HomeMy WebLinkAboutBLD2024-00239 ADV2024-00037 MFG Home - BLD Application - 2/26/2024 MASON COUNTY Permit No: - 4
COMMUNITY DEVELOPMENT FEB 2 6 2024
Permit Assistance Center,Building,Planning 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME. &/P to 4 �//`+`�!� NAME: Hot' e
MAILINGADDRESS: Q ,6oX 2Z MAIL GADDRESS: 7
CITY: STATE:_(✓ ZIP: 7S CTI Y: STATE: ZIP:
PHONE 41: (J6 _ �?'?� "O S"�� PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: % d L&I RE 00 2 EXP.
PRIMARY CONTACT: OWNERX CONTRACTOR❑ OTHER❑
NAME resne EMAIL v
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number) 31b� S�O 2 d Zl ZONIN esiclen / I
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 1�l woo 4 CITY.5&& Lt/
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD-a psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWY ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Gamge,Commensal Bldg,Etc) /
5 f e/7 c.n e _
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES("ole Bldg)XS YES(part[,/ofBldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(proposed)
I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft.
DECK, �sqq.`ft. COVERED DECK sq,ft. STORAGE sq.R OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUMED*
MAKE { MODELL YEAR 7CJ�LENGTH
WIDTH_r,�BEDROOMS� BATHS_SERIAL NUMBER T3t
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTI SEWER❑ / NEW/ EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO121 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.1 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 or Mason County access to the above described property
and structure(s)for review and inspection. This pernitlapplication 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
P RMIT APPLICATION F 180iDAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
ignature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT D9110 3 -.
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Name 4 e;V"- Parcel#3 ZQ QZ i BLD# atba,4^ W2N
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'.
'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 _
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
— Driveways /0 X ZO = ZC70
X = Length of drive begins at the right of way
X =
Parking Areas 2. X 20 LY Od
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Vl/alks t X = Q
X = Any paved, gravel or packed area per definition
above table
X
Others X =
r X = Z �J If the total impervious area of the proposed site
G`� 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 that the information provided is accurate and employees of Mason County are granted access to the above-
described property for re w an inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: 2—Le 26Z 4
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 Z LJ
Make Model GT f Z-1oA le�ear 2C) 2 y
Square feet Width Length L
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 SPECIFICATIONS:
�;Y Manufacturer's Pier Plan
o 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
o Pads
ij Continuous concrete footing(runners)
o Slab
ANCHORING:
o Ground
D.,—Magnum
b' Concrete-2500 PSI
o J-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 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
insp tion. (�
X pplicant/Dealer/Installer(indicate) Date - — ? I
PLN Approved County Stamp
Wood Ln 02/29/2024
v Mason County Community Development
,� f 217' Gavin Scouten
el All Changes Subject to Approval
I 10 �/� Traffic Rated Tanks & Risers
i
Splitter Box
q' esign tamp
° ° °g I PLN SETBACKS
Front (North): 10'
Ltn 1/11 West side: 5' �P5
East side: 6'
0� f' Rear: 10' lJ DESIGNER
ago0 34 EpT_8„Z
all setbacks measured from the farthest
'� �---� • o projection of the building Designer Info:
00
N 'subject to EH setbacks JirnZim>ry
APD
3 x 67' 7178 Windflower PL NW
5' laterals Seabeck,WA98380
Vi�,gl 2e�c�-ooit}Z
TH #1 APDdesignsnicloud.com
0-36" sandy loam
nRoots to 36" Applicant Info:
33 TH #2
Glenn Butcher
0-36" sandy loam 221 Wood Ln
r .e `Roots to 40"
Shelton, WA
N TH #3 #320215502021
0-28" sandy loam
`Roots to 28"
S' S' Date:
el 218' 64' el 210' 8/3/2022
Page
EH Setbacks EH APPROVED
A.) Drainfield/Reserve requires 10'setback from footing/foundations Rhonda Thompson 03/14/2024
B.)Septic tank(s)requires 5'setback from all footing/foundations Scale
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area lrl _20'
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area 1 �
1\
MASON COUNTY Mason County Permit Center Use:
` !, COMMUNITY SERVICES ADv_26 2-4 - 6603+
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 annd'gutters. c�
Applicant/Owners:
Mailing Address: (/ /`,oY `
City: ,e/� State: Zip:
Telephone: �b` y 2-� ^CIJ4
Email: IcA 46 t�-,'re-zf � L'J2ai t C a—q
If this reduction is tied to a building permit, please give permit case number.
BLD '2 C)Z3 - W a�j
Parcel Number(s):� Z / Zoning
Site Address: !^ WOO J2 �uc C �� ✓1
Requested setback variance:
ID ft. IZFront ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side + is-1CW
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.
• y
i
F NT D OR REAR YARD REDUCTION RE UESTS:
F ex' ng 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;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ ) lot size of no more than one-fourth acre;
existing improvements of buildings, septic systems, and well areas.
S E Y REDUCTION RE UESTS:
Fo exist' g 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;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre;
—.& 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.
L6
Owner/Agent(please indicate)
Signature Date 1
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial: