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Home My WebLink AboutBLD2024-00467 ADV2024-00075 Park Model MFG Home - BLD Application - 4/9/2024 MASONCOUNTY Permit No:_UDA;74 7 COMMUNITY DEVELOPMENT RECEIVW t7H C' Permit Assistance Center,Building,Planning AR U g ' C� MEMO BUILDING PERMIT APPLICATION 615 W. Alder SM PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r NAME: MAILI AD RESS: MAILING ADDRESS: CITY: STAT :W 4 ZIP: CITY: STATE: ZIP: PHONE#1:• ��_, 1?�-<gS!> PHONE: CELL: PHONE#2: EMAIL: EMAIL: / ".t L&I REG# EXP. PRIMARY CONTACT: OWNER g CONTRACTOR❑ OTHER❑ NAME EMAIL s _C) MAILING ADDRESS CITY e i STATE 1 ZIP PHONE CELLa� �+ !S PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONIN 1.4 LEGAL DESCRIPTION(Abbreviated) 1 1X2— FIRE IDISTRICT SITE ADDRESS 6 CITY xeaa 7- DIREC11ONS TO SITE ADDRESS D J� IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO-® SNOW LOAD:5 Sosf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW4S, ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Fic) �Sa 11}f Lr `�LS (I[� :L� r IS USE: PRIMARY❑ SEASONAL(P} NUMBER OF BEDROOMS_I NU B OF BATHROOMS I HEATED STRUCTURE? YES(WholeBldgl'g YES art(s]oJBldg)[I NO[IALtJ t0 DESCRIBE WORKS' B SQUARE FOOTAGE: (proposed) 1ST FLOOR 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 INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* LL � �L d C14 tisq a �, MAKE A 1�>r' MODEL rf�/0 YEAR2�LENGTH a� WIDTH—ZK�— BEDROOMS_ BATHS_ SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC'& SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES® NO❑ IJyes,attach completed Water Adequacy Fonrr'C�� PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO# EXISTING SQ.FT. EXISTING BEDROOMS I 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 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 CONTINUATIO OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS P MIT APPLI TION 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Signatu of OWNER(Must be signed by the OWNER) Date EPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit No: �'�D COMMUNITY DEVELOPMENTREf- CEIV Permit Assistance Center, Building,Planning APR 0 9 202f BUILDING PERMIT APPLICATION 615 W. Alder Sir . PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ■� NAME ' — NAME: z MAILIN ADDRESS: CI MAILING ADDRESS: CITY:�,)5} STAT : ZIP: CITY: STATE: ZIP: PHONE#1: _!�_. -cgs PHONE: CELL: PHONE#2: EMAIL: EMAIL: / a:-r L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EIC, EMAIL J ! -V MAILING ADDRESS CITY F i STATE & ZIP PHONE CELL, S1 �—D PARCEL INFORMATION: PARCEI.NUMBER(12 Digit Number) ,3p'2 �—S d — S ) Z ZONING rI .4C— LEGAL DESCRIPTION(Abbreviated) 3'2- _FIRE ISTRICT _ SITEADDRESS 6CITY DIRECTIONS TO SITE ADDRESS -) D J IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO K SNOW LOAD:5!'psf 3r � IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all than apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW , ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Enc.) 5-j/A:j b's ] Z :�8�(g! IS USE: PRIMARY❑ SEASONAL } NUMBER OF BEDROOMS NU BFR OF BATHROOMS HEATED STRUCTURE? YES(WholeBldg)M� YES parifs]of Bldg)❑ NO❑ ffj 5rt WIX— OU DESCRIBE WORKS O SQUARE FOOTAGE: (proposed) I ST FLOOR 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 INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE R a 1�1' MODEL Cf � YEAR LENGTH WIDTH-4& BEDROOMS__ BATHS_SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC'* SEWER❑ / NEW❑ EXISTING[� PLUMBING IN STRUCTURE? YES® NO❑ :jyes,attach completed Water Adequacy F'onn PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOIS' EXISTING SQ.FT. 39� EXISTING BEDROOMS I — PROPOSED BEDROOMS TOTAL BEDROOMS--I — OW NER acknowledges that submission of inaccurate information may result in a stop work order or peril 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 permitlapplication 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 CONTINUATI0,1 OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS P MIT APPLI TION 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x Signatur of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT ayvc FIRE MARSHAL PUBLIC HEALTH lye FFF WAS -mmis 1111111111F So MMM- S Wr r+AzW,mom ..E t +f... . r _ � _�._. ._ +MIS «.w al.;.=:� _....__�=•�'r=-'-�"*�—••.• '3"`'�"�+ p 'T u r r ' 1 PUMP l ! CP ---- f r 1 !suer JL 1 _ ! 1 1 -- ' EH APPROVED Rhonda Thompson 05/29/2024 r ! ! TOPOGRAPHY PROFILE; EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.) Septic tank(s) requires 5'setback from all footing'foundations 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 BuIlding Peffnii number Owncrll;;3piican-- f �a=t pats,of Pefce! Nurnbrst �� j(, t/ - a{�'In atbn Env.HIML : Mason County Community Services-Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load Make 2C Model &&, Year Square feet car Width f "Z C� r/ Length.. , / Single/Double/triple-wide(indicate) NEW o 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: 14 Manufacturer's Pier Plan 71 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 SX Pads -1 Continuous concrete footing (runners) -1 Slab ANCHORING: 1 Ground - 1 Magnum 1 Concrei:e-2500 PSI 1 1-bolt 7 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 if be based on the information provided herein and will be verified at time of ins ection. / X Applicant/Dealer/Installer(indicate) Date /C '40/' 1L) 3 dN� � JUAJZI �23 DESCRIPTION CARPORT��sYa* REPAOM of rava' MIA' a1!'CND EA1T tARI?�LP Or IA'E MIA'Or CAT!'UL'M! a SU IWC�OP o. 1 7m PI]�N \ 90Uf74 24' AND AUDIFORS ZL9T QY!'OF RECORDS Or MASON COUNTY, rASIENGTON XZmTm l-CAICULATW POSfmw TOGrYlm wpm AND SUB=T TO EA881fENTS. IX CART R NS RWZRVAMAM AND COVENANTS Or ROCZ RECOM TALL(COMM ' LOT s Lri \POST 0.01.t i SAST tLT OF LM 144 i 0'MOD FANCH or LWI amreu,r q- LM AWNG trlm AN ARACM 7'LAr=TZXWMX oAT' LOT S TO"M EARr s{ 144LT ae� c9 LOT 132 4'+ LOT 133 �'' � 131 r ( WOW O.TY'AND EAST aw Or rAZUl Arm T 'POM'ON LOT LOT r 130 134 q#. GIs, a CURVE TABLE 'S SWAGS YONUNBMP!WYW T �ALUMINUM TOP, �i ` ro or mom A"RSD MR CENTtB 1 � Ol CUL-Df-SAC(NNd R-60 �/200) REFERENCE SURVEYS 1; LEGEND LAKE Cusmam NO.YPOE BBEETT'// VOLUME 6 0?PLA=PAGE W-E7 1 YIIADr�N HO J[AN LY VOLUME 47 Or SURVM.PAGE YS7 1 LLbb O PUT ]'IIION PIPE `'S (h ImA aT-AaAora® ',�. 0 CMFIULM MONUMENT AS SHORN LOT x 135 a 114,&V V4 F LOT 136 SCALE 1'-80 PUT EQIIIPADTNT AND PROCRDUlW n r. a 30 A A a e ® AIDNUY D78C r/ 30' PUNCH ON BURPACR 8W T,TO.83 x.t 4[ SS-MMC Q Xam YOY.T) • we vc.T, Au.Tan®eAe HOLMAN ASSOCIATES ��,>r>»ma..._......nT.........a,.... TOAwa�76TAl�atDolarAvs•RraA SURVEY �� t R i00t 11LWuo®1O�a AR A 1\ M01 0 T!AwT�u Aa d ea.a�r m JAMES OLSON fA�H 40 w r �r d..........M lY 100[ .........OT........... IIYA.GIJGN............................. /w R — 18 m me1WR 8MB t8-Q!0 .....Y/AA mOIfT tNRO� Oli I®fY Mawr"A.UMt.......- 57T.7R1N T,7OrNSHIP 89 NORM RANGE 4 rLTr 1[K DCH I•�l0• f o Na e d Parcel# .3 67'5 b 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 surface2. '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 = L 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 th t the information provided is accurate and employees of Mason County are granted access to the above- described prope for r d w and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 1-6-Ir-7-07,3 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 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 I4.48 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 IMTIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stonnxater 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/drainfleld 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,owners 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 rr^� ' MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the 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: C 4 Mailing Address: S-ZD 1�*,,Lk 7- city State: l,, AA Zip: 131 C� Telephone:,3/,--6 J sS 6 Email: �-71.5A �/� f? C � ?"'9)�• 1� If this reduction is tied to a building permit,please give permit case number. BLD - WTI Parcel Number(s): 42-3o] -�). 0"D(?13;)- Zoning Site Address: 60 1 V 1✓10 hct m Pi J:J=?��4 Requested setback variance: _ ft. ❑ Front ❑ Rear ®.Side ft ❑ Front aRear ❑ 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 5 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. FRONT AND OR REAR YARD REDUCTION REQUESTS: 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; I3 c) lot width at the front yard line of no more than 50 feet; J4 d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: 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; W c) lot width at the front yard line of no more than 50 feet; U d) lot size of no more than one-half acre; C�C 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. GUI X d Sf1�(il ✓c Owner/Agent(please indicate) — L � Signature Date Of Use Only Approved by: Date -3 ! d l( Denied by: Date Reason for denial: