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MASON: COUN3 PLANNI
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SITE PLAN REQUIRED TO BE ON SI
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SPA 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 r
p o 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 unpervious 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.
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Surface Type Length X Width = Area * All dimensions in feet
Buildin s X =
X = Measurements for buildings are taken at the
X = perimeter of the farthest projections (example:
=
eaves/gutters)
X
-Driveways X
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
X = above table
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
O =the rs X
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If the Total Impervious.Surface.Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owner's legal representative, or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
� r
Name Parcel# BLD#
Mason County
Department of Community Development A�J
Small Parcel Stormwater Management Application/Worksheet (page o
Based Upon the information you have provided a Stormwater Site Plan ISRequired for this develop�i�ltctiv�lJ
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: y
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 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 required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan-will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (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 review, and inspection as may be required.
Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
Mason County Dept. of Community Development
Mason County Bldg. 3 (360) 427-9670 Local
426 W. Cedar (360) 275-4467 Belfair
P.O. Box 186 (360) 482-5269 Elma
Shelton, WA 98584
a Notification of Permit Cancellation
September 2,�3- 2008
DOUG REISDORPH
9402 VICKERY AVE E
TACOMA WA 98446
Case No.: BLD2007-02044
Parcel No.. 223315200077
Proiect Description: CONSTRUCT NEW SFR
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified that
your building permit application has been inactive since 12/28/2007. Permits must make
some progress every six months.
If you intend to keep this permit active, you need to contact me within fourteen (14) working
days from the date of this letter. If we do not hear from you within the that time, your permit
will be cancelled and a building inspector will make a site visit. In the event that your project
has been completed and a permit was never issued, you will be assessed penalties as
allowed under Mason County Title 14 and Mason County Title 15.
If your project has been cancelled or if you wish to withdraw the permit, please notify me as
soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice
in error please contact me. Thank you for your cooperation.
Sincerely,
Charell Holcomb
September 26, 2008 BLD2007-02044
■■ A L A N
■.
DESIGN ASSOCIA "I ES, INC.
Congratulations! After many hours of reviewing home designs you have selected a great
plan to help make your dream home a reality. We are glad that you have chosen one of our
plans—this is a great start! However,before you begin, here are a few things to consider.
❖ Our homes are designed for 25 psf snow load, 2 x 6 exterior walls with R-21
insulation and R-38 ceiling insulation but some jurisdictions require different
insulation and design loads,thereby requiring that the plans be adjusted slightly.
Sometimes these revisions can be red-lined on the plans but more often a local design
professional may be required to be involved,particularly when the structure is
involved. Your local building official can tell you what is required in your area.
❖ Alan Mascord Design Associates, Inc. offers product support to our customers for a
limited time after the purchase of your plan. Should you have any structural or design
issues with the plan as drawn,please contact our Product Support Specialist at (503)
225-9161 ext. 245, or e-mail to productsupport@mascord.com .
❖ We are always looking for good examples of our homes to photograph so when your
construction is completed and your landscaping is in, feel free to shoot a photograph
or two and send them to this office—we'd love to see it. If suitable, we may send a
professional photographer to your home.
❖ Some jurisdictions may require drawings that are stamped by an engineer or architect,
licensed in your state. Also, some customers may desire construction documents more
structurally detailed than the typical "builders" set of plans normally provided. If so,
you may be interested in our"Full Engineering & Wet Stamp"program -pricing is
listed on our web-site. In the following states you may upgrade to this program
directly to our Seattle office:
Vincent Sessa PE
Alan Mascord Design Associates
1300 SW 7th Street, Suite 104
Renton,WA 98055
(866)512-1157 fax—(425)277-7559
AR,AZ, CO, CT, DE, ID, IN,KY, LA, MA, MD, ME, MI, MN, MO, MS, MT,NC,
ND,NE,NM,NY, OK, OR, PA, SC, SD, TN,VA,VT, WA, WI, WV, WY
1305 NW 18*Avenue
Portland,Oregon 97209
503/225-9161 FAX 503/225-0933
www.mascord.com
MASON COUNTY PERMIT NO. 1
BUILDING PERMIT APPLICATION �r j
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 4 269
On the web www.co.mason.wa.ustgo
APPLICANT INFORMATION CONTRACTOR INFORMAT N --
Owner Company Nam
Mailing Address - `1r"F'letl 't ' Mailing Addres r
City'"L n c sc -State W Zip Coe ' ` 'V(/ L t; / City ' p Code -
Phone 12( -t-2/ Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers c DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New SeptExisting Sept
Connect to Water System W Name of Water System
Well Sewer System Name of Sewer S ste
PARCEL INFORMATION - 12 Digit Parcel No. re District
Legal Description
Site Address (Please include street name, street num r and ci
Directions to site
i
Will timber be cut and sold in parch preparation?Yes/No
Is property within 200' of Saltwater akeD River/Creek and
Wetland Seasonal Runoff am Slopes or BI ff
Is this permit submittal the result of a Sto Notice,Correction Noti ther enforcement action?Yes/No
TYPE OF JOB - New`�r;_Add t epair Other MARY RESIDENCE'`, SEASONAL ❑
Use of Building r Work
No. of Bedro No. of hr Squa otage- 1st FloorT=r� (- 2nd Floor
3rd Floor sement Deck Covered Deck Other Sq. ft.
Garage A ched Detac Carport Attached Detached
MANU ACTUREDMe
R ATI - Make Model Year
Length WidtNo. No. of Bedrooms No. of Bathrooms
Type o Heatcha Price$ Replacement Unit? Yes/ No
Install Name Certification No.
fOWNER INUILDER Ackno dges su fission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is b s�gnat below. I declare that I am the owner,owners legal representative, or the contractor. I further declare
that I am entitled to receive this permirrequitred
nd o do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission(;c
from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have oned permission from them to apply for this permit and conduct the work proposed. The owner or
i agent on owners behalf, representst the information provided is accurate and grants employees of Mason County access to the above
described property and structure foriew and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or instruction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTI .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
f X t� � c . . ,C 'S� Date:i +
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Dat
DEPARTMENTAL REVIEW A ROVED ENIED NOTES
Building Department
Planning Department
Environmental Health Department f
Fire Marshal
I FEES
i
Building Permit Fee S Site Inspection
I Plan Review Fee 3 EH Review Fee
Plumbing & Base Fee � - �G Planninq Review Fee
Mechanical & Base fee 9- '/0 Other
Wood/Gas/ Pellet Stove Fee (P 0_ D ' State Fee
Violation Fee (7 a2 Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
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 INFORM ON CONTRACTOR INFORM TION _`(� p
Ownere1 � Company Name!?-I CP1Yt. Thu,'�p L`
Mailing Addres Vt, 6 Mailin Address
Z, 2 1d1� Zip Code z
o� i Code city- tate
Cit tate C e y p
Y - P
Phone 3 &ZUOther Ph. Phones0 3ZO..Rk-2�� Other Ph.
Lien/Title Holder Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS � �/
# Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPta.� Natural Gas Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
' Bath Tubs � Heatpumps
Showers Spot Vent Fan
Water Heater �_ Propane Tank I
Clothes Washer ! Gas Oy t� LAG
Kithen Sinks I Wood/IGa 'e-let Stove
Dishwasher Kitchen xhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
Q
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 parti is.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the applicati ave obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents a information
provided is accurate and grants employees of Mason County access to the above described property and structure for review;nd ion.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. Z,
X '�►a {���S CJC1 1-C 94A Date: I 7 rr� �
Owner/Owners Representative/Contractor (indicate which one) �J
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Constr.-
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES