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Home My WebLink AboutBLD2024-00666 MFG Home - BLD Application - 5/29/2024 MASON COUNTY Permit No: BL0202A -00( citO COMMUNITY DEVELOPME Permit Assistance Center, Building,Planning MCCEIVED BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRADICTOR INFORMATION: NAME: /)Oct &II/'E-le NAME: �CT/?,gyS �-61$W Aiddur Rip,14 MAILING ADDRESS: / U o'c,r /3V MAILING ADDRES : 9Y4 CITY:e c'Qf, „i-r STATE: ZIP:PY( CTTY:�iC I"+ '.! STATE: ZIP:9 �Ci� 2 PHONE#1: 3"797• 07Si PHONE: . Z" 7&tc CELL: 360 2j' 7ZcS- PHONE#2: EMAIL:4Aev :7zt µ- Q isr < EMAIL: L&I RE # /)ETiP EXP.3/_?j_Z,�" PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME EMAIL GAIZ S- r7�T✓.�y�(6? MAILING ADDR_SS 3YC! P i f i r` Qv V- _ - �CITY Vr STATE 41a ZIP VSZ PHONE 360•-V4/ 9S w CELL PARCEL INFORMATION: ,,// PARCEL NUMBER(12 Digit Number) Y��/� 7( ' ��i-' U ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Z// W, 5 o10Aj,4 ar' LN CITY A&C,52S 0#- DIRECTIONS TO SITE ADDRESS / W% /di Ne 'tto CPdc!✓Va' /z y. 7L• +-� SS�OJy:*•li+-y�% LN1 7'R ��//u:•i 1� ac/drt SS Glv, L... IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESR' NO❑ SNOW LOAD:yo psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (CheckallrMarappl)): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW Be ADDITION❑ ALTEERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Conanercial Bldg,Etc.) /C l S IS USE: PRIMARY[jK SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(noleBidg)E'r YES(Parr[sjofBldgl❑ NO❑ DESCRIBE WORK /NS7,4// HGb 41V Ae F SOUARE FOOTAGE:(Proposed] 1 ST FLOOR ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.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 REQUIRED- MAKE ' /it/e MODEL G y/Y YEAR Zo2y LENGTH �q WIDTH_ BEDROOMS Z BATHS Z SERIAL NUMBER /7'fe ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING[� PLUMBING IN STRUCTURE? YES[3" NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] 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.Admowledgement 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 wort(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 � sa� ay Signatur of OWNER(MGst be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTFIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Permit No:BL0202A -60(oloko COMMUNITY DEVELOPME;T \ Permit Assistance Center, Building,Planning EI Y/ ED 3 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: I)OW &I11M{t NAME: vCTR,Q' S' wj moo IV Alds- MAILING ADDRESS: / LI e3cX f MAILING.ADDRESS: 3 44 AC/ t'CRtrial t CITY:t/CX'�1i,a-r STATE: k.A ZIP:P3YSa'f CITY:(56 n '4 STATE: ZIP:95,503 PHONE#1: 3 797. 0755 PHONE: . 059 7�((CELL: -14,0 27-�Ff Ucg' PHONE#2: EMAIL: , . •7.t Q ss+ , t-v.4" CZ EMAIL: L&I REG 4 ,( PRIMARY CONTACT: OWNER❑ CONTRACTOR[i;- OTHER❑ �� NAME 6,f Ay D+=r.� EMAIL�-A/Z 7✓,9 MAILINGADD SS _ ' CITY 01le'-f4%+ STATE VA ZIP 5'5Z PHONE ;40--Yf/ 95ixy CELL PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number) -' 2 /y 7(: to y 0 VV ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Z�// �1/ !3' U/cI�`y!4 Qr LN CITY A/&*C' DIRECTIONS TO SITE ADDRESS MV y /(/J JV �c ��da✓llc> /c'ti. TL. �u IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESEr NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thalapply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW C3' ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) /C f.S IS USE: PRIMARY[i"SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS HEATED STRUCTURE? YES(WhokBW B' YES(Pan[s]ofBldg)❑ NO❑ DESCRIBE WORK 11VS7.4!/ Al C SQUARE FOOTAGE:(propose4 1ST FLOOR I64.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_Le MODEL �/Y YEAR Zt125/ LENGTH A6y WIDTH_ BEDROOMS Z BATHS Z SERIAL NUMBER /74,6 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING Qr PLUMBING IN STRUCTURE? YES 8" NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] 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.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 s a3 2y �S'gtur of OWNEFQhNW be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT C. 7-1 7-ALf FIRE MARSHAL PUBLIC HEALTH 5 D 2 02-4 -OCR Vap Mason County WA GIS Web Map � 1 \16 I vie, wry4io pro IA 0 fi • �z,',\ ASS / EH Setbacks k.) Drainfield/Reserve requires 1O\setback from footing/foun X(ons Septic tank(s) requires 5'setbac from all footing/founday6ns No foundation/Perimeter Drains vw,ithin 30ft, downgrad' t of �\ rainfield/Reserve area 1' r .) No Cut Bank(s) (greater than 5ft an� over 45 degree )within Oft, down gradient of Drainfield/Reserv�area EH APPROVED Rhonda Thompson 06/21/2024 f i 4130/2024, 8:29:49AM 1:1,531 Ile 0 0.01 0.03 0.05 mi L/ 0 0.02 0.04 0.08 km Sovices:Esrl,HERE,Gamvn,Inleimap,increment P Corp.,GEBCO,USGS, t J I V FAO, NPS.NRCAN,GeoRase, IGN,Kadaster NL.Ordnance Survey, Esri Japan,METI,Esri China(Hong Kong),(c)OpenStreelMap contributors,and -- - the GIS User Community Mason County WA GIS Web Map Application Mason County disclaims accuracy,reliahility.or timeliness of websile info.riot liable for losses from reliance on it httpsAYwvr masoncountywa.gov/disdaimer.php l - - -- - - flop; -- - - , --.- -- ---- --- -- .�--_----- - - -�-- - -- n-------- -- � f x >\ f - 'fo Alma, (hvF Q r�it i EV Setbacks Iro _ A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all tooting/foundations C.)No foundation/Perimeter Drains within 3011,downgradient of E H APPROVED Drainfield/Reserve area -0.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within Soft,down gradient of Dr ainfield/Reserve area Rhonda Thompson 06/21/2024 Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load 0 Z_0 Make s/(y//X/ Model '5/ 'd Year 2,yzLl Square feet IZZ-1 Width 7-7 Length 6 1 Sin e/Doubl0/triple-wide(indicate) NEW 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: C9KManufacturer's Pier Plan O 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 O Concrete(pre-cast) O ABS Pads(Poly) provide manufactures specification with capacities. O Continuous concrete footing(runners) ;K Slab ANCHORING: 0 Ground 0 .A4eg+xrm— O Concrete-2500 PSI 0 J-bolt O 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 Baler Installer(indicate) Date 6—Z�;—a y Name 6o eAe—, Parcel#J � ( q 76 - 60110 7 0 BLD# 24Z,4— OOWW.0 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 X = X �7 = Measurements for buildings are taken at the �J 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 ry v 5 X = if the total impervious area of the proposed site .rz X = l 7Z Y 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 pr perty for rev' and inspection as may be required. Owner/Age Contractor(ci le one)Date: 2 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