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BLD2024-00816 ADV2024-00111 Replace MFG Home - BLD Application - 7/9/2024
MASON COUNTY Permit Nw r 9 — e&6�7 COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center, Building,Planning JUL 0 9 2024 W BUILDING PERMIT APPLICATION 615 W. Alder Skoets PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: j (-r AME: v MAIL G ADDRESS: MAIL G ADDRESS: CITY: STATE:��ZIP:g� CITY: STATE ZIP: PHONE#1:`ZS 3 S14 '-3 1'5 PHONE: CELL: Z PHONE#2: EMAIL: EMATL: e L&T REG# EXP. / / PRIMARY CONTACT- OWNER)o CONTRACTOR❑ OTHER❑ NAME MAILING ESS CITY 1. 4 i T ZI . PHONE S� ('Z) �G I � CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 23 J 1-5U-(30cm Ln ZONING LEGAL DESCRIPTION(Abbreviated)(-o�-(Q B fty-6S 00W Z FIRE DISTRICT SITE ADDRESS CITY IRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(s)6&ATER THAN 14%: YES[] NO SNOW LOAD:025 usf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWO ADDITION❑ ALLTE^RATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Etc) 1[J JAaci �Mn h.hx)e IS USE: PRIMARY V SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Wavle Bldg) YES(Part[sl ojBldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(proposed) I ST FLOOR H/Z sq.ft. 2ND FLOOR_A)A_sq.ft. 3RD FLOOR_sq_ft. BASEMENT 1Ur+ 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❑ AIANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE �r t,�xx MODEL 2��LC3'� YEAR-ZOZ4 —TLE(NGGTH� S kO WIDTH—'5_BEDROOMS_ BATHS 2 SERIAL NUMBER 1 1 J V ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTTNG)g� PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Farm PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOt!r' 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 permNapplication 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 ��IleQII'NER) TY CODE 14.08.42)� Z"1XS f O ��md Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Mason County Building Division BUILDING MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load o2� Make�A-e y nC� Model (3 �J(o Year -7_C12q Square feet �L4 (� 2 Width 2 a Length CJ� Single/Double/triple-wide(indicate) NEW oijje lacem 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 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 1 Pads 71 Concrete(pre-cast) 71 ABS Pads(Poly) provide manufactures specification with capacities. Continuous concrete footing(runners) 1 Slab ANCHORING: -1 Ground 1 Magnum 1 Concrete-2500 PSI 1 1-bolt ' L 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/Dealer/Installer(indicate) Date�� PLANNING BROADMORE SERIES 56-0" j 1 tOrr I fI ; I � E , I. I� I a► 1��i�I M UrCHFN Dof . II I I BArH ; ( Y�DINfNG __i { • t -� MIi4.SrER �{ BEDROOM#3 I i 1 I I MASTER O 10-2"x1a.o^ I#2" AREA I t _ _ ' ' ' ® � '6r4TH ' I 'BATH ! ' 6 s"x�� Orr i t9LMMD4.1 I O ` �r1711J1RY5iELYES OPr.GLAMOUR BA W - IYAUGIN , art:WVW. CLC"r:t , sm him It t 1_ 'I BEDROOM#2 i LIVINGROOM i MASrERB�:DROOM .,II I 10'4 X 12'-10" � 21'-6"X l.Y-0" � aostr t WALK-IN 1 i Ct1�f,I WALK-IN t —, ENlRANCIE MASTER BATH T ,; 1= 1Joj MODEL: 28563B Due to continued improvements and material 28 x 56 1,492 Sq.Ft change,specifications may change without 3 Bedroom 2 Bathroom notice.Room sizes are approximate. I RECORD DRAWING (Required) CHECKLIST PLN SETBACKS '® Drainfeld& PLN Approved Front(SW):25' manifold orientation 07/31/2024 Sides:20' layout Mason County Community Development Rear: 10' Gavin Soouten 1 Trench/bed All Changes Subject to Approval all setbacks measured from the farth dimensions and projection of the building critical distances subject to EH setbacks within layout ` Septic/pump tank k placement 2 Location of V p s I buildings — � s� Obsemation port& 1 L no Y? clean-out location cam, : Location of wells& roads J;a Undisturbed native �f\VeW soil between trenches North arrow Porch may only be within 2 ft of ` transport line if the porch is on pier ) M pads or blocks. In-ground footings 1 `Y must be no less than 2 ft from f D' q Sl transport line 4) 3' x 5p N e,;3 '3 Sri (1 ©`t "NOT AN APPROVED SEPTIC DESIGN* Use approved septic design for septic system installation ` EH SETBACKS A)Drainfield/Reserve requires 10'setback from footing/foundations } B)Septic tank(s)requires 5'setback from all footing/foundations li Q No foundation/perimeter drains within 30'down-gradient of drainfield EH APPROVED reserve area D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' n Ariden„n 08/09/2024 down-gradient of drainfield/reserve area n4r Revised 3/iS/2D72 Page d of C 2S 3 S l G 3cl I S " ck 4 C,C"') Name H�Ytw U10— Parcel# [2:3 5() _ ``56 BLD4 G 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. '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 1z X _ X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways JQN X = X = Length of drive begins at the right of way X = Parking Areas Qq 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 Others419 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. further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for re aew and inspection as may be required. n 1�--eX Owner/Agent/Contractor(circle one)Dater f7� 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 p � � Parcel# .6on-L.4 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: htty//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 detalls* 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- desert b d roperty for rev'le P Lion as may be required. Owner/Agent/Contractor(circle one)Date: Page 2 of 2 f / MASON COUNTY Mason County Permit Center Use: !` COMMUNITY SERVICES ADv tRoR t' -M I I I Building,Planning,Environmental Health,Community Health � 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd 77/01 12�- Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement.Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. Applicant/Owners: a*, Mailing Address: i' 1'2 bX City: State: I.&) Zip: 3 Telephone: Email: / CCWJ If this reduction is tied to a building permit, please give permit case number. BLD g 06- - 00ed� 10 Oe-- Parcel Number(s):� �i - _ ` DO 00 U Zoning Site Address: ( j( P ' L_ny_enl�->--I jAp e d Requested setback variance: 10 ft. ❑ Front aRear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic,well and driveway. Show all proposed new development. r FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; 4 d) lot size of no more than one-fourth acre; ❑ e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. Owner/Agent(please indicate) J_�' j :�6ature Date Official Use Only Approved by: L4W Date 1/l 3 1 /Z c2 Z.q Denied by: Date Reason for denial: