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Home My WebLink AboutBLD2022-01279 MFG Home - BLD Application - 9/30/2022 MASON COUNTY COMMUNITY SERVICES Permit No: 2),—o 1 27q PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shclton,WA 98584 Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone C o � Beltair.(360)275-4467•Phone Elma:(360)482-5269 GO f BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATIION: CONTRACTOR INFORMATION: NM � L L NAME: 'e► e 11 MAILING ADDRESS: 2ZE3llc . rrtsMADDES ^a i rr ;c) ' �t1 CITY:Salle 1w —l STATE ZIP:48 s o CITY:CH9"LI5 STATE: ZIP: ��rf PHONE#1: 206 6 - 7S PHONE CELL: 0;0 z6`�-CgJ;?!77 PHONE#2: e-0 15A0%- 0/y a EMAIL:M j's)6fcT y t , -1 EMAIL:-T >7 rV1R L&I REG# O A/ ,; S" EXP.��/Z PRIMARY CONTACT: OWNERX CONTRACTOR❑, OTHER NAME AI;A-- .1 e'v1 LP» EMAIL-JC.4.9<4 SRL., -,es!3 �jHI�Lt'�r ovt MAILING ADDRESS Z2 1 E. R�//�n ftr�e AY CITY 3 t_t/1�i/ STATE IVR ZIP q S W PHONE CELL LOG (oG l r 7s 90 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)SZ0 I`SS - 2-0 30 ZONING 7 LEGAL DESCRIPTTnN(Abbreviated) l©t k, Plot 2. flAf utThDJli'rtS IREDSTRICT SITE ADDRESS• S" N/IIyTM( r� CITY .S/JGJ-1yn DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESM NO❑ SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): D i`t c A SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW)( ADDITION❑ ALTTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) ke S%ele i<< IS USE: PRIMARY14 SEASONAL❑ NUMBER OF BEDROOMS �" NUMBER OF BATHROOMS Z- HEATED STRUCTURE? YES(WholeBldg)Q YES(Parts ft]ojBldg)❑ NO❑ DESCRIBE WORK t/GirJt`TAC�Li►'�iC l ✓ e SQUARE FOOTAGE: (proposed) 1 ST FLOORZgZ-4 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 C. 44—7 V j MODEL At°eli✓OJ41 -Y- YEAR Z02-3 LENGTH 39.' WIDTH 28l BEDROOMS Z BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: Stag v 2 SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW IJ FISTING❑ PLUMBING IN STRUCTURE? YES 9 NO❑ ]fyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOIg EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS Z 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 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 COUNTY CODE 14.08.42) X � l4 , a�2-2- Signature of OWNS (Wst be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH B )a2-02,2--(:) IL39 Pr�yev-kl ) 'vilv W z 10 z 1 4�7^5'0 10 3 L) > CIj L.0 C) LLI Ul Ln cta i .0 t '31 wi g, &6, Vfs 2 ra-7 x N 7 Z7 V) 11 ef-ri r— A10 EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/fou ations B.)Septic tank(s)requires 5'setback from all footing/foundati ns tT C.)No foundation/Perimeter Drains within 30ft,clowngradienjof Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area L �Sj EH APPROVED Rhonda Thompson 11/02/2022 7 l419 ni%007�_ RECE/V Ep Mason County SEP 3 Community Services-Building Division 6)S 0 Zt�?2 MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS w Alder Street UNIT INFORMATION: Snow Load )_6 Make 610,lfoh Model Year 2-0Z-3 Square feet 10Z 6 Width 2 -7 Length .3g ❑Single/®Double/❑Triple-Wide (indicate) XNEW 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: 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) 19 Slab ANCHORING: ❑ Ground ❑ Magnum Concrete-2500 PSI ❑ J-bolt tO 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. X1 Applicant/❑Dealer/❑Installer(indicate) Date2— Name-y:Pn Sen BAkken Parcel#32a2I-5"S- ,0Z030 BLD# 2oM- 0 (Z711 ffow)eS L« Mason County Department of Community Development y 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 ,3 S X 2-7 = 10 L 6 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/S 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. p X 1 Owner/ gent/Contractor(circle one)Date: / /5�_ L OL 2-- If the Total Impervious face Area is GREATER THAN 2000 Square Feet, please read,a I nd si n the information provided on page 2 of 2. E I V Page 1 of 2 SEP 3 0 2022 615 W. Alder Street f ► i MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd 3o Z0z 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 furtherrK ct on requires a standard variance. Setbacks are measured from the furthest protection of th= VcD including roof eaves and gutters. Applicant/Owners: J*f Y r L�{� C ► S e 0% k e H CS H 0 rM L L L SEP 3 2012 Mailing Address: Z Z/ &, 9a 11e1-n ►-Ae bY. W. Alder Street 11-j City: -!';'A e/�rh State: Zip: Sg Lq Telephone: 24G "- 6G g— 7 Sy� *I*G Email: y 11 S P v, b A k er, Ho r►-e s C r✓►a, . Lo r,l If this reduction is tied to a building permit, please give permit case number. BLD 20 22, - 01221 Parcel Number(s): 3 Z O 2. ) — SS—a Z 0 3 0 Zoning Site Address: 60✓✓1 er b �Gt/Y1 ry®.�� te- E l 0i 14-Gjcty Requested setback variance: 3 0 �� m�'�� >��sc �»1�'r•+�► ID ft. Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ 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. f ;ting AND OR REAR YARD REDUCTION RE VESTS: 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; ❑ d) lot size of no more than one-fourth acre; ,�tle) 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; ❑ 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. Z .FyorJ hcJ(j! wne Agent(please indicate) A( 9— Z 2-2.— Signa Date Official Use Only t � I r� Approved by: Date Denied by: Date Reason for denial: