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HomeMy WebLinkAboutBLD2022-00746 MFG HOME ADV2022-00079 - BLD Permit / Conditions - 11/29/2022 Mason County �• Id# Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BLD2022-00746 MANUFACTURED HOME PROJECT DESCRIPTION: NEW MFG-REPLACE EXISTING MFG ISSUED: 11/29/2022 SITE ADDRESS: 160 NE ANCHOR DR BELFAIR EXPIRES: 05/28/2023 PARCEL: 123305000024 APPLICANT: FASSIO EDWARD J JR OWNER: FASSIO EDWARD J JR 1013 SEDONIA ST 1013 SEDONIA ST BREMERTON,WA 98310 BREMERTON,WA98310 818-561-9970 CONTRACTOR: PHOENIX DEVELOPMENT LLC 2087 MITCHELL RD SE PORT ORCHARD,WA98366 360-529-9281 GENERAL CONTRACTOR'S LICENSE: PHOENIX DEVELOPMENT LLC License: PHOENDL816NK 2087 MITCHELL RD SE Expires: 08/12/2023 PORT ORCHARD,WA98366 360-529-9281 FEES: Paid Due Modular/Manufactured Home $275.00 $0.00 Fee-2nd half collected at ready to issue Building Plan Review/Change of $125.00 $0.00 Use-Onsite Sewage Modular/Manufactured Home $275.00 $0.00 Fee- 1st half collected at submittal State Fee-Residential $6.50 $0.00 Planning Review Fee $240.00 $0.00 Technology Surcharge $11.00 $0.00 Habitat Management Plan $300.00 $0.00 Review Fee Totals : $1,232.50 $0.00 REQUIRED INSPECTIONS Printed by:Amber Selby on:11/29/2022 10:31 AM Page 1 of 5 Mason County Mason County - Division of Community Development � 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2022-00746 Setback Inspection BLD-Final Inspection Footing Inspection Monitoring year 1 inspection Set-Up Inspection Monitoring year 2 inspection Connection has been verified by Health or Utilities Monitoring year 3 inspection Initial planting inspection CONDITIONS * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days,upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * 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 and 14.17. * If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (NCSBCS/ANSI A225.1). * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverti ng/d itching system or road way. * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. * The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M. Support configuration shall be clearly marked in the installation instructions. Printed by:Amber Selby on:11/29/2022 10:31 AM Page 2 of 5 Mason County Imo' Mason County - Division of Community Development `--�� 615 W.Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2022-00746 * A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan"constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting 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. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. 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. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * All building permits shall have a final inspection performed and approved by 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 Mason County ordinances and building regulations. * This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indicated on the plot plan. * 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 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 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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * The foundation/footing must be placed on undisturbed,firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * By definition, propane tanks and heatpumps are structures,which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. Printed by:Amber Selby