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Home My WebLink AboutBLD2024-00133 BFG Home - BLD Application - 1/31/2024 DocuSign Envelope ID:A201625B-94F7-4926-873C-DAC73EDBD99C isMASON COUNTY Permit No: COMMUNITY DEVELOPNh4RE IV E Q Permit Assistance Center, Building,Planning JAN 31 2024 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INF NAME:COSTELLO PACIFIC LLC NA SOUTH SHORE CONSTRUCTION INC MAILING ADDRESS:6223 MT TACOMA DR SW MAILING ADDRESS:PO BOX 963 CITY: LAKEWOOD STATE:WA ZIP:98499 CITY:BELFAIR STATE:WA ZIP:985 "I PHONE#1:1-253-293-4943 PHONE:3608014432 CELL: 3605091342 PHONE#2: EMAIL:southshore@q.com EMAIL:nick@costellopacific.com L&I REG#SOUTHSCO16NL EXP. 2 0 —/26 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑� OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12228-75-90032 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR"of SURV 3/113 61116INT TR A LOT:B OF SP e/469 AF0 4MI79 FIRE DISTRICT 5 SITE ADDRESS WA CITY BELFAIR DIRECTIONS TO SITE ADDRESS Easton W Alder St toward N 61th St,at the traffic circle,take theist exit onto N 1st St,lee onto E Pine St continue onto WA-3 N,continue straight onto E North Bay Rd,continue onto WA-302 E.turn left onto E Highlander Dr,lot on the left next to 201 E Highlander Dr. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD:4_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❑r ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(whole Bldg)13 YES(Parift]ofBldg)❑ NO❑ DESCRIBE WORK INSTALL NEW MH FOR RESIDENTIAL USE SQUARE FOOTAGE:(proposed 1 ST FLOOR 1512 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.fL COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.R GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* IvIAICE PALM HARBOR HOMES MODEL AMERICAN DREAM III 4P356H9 YEAR 2024 LENGTH 66 WIDTH 27 BEDROOMS 3 BATHS 2 SERIAL NUMBER N/A ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑� SEWER❑ / NEW E] EXISTING❑ PLUMBING IN STRUCTURE? YES I] NO❑ If yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO❑Q EXISTING SQ.FT. EXISTING BEDROOMS 0 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 permiVapplication becomes null&void H 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 X 51o+eer COUNTY CODE 14.08.42H ) �� 1/16/2024 6fiBYM6:li 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 RECEIVED _ JAN 31 �� 2024 Mason County Building Department615 W. Alder Street MANUFACTURE HOME SUBMITTAL CHECKLIST APPLICATION REQUIREMENTS NOTE: Applying for a Building Permit may require additional approvals prior to applying for a Building Permit. Such permits are: Accessory Dwelling Unit approval, Flood Hazard Permit (requirement when located in Special Flood Hazard Area), well report and septic design approval. Building Permit Application. Fill out the application as completely as possible. Please use only blue or black ink. You can find your tax parcel number on the Mason County Assessor's office to locate this information. If the parcel does not have an address, it will be assigned an address when the application is processed. Signature by owner or authorized agent is required on the application. Manufactured Home Plan Review Submittal Specifications You will need to have verified the unit is designed and rated for the snow load at address to be placed. A snow load map is available at: https://www.masoncountywa.gov/forms/Community Dev/snow load map.pdf Provide a Tie-Down and Foundation Plan and include footing/pier size. • New units. The manufacturers pier plan and layout, to be supplied by the manufacturer. • Relocated units to be set up to the HUD standards. Must provide a pier plan and reference documents for setup. Copy of tables and specifications from standards. 0 Provide Model Specific Floor Plan-showing use of each room. Site Plan. Your site plan must be no larger that 11"x 17" plain white paper. It must be drawn to scale, include all structures, setbacks to all property lines, driveway, septic system, well, stormwater(drainage) components and plan. C3 Stormwater Worksheet. All stormwater controls and details to be included on the site plan or a separate Stormwater Plan. C3 Water Adequacy compliance-Water adequacy application and all fees and documents must be submitted. 