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Home My WebLink AboutBLD2023-01396 MFG Home - BLD Application - 11/16/2023 MASON COUNTY Permit No: BJI2/d3--n139� COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY {OWNER INFORMATION: CONTRACTOR INFORMATION: ri NAME W I(��C G i 1(P- NAME:/(<%L�G MAILING ADDRESS: P,O, !a, r MAILING ADDRESS: CITY: P „r- STATE ZIP:- CITY: STATE: ZIP: PHONE#1:31 to-(n LOLA-!t a%4 'T,.3 PHONE: CELL: PHONE#2: 2 1m5- -14�1-3OID$ EMAIL: EMAIL: e)t`n o.S'L;hoej,2e 12 L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHETt. ;165 7Ga�(rz �( NAME !' 61e C)r" st SGH.9'yi1e EMAIL )�h t t Oevl ?' r MAILINGADDRESS ?,6,CDX (a1 CITY Me STATE WAiZIP r� PHONE'X1(0-10to0- I92`f CELL BLOC)--L1SLI- (3 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ta ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT — SITE ADDRESS 1-?a IVE L.OrSOII ) CITY TjC Q r _ DIRECTIONS TO SITE ADDRESS .-4 '5AOre rI +I 1 Rck -; on v t J IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NC-A SNOW LOAD:--!S—psf UI %1lF La r�okj 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)<ADDITION❑ ALTERATION❑ REPAIR❑ OTHER e dt~iP4a4�1 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) eg,3 0'P nce- IS USE: PRIMARY* SEASONAL❑ NUMBER OF BEDROOMS_L NUMBER OF BATHROOMS_ HEATED STRUC ? rS role Bldg) YES(Part[s)ojBld [I NO p DESCRIBE WORK Gfi Sl C ! f !,t f' Sty L.7 t!. C '2t ''P 0 SQUARE FOOTAGE: (proposed) 1 ST FLOOR-&q(0 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 J�af: 4e Y 0DEL YEAR LENGTH WIDTH BEDROOMS_ BATHS_SERLU NUMBER 4%RX_ ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING)< PLUMBING IN STRUCTURE? YESA NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 4 NO[] EXISTING SQ.FT. EXISTING BEDROOMS l� PROPOSED BEDROOMS—19— TOTAL BEDROOMS_ t 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'tf 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 i �� COUNTY CODE 14.08.42) X , iD-1-23 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Mason County WA GIS Web Map �233151001W--{ t ,r 1241 HE LARSON BLVD / 12331 100120 123315100111 X 1 < I ` X123315100095 it Z,�,� 123315100094 4{•}Landi� 123315100136 123315100113 510 NE SANTA MARIA LN 12331510011$ ~'- �. 123315100117 r;j 10/19/2023,2:07:08 PM 1:382 0 0 0.01 0.01 mi 0 County Boundary o 0.01 0.01 0.02 km No Filled 2 ' Site Address (Zoom in to 1:3,000) Sources:Esri.HERE,Gamin,kammap,0 aemerd P Corp.,GEBCO,USGS, FAO,NPS,NRCAN,GeoBase,IGN,Kadaster NL,Ordnance Suvey,Esri Tax Parcels (Zoom in to 1:30,000) 'apam METI.EsnCh—(Hong Kong',(c)Open ors,and the GIS User Community Mason Cowry VW G1S Wab Map Ap okabon Courtly of Kksap,Bureau of Land MaragornaM Esn Canada,Esn,HERE,Garman,INCREMENT P,USGS,EPA,USDA i WATER LINE 019CLAIWR: SOIL LOG#1: „ra SOIL TYPE:4 011—48":LIGHT BROWN LOAMY SAND \ J 2 '. :A Q EXISTING L°'• M Y y�p (� 2-BR MOBILE (a�t'l TO BE REMOVED J. PROPOSED 2S'1 2-B BILE ------- + S min Zf) home to RESERVE tank INFIELD + 4eN EH APPROVED !