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HomeMy WebLinkAboutBLD2019-01216 MFG Home - BLD Application - 10/25/2019 DocuSign Envelope ID:B6914DEF-4505-4928-8EA1-6B349262E1EC MASON COUNTY COMMUNITY SERVICES Permit N0: PERMIT ASSISTANCE CENTER: .BUILDING•PLANNING+PUBLIC HEALTH•FIRE MARSHAL A CQ) 615 W.Alder Street,Shelton,WA 98584 . Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone c �© Belfair. (360)275-4467•Phone Elma:(360)482-5269 O BUILDING PERMIT APPLICATION 61 CrZS?14,1 019 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: der StrO.t NAME: YALANDA AND JOHN FISH NAME:SOUTH SHORE CONSTRUCTION MAILING ADDRESS:1961 NE OLD BELFAIR HIGHWAY MAILING ADDRESS:PO BOX 963 CITY:BELFAIR STATE:WA' ZIP:98528 CITY:BELFAIR STATE:WA ZTP:98528 PHONE#1:3608013674 PHONE:3602750818 CELL: 3605091342 PHONE#2: EMAIL.SOUTHSHORE@Q.COM EMAIL:JYBFISH@HOTMAIL.COM L&I REG#SOUTHSC016NL EXP. 02 1 10 /2020 PRIMARY CONTACT: v OWNER❑ `CONTRACTORX OTHER❑ NAME EMAIL MAILING ADDRESS CITI'Y STATE� ZIP PHONE CELL PARCEL INFORMATION: ?' ';! a + + a _ PARCEL NUMBER(12 Digit Number) 12317-41-00090 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR 9 OF NE SE FIRE DISTRICT SITE ADDRESS 1961 NE OLD BELFAIR HIGHWAY CITY BELFAIR DIRECTIONS TO SITE ADDRESS HEAD(N)ON WA-3 FOR 21.8 MILES,TURN LEFT AFTER DAIRY QUEEN,CONTINUE STRAIGHT ONTO NE OLD BELFAIR HIGHWAY FOR 2 MILES,DESTINATION THE LEFT 1961 NE OLD BELFAIR HIGHWAY IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOX IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thut apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAMX TYPE OF WORK: NEWV ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENCE IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BAT14ROOMS 2 HEATED STRUCTURE? YES(WholeBldg)X YES(Part(s]gfBldg ❑ NO ❑ DESCRIBE WORK INSTALL NEW MH FOR RESIDENTIAL USE SQUARE FOOTAGE: (proposed) I ST FLOOR 1680 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 WINGATE 28603G YEAR 2019 LENGTH 60 WIDTH 28 BEDROOMS 3 BATHS 2 SERIAL NUMBER N/A ENVIRONMENTAL HEALTH: 3 SEWAGE/SEWER SOURCE: SEPTIC X SEWER❑ / NEW ❑ EXISTING X PLUMBTNG TN STRUCTURE? YES X NO❑ If yes, attach completed Water Adequacy Form PEREV ETER/FOUNDATION DRAINS PROPOSED? YES ❑ NCX 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 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 oocuSignedby; COUNTY CODE 14.08.42) �-t� I'::w 10/23/2019 lgna ure of OWNER(Must be signed by OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH DocuSign Envelope ID:B6914DEF-4505-4928-8EA1-6B349262E1 EC MASON COUNTY COMMUNITY SERVICES Permit No: X� PERMIT ASSISTANCE CENTER: .BUILDING•PLANNING+PUBLIC HEALTH•FIRE MARSHAL A 615 W.Alder Street,Shelton,WA 98584 . Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone �D Belfair(360)275-4467•Phone Elma:(360)482-5269 O BUILDING PERMIT APPLICATION 61 CT?5 2019 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: lilder Stre., NAME: YALANDA AND JOHN FISH NAME:SOUTH SHORE CONSTRUCTION MAILING ADDRESS:1961 NE OLD BELFAIR HIGHWAY MAILING ADDRESS:PO BOX 963 CITY:BELFAIR STATE:WA ZIP:sa5za CITY: BELFAIR STATE:WA ZIP:98528 PHONE#I:3608013674 PHONE:3602750818 CELL: 3605091342 PHONE 92: EMAIL ,SOUTHSHORE@Q.COM EMAIL:JYBFISH@HOTMAIL.COM L&I REG#SOUTHSCO16NL EXP. 02 / 10 / 2020 PRIMARY CONTACT: --- OWNER❑ CONTRACPORX OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE- ZIP PHONE CELL PARCEL.INFORMATION: PARCEL NUMBER(12 Digit Number) 12317-41-00090 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR 9 OF NE SE FIRE DISTRICT SITE ADDRESS 1961 NE OLD BELFAIR HIGHWAY CITY BELFAIR DIRECTIONS TO SITE ADDRESS HEAD(N)ON WA-3 FOR 21.8 MILES,TURN LEFT AFTER DAIRY QUEEN,CONTINUE STRAIGHT ONTO NE OLD BELFAIR HIGHWAY FOR 2 MILES,DESTINATION THE LEFT 1961 NE OLD BELFAIR HIGHWAY IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOX 1S PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that upply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM, TYPE OF WORK: NEW ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHEROFIN ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc•.)RESIDENCE IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(YVhole Bldg)X YES(Part[s]gfBldg) ❑ NO ❑ DESCRIBE WORK INSTALL NEW MH FOR RESIDENTIAL USE SQUARE FOOTAGE: (proposed) 1ST FLOOR 1680 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.lt. STORAGE sq.ft. OTHER sq.$. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq,ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: k4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE FLEETWOOD MODEL WINGATE 28603G YEAR 2019 LENGTH 60 WIDTH 28 BEDROOMS 3 BATHS 2 SERIAL NUMBER NIA ENVIRONMENTAL HEALTH: -00 4 3 SEWAGE/SEWER SOURCE: SEPTIC X SEWER❑ / NEW ❑ EXISTING X PLUMBTNG TN STRUCTURE? YES X NO❑ If yes, attach completed Water Adequacy Form PERIMBTER/FOUNDATION DRAINS PROPOSED? YES ❑ NCX 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 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 Donuslonedny: COUNTY CODE 14.08.42) 10/23/2019 ignature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT 2 /7 FIRE MARSHAL PUBLIC HEALTH VICE- OCT 25 2019 Future Homes 615 W. Ald er pL Street of Bremerton C • mw--------------- , •■. I L UTILITY � tt ++ it ! KITCHEN AREA i tt s r i i 8°•3E7 X Sz t ' -f JM A5TER ! BAM t J ..r � t if tN ti � St3`ht�h Bhfi 11 � •' W11.,.,w»,..... ; 1 ! 11diEYS1:.^`.t*.%i b.",oFhLtti c'F^< r&ET£.F "y�,` Si ; Af) i 4 # it 31 11 t S t3A ' # it i! iEt 1 !i !i 11 !1 t j # 11 L i i i t � lJOJ4! i BEf7ROOM#3 SEORE?f7W92 ii I ! l If 1i Itit + t ►a 1t it i , t t ♦ ii I1 ii ! i i1�'` � *111 tdfD�d i _—_,__.Il�____1L____a a .��i �_> .NL —11 t r a F9fi1RF�' � f �t .i I N ..i A T E sow, MASTER O D E L 2 6 1J 33 G; ! ! ! 3 Bedroorn • 2 Bath - 1,,599 Square Feet , 4021 State Hwy 16 W I Bremerton, WA 98312 1 360.479.4663 1 Mon-Sat 9a-Sp Sun 12p-Sp www.futurehomesbremerton.tom ALTERNATE DAI N RECEIVED PLANNING OCT 2 5 2019 615 W. Alder Street PLANNING: � J ALL SETBACKS ARE MEASURED � FROM THE FURTHEST PROPOSED � ° 28'X 60'MH PROJECTity,.. -N .�•�E THE BUILDING COVED -INIGAP � DOUr,►TY DDD Phi ( & YALANDA FISH MP.SON UIREDTo 1\� OLD BELFAIR HWY ���g 3 S{TE PL4N REQ LANDING ►46►fi N ES SU[3JECT TO APPil� �3��-00090 � N Date PLOT PLAN y g 1 =60' / 1NG 5 LANDING cn PROPOSEDC-c IN •"t _ SH STRE SEPTIC TANK D 1 TREA NON FISH S EXISTINGi I :s r SHED u �j STING z t . LL ----------- USE t EXISTING HOME 212.99' --------- =' rp:h - Y'1.•�ii5i i _ PROPOSED ADDITIONAL EXIS G - DRIVEWAY DRAIN LD EXISTING 36' _ DRIVEWAY 590' OL ELFAIR HIGHWAY RECEIVED OCT 2 5 2019 ENVIRONMENTAL HEALTH D 615 W. Alder Street PPR0% 1 i6201c1 - G 12-1 io �` FEB 0 5 2020 ' MggON GOUtM E"p1�AENTAI HEA LYG PROPOSED — 26'X60'MH _ 3 V? JOHN & YALANDA FISH ~` 1961 NE OLD BELFAIR HWY ���g 3 1 231 7-41-00090 LANDING Ae+� PLOT PLAN 44yy�� 1 =60' ING 'LANDING PROPOSED ``i m 3 Sy7' SEPTIC TANK p EXISTING SHED �i STING Ll - USE i EXISTING HOME ;' — :1.: 21 ss' ----- --- PROPOSED - ADDITIONAL EXIS G DRIVEWAY ti: DRAIN LD EXISTING DRIVEWAY 36' 17 J 590' OLD BELFAIR HIGHWAY f Name ) Parcel# Z3i 1 - - BLD# 01 9 `6 t ZIf (O RERECEIVED Mason County � , - Department of Community Development L -� „a ��S,anp�l Ntcel Stormwater Management Application/Worksheet (page 1 of 2) Pf5itsWCAAW rTitlet 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 CakLAWWWO,WWI se Complete This Table Surface Type Length X I Width = Area 'All dimensions in feet Buildings 60 X 28 = 11680 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways 200 X 10 = 2000 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 development is greater than 2000 square feet a _X_�________-- Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) 3680 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/S 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.1 declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the info tion provided is accurate and employees of Mason County are granted access to the above- described pro erty fo eview Inspection as may be required. �{ Owner/Age Contractor J cle one)Date: 10/2/2019 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 I of 2 i 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: httpHwww.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 Stormivater 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 Stornnvater 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 propert7yjor review d inspection as may be required. X Owner/Ag t/Contractor( ircle one)Date: 10/2/2019 Page 2 of 2