HomeMy WebLinkAboutBLD2024-00861 DEMO, MFG Home - BLD Application - 7/17/2024 MASON COUNTY Permit No: 'k\
COMMUNITY DEVELOPMENT JUL 17 2024
Permit Assistance Center, Building,Planning 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NANIE:AARON&NICHOLE WILSTON NAME:BLACK HILLS EXCAVATING,INC. CD
MAILING ADDRESS:60 E LANSKY DR MAILING ADDRESS:3439 93RD AVE SW
CITY:SHELTON STATE:WA ZIP:98584 CITY:TUMWATER STATE:WA ZIP:98512
PHONE#I:360-507-6586 PHONE:360-701-0168 CELL: 360-507-6586
PHONE#2:36D-49D-2719 EMAIL:DEREK@BLACKHILLSEXCAVATING.COM —25
EMAIL:NICHOLEWILSTON@ICLOUD.COM L&I REG#BLACKHE959KJ EXP /16[
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME AARON WILSTON EMAIL NICHOLEWILSTON@ICLOUD.COM
MAILING ADDRESS 60 E LANSKY DR CITY SHELTON STATE WA ZIP 98694
PHONE CELL 360-507-6586
PARCEL INFORMATION: W
PARCEL NUMBER(12 Digit Number) 22D245D-0oo03 ZONING RR 5
LEGAL DESCRIPTION(Abbreviated) 22024-50-O0003lGRENADIER PARK TRACT 2 FIRE DISTRICT DENTS MASON
SITE ADDRESS 60 E LANSKY DR CITY SHELTON
DIRECTIONS TO SITE ADDRESS FROM HARSTINE ISLAND BRIDGE TURN RIGHT(SOUTH ON ISLAND),TRAVEL TO STOP SIGN TURN RIGHT(SOUTH),
TRAVEL TO LANSKY DR.,TURN RIGHT ONTO LANSKY DR.TURN INTO FIRST DRIVEWAY ON RIGHT.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOD SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall 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,Convnercial Bldg,Etc.)RESIDENCE
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(wholeBW❑� YES(Part[s]ofBW❑ NO❑
DESCRIBE WORK REMOvm CURRENT MowLE HOME DECOMM44310NING CURRENT SEPTIC SYSTEM AND REPLACING WITH NEW MANUFACTURED HOME AND INSTALLING NEW OSS
SQUARE FOOTAGE:(proposea)
I ST FLOOR 1760 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 FLEETWOOD MODEL 210P_V28664E YEAR2024 LENGTH 66'
WIDTH 26'8• BEDROOMS 4 BATHS 2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC FI SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES D NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑� EXISTING SQ.FT. 1000
EXISTING BEDROOMS j U PROPOSED BEDROOMS 4 TOTAL BEDROOMS 4
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 permillapplication 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.
PROO"F CO TINUATION OF WORK O THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP P C TION 0 XMORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
I
Sig re of OWNER(Must be sigried by the OWNER) I D to
DEPAR ENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FM MARSHAL n�
PUBLIC HEALTH 2�k Vv
Page 1 of 4
NEA.4-BEUROOM_QN--BIIE_WASTEWATEE-DELI WMf ADF.� pLN Approved
EH APPROVED AB13REVIATEDDESCRETIDN_GRENADIggp6RK01LtJQJTRA6 07/18/2024
Mason County Community Development Y
Rhonda Thompson 08l15/2024 NOT AN APPROVED SEPTIC DESIGN Gavin Scouten co
All Changes Subject to Approval o
Property Lines Established ey Other Must use SWG 2024-00282 for septic installation o
SCtbaLkPerPlat PLN SETBACKS N
Front(S):25' a)
Sides:20' I a
112` Rear:20'
all setbacks measured from the farthest
223 projection of the building
'Q "`s T"ov'°"go Men°. "subject to EH setbacks
10'min to DF
and reserve `" /5'min to tank I z
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JAI ,1 ,•{'�•.�'. s R•1WEH Setbacks
n n�'�n�q� �' ^. "r'' •'y''�` jM1p A.) Drainfield/Reserve requires 10'setback from tooting/foundations U ef• E
�•p ,•s;'}� r�'1-..•:r-�_•�? a B.)Septic tank(s)requires 5'setback from all V footing/foundations
of foundations --f o0 O' •"i:y;r tl '`1?„'^� *'-'d:�.i .;-'` '�• C.)No foundation/Perimeter Drains within Wit,do
1 f tY mJ In �
••:_t:,�.;. =. .��nf'�x,:.., . Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within N O
5011,down gradient of Drainfield/Reserve area 1 I •N ?>j
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Ihis.ia-=A.Survoy Site features,topography,elevations,and foolages are based on data provided by the properly \ Scale:l"=50' m >
oamerartdYrn—Mason County public records.This Slte Plan and the Septic Design are intended for review by the \ � 0 5'
Mason County Health Department and the contractor hired to install the septic system.MI ah Halvarsua,as the s"nlic \ p-_
designo�.bere6Y-.adviseaAae.WoaedKawneLlo-use_alicensed.sudxYOCIaR[e0areasunre7[ot1h81aod.16al.dlsrJoses \
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Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SP CIFICATIONS
UNIT INFORMATION: *****Snow Load
Make fI Uod Model 1E:ywr rU,r..)$� ';fear W10
Square feet V Width 2�), Length LD(P
Single ouble triple-wide(indicate) EW r 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:
Manufacturer's Pier Plan
O HUD24 CFR part 3285
FOUNDATION:
Check the type of foundation and attach_,deta+f p ain5jr6m m7 er's or the ANSI
A225.1/HUD24 CFR part 3285 L
Pads
O Concrete(pre-cast)
O ABS Pads(Poly) provide manufactures specification with capacities.
O Continuous concrete footing(runners)
O Slab
ANCHORING:
Ground
O Magnum
O Concrete-2500 PSI
O 1-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 ocesses will be based on the information provided herein and will be verified at time of
ins ction
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7`
plic Dealer/installer(indicate) Date l7 Z
r r
Name Nt , __ Parcel# 2;1.o)-4-� —�r 'y O3 BLD# 2,62-4 - QO&,a
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 = 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
Parking Areas
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) i�tic
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 ackno ledge that the information p ovided is accurate and employees of Mason County are granted access to the above-
describe op for review in a on as may be required.
X Own /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 Parcel# 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:
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
Page 1 of 4
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