on:11/29/2022 10:31 AM Page 3 of 5 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2022-00746 Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three feet of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or installed. Certification number and signature of the certified installer responsible for each major part of the installation.WAC365-210 * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext.450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * All property lines shall be clearly identified at the time of foundation inspection. * REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved)by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) * 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 1-800-647-0982.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * 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 County Building Inspector shall be made prior to requesting additional inspections. * All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B.)Septic tank(s)requires 5ft setback from all footing/foundations. C.)No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/Reserve area. D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area. Printed by:Amber Selby on:11/29/2022 10:31 AM Page 4 of 5 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2022-00746 * Environmental Health will require a satisfactory Operations and Maintenance inspection on the septic system prior to final occupancy. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws an Ordinances govern' g this type of work will be complied with whether specified herein not. T e grantin of t does not presume to give authority to violate or cancel the provisions ny o er state/lo 11 w r ulati" construction or the performance of construction. Issued B : : Contractor or Authorized Agent: Date: Printed by:Amber Selby on:11/29/2022 10:31 AM Page 5 of 5 RECEIVED vTnAru euPLour Jl!N 13 1012 anTHINwA118 615 W. A!ger Street RD6AT16.00 JP" ' m RAT W US Y•9i"4- N M411ED ADD OAf7�AT UL L8 WT DO NOT Al-a k•p of 1 40-f' M-10' sm'ON HOD•STUDS ®9p• AD AT Pd 4f MD 6 �� Y_t• ADD OYlde ALL TRANBYE%E UALLS TWAT DO NOT tM%e A TIMM 0v132 DO P x -_ _- ADD TRUSS AV 96 8WAT1 OYM ALL R1tHdOR S I01@HI BA1N 4 etFaR mALLs SPECIAL �. �I&L-439f41 --- NO Nnp1 a ® t 8 ®Itoat a A= ��Tx A-LNT FUN #2370 E � PLR ue 9_ •J-' I� .J u i'RN NOTES. FLJRR- 2410 ae-r CPT PAD 82 SO-YD. ' ® 44'-•Y4. ® -• 3�lRR --_hU W4-2& --- n/]d..s'Tr•70• �7L1 IIg*M SQHEDUE f41 h3z Y»'i z (41 h3x 33°3•39' SA•10' r5T h'.n 93•a•�• re!a,3 V4•ea• p) ,ysss.�. MASTER BATH (3)24 X 40 ha.sin our _—_—_—�7,ftW%�--- _ .�_ GUEST BATH 30 X 40 - W - PIS WTER BORON J' q, � l ttW.L P1 © - ____----__ t1MN Pilau ( \,� Ps �11Y p s R g_UNT 96' SDEWALL F60HT ra J ACCM04A.pf 9O• WSW HEADER F'B(�ff A •�� J I WALL FINISH SCHEDULE IOYB1 \� J' I b•'�4' ,• W A , ALL WALLS tJr etrfiRocN !MCATES 2DOD HR IRIUin C9u N,IXA 2 IaxA1CS 20r.56 NR F�ciURH LFit! 1--- 5 IO 2Or 5 A'R REl'JPoI GWU L. a•l� 4'-4' ® P,D!GIES IEv®hR R'_TURN gE11 *e d A O NOG S F R RN GeLL x'a 4r dy . I_�S xR Y O WaTTES" G Model#PAT 28563F Minimum Joist Spacing 1B' Q V1 n=CLUSTER hfo•D Box Width= 162 Double wide No ORse1 Box STRAP(1)STR ATAL 41 Box Length= 56 R. 99.5'12'MIN.BEAM No Clerestory ADD N STRAP AT ALL c@11ETaME No Skylights No Origami Dormer 0MR43A BLESS OTWRUISE NOTED No Parches No Sunken Ft= Joist Slze= #2 M2x6 Lags 9Mx3" No Parapet Roof ��yD w�tE k�' Albany Division-Plant`972 Version R73.6a 2445 S.W. PACIFIC BLVD. (3J2"sheath" AIBAIK