HomeMy WebLinkAboutBLD2023-01203 MFG Home - BLD Application - 10/5/2023 .w -
DocuSign Envelope ID:7ED2089&B2OD-4148-AF4F-8AOD2BDDC81C 0 J
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MASON
/f A C+O7�T COUNTY
T1�T�`y Permit No:�� �d
COMMUNITY DEVELOPMENT-
Permit Permit Assistance Center,Building,Planning OCT O 5 20-2303
BUILDING PERMIT APPLICATION 615 1N
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:JAMES&PATRICIA JEVEC NAME:SOUTH SHORE CONSTRUCTION INC
MAILING ADDRESS:4202 JESSICA LN MAILING ADDRESS:PO BOX 963
CITY: CARROLLTON STATE:TX ZIP:75010 CITY:BELFAIR STATE:WA ZIP:98528
PHONE#1:469-348-4052 PHONE: 360-801-4432 CELL: 360-801-443 Z
PHONE#2: EMAIL:southshore@q.com
EMAIL:mandm76@aol.com L&I REG#SOUTHSCO16NL E)T.02 /10/2024
PRIMARY CONTACT: OWNER❑ CONTRACTOR&( OTHER❑
NAME TONI SHEEHY-SOUTH SHORE CONSTRUCTION INC EMAIL SOUTHSHORE(�Q.COM
MAILING ADDRESS PO BOX 963 CITY BELFAIR STATE WA ZIP 98528
PHONE 36e-801-4432 CELL 36"014432
PARCEL INFORMATION•
PARCEL NUMBER(12 Digit Number) 12118-50-00034 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) MOUNTAIN SHORES TR 34&1/80INT TR 41 S 521225,S 53/42 FIRE DISTRICT 3
SITE ADDRESS 40 E MOUNTAIN PL CITY GRAPEVIEW
DIRECTIONS TO SITE ADDRESS East on W Alder St,at traffic circle,take 1 at exit onto N 1 st St.Turn left onto E Pine St,cant onto WA-3 N,right onto
E Grapeview Loop Rd.,cunt straight to stay on E Grapeview Loop Rd,right onto E Rauschert Rd,right onto Mountain Dr,right onto Mountain PI,lot is straight ahead.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Q' SNOW LOAD: 25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check an that applv):
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL
IS USE: PRIMARY Q' SEASONAL❑ NUMBER OF BEDROOMS .3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)g YES(Parr[s)ofBW❑ NO❑
DESCRIBE WORK INSTALL NEW MH FOR RESIDENTIAL USE
SQUARE FOOTAGE:(proposed)
I ST FLOOR 1920 sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.fL COVERED DECK sq.ft. STORAGE sq.& OTHER sq.fL
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE KIT HOMES MODEL GRAND MANOR 6003 YEAR 2023 LENGTH 48'
WIDTH 40' BEDROOMS 3 BATHS 2 SERIAL NUMBER N/A
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW H EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ N012 EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 2
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 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained pernission 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 H 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
er: COUNTY CODE 14.08.42)
X117-7
j— 9/27/2023
ig an lure of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
GRAND MANOR -Mirrored Plan
121-01, 5!-3 111'�� 10f-11.3/4" is,-a 3/4,1
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Bedroom 3/
,
t �� _ � g
�t� Guest Study °
Bedrm O Z Bath- < Living Room
01
Utility T q
g�
"IL ''""°'A Dining Room :='ii '
1fi, a _ Kitchen -
Walk In
Family Room
Master j Master Bedroom Dormer
1 Bath
Sliding Gliss Door
.M:..:..x.mxx.:•;. ::::::. .. ..:... yir wy:.:.....rrv.x z•w. .::�:: : ....,...... ..,�...F..yxen:xx rw.r:xwxx xx..�rc:rsu..mvux:: :::::..:...x.xarrx�c�mrarru.e.xmvxemux:v_.:v.IM.
MODEL: 6003-
Duc to continued tna.pro,-en,cnts and material 40 X 48 1,933 Sq.Ft GUSTQM
change,specifications may change without HQMEBU ILDER5
nodca.Room size#t apppwtimaw. 3 Bedroom.� Bathroom
EH Setbacks EH APPROVED
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations Rhonda Thompson 11/03/2023
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
200'
Wm
20'
Reserve DF Area
% Primary Drip
46' •,
i}F Area •..:;�,
RR5 Zoning
Front Yard Setback. 25'. `�' M All setbacks are measured from the furthest
Side & Rear Yard Setbacks. Residential dwelling o as o . T' projection ot the building.
and accessory structures is 20'. ��js 5 ;,n 10% Width 8'Mi7n
OR 10% width of lot if not more than 100' wide
OR approved ADV
o e
�x6�andtn9 o PCop°S
�o Ay 13`'
SCALE 1" = 30' �6
All setbacks are measured from the furthest 4%6
projection of the building.
PLOT PLAN \
10/24/2023 JAMES & PATRICIA JEVEC
40 E MOUNTAIN PL
APPROVED GRAPEVIEW WA 98546
MASON COUNTY DCD PLANNINGN PARCEL# 12118-50-00034
Senn RUEDVAiCP E MOUNTAIN PL
Digitally
Scott Ruedy Signed
by Scott
Ruedy
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load 25
Make KIT HOMES Model GRAND MANOR 6003 Year 2023
Square feet 1920 Width 40 Length 48'
Single/Doubt triple-wide ndicate) NEW r Replacement (indicate)
All footings must be min. 12" below natural grade within 24" of the skirting when perimeter blocking
is required.
When a relocated unit AND the manufactures specification are not available the HUD 24 CFR 3285
must be used for required pier plan,standards and set-up.
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:
C3 Manufacturer's Pier Plan
O 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
1 Pads
1 Concrete (pre-cast)
-1 ABS Pads (Poly) provide manufactures specification with capacities.
,1 Continuous concrete footing(runners)
1 Slab
ANCHORING:
1 Ground
1 Magnum
Concrete-2500 PSI
1 1-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 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.
<crw''` / / 'Ap_Iicant/DeaIe Installer dicate Date 9/18/2023
Name v Parcel# 1211-'S'0-Qoo 3T BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management ApplicationAN/orksheet (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.
ZCommon 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 48' X 40' = 1920
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) 1920
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 Owne A ent/ ontractor(circle one)Date:9/18/2023
If t tal Impervious Surfac rea is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Pagel of 2
Name Parcel# 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) 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 Owner/Agent/Contractor(circle one)Date:
Page 2 of 2