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Home My WebLink AboutBLD2024-00450 MFG Home - BLD Application - 4/8/2024 MASON COUNTY Permit No: COMMUNITY DEVELOPMENT RECEIVED Permit Assistance Center,Building,Planning APR 0 8 2024 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 der Street NAME:TREVOR JOHNSON/SAM SISSION NAME:COUNTY LINE DEVELOPMENT MAILING ADDRESS:470 E MIKKELESON RD MAILING ADDRESS:1811 PADRICK RD CITY:SHELTON STATE:wA ZIP:985S4 CITY:CENTRALIA STATE:WA ZIP:98531 PHONE#1: PHONE: CELL: 360.292-0909 PHONE#2: EMAIL:MIKE@COUNTYUNEDEVELOPMENTLLC.COM EMAIL: L&I REG#COUNTLD781R7 EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑ NAME SAMEASABOVE EMAIL MAILINGADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: �■ PARCEL NUMBER(12 Digit Number) 321341390120 ZONING r LEGAL DESCRIPTION(Abbreviated) TR 12 OF SW NE TR C OF SP#784 SEE SURVEY 8132 S 441122 FIRE DISTRICT SITE ADDRESS 470 E MIKKELESON RD CITY SHELTON DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:3�sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check atl that appl).): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)RESIDENTIAL IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(W7,al,Bldg)Q YES(Part[sI afBldg)❑ NO❑ DESCRIBE WORK INSTALL NEW MANUFACTURED HOME SOUARE FOOTAGE:(proposed) 1 ST FLOOR 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.fL Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE CLAYTON HOMES MODEL LOVELY DAY YEAR 2024 LENGTH 60 WIDTH 27 BEDROOMS 3 BATHS 2 SERIAL NUMBER TBD ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES Q NO❑ If yes,attach completed Water Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NOQ EXISTING SQ.FT. EXISTING BEDROOMS 3 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.1 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 pernit/applicaton 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 APPLIC TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON X�I ems, COUNTY CODE 14.08.42) /eiwT (0,z� 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 EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s) requires 5'setback from all footing/foundations EH APPROVED C.) No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area Rhonda Thompson 07/01/2024 D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area 3Z13M 1310 Mo y70 E M?rk1Cf65E/U 1 � PLN Approved r''= 14-o' �- 04/18/2024 N Mason County Community Development Gavin Scouten All Changes Subject to Approval O PLN SETBACKS _ Front(West):25' Sides:20' Rear:20' T .all setbacks measured from the farthest "- 10'min �'+►h t1p,�►, _..-_____.---__ projection of the building f 'subject to EH setbacks —C ' N to 90';J_ NamO-i t6 11 on Parcel# "/02 % - I 1 Q 1A D BLD# 262 - oo 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 77 X (00 = 1(0-LA) 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 X = —Parking Areas = _ Any paved, gravel or packed area per definition above table Patios/Walks X = X = Any paved, gravel or packed area per definition X _ above table 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) 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. OwnerBu'L cknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowch is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I 7�: furtr t the information provided is accurate and employees of Mason County are granted access to the above- hedescrib d eview and ' y"be required. X Owner/Agent/Contractor(circle one)Date: 4-e If the-1otal 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 Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load Make C1I±41 ,, (- wRel Model Lc yy_t-1 Qk) Year 7020 Square feet Width Z7 Length 4:1 b Single/Double/triple-wide(indicate) NEW or 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 73 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 1 Concrete(pre-cast) -1 ABS Pads(Poly) provide manufactures specification with capacities. 1 Continuous concrete footing(runners) 1Z Slab ANCHORING: O Ground O Magnum O Concrete-2500 PSI -1 J-bolt 1 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 toit ocesses will ed on the information provided herein and will be verified at time of n. Applicant/Dealer/Installer(indicate) Date /� Z Cl/yton Lacey) 27 WIDE -'Austin- �.ST. .�„_a s� .. _..�...�..-..... Ts�+r:�„_._.�.__,., �_e•e ......<..y:g .-_____.,x:14 _.._._..�31 !LIX KITON/N Y/T�,1 k ®j k r1 1 I uvwo ROOM //OIIOOM i ROROOM/ /RIMMY 1rrx 1Y•/" /'J•x 121•r rd"x ia%r "CROOM - 131.4•x ia•-r w.a,aea I4rltl1S9hr TEMPO SERIES 27x60 Lovely Day 3 BEDROOM,2 SATT 1,62080. FT: nrv»m..,:w»"w..rv�w..w.«..i.�e.».....x.W.r,�Hr.M.•r...rH.«�«•r,w..w.w,t,,..,,.,n..�.w,»..�.,,. W-V.Y�Nh+YR Utl