OR 97321 Wind Zone 1 Standard Roof M19 otd1L.TYXh 15 9az 1.5-at 5./10' 96 inoh stoewail Phone(541)926-8631 ca(197 pit)Chords;#324 plate wttx3 rail Fox(866)491-6847 Consbaellm::. rkxRs Yudw71I block oRAWs�o ShaswaR / PLF of.oists Lags NotesI IME A 0 104- 1 225 1 z 1 2J1 I PRODUCTION PLAN 8 56• 1 104- 1 M5 1 2 1 ?JT I _ G. WND SIOEWALL•♦-OR C p N W-,,S MOOucT V Y LL M PATRIOT PAT 28563E 1,521 'T 2370 —A 4 8-6-19 PG 160 to I r1�GV�.UJ lJ� JCC �•e � 4� �(�� 3e Jlel.,( we" EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations EH APPROVED C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area Rhonda Thompson 1 1/22/2022 D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area I � � '7r t APPROVED MASON COUNTY DCD PLANNING S' f SITE PLAN REQUIRED TO BE ON S�TE,� '�� -----� ''('�' CHANGES SUBJECT TO APPROV LUc� By__�w—R), �l Date (III TIU I J I �telr ( 7D' �- 6 U N tr A r tV,uv ter ewe4 r Wc, cl 7 si veca*A )LS f huh- n 7-- 1 APPROVED j�r,h�H W MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON S�TEa1 CHANGES SUBJECT TO APP L L(a By cM-�-� Date 11 I5ROV1 t ¢ 2 i 0,M l31 tk(vt � 701 AnLhor D+- MASON COUNTY COMMUNITY SERVICES j„tiq PERMIT ASSISTANCE CENTER: RECEIVED -ten"' -ntNt i.!NG-AVJvlvth G-/X SLlC HEAL714.F,Rl:AJARS)4A, i 61 B N.Adder 4tre-e-Shellott,WA 48664 Phu,m She+lua.06^J427-967�to 362•Far:( J U N { j3W)421-779N tthoe 1 `r `W �9� J SrMan.I3601275-4467•Poem Elme (360)462.3269 BUILDING PERMIT APPLICAIFOW• Alder Street ®� PROI'ER9 Y OWNER INFURVIATION: CONTRACTOR INPO%NIATIO\: (' \AMP LZ'�11�3'kY rp5'SI t° \IA\tt - �5 S; rl�l.`et�L WIC�� STATE: itP- a t CfrY': ,t : STATE: c :.s? ZIP-0 i. t d 1114 0 F�1: f'Gj`/-7IT PHnKF CFLL 3bi -stil q}u I PilnAl Jt:: __ F.MAIi El ZD t+ �I(-Ca r" Lt� �l RrO F` L c ,i 4 t � i:XP _= 2 � -rn -- PRIMARI'C \I'ACT: 0M NF.R 0 CONTRACTOR[) OTHER❑ MAILINGASDR}SS (lt ,TATfi_ + 71P :,- .ice PIIONC PARCEL INFORMATION: PAR(71.',L NU16-11HER i 12 D!.ntNumbcr) /2330t 0Nf\G , ).ECiAI.DESC'RIPTIO\IAhhrc%bted) FIRL O1S'rmui . t_t n; _ • SIT ADDRESS CiTI' DikF.C'T1(INS TO 5ITIi AnDRi°5S! IS THY.PROJECI wl rIfIN 3"FT OF SI.OI•F.0i GREATER THAN 14%: Y6c[) is PROPERTi'► ITHIN 21H1 FI*OFT"Ir.FOLLOWING: •.,.:z,':::,:,rf•:•r:. SALIWA71_R Q LAKF O RI -1--.RA.RTFK 0 PONTIO WETI,ANTI❑ SFAS0\AL Rt1Nt)I;I--0 1THt.A-,•I e TYPE OF WORK: vrwd`.Amuit r❑ A1.TFRATlt)i\❑ REPAIR❑ OTHER ❑ 11Sf--,t)F STR(!cTl'RL r>rr_..»,ar.. C;.r.-,a•.r,�:.,......i a;.r•-e:.:, i- �1• r' Iti ESL: PNIAt4Hl',� SLASC)NAL❑ NU\1I317R qP f3f:Dit(x)MS NI-A1Ti"R t Ii:fiA1-IIR0 0MS I1tAl All SIRL'CI'LIRt'; YE�i:r^,�:SfJq,, l'LS '„r7+,t_•.❑ NO❑ f)I:SCRlA1�,1Uf)RK ''' t` ���:_" ' ''t__r�:i'�_ •.:,_; SQUARE FOOTAGE:, .. ,.J, iS1'iLOOR 14�)2 sq ti. _'N17 FLOUR �—--41 11 IRO Fi.011R al,fi BASEMENT nq. DOCK 31�.q r} Cr1itF.RfiD AFCk ,q.fi. STORAGE ..sq.tL (1•THER _ sq.I't. il. .lrr:a•hrd Ik-lwhrd❑ CARPORT 1:4 8. afrarl,.ai p bc6i.lud[] MANL:FA('TL1RFI)HOVE(NFOiRMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED- MAICL•' Csr�d w► lAl�?s-� Atr�nll. �RT(Zi C'� YI AR C- WIT)TII 7J BEDROOMS -3 Si»RIAL NtAtHER ?21►�R2�j�3G/�� EX\'IRONMENTAL HEALTH: "'v cl:��'acrT:xH�tirR SOURCE SFP wg( tir•.utl:.R❑ NEw p I YISI'ING J� PL[rMRI?�C.fK STRI'C'T.iRF' 1•I'.S e- NC)❑ IJ:t'a attach,nnrpkwei ilw:rt Adcgbact Fnryn PERI411-711-WI-01'NDATION DRAINS PROPOSED- YES[] Vt> EXISTING SQ. PROPOSI.D HI:DROO\3S . .. . 1'O'f'i1.13FDROOMS. OWNER arkr-otded;rs ihat aubrrtrcior or Inaccurate eifurmaliur,may resub m a stau wak order or pemin renocal+otl.ACknowedperiter,of such Is oy 514)Itetv,e..below.I:e4are teal I air the ovMer and l IL'trer declare Iha;I an entrled:a receive ua9 nermit and:o W tnC Mlk as proposed.I have cewrica perm:%tor.from a:i;hc namss8 j paeVcs,nciud,rq aTf casement hider or parties of mtemst rayard,gr this project.7—owner or legal rcDrosontot. a rop•noenra thel il+c;-fo.wMrn Frrwidatf s acc.imlo nnr prarrtt aml>>[iVFes of Yiasnn C-Amoi a:cess lb:h,-atarve described properly and slniclurelsl for review and -uect*n, This pe-m6wpplkabon becomes null&.cid it wur k of auumrized constructton is no:wnmentmd MtHn ISO days or f rommclion-volt is suspi:r,dec for a,erica of 1K days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION, 1NACT1VrfY OF THIS PE,B{1ATION OF YSI OF MORE WiLi.CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.09.421 x Signatur of 0 ER Lust be eland by the OWNER) j 1trPART. .'.T k>l'iF.R' APPI2UA'i.D n.tTF. DF.tiIFii D•lT1 TAf ti/\OTE�l pNOlTlfll% HLIII DING DF 1'ARTkfFNT E� lV an z. PI,:\A!?�1N1';1)I:P.�t2TMh�T FiRF vfARSiTAi. UDLIC HEALTH 0 ®� Mason County RECEIVE© Community Services-Building Division ON 1 '. MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load 615 W. Alder Street Make 6 pk, Y N L-)rST- Model 01 Year 110.*;- Square feet ) S(a Width 2 7 Length S6 ❑Single/[DBouble/❑Triple-Wide (indicate) ❑NEW orEXeplacement(indicate) All footings must be min. 12" below grade within 24"of the skirting when perimeter blocking is required. When manufacture specification is not available use ANSI A22S.1 or HUD 24 CFR 3285. Must provide pier plan with reference sections. Allowable Pressure(Pound Per Square Foot)No Allowances made for overburden pressure,embedment depth,water table height,or settlement problems Soil bearing is assumed at 1500 psi If set-up is using a greater soil bearing capacity a soil report from a design professional is required Fill(compact or uncompacted) Compaction Report required through Special analysis Peat or organic clays Compaction Report required through Special analysis SET UP SPECIFICATIONS: C17"'Manufacturer's Pier Plan ❑ ANSI A225.1/HUD24 CFR part 3285 FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/HUD24 CFR part 3285 ❑ Pads QYContinuous concrete footing(runners) ❑ Slab ANCHORING: ❑ Ground ❑ Magnum 2 Concrete-2500 PSI ❑ J-bolt ❑ Expansion bolt For new units,this information can be obtained from the home retailer or contractor. Previously owned units, which manufacture's instruction are not available must utilize the ANSI A 225.1/HUD24 CFR part 3285 code for installation.Washington State law requires that a certified installer install manufactured homes. The undersigned I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will be verified at time of inspection. X � ,k. a,/`i" `ice 5JApplicant/[IDealer/El ,Installer(indicate) Date 12 �-22. ot_O &Ra- 007y& 6G� . 01 lv ason County Building Department°S«� ,.� t11 LD 0 N G ANUFACTURE HOME SUBMITTAL CHECKLIST APPLICATION REQUIREMENTS NOTE: Applying for a Building Permit may require additional approvals prior to applying for a Building Permit. Such permits are: Accessory Dwelling Unit approval, Flood Hazard Permit (requirement when located in Special Flood Hazard Area), well report and septic design appro Building Permit Application. Fill out the application as completely as possible. Please use only blue or black ink. You can find your tax parcel number on the Mason County Assessor's office to locate this information. If the parcel does not have an