°�fIEy6 I I;r 53 Rhonda Thompson 03/08/2024 QIV EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations 9� B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area E D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within zca IAInR�R 50ft,down gradient of Drainfield/Reserve area exalrses +snsr� 0'5110' 30' 50, 75' _ _ 100' + ALL PROPERTY L/NES/BOUNOAR/ES HAVE PROPERTY OWNER NOTE: BEEN O MONSTR,A IL Er THE OWNER(S)ANO/OR THE/R AOENT(S). I-r- %30 carewu� Iew ALL aapeda o/lhle eepllc dnslVn.A Y cods Incurred due to chwpas to I aTALLaR M�VERIFY TNAT wATlR LING LOCATION AT TIME OP INSTALL MEETs ALL COOEE/EETEA CKa Isla defipn ane'eudnb�b ANYIa A TNHOE ARLELa IPNOFONRaIMBAI LTITIOYN o P ERTINENT TO THC OCVCLOP MNr To PRo Ioe To ACME IN wRITINO nrn aso 1NafIh SCALE(FEET) onI0 yoe�Yp rHoepasl rtyy I-- .................... N EB AUNRON Na OT Eo PN u HAIU IRHAoR VAB LEGEND --- ACME DESIGN NO BUILO ZONE OUC TO U RE9HEN WATHR TABLES.A CURTAIN ORA,N MAY BC RCOUIREO. w, OIL--� PENOINo UPON FINAL ELEVATIONa.A PUMP MAY aE REaLIIRHo. , DATE- 9 FEBRUARY 2024 P.O.BOX 2954 Cw OIREOT ALL OOwNBPOUT/aVRFACE WATER AWAY FROM ORAINFIELO AREAS. �.- LOW AREAS P oP LATEFaALa oR MoouLEa ARE oEPrcrHo,THEY ARE APPRoxIMArE ANo MAY VARY. TREES>12'•OIA NAME- KITSAP SEPTIC SILVERDALE,WA. P ROVIO60 THEY REMAIN IN THH oELINHATEO OF ARCA. L W WITHIN,00 FeHT of PROP.a� NOAR Ea HA E BEEN aHOWN r�oo•POR�LAaa_B WAI HR,. 98383 BPT FOR THE OIaPERaAL oOMPONENr.ALL BEPrIo OOMPONENTa ML BT BE WATERTIGHT To al RPAOE. O =EXIST ING SEPTIC TANK TAX ID- 12331-51-00112 -WATHR L NE MVBT BE A MINIMUM O OM A aEPTIC C NaNT. -MAINTAr V A MINIMUM—'sETBAOK MO,VJrJ--of I_PITa.MINIMUM of 1—a—M—U-1--H oP I-- STREET- 1301 NE LARSON BLVD ANO MULOH PINAL ORAINPIHLO COVHR,MMA:O,ATHLV UPON OOMPLETION. OBPENOINO ON THE TYPO OP ATU UBBO.A TRASH TRAP MAY BB REGI.JIREE,. TEL.360-698-8488 � -LATEIRALa MAY BH No oLoaBR THAN a•oN CENrER. SCALE:1"=30' SITE PLAN INFO@ACMESEPTIC.COM P WATER ANO a B OR066.T CY MUST a VCTEO IA Y COOS. .---_l -/30/2023 13:44 5037696022 KARSTEN HOMES PAGE 03/ w ti • ca uj • z LL C%4 L4e co Go a* UJIM0 W-11 ao LU tq 4ft 1, j C? 0. Cb NB .0140 UJ Lu 0 0 4L) L=u U0, G Ail' A lit i 4-IM CRK 1 .•R0.f0[.Q�l __. / L.Sow. TYPICAL WINDOW WDY CCWR FRONT ENDWALL ELEVATION arriattiL oca.e---� µme! E e'FMCN I.� I+ ......._... � / �.1 4•Rnreoon ii. Manufeoturn0 Wmte b= O AlbGq Division-MGM 1972 12 ' ��i,,, ► 2445 S.W. PACIFIC BLVD. � 1101,DR 97321 _ Phone(341)926-8631 0I�._........___... Fox(866)491-6847 b BOLT COLOR TM 0 SDEWALL ELEVATION EXTERIOR ELEVATION WIGG-Duw BY: G. LUND SIDDrv.u,4•DR C 4' WALLS DREXY SERIES DREANI48-2 DAT-9-14 2-_A - o IL Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load Make 16arS+e T 1 odel 1 /1=yo Year cr Square feet 12Q b Width ) Length l Single oubl /triple-wide (indicate) NEW o �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 O 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 O Concrete(pre-cast) O ABS Pads(Poly) provide manufactures specification with capacities. Continuous concrete footing(runners) O Slab ANCHORING: O Ground O Magnum 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. X Applicant/Dealer/Installer(indicate) Date Name—T-�Jl \cQ 0PCf54 I i(C Parcel# 7L57�d f f a. BLD#AA0;"3—0/J P 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. '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 A X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = 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) 1 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. n f L�X Z4�,ay Owner/Agent/Contractor(circle one)Date: I C) 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. Pagel of 2 Name ' Ltd 1 16 D 9(ti rf Parcel# � a��—�S—(�d�, `a' BLD# qLL)?'3 - 0139LP — 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" 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/Agent/Contractor(circle one)Date: Page 2 of 2