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Home My WebLink AboutBLD2024-00485 ATF MFG Home - BLD Application - 4/12/2024 MASON COUNTY Permit No: I r z _0&�405 COMMUNITY DEVELOPMENT RECEI `E-D Permit Assistance Center,Building,Planning Qf"R 12 2024, 00 BUILDING PERMIT APPLICATION 615 W. Alder Sire PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: lacob ih"Ov1vc ti Vvl +' NAME: v MAILING ADDRESS: V O ka-,A 30iO MAILING ADDRESS: CITY: *,'( STATE:\k) ZIP: CfSY0 CITY: STATE: ZIP: �■ PHONE#1: 5 - i PHONE: CELL: z PHONE#2o l' �' EMAIL: EMAIL: J 6Cf n l lrer - l"yr•C O%f L&I REG# EXP. / /_ PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME \'1\CAV�Ct �IOCI Jn itt"� EMAIL SI Gam,'1nC(}Z¢, L�I it-C•LC'/t t MAILING ADDRESS baK 3 o STATE W/r ZIP a 5c PHONE ' 6 S O CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ;23 v- 2-4- ZONING LEGAL DESCRIPTION(Aii Jvbbre`gf'ated) j el (f S FIRE DISTRICT O 2 SITEADDRESS Z1 c_ k*12Ise ' CITY 13 �ottY DIRECTIONS TO SITE ADDRESS sG 6A f0l, to i Iclsc l� t F 1- k 'f G IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO% SNOW LOAD:,6-psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WEILAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) t -1I IS USE: PRIMARY Jg SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS�� HEATED STRUCTURE? YES(nareNdg) �"Y�ES(Part(s)oJBklg)❑ NO❑ DESCRIBE WORK U *cC� V aY� I^' SOUARE FOOTAGE:(proposed) 1ST FLOORAL4OG�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 V_:�_G"C-CA�x MODEL YEAR LENGTH ,{�n� WIDTH 2 D l BEDROOMS _ BATHS SERIAL NUMBERS 3 T p1 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC- SEWER❑ / NEW❑ EXISTINGX PLUMBING IN STRUCTURE? YE$;S- NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NO,& EXISTING SQ.FT. EXISTING BEDROOMS U PROPOSED BEDROOMS__!J — 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) x 1 f w,'cvt G_ L `Z0126 Z 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 PLANNING: North ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING PLANNING SETBACKS Front:25' Rear and Side:20' a Subject to EH Setbacks APPROVED MASON COUNTY DCD PLANNING • ----------------------------------------------TARCEL123162400000 Property Border SITE PLAN REQUIRED TO BE ON SITE DFL land 4wntiniouswrmis, CHANGES SUBJECT TO APPROVAL 40 acres total //// �— By: /' Date:06/17/2024 I I PARCEL 123162400030 ; EH Setbacks DFLland A.) Drainfield/Reserve requires 1 O'setback from tooting/foundations " B.)Septic tank(s)requires 5'setback from all footing/foundations r C.)No foundation/Penmeler Drains within 301t,downgradient of _ T ! Drainfield/Reserve area — — •— —"— '—' —"—'•—"—"—"—"—"—"— --------------- D. No Cut Banks (greater than 5ft and over 45 degrees)within 501t,down gradient of Drainfield/Reserve area ; i I PARCEL 123162400010 ' i 14 aces Oft, I PARCEL 1231624NO20 _ l acre r „fl,,• i DFL land - EH APPROVED i wd C f Rhonda Thompson 07/03/2024 0 1,2T o„ d r a •-•^ ... I Existing 5bd home was a Sojf m" converted to storage.No plumbing and not i ; I Permit connected to septic. is for this structure only i ' I i t I i_._.-.-.-.-.-.-.-._.-,_._._....-....- ........... _._._._._........ ........ r .m. k�L'Do ol, 4-OD405 5a! elFair 9 oZ8 MANUFACTURED HOME PERFORMANCE VERIFICATION . • R . 0 TechnologyInstitute for Building and Safety(IBTS) Order#: LVDP497511 Issue Date: 05/10/2024 Reference No: N/A Verification: IBTS's Manufactured Home Data Verification Team has researched regulatory records on the Commodore/Rex Homes/Brookwood, Mcminnville, OR, manufactured home having the serial number(s)and date of manufacture identified below. Based on shipment records maintained by IBTS, as required by the U.S. Department of Housing and Urban Development, provided by the home manufacturer and pursuant to 24 CFR 3282.552, IBTS verifies the following home performance information listed below corresponds to the home's initial destination and the construction standards set forth in 24 CFR 3280 at the time the home was labeled. Serial Number(s): SF3994A/B Manufacture Date: 06-21-1981 Wind Zone: Zone I Roof Load Zone: South Thermal Zone: Zone 2 ZONE I. _ .�. � tip. � � •?" — ii"�y.-�..+�� "� .. _� - �.,�`� � � _ ta• \ — •` _mot ,.,� —�� --t 'fir-, ! `•..-^� v,.. n L i-- s-`�—�'1 — -��,' Verification Provided by the Institute for Building Technology and Safety IBTS Verification Seal c,yN01/ President Ilk- o� DISCLAIMER:This information is applicable only to the home having serial numbering and date of manufacture noted `' T' above. IBTS provides this verification based on the production reports provided by the home manufacturer and the zone requirements in effect at the time the home was labeled by the home manufacturer. IBTS makes no representations A N beyond those set forth herein and is not liable for modifications to the home's construction or subsequent home moves t that may affect the home performance information verified above. Y ; s � The Institute for Building Technology and Safety (a nonprofit organization) •••• VEIFWO 45207 Research Place,Ashburn VA 20147 1 866-482-8868 1 www.ibts.org Mason County Community Services-Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load o2`J Make &t Vv1,� Model Year le O I Square feet Width Length y� Single/Double/triple-wide (indicate) NEW qr 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: r1 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 O Pads 71 Continuous concrete footing (runners) 54, Slab ANCHORING: n Ground 71 Magnum 71- Concrete-2500 PSI 7 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 inspection. �/ y1'�,, 20 X �" Applicant/Dealer/Installer(indicate) Date Name 5k0x-1'kC 06f act htUll Parcel# Z 3i 00010 BLD#91094 "Vb� 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. '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 X = Measurements for buildings are taken at the perimeter of the farthest projections(example. X — 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 X _ above table Patios/Walks X = X = Any paved, gravel or packed area per definition X _ above table 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 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- desc ion as may be required. X Owner Agent/Contractor(circle one)Date: 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 Name �e Parcel#I9'51U '31—WOO BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (pane 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: http//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 North 100ft 200ft 300 ft 400 ft 500 ft 600 ft 700 ft Sw ft 900 ft 1000 ft 1100 ft 1200 ft 1300 ft In loon noon Property Border .———————————————————————————————————————————————fARCEL123162400000 • DFL land 4 continious parcels, 40 acres total PARCEL123162400030 DFL land CI fi00 h 1 1 . _.._.. ; .._..� —.._.._.._.._.._.._.._.._.._.._.._.._1----------------------------------------------------- ; i goon ; 1 k PARCEL 123162400010 1 PARCEL123162400020 1 14 acres DFL, i 1 1 acre residential. i DFL land �n 1 ; Well 325 1 k N 1 i i � n,• 1221 e 66, Pty ! a m ay 1 /'pr8s � 1000h s Olr. 1 1 S ! G 1 , i coon 1 • k � ; 1 1 I 12Mft 1_._._._.-._._._._._._ .- . -.-.-.-._._._._._._._ ._._.-.-._ ._._ ._. _ ._ _ . -._ -.-.- . 13ao n