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BLD2018-01327 MFG Home - BLD Application - 12/5/2018
MASON COUNTY COMMUNITY SERVICES Permit No: J/0( 6 18 01�Z ' PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ISO 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 exL 352-Fax:(360)427-7798 Phone BUILDING Belfair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 62/k X!M NAME: 6,4 R y ICE.-2 A MAILING ADDRESS: 5.30 L/ b/(% �fu.+an /;�% MAILING ADDRESS: 3901 i"a S CITY:GAG f/Ar- ,w STATE:iyA- CITY: STATE: WA ZIP: 9'57V/ PHONE#1: 360 tl 3'3 -02.0 5 PHONE: - v Z3q-7T,a C-ELL:366-Z39-7Z1:;;01 PHONE#2: EMAIL: EMAIL: L&I REG# DET1-,4Z-`-�F7 3/5—, EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR a-' OTHER❑ NAME 42Y OC772.-I�Z EMAIL Cs� - i)67-A2 4ci,e Gg.AZZG- !- MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: ` PARCEL NUMBER(12 Digit Number) 007iZ ZONING LEGAL DESCRIPTION(Abbreviated) d1e1' 1 Utx1 V,-*11,0 TIC Z� FIRE DISTRICT o� D SITEADDRESS 3( E reel, tZ CITY (3-1P DIRECTIONS TO SITE ADDRESS� 1 Gil r /ileY Z� Ai DEC 5 2018 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES ' NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): , A der Street SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ S TYPE OF WORK: NEW 0- ADDITION❑ ALTERCATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) /C��J���i l/ G t- IS USE: PRIMARY R"SEASONAL❑ NUMBER OF BEDROOMS y NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)V YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK �/rrLa AWA11/L c.cl SQUARE FOOTAGE:(propose+existing) 1ST FLOOR fj8'� sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATIONN: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE f�¢/�7 f7!A�f�o�" MODEL yJ YO 9 YEAR 2 vVlf LENGTH WIDTH � 7 BEDROOMS 7r BATHS SERIAL NUMBER 7``1!f;D ENVIRONMENTAL HEALTH: IU)6Lt&t8-t6 J`a 5 W J?0 J 8—0oL 18 SEWAGE/SEWER SOURCE: SEPTIC 1� SEWER❑ / NEW P' EXISTING❑ PLUMBING IN STRUCTURE? YES[/ NO❑ dyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOD,-- EXISTING SQ.FT. EXISTING BEDROOMS D PROPOSED BEDROOMS Z TOTAL BEDROOMS y 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 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 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 Q COUNTY CODE 14.08.42) X— I/�4 /Y7 a - S-Z� ► V Signatur of OWNER(Nfust be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH , v As = �u1W 1 (211 1 (IRSIAMI ,s2 , z s r � �1 PLANNING. ALL SETBACKS ARE MEASURERIWt' ' DECEIVE© FRM THE PROD CO ON OFTIRE BUIS DING PLANNINGDEC 0 5 2018 615 W. Alder -crept APPROVED SrZEc SON COUNTY DCD PLANNING t —SITE-PLAN R QUIRED TO BE ON SITE CHANGiS UBJECTTO APPRO 11 ALl 3 I — Date l 1 � f ELT{ SEIZU�CC - s.'n la go 18- o I�-Lq G/e A vuT CA ,.. '� �-7 _C31��/f�f�n7 f/7 I S21 !EMBED DATE 3- •2b I Pic* � pcj ` Jc top 1 p t—[ v Iv�43 71 20 yeGC 2a�A6A Sip rUu Wit7Er� \ \ 0 X 2 PLANNING : � r .;. ALL SETBACKS ARE MEASURE `'` RECEIVED FROM THE FURTHEST PLANNING PROJECTION OF THE BUILDING DEC 0 5 2018 615 W. Alder irept /00 ZS 1 �' + - o � f 1 ��I 1 1 / I APPROVED SrZEc� SON COUNTY DCD PLANNING + SITE-PLAN R QUIRED TO BE ON SITE ` CHANGIS OBJECTTO APPRO 1 Date J ��� � k S E�u r'CC - 5.'no A a.4 5- 6 rc yf,*- S' = T4 r+ c 0 O CA Gl2GNuT �. `✓At � � �/2 k.,;,d- rl'7* �Z Z1-)657000 zL LlG�s'{ei Lc