HomeMy WebLinkAboutBLD2024-01004 MFG Home - BLD Application - 8/15/2024 MASON COUNTY Permit No: U ai ()ru
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning AUG 15 2024
BUILDING PERMIT APPLICATION 615 W. Alder Steet�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Dahl Properties,Inc. NAME:NW Green Construction,Inc.
MAILING ADDRESS:261 N Hamilton RD MAILING ADDRESS:261 N Hamilton RD
CTTy:Chehalis STATE:WA ZIP:98532 CTTY:Chehalis STATE:WA 21P:98532
PHONE#1:3607400345 PHONE:3607400345 CELL:
PHONE#2: EMAIL:rebecce@nwgreenhomes.net
ENlAIL:-rebecca@nwgreenhomes.net L&I REG#NWGREGC922Q5 EXp / 2424 G
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 0
NAME Rebecca Meister(Agent) EMAIL rbecca@nwgreenhomes.net
MAILING ADDRESS 261 N Hamilton RD CITY Chehalis STATE WA ZIP 98532
PHONE 3607400345 CELL
PARCEL INFORMATION: c /q
PARCEL NUMBER(12 Digit Number) 7;w 3 `50 06 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 16
SITE ADDRESS XXX Highland Rd(LOT 5) CITY Shelton
DIRECTIONS TO SITE ADDRESS Head west on W Alder St toward N 7th St;Turn left at the 1 st cross street onto N 7th St Turn right onto W Railroad Ave;
Continue onto W Shelton Matlock Rd;Turn left onto W Highland Rd
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:25Dsf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check au thatappty):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM E]
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Reridmcg Gamgg Commercial Bldg,Etc.) Single-family residence
IS USE: PRIMARY E SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(WhokBldgl r❑ YES(Part[,]of Bldg)❑ NO❑
DESCRIBE WORK Placement of a 27x60 manufactured home w/decks;connect to new OSS and existing well
SOUARE FOOTAGE:(Proposed)
1ST FLOOR 1600 sq.ft 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 32 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 Fleetwood Homes MODEL Pure 28604M YEAR 2024 LENGTH 60
WIDTH 268 BEDROOMS 3 BATHS 2 SERIAL NUMBER To be assigned
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES El NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOQ EXISTING SQ.FT.
EXISTING BEDROOMS 0 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.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 CONTINU AYS O ION OF WORK ON IS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLIC I N OF 180 D MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X 7/30/2024
Signatu O Must be oed by the OWNER Date
DEPARTME AL REVIEW PROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
EH APPROVED i
NOTES --- Rhonda Thompson 09/17/2024
- EBTRN:TNE IAYER 8E3ON'_>7 PREAARr/fO RESERVE - - _ ,//�.,
-FIVE TEES RULE MET ''{Q,..Y SC/II.E-�•=tar-0•
-NO WELL8 VImLN 100 OF DRANF-W D --
-ELAPSE TIME METER AND EVENT OOVNIER REQUIRED O - '�nI(•_ -
-RISERS TO SURFACE REOLRID OVER ALL TAM UIDS EH Setbacks
AlDrainfield/Reserve requires 1 O'setback from footing/foundations
SOIL LOGS B. Septic tanks requires 5'setback from all food oundations LUI ri _
1) GRAVELLY SANDY Law 0-24- C.)No toundation/Perimeter Drains within 30ft,downgradient of -
GRAVELLY MEDIUMSAND 24-7r Drainfield/Reserve area
_ D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within � � O
n GRAVELLY SANDY LOAM ° 24 soft,down gradient of Dralnfleld/Reserve area
GRAVFILY MEDIUM SAND 24-7r
3) GRAVELLY SANDY LOMM 0-24'
GRAVELLY MEDIUM SAID 2a-W
MOTTLPM. Slr
NOT AN APPROVED SEPTIC DESIGN '
Must use SWG 2024-00195 for septic installation
2CALE-1'=30'-0' --- --------
s
M1 O PROPOSED 0 BEDROOM RESIDENCE
\ 94 O PROPOSED DRIVE
4 O PROPOSED 2 PARTY WELL
PROPOSED STUBOOT I CLEANOUT(IF-88 5)
OPROPOSED SEPTIC TANK(IN EL-88 01 OUT EL-67 7)
96 O PROPOSED PUMP CHAMBER(PUMP EL.-BA 5)
O 319.2-PVC TIGHTLNE(SCH40)
O PROPOSED VALVE BOX(IE:9B.8)
O PROPOSED DRAINFIELD AREA
0 RESERVE AREA
99
IS OUND EL.@ CEDAR STUMP(RBM:99 0)
100
s
H AtAND RID TOA LEFT AT 2ND HMaHlWD 1`
e ACRES ENTRANCP TO SffE ON THE RIGHT.
