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Home My WebLink AboutBLD2022-01037 Final MFG Home - BLD Permit / Conditions - 8/16/2023 INSPECTION CARD Mason County 615 W. Alder St. Bldg. 8, Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us PERMIT# BLD2022-01037 PROJECT ADDRESS 721 NE Tiger Mission Rd Belfair, WA 98528 PARCEL# 123055100008 PROJECT DESCRIPTION INSTALLATION OF NEW MFG HOME OWNER HANNAN PATRICK&MARGENA ADDRESS 1821 WINFIELD AVE PHONE 360.509.3057 CONTRACTOR JD Construction, LLC ADDRESS 195 Keasling Rd PHONE 3605847707 CONTRACTOR LICENSE jdconc1822Iq LENDER INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments Setback Inspection Connection has been verified by Footing Inspection yG BLD-Final Inspection E 9- 6 Set-Up Inspection �- MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building, Planning, Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: &IX;b 2 2— O(03.7 ADDRESS/LOCATION: 121 Nog� Ti6ER ,446Sj-o,U RD FINDINGS• — Per /•-,NrJGJ)0n& Qerii- e- 4--l¢ ; p a �k // �+e o So • T 1 G�.jt- Corrwd n r &ii AWAd4 4qrc O 4.1 4n Ci+O — NO 1-5 vn01q,-4C,11 plc)4C . r kvt- Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection. ❑ OK to Date: y-2k".23 ❑ Please contact our office regarding possible �(,�17 structural damage incurred by recent Department: Inspector: ,gyp "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 Mason County "I f 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 B DD2022-01037 MANUFACTURED HOME PROJECT DESCRIPTION: INSTALLATION OF NEW MFG HOME ISSUED: 11/28/2022 SITE ADDRESS: 721 NE TIGER MISSION RD BELFAIR EXPIRES: 05/27/2023 PARCEL: 123055100008 APPLICANT: HANNAN PATRICK&MARGENA OWNER: HANNAN PATRICK&MARGENA 1821 WINFIELD AVE 1821 WINFIELD AVE BREMERTON,WA98310 BREMERTON, WA98310 360.509.3057 CONTRACTOR: JD Construction, LLC 195 Keasling Rd Chehalis,WA 98532 3605847707 GENERAL CONTRACTOR'S LICENSE: JD Construction, LLC License: jdconcl822lq 195 Keasling Rd Expires: 08/03/2024 Chehalis,WA 98532 3605847707 FEES: Paid Due Modular/Manufactured Home $275.00 $0.00 Fee-2nd half collected at ready to issue Planning Review Fee $240.00 $0.00 Building Plan Review/Change of $125.00 $0.00 Use-Onsite Sewage Technology Surcharge $11.00 $0.00 Modular/Manufactured Home $275.00 $0.00 Fee- 1st half collected at submittal State Fee-Residential $6.50 $0.00 Totals : $932.50 $0.00 REQUIRED INSPECTIONS Setback Inspection Connection has been verified by Health or Utilities Printed by:Ariane Paysse on:11/28/2022 10:35 AM Page 1 of 5 r ` 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 BLD2022-01037 Footing Inspection BLD-Final Inspection Set-Up Inspection CONDITIONS * 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 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. * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * 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. * 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. * 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. * 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. * 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. * 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) Printed by:Ariane Paysse on:11/28/2022 10:35 AM Page 2 of 5 f Mason County Mason County - Division of Community Development s 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2022-01037 " 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. * 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 culverting/ditching system or road way. * 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. * 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. * 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). * 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. * 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. * 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. Printed by:Ariane Paysse on:11/28/2022 10:35 AM Page 3 of 5 1 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 BLD2022-01037 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 * 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. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * 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 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. * All property lines shall be clearly identified at the time of foundation inspection. * 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). * 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. * Vegetation clearing prohibited within 150'of stream marked adjacent to western property line by 51 NE Tiger Cove Ln * The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and/or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. * PLANNING SETBACKS Front: 50'(west property line), Front: 25' (east), Side: 20' (north and south), Side 165' (west). Note: Setback from the West Front is maintain setback from top of slope; structure not approved downslope from top of slope. Measured from furthest projection Subject to EH setbacks Printed by:Ariane Paysse on:11/28/2022 10:35 AM Page 4 of 5 Mason County "I r 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 BLD2022-01037 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. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: #iye "?&fse Contractor or Authorized Agent: Date: l /Z�/Z Printed by:Ariane Paysse on:11/28/2022 10:35 AM Page 5 of 5 MASON COUNTY COMMUNITY SERVICES Permit No: 1&'a--6(d3-] PERMIT ASSISTANCE CENTER. J( .BUILDING•PLANNING.PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 A Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone U Belfair:(360)275-4467•Phone Elma:(360)482-5269 .4 /+ O . BUILDING PERMIT APPLICATION 6�S LTV �7 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ��C�r a NAME: NAME: i MAIL ADDRESS: I$ - MAILINGA D SS: If 5 CITY:% STATE:_ZIP: CITY:e � STATE: IP: PHONE#1: (p— q 305F PHONE:360-6n 7707-ElI PHONE# : EMAIL: EMAIL: L&I REG# O L L EXP. PRIMARY CONTACT: OWNERS CONTRACTOR❑ OTHER❑ NAME rA&rUX EMAIL MAILING ADDRESS i - CITY STATE ZIPQ�/b PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) O - ZONING_M LEGAL DESCRIPTION(Abbreviated) ' MZ 49 a&+- FIRE DISTRICT SITE ADDRESS 721 ME CITY I DIRECTIONS TO SITE ADDRE IS THE PROJECT WITHIN 300 FT OF SLOPES)G ATER THAN 14 a: YESIJ NO❑ SNOW LOAD:25—psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ckeck all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM K TYPE OF WORK: NEW)9 ADDITION❑ ALTERA ON ElREPAIR El OTHER [IUSE OF STRUCTURE(Reside.,,,Garage,C...m alBldg,Etc.) L IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHRIW HEATED STRUCTURE? YES(WhokBlddg)VJ YES(Part(s)ofBldg)[I NO El DESCRIBE WORKffj �LImm J na,,) 6MG_ On, ;� C., SQUARE FOOTAGE: (prapa.,.d) 1ST FLOOR 13V' sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.ft. COVERED DECK sq.& STORAGE sq.ft OTHER sq.ft GARAGE sq.ft Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: "4 COPIES OF THE FLOOR PLAN REQUIRED" MAKELCu5,6 YID MODEL P;e 2503 YEAR1022__LENGTH 521 WIDTH2& "_ BEDROOMS_ BATHS Z SERIAL NUMBER2_421 KID_7,i_Z I ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW 10 EXISTING❑ PLUMBING IN STRUCTURE? YES% NO❑ Ifyes,attach completed WaterAdequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO® EXISTING SQ.FT. 0 EXISTING BEDROOMS_�> _ PROPOSED BEDROOMS— TOTAL BEDROOMS OWNER 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal representative,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 permillapplication becomes null 8 void 9 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON ' COUNTY CODE 14.08.42) Sign re of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT Dec- 16•10a PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 15 1 14 1 13 1 12 1 11 1 to 0 1 8 1 7 1 6 1 1 1 4 1 3 1 2 o) -7 P) RECEIVED AUG 0 8 2022 615 W. PARCEL 1230&81-0000S Alder street 451M --—-—-—- -—-—-—-—-—-—- —-—-—-—-- PARCEL PLAN NORTH r-W4r PARCEL 12305-51-00008 p* TOP SLOPE b IN 7- 28zE.E-NT.. RESIDENCE r REP '(177 SO Fn T ip GRAVEL DRIVE g3 (11155 50 Fr) 01—WELL --— -—--—--—--—(--—--SETBACIQ—--—--—--—--—--- 27 RIGHTOFVWAY + 4. 4. + 43V 1+ + NATURAL BUFFER AREA A. + W RA (5518 80 FT) +4- + I I __ I I Aar n CULVE70°RT --40-44 1, ULVERT Russel I ILNETIGERMISSIONROAD ------------------- Des i g n NOTE:NE TIGER MISSION ROAD AND BUILDING-—-—-—-—- -—-—-—- -—-—-—-—-- L LCSS SLOPE TOSOUTHATAPPROXI%GRADE .6.3 3.2076 na RESIDENTIAL SITE PLAN tw AJR ataer RESIDENTIAL SITE PLAN s4uL-22 AO.0 V-2114F AS NOTED Pinehurst RECEIVED AUG 0 8 2022 615 W. Alder Street PLANNING 52'-0" 131,2 1/411 1 51�-6 3/4" — 14rr'i leo }c �.� {� •'i L eo+ L... �rLJ 1 ti�Ef�3 i; (ltllitl� i.`�� .::i ,��i�sY�'--� t`•T.I�3t'ti»�-s.l" r �1 - � t �,�� "� 3 ( } SL�dr00l1F "C-' !-;j�t70m t r C Lhwi Maeiar,�; u F. l- asl AO cs 31' ` • xta .t '� 3edretam w2 # L3YT37g Rvo master ' uest a th Bedre�m _1 138-t Square Feet ,...., t65e. i tlT-p l ceP T+P �� I ,Floor Size +e. n (``� WI-6 3/4 15a-Z.314n _ B2 O x 26 8 CUSTOM KNEW 05-25-1& 140MEsuIU'ERs PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING 15 13 1J t0 9 p I J 6 E � 2 Side Aso 3-7 ( ,�3�.,. es aC��22_ RECEIVED t �3 EH Setbacks ° •� A.) Drainfield'Reserve requires 10'setback from footingloundations 8 i `..s— B.)Septic tank(s)requires 5'setback from all footing/foundations i C.)No foundation/Perimeter Drains within 30f1,downgradient of P �t51A°_0° Drainfield/Reserve area D.)No Cut Banks)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area =—=Q� -� '= 3•,� o � •1 �- �'�_\ EH APPROVED —-—- -—-—-——-—-—-—-— - --- �- Rhonda Thompson 11/ta,2022 _ PARCEL PLAN Fron � (west) PARCEL 12305-51-00008 Side __ r (south) 2J�� 3Ja% °--O-IOX Y /p3011b� �l� 3 eE➢IACEMEYTAREA pUIN FlELD rr� rc°Nroe wnv tease so rn. "• �._.`:.• _m Side (I I+ +++ + ++ ++ +�++NATURAL+9UFzERAEAASC +.}+.+ +++.+....}.+ >DNA (north) i + + + + + + -Fn + Aaron i r°D'�'kvE�rsT tOB �'e0 Russell ------------------------F,iteiNcrn Edssion -------- ------— ----- ------ ---------- ---------------T--------- — Design Front \'.,-. ' LLC NOTE:NE T,OER NI6B.gN RQSOANO 611e.oN0 e _ f[DGE TOedlTN AT APPROlC 1Y GMDE (east) ----- w`•^^@��W 1 30 E.13J3eTE ry' _ APPROVED PLANNING SETBACKS RE40ENU SRE THAN MASON COUNTY DCD PLANNING N Front: 50' (west) top of slope Aut"E� RESIDENTIAL SITE PLAN Front: 25' east s-juL,2 A0.0 SITE PLAN REQUIRED TO BE ON SITE "W� ( ) �"As Noreo ss CHANGES SUBJECT TO APPROVAL Side: ' (north & south) By: `" Date:10/03/2022 Side: 165' (west) Note: Structure approved no ,�. �� "Subject to EH Setbacks further west than top of slope (front west setback) RFc�Mason County �V� Community Services-Building Division AUG 0 MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS-, , 08 20?2 UNIT INFORMATION: Snow Load 3 d , 1/ �IdOr Str�,�t Make Vj Cc64om &cs Model P;nel c&& 2503 Year 2022 Square feet 139:7- Width 2 'g"' Length 52' Single oubl triple-wide (indicate) NEW r Replacement (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 A225.1 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: I� Manufacturer's Pier Plan a N,G F3 ANSI A225.1/HUD24 CFR part 3285 a r ; s x FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/HUD24 CFR part 3285 F3 Pads W Continuous concrete footing (runners) O Slab ANCHORING: O Ground O Magnum 54 Concrete-2500 PSI J-bolt rl 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 Applican /Dealer/Installer(indicate) Date 2 Name%Ank�- W4 Parcel# 123C- -5 1-00W$ BLD# v1122 Mason County �o .niepartment of Community Development AUG 08 ?42? Small Parcel Stormwater Management Application/Worksheet (page 1'of 2) �et 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. '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. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area All dimensions in feet Buildings 5 2 X 26 �� _ ) 7 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways Sec X = S 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) 3 3 f2 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- describedproperty for review and inspection as may be required. arc ne 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 I of 2 Name�QS�hGIL nGtn _ Parcel# 12`_6 -5(-OOCO'K BLD# 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: 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 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 A)10V 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. X `e gent/Contractor(circle one)Date: 6/30�26Z Page 2 of 2