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Home My WebLink AboutBLD2015-00031 SFR, Garage - BLD Application - 1/28/2021 MASON COUNTY COMMUNITY SERVICES Permit No: PERAIITASSISTANCE CENTER: •BUILDING•PLANNING•PUBLICHEALTH•FUMMARSHAL 615 W.Alder Street,Strekom iNA II&M { Phan Shelton:(360)427--9M ad 352•Fir-.rJW)W-T188 Phone Bellair.(360)2754467.Phone Etna:(")482-5W r M BUILDING PERMIT APPLICATION O Q y. PROPERTY OWNER INFORMATION- CONTRACTOR INFORMATION: � Z r NAME:Batiack Holding LLC NAME: &J Development LLC MAILING ADDRESS: PO Box 226.p I— MAILING ADDRESS' POBOX623 C CITY:Gig Harbor STATE:WA ZIP:98335 CITY: Burley STATE:WA ZIP:983?1 OPHONE#1: 253-208-9136 PHONE: CELL: 253.2oht813s � ♦ PHONE#2: EMAIL:anaiefeedatiandfowestinwiaLcotn v ii EMAIL_WAcedarl�ndforestresources.com _ L&I REG#. SL= EXP. 126 021 Z Z 1 PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ O 5 NAME JOECEDARLAND EMAIL ioeb2oe—dutandfo oom MAILINGADDRESS SAMEASABOVE CITY STATE ZIP ♦A v/_. a PHONE CELL MIWM36 cQc. PARCEL INFORMATION: G V PARCEL NUMDT:R(i 2 Digit NwnbCt)_ 2'LZ¢�— a i{g ZONING 0 LEGAL DESCRIPTION(Abbreviated)— (1jl L.j� LO� 3 _ —FIRE DISTRICT lk- SITE ADDRESS CITY ALLYN cc DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN200 FT OF THE FOLLOWING: (cherkallowapptv): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND.❑ SEASONAL RUNOFF(I STREAM.[] If TYPE OF WORK: NEW)( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ 1 & USE OF STRUCTURE(ftcri we,Garage.CommmwtBrdg.F&.) GARAGE { IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 HEATED STRUCTURE? YES(whokBidg)❑ YES(Itar/s/vow❑ NOW DESCRIBE WORK NEW CONSTRUCTION-SFR+DETACHED GARAGE SOUARE FOOTAGE:(Propose+existing) ISTFLOOR sq.H. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.R DECK sq.fL COVERED DECK sq.fL STORAGE sq.tL OTHER sq.tl. GARAGE "D sq.It. Attm:hed[I Detached CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: sa COPIES OF THE FLOOR PLAN REQUIRED" MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ T PLUMBING IN STRUCTURE? YES❑ NUX Ijyes,attach cautpreled Maw Adequacy Fonn . PERIIVIErERNOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING 4 FT. EXISTING BEDROOMS PROPOSED BEDROOMS_jD___ TOTAL BEDROOMS T OWNER admWedges then submission of iraacurato Wormation may resat in a stop„oik order or pem*revocation.AclonwMadgemert of such is by si rshm below.)declare that t am the were►and I further declare tut t ameatiled to receive dris pemtt and to do the work as proposed.)have oblaired pwn*sion from all the necessary parries.bduem any easerrhed holder or parties of unrest regar6V tds project.The wmeror legal re(rosenlative,represents#%at the bdomranon provided is aeaasEa and gmfft wMbyeas of Mason Coumy access to the above described property and structure(s)for review and bts;wbon:T1rls ponrWappozoon beootras nnm&VOW if work or GUDWdaed eonsbUctbn Is not eonwroneed vrdhn 180 a days or if construction work is stspended for a period of 1e0 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF TNS # PERMIT APPLICATION OF DAYS OF MORE USE THE APPLICATION TO BE EXPIRED.(MASON CODE 14A8.42) ; z6figna lure of OWNER Vate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•.FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 exL 362- Fax:(360)427--7798 • Phone Belfair.(360)2754467- Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:J g J DEVELOPMENT LL C NAME:Batiack Holdings LLLLC_-. MAELING ADDRESS: PO BOX 623 MAILING ADDRESS: PO Box,Z7 CITY: BURLEY STATE: WA ZIP: 98322 CITY:Gig Harbor STATE:WA ZIP:98335 PHONE: CELL: 253-208-8136 PHONE#1: 253-208-8136 EMAIL:angie@cedarlandtomstresources.com PHONE#2: L&I REG# JJDEVJD852OW EXP. 1218/2021 EMAIL:;p t,gcedariandforestresources.com PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 1 Z2'Z� — O t-{t� (� Zoning: LEGAL DESCRIPTION(Abbreviwed): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING RESIDENCE LOCATION OF FIX ru K S/UNTTS—1 ST FLOOR 2ND FLOOR BASEMENT GARAGE_X_OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyke of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink 3 Furnace 1 Bath Tubs 2 Heat Pump 0 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 permit revocation.Acknowledgement of such is by signature below.I declare that 1 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 pemvt/application becomes null 8 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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICA71 /J Sigi0hure of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rees 1/27/2016 JBN NOR711 BAY SEWER PORT OF ALLYN WATER ALLYN UGA R.2 20 1" = 30' Buk¢9 84OCK A. 48 for y +� .2o 8 S '309 4 J E o° o° (S 7300,00a 30 2 GARAGE 10 8 HOUSE 20 S , Of Or ?0Jcj co HOUSE 4pr2 E) �2Ooo� _ , � FIRST FLOOR 936 SQ.FT. Q SECOND FLOOR 988 SQ.FT. �v/ FRONT PORCH 156 SQ.FT. REAR PORCH -- 72 SQ.FT. GARAGE FIRST FLOOR 528 SQ.FT. 30 SECOND FLOOR 312 SQ.FT. / LEGAL DESCRIPTION ADDRESS LOT 3 BLOCK 48, E BLACKWELL ST. PLAT OF ALLYN, ALLYN, WA 98524 DRe TRUST VOLUME 1 OF PLATS; PAGE 17 P.O. BOX 2264 AP No. 12220-50-48003 GIG HARBOR, WA 98335 CED 1927 CM 0008 (253) 208-8136 G.BEC. ?, SITE PLAN MAP AGATE LAND SURVEYING, PLW .....oF�wrisy��.O PROFESSIONAL LAND SURVEYOR FOR 2680 E AG47E RD. - P.O. BOX 246 SHaMV. WA 094- (MO)426-4172 Go DiRe TRUST 'o IN THE DRAWN BY DAM 01/26/2021 JOB NO. of, . 4148-4803 29237�9 :,w NW1 4 NE1 4 MJB sscrsTER.. 4 SCALE- 1/NCH=30' SHEET 1 OF 1 A'AL BY LA T19 SEC 20 T W M MEMOEMEMOMEMOw , 22N, ROl W, SGB FILE NO.4148-480URe_SIIEPLAN.DNfG Hodge en eenninc_ Thursday, May o6, 2021 SSL 2021-49 Project#190782 Project#190783 Site Specific Engineering Letter—Base Plana 2015-00033 &2015-00031 Client: Cedarland Homes Inc. Site: Parcel#12220-50-48004 Allyn Blk 48, Lot 04 Designer: Plan name CED2017&CED0008 Mason County Planning and Land Services: I have provided the lateral load engineering for the Plan CED20a7&CED0008. This plan is base planned with Mason County#2015-00033&2015-00031. My engineering was developed using the general site conditions below. Engineered for Site Conditions: Roof Wind Wind IBC Soil Slope Special Geotech Snow Speed Exposure Seismic Profile Per Site Report load Design Owner Conditions 25 psf uo B D D <15% None per None mph owner provided The site conditions reported by the owner and observed on Google Earth substantially meet the site conditions of my engineering. My engineering may be used on Parcel# 12220-50-48004. 5.6.2021 SSL 2021-49 John Ho ' Hodge EnginceAng,Inc. John E.Hodge P.E. 3733 Rosedale St Stc.Zoo Gig Harbor,WA 98335 (253)357-71055 r a55 aa5 agL42. i MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/Ventilation Code Compliance Application Submit with heating/cooling system size worksheet (see instructions#4) Owner: Parcel#: Type of project: &n-yjGt-C = {-F�o�GI�(,r�S 4 12220-50 NEW CONSTRUCTION-SFR Total Sq. Ft. 1st Floor: 21 floor. Heated Basement: of heated area:: 1924 936 988 Heating System Type: O Electric wall heater O Electric Central Furnace LPG Furnace O Heat Pump with electric fumace O Heat pump with gas furnace O Ductless Heat Pump O Boiler,specify fuel type: O Other. Specify: 19 Prescriptive Option Table R402.1.1 (see table on previous page) Compliance Method O Component Performance, R402.1.3— Caicutation worksheets required Must Check one:: ❑ Other (Specify): Check one ❑ Whole House Ventilation system Whole House Ventilation Ventilatio using exhaust fans&window or wall Antgrated with a Forced Air ❑Other,describe: fresh air vents(MMZ3.4).If using System(M15 Z15) n System window vents be sure to order windows with venta. Referencing Table R406.2,"Additional Residential Energy Efficiency Requirements,"all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: htto:/Iwww.co.mason.wa.us/forms/Community Deviiecc wsec.odf Additional a) Description: Small dwelling units: less than 1,500 sq.feet of heated or cooled floor area and less than 300 sq.ft fenestration area(skylights, doors,windows, etc). Energy *Including additions to existing building that are greater than 500 sq.ft. of heated floor Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits ents b) Medium dwelling units that are not included in(a)above(small dwelling), OR(c)below Energy (large dwelling) Requires 3.5 credits credits EXCEPTION.Dwelling units serving R 2 occupancies shall require. Requires 2.5 required. credits. Seepage two for description. 3.5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq.ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires.5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, lazed-doors that include products with glass and non lass glazingg materials. Describe Energy Credit Option(s): Using Option *EFF BLDG ENVELOPE number(s): *HIGH EFF HVAC 1a, 3a, 5a, 5c *EFF WATER HEATING 3 1Nindow,Skylight and Door Schedule P1018dinbM600 Confadrnlmma0an RSTOCK PLAN#201 f 00030 Joe Cedadand CED1927-STOCK PLAN 25a 208 8136 Width Height Ref. U-factor OL Feet f Feet 1 ei Area UA Exempt Swinging Door(24 sq.ft.max,) 0.0 0.o0 Exempt Glazed Fenestration(15 sq.fL max.) 0.01 0.00 Vertical Fenestration(Windows and doors) Component Width Height Description Ref. U-factor OL Feet°h Feet fnm Area UA FRONT ELEVATION 0.0 0.00 0.26 7 3 5 105.0 29.40 0.28 1 3 6 ° 20.0 6.60 0.28 1 2 2 4.0 1.12 0.0 0.00 REAR ELEVATION 0.0 0.00 028 2 - 5 4 40.0 11.20 0.28 1 e 2 6 ° 17.6 4.98 0.0 0.00 RIGHT SIDE ELEVATION 0.0 0.22 0.28 1 5 4 20.0 5.60 028 1 3 3 c' 10.5 2.94 0.0 0.00 LEFT SIDE-ELEVATION: 0.0 0.00 0.28 2 2 2 10.0 2.80 0.28 1 2 3 6.0 1.68 0.0 0.00 0.0 0.00 0.0 0.00 0.0 O.OD 0.0 0.00 0.0 0.00 0.0 O.OD 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 MAD 0.0 o.Mo 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Vertkal Fenestration Area and UA 233.3 65.32 Vertical Fenestration Area Weighted U=UA/Area 0.28 Overhead Glazing_(Skylights) Component Width Height Description Ref. U-factor OL Feet "r Feet"'i' Area UA 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 Sum of Overhead Glazing Area and UA 1 0.01 0.00 Overhead Glazing Area Weighted U=UA/Area 1 0.00 Total Sum of Fenestration Area and UA(for heating system sizing calculations) 233.3 65:32 Simple Heating System Size:Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2015 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section,some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information S7T_O_6K PLAN#2Q15_-0QQ3 Jo Cedarland Cf:b1927 STOCK PI.�i){ 2'�ZOSa$136 Heating System Type: •algtherSVstems 0Heat PMP To see detailed instructions for each section,place your cursor on the word'lnstrucdons". Design Temperature Instructions Design Temperature Difference(AT) 47 SheltgnEll AT=Indoor(70 degrees)-addoor Design Temp Area of Buildings Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) 938 Average Ceiling Height Conditioned Volume Instructions. Average Ceiling Height(ft) 90, 8,424 Glazing and Doors U-Factor X Area = UA Instructions U-0.28 0.280 233 65.24 Skylights U-Factor X Area = UA Instructions 0.50 — Insulation Attic U-Factor X Area = UA Instructions R-49 0.026 98$ 25.69 EliSingle Rafter or Joist Vaulted Ceilings U-Factor X Area UA Instructions No Vaulted CeilIngsin lsprqJeCL !- Above Grade Walls(see Figure i) U-Factor X Area UA Instructions —.�R-21Intermedabeediate 0.056 2,232 0 124.99 Floors U-Factor X Area UA Instructions R 38 - ► 0.025 936 23.40 Below Grade Walls soe Rrgure y U-Factor X�A� UA Instructions No 0.028 Below Grade Walls in this ro eLt Slab Below Grade(see,gura F-Factor X Length UA instructions ' 0.303 � — No Slab Below Grade in this project Stab on Grade(see Figure F-Factor X Length UA Instructions — No Slab on Grade in this project. �. Location of Ducts Instructions - Duct Leakage Coefficient Unconditioned Spam "5 1.10 Sum of UA 239.32 Envelope Heat Load 11,248 Btu I Hour Figure 1. sum of UA x AT Air Leakage Heat Load 4.276 Btu I Hour vorumex 0.6xerx.01e AboveGradez= Building Design Heat Load 15,524 Btu I Hour Air Leakage F Envelope Heat toss Building and Duct Heat Load 17,076 Btu/Hour • Ducts In unca d Toned space:Sum of euffdmg Heat loss X 1.10 Duds in cond/tbnedspace:Sum or8u0dkrgHeatLossX 1 Maximum Heat Equipment Output 23,907 Btu/Hour Btdidng and Duct Heat Loss X 1.40 far FacedAlr Fumace eluding and Duct Heat Loss X 1.25 for Heat Pump (07/01/13) Prescriptive Energy Code Compliance for All Climate Zones in Washington Project.Infomiadon Contact Information STUCK PLA #2015-00030 Jae Csdariand CE-6JF A�CK P. NSE 36 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed.In addition,based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date All Climate Zones rt " R-Valuea U-Factor-a Fenestration V-Factorb n/a 0.30 Skylight U.-Factor n/a 0.50 Glazed Fenestration SHGCb.e n/a n/a Ceiling'` 491 0.026 Wood Frame Wallg'M'e 21 int 0.056 Mass Wall R-Value' 21/21" 0.056 Floor 309 0.029 Below Grade.Wall°'" 10/15/21 int+TB 0.042 Slab°R Value&Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 1.Small Dwelling Unit: 1.5 credits 0 Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are greater than 500 square feet of heated floor area but less than 1500 square feet. �.Medium Dwelling Unit: 3.5 credits All dwelling units that are not included in#1 or#3.Exception:Dwelling units serving R 2 occupancies shall require 2.5 credits. D.Large Dwelling Unit: 4.5 credits Dwelling units exceeding 5000 square feet of conditioned floor area. . Additions less than 500 square feet: .5 credits Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope I 0.5 0.5 1b Efficient Building Envelope 1b 1:0 1c Efficient Building Envelope 1c 2.0 ld Efficient Building Envelope ld 0.5 2a Air Leakage Control and Efficient Ventilation 2a 0.5 2b Air Leakage Control and Efficient Ventilation 2b 1.0 2c Air Leakage Control and Efficient Ventilation 2c 1.5 3a High Efficiency HVAC 3a 1.0 1.0 3b High Efficiency HVAC 3b 1.0 3c High Efficiency HVAC 3c 1.5 3d High Efficiency HVAC 3d 1.0 4 High Efficiency HVAC Distribution System 1.0 5a Efficient Water.Heating 5a 0.5 0.5 5b Efficient Water Heating 5b 1.0 5c Efficient Water Heating 5c 1.5 1.5 5d Efficient Water Heating 5d 0.5 6 Renewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 3.50 *Please refer to Table R406.2 for complete option descriptions Table R402.1.1 Footnotes Fot SI:1 foot.=304.8 mm,ci.=continuous insulation,int intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101A shall not be less than the R-value specked in the table. .b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. "10/15/21.+TB"means R-10 continuous insulation on the.exterior of the wall,or R-15 on the continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall."10/15/21.+TB"shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall."10/13"means 11- 10 continuous insulation on the interior or exterior of the home or R-13 cavity insulation at the interior of the basement wall.'TB"means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1. eThere are no SHGC requirements in the Marine Zone. f Reserved. B Reserved. h Reserved. 'The second R-value applies when more than half the insulation is on the interior of the mass wall. j Reserved. k For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. Reserved. 'Int.(intermediate framing)denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Table R402.1.3 footnote a Nonfenestration U-factors shall be obtained from measurement,calculation or an approved source or as specified in Section R402.1.3. r' x'.Name Parcel# V 2i22() —� ^'l 0 �3 BI.D# 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: bgnLv-am.co.mason.wa—us/code/commissionerslindex.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shalt 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 documentManaging Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout PLEASE IlVTTIAL 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 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 stonnwater 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 ma be requir X �ntractor f Owne (circle one)Date: 1 `�-2 Page 2 of 2 Name 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. '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. �- �'o Cal�cu/ate,lmpewloys S�iifa�esPl�ase�ComptetQ Tti�s Tab�fe _. `. ,� Surface T Length X Width = Area *All dimensions in feet Buildinas 36 X 26 — 936 Measurements for buildings are taken at the 22 X 24 528 perimeter of the farthest projections(example: X = eaves/gutters) X —Driveways `� X 20 1 gob 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 = PatioslWalks 26 X 6 = 156 $ X 12 = 96 Any paved,gravel or packed area per definition above table X = Others X = l oaa. 1 6ioposed X thetotaimperns site X _ elopment us greater,Elan 2000 Square feet a ; Small Parcel Stormwater Site Pian�s Required ;:. tout ttnpernojuS Surface Area(sum'pf alh areas) . 21,E o 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 Stormwaler 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 I WAT - I MASON COUNTY • COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 415 N Vh Street,Bldg 8,Shelton WA 98584, Shelton:(360)427-9670 ext 400 ❖ Belfair:(360)275-4467 ext 400 ❖ Elma:(360)482-5269 ext 400 FAX(360)427-7787 Application for Determination of Water Adequacy Instructions 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water connection utilized. 3. Submit completed application,with any required attachments for review. 4. An approved building site plan must accompany this application. Part 1: Applicant/Parcel Identification Name on Applicant: Batjack Holdings, LLC Date: T 1207"1 Mailing Address: PO Box 2269 Gig Harbor, WA 98335 Phone: 253-208-8136 Parcel Number. 12220- — L43021 131�W9 �t3 Type of Water System Reason for Application M Public/Community Water System(2 or more 12 Building permit connections) ❑ Division of land: ❑ Individual water source(one connection), #of Parcels? SPL ❑ Well ❑ Boundary line adjustment ❑ Spring/surface water ❑ Other(explain) ❑ Other(explain) ❑ Replacement or Remodel(please indicate name If you have more than one residence connected of water system below if applicable—no to this well, check the Public/Community Water signature required) System box. Part 2: Water Connection Information Complete the section appropriate for the type of water connection being evaluated: Public Water System Name of Water System: Port of Allyn Water Company Water Facility Inventory(WFI)Number: 6879OX (write"none"for two-party) ® 1 am the manager of this water system.The water system has been approved for 132 services. There are presently 90 connection(s)in use.This will be the 91 st connection. ❑ 1 am the manager of this system.This connection will be to upgrade or change the use of an existing connection on this system(i.e.: recreational to full time). Please indicate on the following line the nature of this change: This water system is able and willing to provide water to this(these)connection(s)without exceeding the limits of the water system or any limits set by state and local regulation. D10a4.19.W by Lew—F.Coppola Lawrence F. DN awlawm eF.Cappd� Po to/ ' .ao< January 28 2021 Signature of Water System Manager la Date 1{—� . ,�, �� ,K IDatm2M1D1.28133100.M'W This form may be scanned and available for public view at www,co.mason.wam J:\EH Forms\Drinking Water Revised 1/25/2018