HomeMy WebLinkAboutBLD2024-00668 MFG Home - BLD Application - 5/29/2024 MASON COUNTY Permit No: eLOzozg'0
COMMUNITY DEVELOPMENT
-PePermit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION RECEIVED
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION-
NAME:EMPIRE HOME CONSTRUCTION,LLC MASON COUNTY EXCAVATING,1 13 '/W4
NAME:
MAILING ADDRESS:P.O.BOX 241, MAILING ADDRESS:30 E HAR BLVD,
CITY:KELSO STATE:WA ZIP:98626 CITY:SHELTON S
PHONE#1:LOREN 360-751-1745 PHONE:360-490,3144 CELL: 360-490-3144 "7WI
PHONE#2:DAVID 360-751-8062 EMAIL:MASONCOUNTYEXCAVATINGQYAHOO.COM
EMAIL:LORENDUVALLQGMAIL.COM L&I REG#MAS6NE915PM EXp, 3 /18/26
PRIMARY CONTACT: OWNER p CONTRACTOR❑ OTHER❑
NAME DAVID DUVALL EMAIL DAVIDLDUVALL80@GMAIL.COM
MAILING ADDRESS PO BOX 241 CITY KELSO STATE WA ZIP 98626
PHONE 360-751.8062 CELL SAME
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32021-58-04059 ZONING RR
f LEGAL DESCRIPTION(Abbreviated) SHORECREST BEACH ESTATES#1 BLK:4 LOT:59 FIRE DISTRICT FD5
SITE ADDRESS 110 E Kingston Way CITY SHELTON
DIRECTIONS TO SITE ADDRESS Follow WA-3 N,E Agate Rd and E Crestview Dr to E Kingston Way
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑r SNOW LOAD:30 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(whole Bldg)❑� YES(Part(s]of Bldg)❑ NO❑
DESCRIBE WORK NEW MFH
SOUARE FOOTAGE:(proposed)
1ST FLOOR 1296 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 32 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 CLAYTON MODEL UNDER PRESSURE yEAR2024 LENGTH 48FT
WIDTH 27FT BEDROOMS 3 BATHS 2 SERLA.DNUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ / NEW I] EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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
Signature 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
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load 30psf
Make CLAYTON Model UNDER PRESSURE Year _jj*jj@r yam' c �)
Square feet 1296 Width 27FT Length 48FT
Single/Double/triple-wide (indicate) NEW or 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:
5a Manufacturer's Pier Plan
7 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
0 Pads
7 Concrete (pre-cast)
34 ABS Pads (Poly) provide manufactures specification with capacities.
O Continuous concrete footing (runners)
O Slab
ANCHORING:
® Ground
O Magnum
O Concrete-2500 PSI
7 J-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 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.
X Applicant/Dealer/Installer(indicate) Date
NameEMPIRE HOME CONSTRUCTION, LLC Parcel# 32021-58-04059 BLD# 2,0 -ap(p(pg
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 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.
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 49 X 28 = 1372
X = Measurements for buildings are taken at the
perimeter of the farthest projections (example:
X eaves/gutters)
X =
Driveways 30 X 15 = 450
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 4 X 4 = 16
4 X 4 = 16 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) 1854
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 e information provided is accurate and employees of Mason County are granted access to the above-
described property for re ie nspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Su face Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign
the information provide n page 2 of 2.
Page 1 of 2
Name EMPIRE HOME CONSTRUCTION LLC Parcel# 32021-58-04059 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:
httn//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
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dU) In o w A.) Drainfield/Reserve requires 10'setback from footing/foundations
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m C.) No foundation/Perimeter Drains within 30ft,downgradient of
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� � a n D.) No Cut Bank(s)(greater than 5ft and over 45 degrees)within
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MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES �V 17024 - 000gko
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
Request for Administrative Variance for
Reduction in the Required Setbacks 615 W.Alder Strut
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 glitters.
Applicant/Owners: 01 Pi2 i*`-It ck'S?rycy UN L( L-
Mailing Address:
GE)k 2 y/
City: XtZS-D State: W A- Zip: CIE6 2 G
Telephone: U -7 5'/- /7 y
Email: fUl P.rrl c1" ^, /1 CJ �M
If this reduction is tied to a building permit,please give permit case number.
BLD 202A - 6010te 96
Parcel Number(s): 32021 - 5B- 046S9 Zoning_P45
Site Address: 110 E KYtataST'DN VNM SVACLTON + WA OMSSA
Requested setback variance:
10 ft. ❑ Rear ❑ Side
5 ft ❑ Front ❑ Rear SLR ide
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 REOUESTS:
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;
❑ c) lot width at the front yard line of no more than 50 feet;
—-I>lk 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;
❑ c) lot width at the front yard line of no more than 50 feet;
Qr 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.
re j2t_s`f�CT W-5
Owner/Agent(please indicate) Z
Sign a Date
Official Use Only
Approved by: 67CA L. 'J AA 500 V(T� Date
Denied by: Date
Reason for denial: