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BLD2021-00427 MFG Home - BLD Application - 3/25/2021
MASON COUNTY COMMUNITY SERVICES Permit No: 1*ldUlf PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED elton:(360)427-9670 ext. 352•Fax.(360)427-7798 Phone ® Ifair.(360)275-4467•Phone Elma:(360)482-5269 MAR 2 5 2021 BUILDING PERMIT APPLICATIONAt Altler et PR ERTY OWNER INFORMATION: CONTRACTOR I FORMATION: NAME: vh f /''!4 r t'g 13 4 ci/i, NAME: RE X C astD`t�C-/o MAILING ADDRE S: /,�' 7S7 MAILING ADDRESS:po,l k 3,e," CITY:-EVV,QJZ4, STATE: N_ZIP:_,'5,5b7, CITY: Reffg,' ' STATE: I,,A_ZIP: ?*-sz f � PHONE#1(a o() 3SS'-2 14S PHONE• ' ,3 7- 7 CELL:3 Ga-J S0 -3 5 PHONE#2: C fir',) 7 s gVz/ EMAIL : rc ' 4-r s.' e EMAIL: L&1 REG# r O jC EXP. .S/�Z-j-:2 PRIMARY CONTACT: OWNER❑ CONTRACTOR Pl-' OTHER❑ NAME EMAIL do,,per rr-/ . C 'rn 7"r4Glors MAILING ADD ESS 3 CITY ,6c1lo5(r STATE kJ4_ ZIP-` 5"2-,r PHONI�f) 737--5 77G CEL 3//1--14 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) .3J2QL/-S3'-00 ZONING 12, ,<I'dc t LEGAL DESCRIPTION(Abbreviated) Fq v ii 1_49/Z �7hk G /R. I G G FIRE DISTRICT Ql Lf S SITE ADDRESS 70 $E' 4 Z r lcq pL CITY �5 DIRECTIONS TO SITE ADDRESS w E CC R I f on G r S F- 1� s E Cre c Or S/` C/e m e -7 v v 51, 1S THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOR SNOW LOAD: a psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that appl)): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW K ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) RC,S>cle,�reel IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldg) 5 YES(Part[s]of/Bldg) ❑ NO ❑ DESCRIBE WORK //7-5/4// /Ycu M4/I vAGltti`(-C/ Ila A-Z P. SQUARE FOOTAGE: (proposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. uhuK _sq.ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED `7 HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQU D* /IRE MAKE ©�i A #or 6or MODEL D /LJ C kOliyS YEAR -ZUa), I LENGTH Y l WTDTTj ',;�7 t BEDROOMS 2 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW O EXISTING ❑ PLUMBING IN STRUCTURE? YES 9 NO❑ [f'yes, attach completed water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. __ 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 ranrPeaniativa ranracants that tha infnrmatinn nrnviriari is acnrata anti nranic amnlnvaac of Macnn('.� nhi accacc in thn ahnuo riocrtrihari nrnnprty //�� —/_ Name 15��v 7'� Parcel# 3 I�o[l s S -O O/U� BLD# �Z 1 — 0042-,'1— Mason County Department of Community Development FAVA arcel 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 RE G ED http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". MAR 2 5 2021 Regulated activities shall be conducted only after Mason County Public Works approv t p w iter sit t p an t (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a cop Zl�u P it tment 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 S A) 167-, 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 u Owner/Agent/ ntracto (circle one)Date: Page 2 of 2 Namelhr, c,a� /�/S G U/✓/ Parcel# .3�� " 5 0010 LP 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 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 X = OMB ��� X = I Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = d X = Length of drive begins at the right of way X = Parking Areas X X r� _ �O� Any paved, gravel or packed area per definition oc above table X = Patios/Walks X X = Any paved, gravel or packed area per definition above table X Others X I e_ Nwk LID 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) ya 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 O Owner/Age Contracto circle one)Date: 2 Ila,Z 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 Mason County Community Services-Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load dZ Make/017//`7 Model 11 . �/l�f�l�✓� �� � �;� Square feet 7 Width 2— 7 Length (� Single/Double/triple-wide(indicate) NEW or 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 SPECIFICATION Manufacturer's Pier Plan F1 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 7 Pads Continuous concrete footing (runners) 71 Slab ANCHORING: RECEIVED i"l Ground Magnum MAR 2 5 2021 Concrete-2500 PSI J-bolt 615 W. Alder Street X 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 Applicant/Dealer/Installer(indicate) Date�''L �Z �n C F0rJ Mt+�11►,15 LGIC��► 1 nU1 `-' w ►►► I r(,LjTr i nL.rr_IJj .. 2D-OvC080 O-2d21-00IaS 1&40.67 a3 02.02.1 -60q?__1 l�U 2p2 oocuL} $t 2Zgx • w+►, boo is rz 30 ra d �wi Dr rvt 1 5L.pa LAnd 310 •iji; 10oat 0 f 4 � N ( tO AbA 7 4ov 00 WAI*ono•MIA5 , I a' no A Ord ty0 so L ��#f�Zy/26 •1T S `to st�'1� olt Ott v-55.M 1 ##2 �Qkc# m SL +o Ls + root jo mof / f SL t rcatS, cM1S � Sr : 5 ti z�1 " �� No to Zo 3 16 a 4,D S�+ S to wwff sleeve • _ • �'V I i 't Audio-Visual Alarm ,h 10 o{ an Clsanout corn for n • 3 NuWater BNR-500 ATU Tank 4 1,000 Gallon Pump Chamber _FT D , 5 Valve Control Box PLANNING: ALL SETBACKS ARE MEASURED RECEIVED (�CFR(P FURTHEST Affow ,Se tIC DooI ns PRO,'ECTIPP" � T F BUI[PING I71 E. vVec ew or MAR 2 5 2021 APPROVED Union.WA 9M MASON COUNTY DCD PLANNING 1360}8W2256 615 W. Alder Street - SITE PLAN REOUIRED..TO BE ON. SITE CHANGES SUBJECT TO APPROVA/LL By i,►t_— Date `4- o _'