HomeMy WebLinkAboutBLD2024-00039 MFG Home - BLD Application - 1/11/2024 MASON COUNTY Permit No:-b 1 GI 2-0Z c4 -REC�V)
COMMUNITY DEVELOPMENT
JAN 11 2024
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Exodus Acres,LLC NAME:Southshore Construction j
MAILING ADDRESS:PO Box 76 MAILING ADDRESS:PO Box 963
CITY:Allyn STATE:WA ZIP:98524 CITY:Belfair STATE:WA ZIP:98528
PHONE#1:206-200-3325 PHONE: CELL: 360-509-1342
PHONE#2: EMAIL:southshore@q.com
EMAIL: L&I REG#848345-01 EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑
NAME Tho—Wcesr EMAIL tomCpomaswolter.com
MAILING ADDRESS PO Box 76 CITY wyn STATE WA Zlp9 24
PHONE 20e-2M3325 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22003-60.00007 ZONING SF O
LEGAL DESCRIPTION(Abbreviated)_ FIRE DISTRICT
SITE ADDRESS TBD-Approx 25 Fox Lane CITY Shelton �I
DIRECTIONS TO SITE ADDRESS Hartine Island-Left after going over bridge heading N. Left on Fox Lane.Approx.125 mile to lot on Left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 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 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Esc.)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whale Bldgl❑+ YES(Pan/sl rjBldg!❑ NO❑
DESCRIBE WORK New Mfg Home
SOUARE FOOTAGE:(pn pomd)
I ST FLOOR 1296 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 Palm Harbor MODEL Siskiouy YEAR 2024 LENGTH 48
WIDTH 27 BEDROOMS 3 BA FHS 2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ /f yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS_—,V
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 CF ONTINUAT OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT PLICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X
Signature of OWNER(Must be signed by the OWNER) D to
DEIPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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Name —4 Y`54 4'.5 Parcel# F?—dG3 -`o- � 7 BLD#_10;-4
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,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.
_.
I
rface Type 7Le;rng�;thX Width = Area *All dimensions in feet
Buildin s X ?-7 = /z^/�
X = Measurements for buildings are taken at the
X = perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X blio
X = Length of drive begins at the right of way
X =
—Parking Areas X =
X = Any paved, gravel or packed area per definition
X _ above table
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
Others X =
X =
XNi" =
�IJIP
If the Total impervious Surface Area is LESS THAN 2000 Square Feet,please read,a\then
and sign below.
Based Upon the information you have provided a Storinwater Site Plan IS NOT required lopment activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop ermit revocation.
Acknowledgement ofsuch is by signature below.T declare that T am the owner,owner's legal represee ontractor.T
further acknowled that the informati n provided is accurate and employees of Mason County are s to he above-
described prope forreview- inspection as maybe required.
X Owner/AgentiContractor(circle one)Date: -�
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and 'gn
the information provided on page 2 of 2.
Page 1 of 2 ��„ r
Name ,°-6`--�i �"�°�?��� Parcel# BLD# 16 Z� — on)3
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:
http,'/www.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 Stormwater Site Plan
on the pages that begin with"Handout"
PLEA.SE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
SE
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 selitic/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.1
further ackno� ledge that the i tion provided is accurate and employees of Mason County are granted access to the above-
described pr erty for re` and inspection as may be required.
X Owner/AgentiContractor(circle one)Date: ///-14
Page.2 of 2
Mason County
Community Services-Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: Snow Load
Make I' Ll7 A<0-6tV(� Model -5,0"�/954'4 Year �7_c, -'
Square feet /' �� Width Length
Single/ ubl riple-wide(indicate) EW r 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
O 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
O Pads
�< Continuous concrete footing(runners)
O Slab
ANCHORING:
O Ground
73 Magnum
Concrete-2500 PSI
-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 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 proces es will bZbon the information provided herein and will be verified at time of
inspection.
X Applicant/Dealer/Installer(indicate) Date /�/ ��