1 c5/- g TOTAL FEES
i
Request To Revise An'Approved Plan
r • (m a co�,- 000(,�, q
Permit Number:-BtiXt00> - Name
__VA Parcel Number i � a. - - o Phone Number da^ ime
Project Address ;qtj f Ajl 0 Id Mailing Address
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? ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed„plan will be approved 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 ❑ No
Additional Information:
Applicant's signature Date:
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
Additional Valuation: $
❑ Sq.Ft. x$ $
7 Sq. Ft. x$ $
Total New Valuation $
Additional Fees:
Additional Planning Dept. $
Additional Plan Review $
Additional Conditions /Comments: Additional Building Permit $
Additional Plumbing $
Additional Mechanical $
Additional E. H. Dept. $
Other $
I Total Amount Due: $
C'^�� " U Amount To Be Paid Up-Front$