0 Septic System Approval-Septic design must be approved prior to application submittal. C1 Submittal Fee's 0 Access Permit-Required for new or modified access off a County or State maintained road. You can reach Mason County Public Works at (360)427-9670 ext. 450 or Washington State Department of Transportation (360)357-2736. Please contact permits@masoncountywa.gov or call 360.427.9670 ext.352 for assistance. RF Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS JAN 31 2024 UNIT INFORMATION: *****Snow Load 615 \N. Alder Stren' Make Palm Harbor Homes Model American Dream III Year 2024 Square feet 1512 Width 27 Length 56' Singl ED riple-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: V 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 7 Pads 7 Concrete (pre-cast) 7 ABS Pads(Poly) provide manufactures specification with capacities. Continuous concrete footing(runners) 7 Slab ANCHORING: O Ground 0 Magnum N( 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 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. �! licant/Dealer Installer ndicate) Date 1/16/2024 165' EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations f�hPO, B.) Septic tank(s) requires 5 setback from all footing/foundations k C.) No foundation/Perimeter Drains within 30ft,downgradient of \ P�� Drainfield/Reserve area �d D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft,down gradient of Drain ield/Reserve area r "Front yard" and "front yard se back" mean the space extending the full width of the lot betweer a structure or building and the -s� front lot line or road easement Doundary, whichever is closer. The _ setback is measured from the furthest projection of the building to ------ - - the closest point of the front lot line or road easement boundary, \ whichever is closer. f RR5 Zoning Front Yard Setback. 25'. . \ Side & R ar Yard Setbacks. Residential dwelling 4 and accessory structures is 20'. OR 10%width of lot if not more than 100' wide \ OR appr ved ADV 0 PLOT PLAN COS"I'EI L0 PACIFIC PARCEL 12228-75-900:32 ,\ SCALE 1" =40' 4 EH APPROVED Rhonda Thompson 03/22/2024 z>;1 eW:::_? 5' min ----------------- _- -__ ------ --- a�- ------- ` ° o---�-------------------_-� � 4x6 Landing ADV2024-00030- 10 MIN Proposed MH 27' All setbacks are measured from the furthest Proposed DF Area tX,,1"anding 10, 2 projection of the building. Driveway s�-------`'�_, 30' 02/16/2024 APPROVED --- --- ---------- MASON CbUNTY DCD PLANNING 5e6u RuE11Y,Atcp -------------------- 25' EASEMENT t Digitally signed $CO"RuaO by Scott Ruedy 25' E HIGHLANDER DR. ---- —------- ----- ---------, e) LO Palm Harbor American Dream III AN 312024 Homes i �� 5 N/. Alder Street www.palmharbor.com ETI. 1 II Mstr i i� Bath Dining Kitchen _� Util2 --- 1 8'-9"x12'-9" �. ibr�� o Bedroom 2 9'-10"x13'-0" II .I .I 0 N Master Bedroom 13'-6"x13'-5" Living 21'-6"x12'-9" Bath Bedroom 3 2 9'-11"x 12'-8" [�D Copyright C�Palm Harbor Homes.Inc.Because palm Harbor Homes has American Dream III 3 bedrooms, 2 baths a continuous omduct updating and improvement process,prices,plans, Walk-in bedroom closets tlmensions.features,materas,specifications and availability are subject Model N4P356H9 to change without notice or obligation Please refer to working drawings for ■ Utility room actual dimensions.Renderings and floor plans are artist's depictions only AD2 8 563 C and may vary from the completed home.Square footage Calculations and Approx. 1512 Sq. Ft. room dimensions are approximate subject to industry standards. Rev.07/15 Namcc.o !�IC Parcel# BLD# ,/,�yRq Mason County MI L D I N G 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 aacC� ctiiviity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requiretFib�tt �ier�vlet 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 JAN 31 2024 Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". 615 W. Alder Street 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)/G WThe 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 i rmation provided is accurate and employees of Mason County are granted access to the above- describe rope for revi 'and inspection as may be required. X ! Owner/Age Contractor ircle one)Date:01/16/2024 Page 2 of 2 Name Parcel# BLD# 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. ZCommon 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 56 X 27 = 1512 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways 25 X 58 = 1450 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) 2962 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 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