address, it will be assigned an address when the application is processed. Signature by owner or authorized agent is required on the application. manufactured Home Plan Review Submittal Specifications You will need to have verified the unit is designed and rated for the snow load at address to be placed. A snow load map is available at: Ottps://www.ca.mason.wa.us/forms/­CommunityDev snow load ma df Provide a Tie-Down and Foundation Plan and include footing/pier size. • New units. The manufacturers pier plan and layout, to be supplied by the manufacturer. • Relocated units to be set up to the ANSI or HUD standards. Must provide a pier plan and reference documents for setup. Copy of tables and specifications from standards. Provide Model Specific Floor Plan- showing use of each room. /Site Plan. Your site plan must be no larger that 11"x 17" plain white paper. It must be drawn to scale, include all structures, setbacks to all property lines, driveway, septic system, well, stormwater (drainage) components and plan. stormwater Worksheet. All stormwater controls and details to be included on the site plan or a separate Stormwater Plan. Water Adequacy compliance- Water adequacy application and all fees and documents must be submitted. 0 Septic System Approval-Septic design must be approved prior to application submittal. 0 Submittal Fee's 0 Access Permit-Required for new or modified access off a County or State maintained road. You can reach Mason County Public Works at (360)427-9670 ext. 450 or Washington State Department of Transportation (360)357-2736. Please contact permits@ co.mason.wa.us or call 360.427.9670 ext.352 for assistance. Name G Parcel# 12336 50-d00 �Y BLD#clrjl'i//0 6dR— ©d 7� Mason County UN 1 Department of Community Development Small Parc �A!idk�vtoAter Management Application/Workshee pVJ 6 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 areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area * All dimensions in feet Buildings 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 above table X = Patios/Walks X = X = 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) 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 rkoperty for eview 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. Pagel of 2 MASON COUNTY Mason County Permit Center use: COMMUNITY SERVICES ADV :' 7 Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Revd Boa a P :(360)427-9670 ext.352♦ Fax:(360)427-7798 R EC 130.00 Request for Administrative Variance fob ` 1 3 L�Lt Q Reduction in the Required Setbacks SUN ,der str eet For administrative review, the minimum variance on a setback request is 5 fed 1� t a side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including; roof eaves and gutters. Applicant/Owners: ?611 C—) Mailing Address: (,� th� City: 'a tic yst YU0 State: Zip: Telephone: Email: e 1 If this reduction is tied to a building permit, please give permit case number. BLD �ZO ` - Parcel Number(s): _:3 bo :�2 . U 2T Zoning Site Address: f l�� Az /�i�(���I`� '0 Requested setback variance: LQ ft. ❑ Front Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum S feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. • '♦ ail FRONT AND OR REAR YARD REDUCTION REOUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: j For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. Owner/Agent(please indicate) - 6-13- Signature Date Official Use Only Approved by: _ Date Io(( 1 I ?-Q?,? Denied by: Date Reason for denial: