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Home My WebLink AboutBLD2022-00763 MFG Home - BLD Application - 5/19/2022 !; MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 • Phone Shelton:(360)427-9670 ext.352•Fax.,(360)427-7798 Phone • \ [�/ \ Belfair.(360)275-4467•Phone Elme:(360)482-5269 R� BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTR//��ACTOR INFORMATION: NAME: rG� SM i NAME: 50 n u 14' 1&f �'V MAIL ADRRESS: o x 1 D 1 MAILING ADDRESS: @r Str�� ' CITY: eA C )( STATE: WAY ZIP: Z CTTY: STATE: ZIP: t PHONE#1: v— 1`�- flUL PHONE: CELL: PHONE# : ,e ' EMAIL: EMAIL:t CA4H L&I REG# EXP. PRIMAU CONTACT- OWNER❑ CONTRACTOR❑ OTHER NAME Ldl C.r EMAIL MAILING ADDRESS CITY STATE P PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 12 3 7 — 4 O O t/ ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRII�CT SITE ADDRESS 2-ZO Z Of 4 del cti I 1 kgS :J CITY ;4C DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (CheckaB that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWS ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Eu.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(W6oleBldg)❑ YES(Part[sl ojBhW❑ NO❑ DESCRIBE WORK SOUARE FOOTAGE:(proposed) 1ST FLOORsq.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 K MODEL YEAR 19 7 LENGTH WIDTH BEDROOMS 3 BATHS SERIAL NUMBER / ENVIRONMENTAL HEALTH: SwI 2o SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ' STING❑ PLUMBING IN STRUCTURE? YES NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ Nj�j EXISTING SQ.FT. EXISTING BEDROOMS_jo— 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.1 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 permitlapplication 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 n -�/ 3 1� - 2,'1 Signature of ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH HLANNINU 5t 1 UAUK5 PLANNING: MASON COUNTY DCD PLANNING ALL SETBACKS ARE MEASURED FROM Front: 25' SITE PLAN REQUIRED TO BE ON SITE THE FURTHEST PROJECTION OF THE Side and Rear: 20' CHANGES SUBJECT TO APPROVAL BUILDING *Subject to Eld Setbacks By: ��_ Date:07/05/2022 Verify the 30'setbadi from +17'el 226' +- drain neW before install +2'el Well X .o z �Va+e aye 3 Qt eat / 100% Reserve N � Observation e X R r Ports(4) SL#3 i i � 'i` �erOrE klttaRetlOn IODii 1�mtn WIN a 1W setback from well head cow r� o +� Z� 1E ZA a s w bo - va Box N rn 27' + 20100609 Frank A.Mardnko v� LICENSED DESIGNER Parking S SL# I ("-38"Sltt Loam �G 3V Mottled Sift Loam Layer -5 SL#2 0"-10"Disturbed Fill 11"-4V Sitt Loam 17 SW Mottled Sift Loam Layer SL#3 (r-28"Silt Loam \ g 2r Mottled Sift Loam La x EH SETBACKS A)Drainfield/Reserve requires 10'setback from footing/foundations EH APPROVED B)Septic tank(s)requires 5'setback from all footing/foundations (� C)No foundation/perimeter drains within 30'down-gradient of drainfield S reserve area 08/22/2022 D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drainfield/reserve area +7'el 226' +- +0'el Septie Site Plan Scale = 1" = 40r Address: **** Old Belfair Hwy Naive: Butler Tax parcel# 12317.-14-90061 B �'22 -v°7�3 iha is rc:a sbr+er all have keen enmonstrated by the Uwner(s:and/er:e. kgenils). On-Site Septic Design i Allied Septic Design and Excavating RECEIVED r1. F xG` I' JUN j. . �4L. I t'U'' 2 2 2022 F.,I r�7fiiii.''-��i:a.i ii;,ila[;:iLfi•i' a. ....:ie•..,..:I�<o-- b - 615 W. Alder Street Name &13 U- lJ Parcel# ( �3) BLD# It q)——o U W, Mason County Department of Community Development BUIL IN Small Parcel Stormwater Management Application/Worksheet (page 1 of 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'. '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 simi rly impede the natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impe r 6us surfaces. To Calculate Impervious Surfaces Please Complete This ble Surface Type Length X Width = Area All diptensions in feet Buildings X 2:7 X = Xperimeof or buildings are taken at the arthest projections (example: X = aves/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 = 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 th;TotXalpervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below. Baseon 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. �{ 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. MAY 19 2C22 Page 1 of 2 Name Obn u► Ginty Parcel# 'dl 31 -7- )'4- ` 00(k l 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: hgpL/www.co.mason.wa—us/code/commissioners/index.htrn 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- des 'bed property for review and inspection as may be required. X "� <-- Owner/Agent/Contractor(circle one)Date: - 4 - Zz, Page 2 of 2 RECEDE® Mason County MAY 19 2022 Community Services-Building Division c�r.. IN. Aldar Street MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load Make :� �� ` Model Year��'�/ T Square feet Width �v Length L G ❑Single/06ouble/❑Triple-Wide (indicate) ❑NEW or❑Replacement(indicate) All footings must be min. 12" below grade within 24" of the skirting when perimeter blocking is required. When manufacture specification is not available use ANSI A225.1 or HUD 24 CFR 3285. Must provide pier plan with reference sections. 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 ANSI A225.1/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 Pads Continuous concrete footing(runners) �❑ Slab ANCHORING: ❑ Ground BUILDING ❑ Magnum ❑ Concrete-2500 PSI ❑ 1-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 ANSI A 225.1/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. ;j X Ofy (}�Aj<_A-_ ❑Applicant/❑Dealer/0 Installer(indicate) Date 7