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Home My WebLink AboutBLD2022-00121 Mobile Home - BLD Application - 1/31/2022 MASON COUNTY COMMUNITY SERVICES Permit No: 1�I G1 2622.- 001 A.' PERMIT ASSISTANCE CENTER: RECEIVED •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL • 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone BAN 31 2022 Belfair:(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: F"NU1� �-A�F�.SC�z `�. S I�LT C= z:HO �� bo x NAME: NAME: -r:� �;� t _�-�.� ,�, �r C1 5 5 MAILING ADDRESS:3"b_j1 MAILING ADDRESS: q(;Z-k ,7-3�c,�eW4y \L,2 y� CITY: FS"`G�`� STATE: ZIP: O ` CITY: eryin-p f1 STATE:_ZIP: z PHONE#1: __JplDQ)- Ar-�>� PHONE:5Lb A-9-4(;n�,.2, CELL: PHONE#2: EMAIL L&I REG# F 1RY�E S)7 N!� EXP. -I / Z� PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER[�( NAME - v EMAIL-C'F� �{_ .II'>v1L'T(UiV Rf3CKS�(�-iM1��LLl` MAILING ADDRESS 2-. `� L CITY RbRI(`) C� STATE W A ZIP PHONE CELL (d -fib-3Z\G PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) \ 2 22_() LS0 _L-7(p00\ ZONING -Z LEGAL DESCRIPTION(Abbreviated) pt_C L INF{{7 FIRE DISTRICTS(AF E SITE ADDRESS NbN'C= CITY DIRECTIONS TO SITE ADDRESS IF C VA S1?,3 GO VAC`2:57 C)N C- T6 V= 2�;l PC!6 T � r' C W f'"n S AtJ� Va.sLI L=`_�l IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO @' SNOW LOAD: 2�5,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 B ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc) ,' � �1�1C'1=_ IS USE: PRIMARY [9/ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES (Whole Bldg) GK YES(Part fs]of Bldg ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 1ST FLOOR sq.ft. 2ND FLOOR__ (�r- sq.ft. 3RD FLOOR 'E� sq.ft. BASEMENT 4E�- sq. ft. DECK sq. ft. COVERED DECK A&sq.ft. STORAGE £ sq.ft. OTHER sq.ft. GARAGES sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE ` \gam � MODEL S't LU]� YEAR i��1 LENGTH WIDTH 2-?t BEDROOMS => BATHS 2. SERIAL NUMBER Q'C� Lib 231a�U1 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER Ld / NEW 3 EXISTING ❑ PLUMBING IN STRUCTURE? YES Qo"" NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NON/ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 2— 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 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) SUbmi ttcc� x QC (-31-20Z.2.. ' 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 R2 Zoning 8' Minimum , /P- 10' Minimun • �\ Ipi i �`k 2 e l • 5 Minimum ^_,..4v 15' Minimum i�Ic122022-6012 I APPROVED MASON COUNTY DCD PLANNING •..?� 50-M PUEDY'AICP Digitally EH APPROVED Scott Ruedy signed 04/13/2022 by Scott Ruedy Name H. SALTER Parcel# 12220-50-36001 BLD OFWffz Mason County JAN 3 1 2022 Department of Community Development Small Parcel Stormwater Management Application/Work fi&Ye p 42)et er Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is ade 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 X 8 — 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 2- '. X 2 X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = �Z- y X i = 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) Q� 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 review and inspection as may be required. — X G/3 �� - Owner% gent/Contractor(circle one)Date: 2-1 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 wan,c H. SALTER Parcel# 12220-50-36001 Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stornswater 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/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Ma/MANAGEMENT nty Public Works a roves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 0).You will recei a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,Tl Parcel Storm ater Site Plan". This document will assist you in preparing the necessary information and plans lic Works to eview and approve. Per Department of • Public Works this document will constitute an applan if all f the relevant details* are to be Installed in their entirety AND no part of the stormw ter systersely ects any septic system(see Environmental Health information below). If an alternativ tem to be ulan 1 need to be submitted to Public Works for approval. A design by a registered professional a e quiredre omplex sites. *These details are found in the d cumen nagirainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Han out" PLEASE INITIAL BELOW TO INDICATE THE STOTER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm D ainage on SmalKtoth Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as n to adversely affeic systems on this,or any other,parcel. B) An alternative plan and/or professiona esign will be submittepartment of Public Works for approval AND the system will be located as not to adversely aff any septic systems on this,or any other,parcel. If you have further questions pertain' to parcel drainage and stormwater management Mason County's Public Works Department can provide additional ' structions,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 Mason County RECEIVED Community Services-Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIOf 4N 3 1 2022 CM UNIT INFORMATION: Snow Load 25 P S r 615 W. Alder Street Z Make Model S`; "AN Year \CW`cy 0 Square feet Width 2j Length 42—' .J ❑Single/&Double/❑Triple-Wide(indicate) [(NEW orOReplacement(indicate) All footings must be min. 12" below grade within 24" of the skirting when perimeter blocking is cc 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: EV Manufacturer's Pier Plan ❑ ANSI A225.1/HUD24 CFR part 3285 FOUNDATION: Check the type of foundation ana attach detail plarisfrom manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 ❑ Pads 2� Continuous concrete footing(runners) ❑ Slab ANCHORING: ❑ Ground ❑ Magnum Concrete-2500 PSI ❑ 1-bolt X 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. X //% 5 d pPlicant/❑Dealer/❑Installer(indicate) Date I� IDC-C- ZA