MUST MEET ALL CURRENT Tex,I CHANGES WASHINGTON SATE CODS ;Vwr'et 9 SUBMIT CHANGES FOR APPROVAL THESE PLANS MUST f IZZ062-5I--OE02Z ON THE JOB SITE PRIOR TO PERFORMING WORK FOR INSPECTION T-61_011, -- 44'-0" 46x40 46x40 L+ 38x82 O air—aos� HW B K Utility ' I Mstr _ Dining Kitchen !2 FURN Bath C° " 7'-8"x13'-0" �, N \\\ � y Bath 2 s R O _J sN vEs _ o Opt. ------ Porch Ey cD N MAS BUILDIN INSPECTOR CHA S SUBJECT D APPROVAL DA �l ZD Living Room Bedroom 2 Master Bedroom CO 17-3"x l 3'-0" 9'-711x9'-4" 13'-4"x 13'-10" co Docume s a� d to approved plans: jita PI38x82 Plan review checkli Rf!�B 36x59 Engineering: Y Lateral Vertic !lumber of"pages C (✓�5 . _3 �S � Cj ,. -- Model:4P44S89 COPYRIGHT ©2017 BY PALM HARBOR HOMES, INC. 1188 sq.Ft. All Rights Reserved Revised: 12-13-17 E, Ili iy hole T ESE PLANS MUST B - _ ON THE JOB SITE Ql �L�,� A FOR INSPECTION La r, Ul Q lb ID V -- « � CH NGES U K p SUH Mil CHA 4GES FOR APPROVAI P IOR TO PERFORMING WORK 11.4 AM &1-.V Zr xr_ &s �'or 3 d al-ra d i i ! Qlq'I��ycji/ f� x� :�' • �[;n M! aL Id i i �• I �' 'f ;� �A� l/o� W�/i na✓��� s �T/9S f Mr 77� 9'0 � W7, Of 3HI N05 :31.1 NP 3 el 5P I ;rAP4 je OJO ! t�9: ■ i i i I � I --•----r „��t�0u AW11 IVl vab�a o I_. i _I.,._ �� �,►�7 5 i . ....� I1 1"/f1 )Ntddb a 3d 1 Ik6i $39NV14:3) IWsf1S i i I �I• : !i �i lip ; N', i3 a',Y" �.,. 1' CONSTRUCTION 1 &�v SEA PC �E' 4"spacing oetween pickets MIN.36" i A" Guardrail t n Vertical pickets at handrails Grippable handrail Handrail on all stairway I I V (over 3 risers) �Dn ,...,.. _ Min. l IP7- �jZIXE?> VT i :approved r hangers WICA)C I I �%2X 12 �j3� Post- stringer size ` /�.Xq ( f asphalt 1 shim 4"x16"x16" N �__ _ • Additional conc.footing to masonry block 12"min.below grade. deck is over 20"high. Provide 4"wood/earth _ �_� — Decks installed against .clearance here 6"other mobile homes must have areas. beam support in this location. positive connections a' 12"minimum depth for p.t.post J encased in concrete 1 y Ozr � O � cn rr, m z z m C) N O y �j 1 _ n G O �C z z ,� '*� V ` n S: 5o I1I / /// Name y-_ Parcel# 0_196Ll - BLD# Mason County Department of Community Development BUILDING 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 St ref Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason eb%% http//www.co.mason.wa—us/code/commissioners/index.htm Q t��. Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". ` " O�C� e� e X e Regulated activities shall be conducted only after Mason County Public Works approves a stormwa tf�itkplan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the POA 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) ✓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 re 'ew and inspection as may be required. X Owner/Agen Contractor rcle one)Date: Page 2 of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface 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 Z-? X X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X Driveways /L X id = 7 /y. X Z y = Z Y Length of drive begins at the right of way X = Parking Areas Z X •y Z = L L y X = Any paved, gravel or packed area per definition above table X = Patios/Walks X _ Any paved, gravel or packed area per definition Ll X Z 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) 7-el 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