HomeMy WebLinkAboutBLD2024-00866 SFR - BLD Application - 7/18/2024 MASON COUNTY Permit No: Co"p�8 (�
COMMUNITY DEVELOPMENTC E I V E D
Permit Assistance Center, Building,Planning
JUL 18 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFO r et
NAME: 6t71'131AJ AJI,cA'S2cr t NAME: �G�r S L6 N ' �'MAILINGADDRESS: /'USSt<< Vic/ MAILING ADDRES : �Tc0/ ct tNG
CITY:O,A/<Vale STATE:�,* ZIP: ?Z fr CITY:D/< �/9/<K STATE: Z;:eir
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PHONE#1: �;60 -f/o y 3-4r PHONE:- qs%R: CELL: 3Go l 3y 724-ty
PHONE#2: EMAIL:G/1/z .
EMAIL: L&I REG#s>t,;T1z.4 c-A 97367 EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR 2" OTHER❑
NAME b 67W A"y EMAIL r4 2x. r��Tig,�} GrtAi
MAILING ADDRESS S A`'*f CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS ZZ 3 lit/• 6e//6 ea, CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 2' SNOW LOAD:aS--psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 9- ADDITION❑ ALTERAA�TION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) ,CyS/ -/V G e-
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parr(s]ojBldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(proposed)
IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.&
DECK sq.ft. COVERED DECK sq.& 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 Sic iG/ice f- MODEL YV417-C- YEAR?,—2-Y LENGTH
WIDTH 2 7 BEDROOMS 3 BATHS Z SERIAL NUMBER R 25
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC L'T SEWER❑ / NEW❑ EXISTING 2-'
PLUMBING IN STRUCTURE? YES 2- NO❑ IJyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOR- EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 18o days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATI 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature OWNER Must be sLqKed by the OWNER Date
DEPARTMENTAL REVIEW APPROVED. DATE::,. DENIED ' DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Light Can Light Pendent Da Drawers d
Switch h Ceiling Fan Florescent pp Pull Out Drawer = IL
Recept V TV Jack ® Register H B Hose Bib Quote# Customer ZM REV
GFCI Phone Jack 0 J-Box Paddle fan prep -7 STOCK Jw
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JUL 18 2024
30 X 39 36 X S8
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. Alder Street
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46 X 58 (2 3�X 58 36 X 58
1 .Sf BACK DORMER
15' + 22'
ENERGY STAR HOME
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RECEIVED
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS JUL 18 2024
UNIT INFORMATION: *****Snow Load 6, 615
W. Alder Street
Make 5,kY1 <yt Model �-T- L/`(U7- C year 2— 2-4/
Square feet /2%S Width 717 Length 1KI
Single ouble iple-wide (indicate) NEW Replacem (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:
Zl Manufacturer's Pier Plan
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
v3 Pads
LConcrete (pre-cast)
LABS Pads (Poly) provide manufactures specification with capacities.
-1 Continuous concrete footing(runners)
71 Slab
ANCHORING:
71 Ground / )
q, mag Cp �E/JZ S Cj�e2- cv/�iKPPs^�/VG e>iTf Pam/
7 Concrete-2500 PSI l
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 processes will be based on the information provided herein and will be verified at time of
inspection.
X Applicant/Dealer/Installer(indicate) Date 6`4�-Z'62-Y
Name ST��taci.'I Parcel# 2&-G7gY 00000 BLD#
e ����� Mason County
uIRECEIVED
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (pggg I OfA)4
615 W. Aldgr Ptreet
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building app ica ton 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 X 27 =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 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
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. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property fo view and inspection as may be required.
X Owner/Age Contractor(- cle 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
16/O
PLANNING:
o ALL SETBACKS ARE MEASURED FROM
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MASON COUNTY DCD PLANNING i
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° � a o B I SITE PL�N REQU IREb TO BE-ON SITE
C ;° o CHANQES SUBJECT TO APPROVAL
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v By: Date:09/1312024 PLANNING SETBACKIS ..
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r ason County, does not require a surrey to obtain a
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accurate data 1tis t�e applicant's reSpo su'b]ect to EHetfaack
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MASON COUNTY Permit No:O 4--o e&b
lop
COMMUNITY DE LOPMENIECEIVED
Permit Assistance Center, Building,Planning Q 2024
BUILDING PERMIT APPLICATION Alder JUL 1 O
street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA6rb&:
NAME: 60R/3/N W/64-2 _c:nn NAME: _;)e S LGL'
MAILING ADDRESS: MAILING ADDRESS: • VI AGt i cdyf -S'
CITY:04AWale- STATE:fW'.* ZIP: yFIS V CITY:G/ sK STATE:_W,4 ZIP: 9 5z3
PHONE#1: 360 - 1/ 3 ZL PHONE:}4-5 719/ gsZV CELL: 3&o Z 3y 7Zc61
PHONE#2: EMAIL:6/4Lzy. b 4 rl....4X p/
EMAIL: L&I REG#P&1-g.f z-A 97367 EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR @-" OTHER❑ to
NAME r�A/2V ,DfT/L'+y EMAIL 6--4 y�enr-4;z
k9 MAILING ADDRESS 5 r f, CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITEADDRESS 7.Z3 1./• CITY 92-k—'*-
DIRECTIONS TO SITE ADDRESS
1S THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO R' SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 2' ADDITION❑ ALTERAnTION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) "V Ge-
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan(s)ojBldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(proposed)
1ST 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.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE S,�jL//v fi MODEL / �f�sf 7- YEAR 0-'2-`1' LENGTH 4�,V
WIDTH 2 7 BEDROOMS 3 BATHS .Z SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC L7 SEWER❑ / NEW❑ EXISTING[�
PLUMBING IN STRUCTURE? YES 0-- NO❑ Ijyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[►- EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 APPLICATI 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) s �L
Signatur OWNER Must 6isLq6ed b the OWNER Date
DEPARTMENTAL REVIEW- APPROVED DATE ,' DENIED_� BATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT �3
FIRE MARSHAL
PUBLIC HEALTH
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EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.) Septic tank(s) requires 5'setback from all footing/foundations
a C.) No foundation/Perimeter Drains within 30ft, downgradient of
Drainfield/Reserve area -
i D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within q -
50ft, down gradient of Drainfield/Reserve area ,l!
EH APPROVED _
Rhonda Thompson 08/15/2024
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