HomeMy WebLinkAboutBLD2024-00978 MFG Home - BLD Application - 8/9/2024 - - MASON COUNTY Permit ho: �PR76
COMMUNITY DEVELOPMENT RECEIVED
N Permit Assistance Center, Building,Planning AUG 0 9 2024
BUILDING PERMIT APPLICATION C
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PROPERTY OWNER]INFORMATION: CONTRACTOR INFORMATION:
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NAME:Matthew suarez NAME:county line development
MAILING ADDRE-SS:10608192ND ST CT E 1VIA1L ING ADDRESS:1811 padridc rd swum
CITY:9raham STATE:wa ZIP-98338 CITY:centralia STATE:`Na ZIP:98531
i PHONE#1: PHONE:3602920909 CELL:
PHONE#2: EMAIL,;mike@countylinedevelopmenWo.com
EMAIL: L&I REG#countkf781r7 EX--P.121A 71202,
PRIMARY CO-YTACT: OWNER❑ CONTRACTOR❑ OTHER[]
NAME EMAIL
i MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)61918-42-90003 ZONING
LEGAL DESCRIPTION(Abbreviated)LOT 3 OF SP#3050 AF#1939915 PTN OF NW SE FIRE DISTRICT
SITE ADDRESS8174 W MATLOCK BRADY RD CI-fYelma
DIRECTIONS TO SITE ADDRESS
i IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER TH.1N 14%: YES[] NO❑ SNOW LOAD:' psf
i IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chmt all rharapp6):
SALTWATER❑ LAKE•❑ RIVER/CREEK❑ POND❑ WE-TLAND❑ SEASONAL RLNOFF❑ STREAM❑
TYPE OF WORK: NEW B ADDITION❑ ALTERATION❑ REPAIR❑ OTIFER ❑
USE OF STRUCTURE(Residnice.Garage.(aaanerrial Bldg.Ele.)residential
IS USE: PRMARY❑ SEASONAL❑ NL-ABER OF BEDROOM S3 NUMBER OF BATHROOMS
HEATED STRUCTURE? YES rff7N./e 81,1,v Q YES(Purr(sl ajBldgl❑ NO❑
v DESCRIBE WORKinstall new manufactured home
_. SQUARE FOOTAGE:
I ST FLOOR 1512 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK48 sq.fL COVERED DECK sq.1L STORAGE sq.ft. OTHER sq.ft.
GARAGE.400 sq.ft_ Anached❑ Detached Q CARPORT sq.ft. Anached❑ Detached❑
MANUFACTURED HOME INFORMATIOM *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE9oldentwest N4ODELdrm562f YEAR2024 LENGTH56
WIDTI128 BEDROOMS3 BATIIS2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ NEW El EXISTING❑
PLUMBING 1N STRUCTURE? YES� NO❑ /jj•es,altrrrh completed f ter.ddequac3-Form
PERIMETER/FOUNDATION DRALNS PROPOSED? YES❑ NOQ EXISTING 5Q.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 perrriVapplication becomes null 8 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
g a NER(Must be signed by the OWNER) Date
DEPART_VIENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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BUILDING
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load 30
Make_golden west_ Model _drm 562f Year 2024
Square feet_1512 Width 28 Length 56
Single Double Wriple-wide (indicate) CNEWdr 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
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
-7 Pads
—1 Concrete (pre-cast)
ABS Pads (Poly)provide manufactures specification with capacities.
1 Continuous concrete footing(runners)
'4 Slab
ANCHORING:
1 Ground
1 Magnum
1 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 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
ins�tiin,
X Applicant/Dealer/ staller dicate) Date 7 /43 /2-y
Name 1W itt, t✓ Parcel# �pl°;1��_ L}2-9000.3 BLD?# af
5 � 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?.
'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,roollops,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 ILI X 516 1
K , c X = lop Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways l 0 X ISO _ !"
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
q Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 31 )Z
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 owmer,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 operty for review and inspection as may be required.
P
X Owner/Agent/Contractor(circle one) Date: ]/'t 3/21
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
Name YPa N2 Parcel# 191 g19q ZgUQU.3 BLD# QP/0--,Do"I
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/« orksheet (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:
hMHwww.co.masoii.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 14.49.70). 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 andlor 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/drain£eld 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 protessional 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.
Owncr/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 qcknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
descri roperty for review a i ection as may be required. Q
X 0xvner/Agen ContracDtor(cirle one)Date:
Page 2 of 2