HomeMy WebLinkAboutBLD2021-01706 MFG Home - BLD Application - 4/4/2022 MASON COUNTY COMMUNITY SERVtES Permit No:Zw=(D 010
PERMIT ASSISTANCE CENTER:
BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL RECEIVE
615 W.Alder Street,Shelton,WA 98584
Phone Shelton: 360 427-9670 ext.352•Fax: 360 427-7798 Phone Q t
Beltaic(360)275-4467•Phone Elms:(360)482-5269 NOV 1 J 2021 ® f ri l 4:
BUILDING PERMIT APPLIC ' qIj Alder Silc.,�t
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATTON:
NAME:Anthony Belgarde/Modem Day Home Solutions LLC NAME:Marcus Hooper/County Line Construction
MAILING ADDRESS:31420 8th PL SW MAILING ADDRESS:14085 Kimber Place SE
CITY:Federal Way STATE:WA ZIP:98023 CITY:Olalla STATE:WA ZIP:98359
PHONE#1:360-731-2615 PHONE:253-514-9529 CELL:
PHONE#2: EMAIL:marcus@countylineconstruction.us
EMAIL:belgardel2@icloud.com L&I REG#COUNTLC81103 FxP,09/30/22
PRIMARY CONTACT: OWNER E] CONTRACTOR❑ OTHER❑
NAME AnV nyBebaroe EMAIL belgardel2@ioloud.com
MAILING ADDRESS 31420 8th PL SW CITY Fed"IWay STATE WA ZIp96023
PHONE 360-731-2615 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)321275400075 ZONING
LEGAL DESCRIPTION(Abbreviated) Lots 75&76 Lake Limerick#5,V/P 7116-22 FIRE DISTRICT Central Mason
SITE ADDRESS 231 E Kilmamock RD CITy Shelton
DIRECTIONS TO SITE ADDRESS
1S THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ NO❑ SNOW LOAD:30 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check alt rhni npply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM E]
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(@'hole Bldg)E] YES(Pnrr(s/nfBldg)❑ NO❑
DESCRIBE WORK Place new Manufactured home on site
SOUARE FOOTAGE: (proposed)
IST FLOOR1026 sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK16 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.R Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKEKarsner MODEL Redwood 2 yE R2021 LENGTH38'
WIDTH27' BEDROOMS2 BATHS2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ / NEW[a EXISTING❑
PLUMBING IN STRUCTURE? YES E] NO❑ I'yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.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 infornation provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permittapplication becomes null&void 9 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)
�- 11/18/2021
Sig r of Must be si ned b the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT W,
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Imperia, 27 WIDE
ras w�
c
MI TM BEDROOMin
ova u.n
J
t . 6
IRM� —
�/ RarU��e Ff�U
\ L
V BEDROOM 49LNM ROOM N
� 3
D E"_Tit.•Ogs
D
n
D
1Y+95 YY.,�
a
aa�-o•
D
V
7D
1
_ INSPIRATION - Redwood II 27x38 I_KC 382F
2 SO&OOM 2 Bath - Wn SQ, FT.
:V
]D
9
RECEIVE®
Mason County NOV 19 2021
Community Services-Building Division b1t) .VV. imder Street
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: Snow Load 3D I L® �
Make I_W"r1✓ Model 122c�wcyvn �J_ Year 2c�21
Square feet I y 2C" Width A 315 Length :11
Single/Coubl triple-wide(indicate) NEW 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:
X Manufacturer's Pier Plan
f 1 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
O Continuous concrete footing(runners)
N Slab
ANCHORING:
71 Ground
71 Magnum
1'q,,Concrete-2500 PSI
rl J-bolt
N� 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 processes will be based on the information provided herein and will be verified at time of
inspection.
X lica /Dealer/InstaIler(indicate) Date
Nameae( atd.L Parcel#32-12?51 000-7 1
Mason County RECEft.
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (p al LP:021
IUD. ,
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 X =
Manufactured 38' X 27' = 1026 Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X
8 X 30 = 240 Length of drive begins at the right of way
X =
Parking Areas X =
20 X 24 = 480 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) 1746
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 pro erty for review and inspection as may be required.
X --1 Owner gent/Contractor(circle one)Date:11/18/2021
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
----- - ....
Ll
SChL
............
elf
7--5
2 0W
J
---——-------
TOPOGRAPHY PROFILE: RECEIVED
NOV 19 2021
615 W. Alder Street
Direction: Scale: Approval'. for office use
Building Permit numbers Q -7(*Yo- Building:
t
Owner/Applicantdn2L,mV W64LiL Date of Planning:
V application: Env. Health:
Parcel Number .321 7-7 5
Mason County Building Department NOV 19 2021
MANUFACTURE HOME SUBMITTAL CHW%.I§IT
APPLICATION REQUIREMENTS
NOTE: Applying for a Building Permit may require additional approvals prior to applying for a
Building Permit. Such permits are: Accessory Dwelling Unit approval, Flood Hazard Permit
(requirement when located in Special Flood Hazard Area), well report and septic design
approval.
Building Permit Application. Fill out the application as completely as possible. Please
use only blue or black ink. You can find your tax parcel number on the Mason County
Assessor's office to locate this information. If the parcel does not have an address, it will
be assigned an address when the application is processed. Signature by owner or
authorized agent is required on the application.
!2l Manufactured Home Plan Review Submittal Specifications
You will need to have verified the unit is designed and rated for the snow load at
address to be placed. A snow load map is available at:
https://www.co.mason.wa.us/formsICommunity—Dev/snow load map.pdf
Provide a Tie-Down and Foundation Plan and include footing/pier size.
• New units. The manufacturers pier plan and layout, to be supplied by the
manufacturer.
• Relocated units to be set up to the ANSI or HUD standards. Must provide a pier plan
and reference documents for setup. Copy of tables and specifications from
standards.
7/1 Provide Model Specific Floor Plan- showing use of each room.
Site Plan. Your site plan must be no larger that 11"x 17" plain white paper. It must be
drawn to scale, include all structures, setbacks to all property lines, driveway, septic
system, well, stormwater (drainage) components and plan.
7 Stormwater Worksheet. All stormwater controls and details to be included on the site
plan or a separate Stormwater Plan.
,711 Water Adequacy compliance- Water adequacy application and all fees and documents
must be submitted.
Septic System Approval- Septic design must be approved prior to application submittal.
Submittal Fee's
Access Permit-Required for new or modified access off a County or State maintained
road. You can reach Mason County Public Works at (360)427-9670 ext. 450 or
Washington State Department of Transportation (360)357-2736.
Please contact permits@co.mason.wa.us or call 360.427.9670 ext.352 for assistance.