6 O) I`9B`L1C14Y81EMDEBNMLFM-
\ \l\\\ CALVIN DAHL
(D XX H 4LANO RD-LOT 5
401\ \ LEGAALL-- HKW AND ACRES-LOT 5 1OF2
Oj \ \ \ �� 'W 7 �I-I3 8RE•
BUILDING
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load -�I)4v-
Make ElgftoDGI Model 6C) f VYl Year 20-24
Square feet Ib DQ Width 2 Length �0
Cou)bl
Single/ /triple-wide (indicate) EW r 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
7 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
53" Concrete(pre-cast)
7 ABS Pads (Poly) provide manufactures specification with capacities.
7 Continuous concrete footing(runners)
71 Slab
ANCHORING:
71 Ground
15( Magnum
71 Concrete-2500 PSI
O J-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. —1
X �� A lica t/Dealer/Installer(indicate) Date
Name 12A n I WQ)0tXt1 S Parcel# Sa01q '13 00000 (LO ;) BLD# 242.4—G 1004
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 bO X 2-1, b 00
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways V5 0 X C) oo
X = Length of drive begins at the right of way
X =
Parking Areas o X 0
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
)( _ k 6 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) �'63
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 for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Im ervious 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
Name 1�)0Y1�"QY Dyyo 1 t� Parcel# C,2 02-1-' J3-0000o (L!tS) 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:
b=//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"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) X 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-
described property for review and inspection as may be required.
X Owner/ end ontractor(circle one)Date: '3 0 -2-04�
Page 2 of 2
l �
NOTES
-RESTRICTIVE LAYER BELOW-72-PRIMARY/60"RESERVE
FIVE TIMES RULE MET _ '
-NO WELLS WITHIN 100'OF DRAINFIELD SCALE-1" 1 OO'-�"
=
-ELAPSE TIME METER AND EVENT COUNTER REQUIRED
-RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS 3
SOIL LOGS
I) GRAVELLY SANDY LOAM 0-24' LOT 5
GRAVELLY MEDIUM SAND 24-72"
2) GRAVELLY SANDY LOAM 0-24" '� O
GRAVELLY MEDIUM SAND 24-72"
3) GRAVELLY SANDY LOAM 0-24"
GRAVELLY MEDIUM SAND 24-60" SEE DETAIL
MOTTLING 60'.
I
SCALE-1"=30'-0"
5 o 0
PROPOSED 3 BEDROOM RESIDENCE
� 11l
94 O PROPOSED DRIVE
4 O3 PROPOSED 2 PARTY WELL
7 Ot O4 PROPOSED STUBOUT/CLEANOUT(IE -88.5)
96 O5 PROPOSED SEPTIC TANK(IN EL -88 0/OUT EL -877)
92 O6 PROPOSED PUMP CHAMBER(PUMP EL.-84-5)
90 O7 315'-2"PVC TIGHTLINE(SCH40)
O PROPOSED VALVE BOX(IE-98.8)
O9 PROPOSED DRAINFIELD AREA
t0 RESERVE AREA
98
BM IS ROUND EL.@ CEDAR STUMP(RBM=99,0) 1
i00 \ i
\ \ I
\ \\ \ HIGHLAND RD TO A LEFT AT 2ND HIGHLAND
\\ ACRES ENTRANCE TO SITE ON THE RIGHT. JAI
.61
SEPTIC SYSTEM DESIGN FOR-
CALVIN DAHL
\ \ C \\ \ 2O SITE ADDR-
4(Y \ \ \ XX HIGHLAND RD-LOT 5
LEA- HIGHLAND ACRES-LOT 5 1 pF 2
® �'X �,� T75aO�Z4-13- S�s