HomeMy WebLinkAboutBLD2022-00461 MFG Home - BLD Application - 4/13/2022 '60 2o22 - Co U I
BUILDING PERMIT APPLICATION RECEIVED
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: APR 13 022
NAME:David E-SCWN NAME:
MAII LNG ADDRESS:S,E Elm Pl MAILING ADDRESS: F 1_� 1/1/ _�1.1r Street
CTfY:s STATE:vm 2 P:98581 CITY: STATE:
PHONE#I:36 4eosos2 PHONE: CELL
PHONE#2:31304868-2754 EMAIL:
EMAIL.: L&I REG# EXP.
PRIMARY CONTACT: OWNER 8 CONTRACTOR 0 OTHER❑
h_ NAME D..raes-a EMAIL davidsheltuW-@hrat—com
MAILING ADDRESS 51 E Flat Po CITY t e— STATE WA ZIPS
..r-+.r. PHONE 3w4w-2m CELL M4W6M
i
PARCEL INFORMATION:
�,. PARCEL NUMBER(I2 Digit Number)32021Sfr0100a 7ANIAIG tB Dtt
LEGAL DESCRIPTION(AhbwvWO) ON—3rd add trio 1 Lot 8 FIRE DISTRICT'S
SITE ADDRESS � -6 it eiq a;. r- CIfYS+mft"WA
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%. YES[] NO 0 SNOW LOAD:tQ-psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: a3M&.adMrappty):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW f ADDMON❑ ALTERATION❑ REPAIR❑ OTIIER ❑
USE OF STRUCTURE(Roidewnc c.,w cawr raeirrtBug FJe) der
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES~HW 0 YEAS(F--f J efxW❑ NO❑
DESCRIBE WORK—r home
SOUARE FOOTAGE:(prvp.0
IST FLOOR 1296 sq.& 2ND FLOOR sq-fL 3RDFLOOR sq.fL BASEMENT sq.fL
DECK32 sq.fL COVERED DECK1s6 sq.R STORAGE sq-fL OTHER sq.fL
GARAGE sq.fL Attached❑ Delaclred❑ CARPORT sq.R Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: `'4 COPIES OF THE FLOOR PLAN REQUIRED;
MAKEK&rsson MODEL+ YEAR20n LENGTH56
WIDTTi27 BEDROOMS2 BATHS2 SERIAL NUMBER.721KC28483=1
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC III SEWER❑ ! NEW❑ EXISTING o
PLUMBING IN STRUCTURE? YES o NO❑ ij}w attach completed Water Adequacy Form
P UyyyNDAAT ON DRAINS PROPOSED? YES❑ NOS EXISTING SQ.FT.
OOMS i"" �. PROPOSED BEDROOMS z- TOTAL BEDROOMS Z-
OWtER admowFadges that submission of aux=uade information Tray readt in a stop work order or permit revocation.Acknowledgement of such is by
signature below.l declare that t am the owner and 1 further declare that 1 am entitled to receive Mrs perrA and to do the work as proposed-t have
obtained passion from all the necessary paties.'urdudrtig any easement holder or parties of interest regarding tin project The owner or legal
representative,represerts that the it 0ormabron provided is acaaate and grants empbyees of Masan Carry arcess to the above desrn'Led property
and structur*s)for review and inwec-tion.This permNapplicati n becomes null 3 void i work or atdhataed construction is not commenced within 180
days or d construcbon 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 q
MIT APPL1 A ON OF 180 YS OF MORE IMIt1 CAUSE THE APPLICATION TO BE EXPIRED.(MASON Y17 Lr ,P�
� COUNTY CODE 14.08.42)
X 3 — Zl�ZZ. a —20 2 Z
Signature of OWNER(Must be sinned by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESICOYDITIONS
BUILDING DEPARTMENT ARC r"i'�e•2
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Mason County
Community Services-Building Division
MAN g#0RED HOME PLAN REVIEW SPECIFICATIONS
UNIT TION: ��r Snow Load �SI�
kS l ' Model _ L�r �' G �G Year zD Z�
covCr e T
Square feet �Zq(v + I C1(o %v 1�/idth 7-.1 Length �D
❑Single/ff Double/❑Triple-Wide (indicate) ❑NEW oroeplacement (indicate)
All footings must be min. 12" below grade within 24" of the skirting when pf�C l� I V C
required. f�C �/ C D
When manufacture specification is not available use ANSI A225.1 or HUD 24 CFIU265: IFIt?S Irovide
pier plan with reference sections.
615 W. Alder Street
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:
J1 Manufacturer's Pier Plan
❑ 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
❑ Pads
❑ Continuous concrete footing (runners)
0 Slab
ANCHORING:
❑ Ground
❑ Magnum
0 Concrete-2500 PSI
❑ J-bolt
45 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.
� Iz3 _
X NApplicant/❑Dealer/❑Installer (indicate) Date
4
NameDavid SCOvilI Parcel# 32021-56-01008 BLD# 2O 22- h
De tCommunity�of y RECEIVED
Development
Small Parcel StK Management Application/Worksti (egg 12of 2)
IV
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required WAeNV-a'W&Ag�4bWd1ion 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.
'Common 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 =
56 X 27 = 1512 Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X
40 X 12 = 480 Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
X _ above table
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) 1992
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 acknowl a that the in tion provided is accurate and employees of Mason County are granted access to the above-
de sc ' pro for revie and' ection as may be required.
X Owner/Agent/Contractor(circle one)Date:
3 Z3�zaZz
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
A ,-..
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:
hgp//www.co.mason.wa—us/coddcommissioners/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
SITE PLAN N
r
Shelton,WA 98584
Parcel ID : 32021-56-01008
scale 1 "=20'
Lot area : 0. 27 Acres
Plot Size : 11 "x 17" Property line
// drainfield
C,q/ � 1401
septic tank
Reserve /
drainfield 31 \
/ 88, Pro erty li e
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