HomeMy WebLinkAboutBLD2024-01007 MFG Home - BLD Application - 8/15/2024 MASON COUNTY Permit No:e)t9L dl 0()7
COMMUNITY DEVELOPME M C E I V E D
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION AUG 5 2024
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI01%,W.
NAME:Dahl Properties,Inc. NAME:NW Green Construction,Inc.
MAILING ADDRESS:261 N Hamilton RD MAILING ADDRESS:261 N Hamilton RD
CITY:Chehalis STATE:WA ZIP:98532 CTTY:Chehalis STATE:WA 3
PHONE#1:3607400345 PHONE:3607400345 CELL:
PHONE#2: EN4AJ ,:rebecca@nwgreenhomes.net �
EMAIL:rbecca@nwgreenhomes.net L&I REG#NWGREGC92205 EXP. _
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER E]
NAME Rebecca Meister(Agent) EMAIL rebecca@nwgreenhomes.net
MAILING ADDRESS 261 N Hamilton RD CITy Chehalis STATE WA ZIP'98532
PHONE 3607400345 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) A PTN of 520241300000 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 16
SITE ADDRESS XXX Highland Rd(LOT 6) CITY Shelton
DIRECTIONS TO SITE ADDRESS Head west on W Alder St toward N 7th St;Tum left at the 1 st cross street onto N 7th St;Tum right onto W Railroad Ave;
Continue onto W Shelton Matlock Rd;Tum left onto W Highland Rd
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:25 -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 p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER I]
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Single-family residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s)ofBldg)❑ NO❑
DESCRIBE WORK Placement of a 27x60 manufactured home w/decks;connect to new OSS and existing well
SOUARE FOOTAGE:(proposed)
1 ST FLOOR 16()0 sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.& BASEMENT sq.ft.
DECK 32 sq.& 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 Fleetwood Homes MODEL Pure 28604M YEAR 2024 LENGTH 60
WIDTH 26'8 BEDROOMS 3 BATHS 2 SERIAL NUMBER To be assigned
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC El SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOD 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 dedare 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 ft above described property
and structure(s)for review and inspection. This permittapplication 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 T PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPUC ON OF 180 DAYS OF WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
OUNTY CODE 14.08A2)
x 7/30/2024
Signature fQVIPR Must be si iRhe OWNER Date
DEPARTMENT REVIEW APPROI&D DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
SCALE-I"=100r-0'
102 \(PO\ RM IS GROUND EL.®T H.1-(REIM=100.0) NOTES
P�
10 RESTRICT .IAVTR ON —PRhNRYI21rRESERVE
LOT 3 - 'p, -FIVE TIMES RULE MET
T\ `\ J -NO WELLS WITHIN I OF DRNNFIELO
ELAPSE TUC METER AID EVENT COUNTER REQUIRED
RISERS TO SURFACE REQUIRED OVER ALL TANK LDS
SOIL LOGS
_xp/1 / ') GRAWLLY SANDY LOAM 0-4C
I1 J"���� • 1 1— _W -) / MOTTLED AEDDM SAND AC.
2) GRAVELLY SANDY LO✓M 0-]6-
``\` ```\ f � fA BIiIYrtEN ME0 OT E WID N0 WNV SI.rRpv LONIIV TO TEJtTUMICXVXE
\\� �\ � ,' �.mu.
RK,A4
]) RRAVELLYSANDYLCMM 0-2r
```` I ® j40r MOTTLING W.
` GRAVELLY SANDY LOAM 0-W
MOTTLING 2r-
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e, J
PLN Approved
SEE DETAIL 10/04/2024
T Mason County Community Development
Gavin Scouten
10; All Changes Subject to Approval
, 3 Disclaimer
i M Mason County does not require surveys for
' building.As a result,site plans may not reflect
SCALE-r=ao'-W accurate data.It is the applicant's responsibility
Q+ to comply with setback requirements.
EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations *NOT AN APPROVED SEPTIC DESIGN*
B)Septic tank(s)requires 5'setback from all footing/foundations
Q No foundation/perimeter drains within 30'down-gradient of drainfield Use approved septic design for septic system installation
reserve area
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area
p PROPOSED 3 BEDROOM RESIDENCE EH APPROVED '(I�7 U
• �" O PROPOSED DRIVE l t-00 �{
---�— �.An�cr.sr�n 10/15/2024
O PROPOSED 2 PARTY WELL
PLN SETBACKS O PROPOSED STUBWT I CLEANOUT(IE..96 0)
ACRES EN R NCE LEFT E N I M7HATO T
Front(E):25' OS PROPOSED SEPTIC TANK(IN EL.-93.51 OUT.FL_-95.2) ACRES ENTANCETOSTEONaEItIGR (JC-
Sides:20' O PROPOSED PUMP CHAMBER(PUMP EL.-92.0) S�KSB Fl/DE9 fNFOR Ly
Rear:20' OT TS'-2•PVC TIGHTLINE(SCHao) CALVIN DAHL
O PROPOSED VALVE BOX(IE.100.2) STE ADDR
*all setbacks measured from the farthest XX HIGHLAND RD-LOT 6
O PROPOSED DRAINFIELD AREA
projection of the building £CLL-I#GHL/NDACRES-LOT6 ,oEx
10 DRIP IVA(90OFT2)PRE-TREATMENT MAY BE REWIRED TWA PIN OF 520N1300000 911EE
'subject to EH setbacks Sao a
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9)2024 FLEETWOOD HOMES INC. ALL RIGHTS RESERVED FIM
continuallyate and modify our products,it is important for you to LXj—
Important:Because we update y p p
know that our brochures and literature are for illustrative purposes only.ILLUSTRATIONS MAY - r•
.a.!-.v... . a. vA5.4 wry �n'� "'aT� �6DD'-,a64b`
SHOW OPTIONAL FEATURES.All information contained herein may vary from the actual home �laN
we build.Dimensions are nominal length and width measurements are from exterior wall to exterior
wall.We reserve the right to make changes at any time,without notice or obligation,in prices,
colors,materials,specifications,features and models.Please check with your retailer for PU/210/APR24 L
specific information about the home you select. PFs APPRovAL.4/17/24
,an OL-03ORtl -DIW7
13%jX%01D1"- Mason County Building Division V E D
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS RECEI
UNIT INFORMATION: *****Snow Load D AUG 15 2024
Make Elkft00A Model �066DJ VY1 Year Zd?-1 elder Street
Square feet �b Dp Width 2-10' $ Length b�
Single/Coub)l /triple-wicle (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
7 Pads
31� Concrete(pre-cast)
O ABS Pads(Poly) provide manufactures specification with capacities.
O Continuous concrete footing (runners)
71 Slab
ANCHORING:
71 Ground
-71 Magnum
7 Concrete-2500 PSI
7 J-bolt
71 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. —7
X 1!l�ca t/Dealer/Installer(indicate) Date
Name QYl I NQV OVP`C fi l t� Parcel# c,2 02-4. 13.00WD (LotG) BLDWqLjD
BUll� Mason County
��l� 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 require t D
Management in this jurisdiction.A complete copy of the ordinance can be found on the r-6 ebsi e:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". AUG 15 2024
Regulated activities shall be conducted only after Mason County Public Works approve"Jlsthr"vi*V- f6 p i"`'t
(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) 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/ ent/ ontractor(circle one)Date:
Page 2 of 2
NameX2611 �&Vt'tf S Parcel# S�014.13 5 C)UnC�_ J BLD#_eaD Z2q- 01 M'J
Mason County J
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 surfacez.
'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 o X 26• S = I b o0
X = Measurements for buildings are taken at the
perimeter of the farthest projections (example:
X = eaves/gutters)
X =
Driveways \S o X 10 = \S oD
X = Length of drive begins at the right of way
X =
Parking Areas o X Cj a = 1 S o 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 4 X t{ = b
X = 16 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) k�b 3:;?-
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 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
SCALE-1"= 100'-0"
O ` \
1 // \\\\ `,\ \ 102 10Ioo BM IS GROUND EL @ T H.1 -(RBM=100 0) NOTES:
901 RESTRICTIVE LAYER BELOW-48"PRIMARY/28"RESERVE
LOT 3 \\'�� dp+ 10( FIVE TIMES RULE MET
NO WELLS WITHIN 10(Y OF DRAINFIELD
ELAPSE TIME METER AND EVENT COUNTER REQUIRED
RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS
8 j / SOIL LOGS
�20'� / 1) GRAVELLY SANDY LOAM 0-48"
MOTTLED MEDIUM SAND 48"+
2) GRAVELLY SANDY LOAM 0-36"
` MEDIUM SAND 36-72'
\ \
, MOTTLED LAYER BETWEEN MED.SAND AND GRAV.SANDY LOAM DUE TO TEXTURAL CHANGE
LOT 6 \\ ` I NOT RESTRICTIVE
` 3) GRAVELLY SANDY LOAM 0-28"
�4 MOTTLING 28"-
` ` 1 7 4) GRAVELLY SANDY LOAM 0-28"
I MOTTLING 28'+
\
L
5 AUG 15 2024
615 W Alder Street
SEE DETAIL i
1 \
ra
1
1
• rw
�•_ 106
t
SCALE-l'=30'-0"
Py
PROPOSED 3 BEDROOM RESIDENCE
\ O PROPOSED DRIVE
03 PROPOSED 2 PARTY WELL
O4 PROPOSED STUBOUT/CLEANOUT(IE.-96.0) HIGHLAND RD TO A LEFT AT 2ND HP�HLAND
5O PROPOSED SEPTIC TANK(IN.EL-95.5/OUT.EL-95.2) ACRES ENTRANCE TO SITE ON THE RIGHT.
O PROPOSED PUMP CHAMBER(PUMP EL.-92.0) SEPTIC SYSTEM DESIGN FOR-
O7 75'-2"PVC TIGHTLINE(SCH40) CALVIN DAHL
O8 PROPOSED VALVE BOX(IE.-1002) SITE ADDR-
Og XX HIGHLAND RD-LOT 6
PROPOSED DRAINFIELD AREA
J- LEGAL- HIGHLAND ACRES-LOT 6 1 OF 2
t0 DRIP R/A(900FT2)PRE-TREATMENT MAY BE REQUIRED 1\G� "'A PTN OF 520241300000 I S'"
5Ru^ A - l3 - 5-0000