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HomeMy WebLinkAboutBLD2024-01174 MFG Home - BLD Application - 9/30/2024 MASON COUNTY Permit No: ,un2o2ti-01 -7- COMMUNITY DEVELOPME�CEIVED Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION SEP 3 0 2024 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: KA" V`� NAME: 615 W.Mier Str 3et MAIL D SS: ' MAILING ADDRESS: CITY: '' STA E: IP: CITY: STATE: ZIP: PHONE# : PHONE: CELL: PHONE#2: EMAIL: EMAIL: L&I REG# EXP. / PRIMA=CONTACT-iOWNER❑ CONTRACTOR❑ OT NAME EMAIL �kvl MAILIN CITY STATE ZIP PHONE CELL PARCEL INFORMATION: F (fir-�ry��.,� PARCEL NUMBER(12 Digit Number) 51R�a�(���J'1 ZONING LEGAL DESCRIPTION Abb 14A ate ) FIRE DISTRICT SITE ADDRESS /v CITY �� - DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO SNOW LOAD:--JQ,.sf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check an that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION Q UPAIR OTHER3d- on USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ ,,f NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(WhoteBldg)rJ YES(Part[sjofBldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE'(proposed) ISTFLOORIM sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. 16 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 RE RED* MAKE ODEL YEAR '�` J!• LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER L ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Form (w) PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT, 6—J EXISTING BEDROOMS PROPOSED BEDROOMS 91-- 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 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/applicabon becomes null&void if work or authorized construction is not commenced within 180 days or N 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 18�DYS OF MORE WILL CAUSE THE APPLIC TION BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 2`r Signature Qt OWNER(Must be signed by the OWNER) ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH lilkMASON COUNTY Permit No: COMMUNITY DEVELOPME-51r]::CEIVED Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION SEP 3 0 2024 PROPERTY OWNER INFORMATION: © CONTRACTOR INFORMATION: NAME: ' ftet c- �' v�' NAME: 615 W. Alder StC 8t MAIL.IN D SS: MAILING ADDRESS: CITY: 'L STA E: t, ZIP: CITY: STATE: ZIP: PHONE# : PHONE: CELL: PHONE#2: EMAIL: EMAIL,: L&I REG# EXP. PRIMARY ONT OWNER❑ CONTRACTOR❑ OT E y NAME f EMAIL j MAILING " CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ��'11 � (,t�(J(7 ZONING LEGAL DESCRIPTION Abbr ate ) FIRE DIST1RnICT SITE ADDRESS I r ,Ill _CITY DIRECTIONS TO SITE ADDRESS �' Y IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 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❑ ADDITION❑ ALTERATION Q REPAIR❑ OTHER: USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s)ofBidg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(proposed) 1 ST FLOOR t ` 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 4i� sq.ft. Attached❑ Detached CARPORT sq.ft. Attached❑ Detached❑ I-pMANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE GrW ODEL YEAR 1 LENGTH WIDTH BEDROOMS-9 BATHS SERIAL NUMBER L /` ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Form,On) PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT, EXISTING BEDROOMS PROPOSED BEDROOMS 9 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 information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permitlapplication 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 THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 D YS OF MORE WILL CAUSE THE APPLIC TION rBE EXPIRED.(MASON lm8tll COUNTY CODE 14.08.42) a X Signature if 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 t�j.-BUILT FORM - PAGE TWO ftevsAea 07/1; PARCEL IDENTIFICATION =NumJ>er - Subdivision ��2 (.�L Tbt U j L.aT �7(N /plvlm.)-o.�/sioph/3r_�$N c A)5 0 (A Assessor's Parcel No. �j /�0,p - -'0 G.�c.G (�------- AS-BUILT DRAWING ��fl L/IU del r q3%,vZ04vq T° ,ID 1 @.��—.�,w�vzS ,a•r tiSalW r�Y'► ,9aR,s•S .� r �1 i A.) Drainfield/Reserve requires 10'setback from footing/foundations ,1 r B.)Septic tank(s)requires 5'setback from all footing/foundations I C.)No foundation/Perimeter Drains within 30ft,downgradient of EH APPROVED Drainfield/Reserve area Rhonda-rhompson 11113,2024 D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft.down gradient of Drainfield/Reserve area C71tJ71omt: Kinor adjustments to aaptlC teak 2004tlon and dra nfield otieatatian made in the field by the installer are generally ac Osptable to bath the department and the designer, but coald is aartain cases =aps+amrise the viab311tp of the spatom. SL 1e the 1r staller•s responsibility to obtalp print vriitan appenoal frog either the hs&lth department or the deslgmr before making any devs &time from tho design that affect system viability_ Any deviations frow the appzvved design must be abown above. AS-HIIILT CYCLIST grainfield orientation observation port location 19--pn4isturbed native soil and layout r ' between trenches Cleanout location lq�Trench/bed dimensions and r-L- North arrow critical distances within (� Manifold placement layout (-4- " El—scale of drawing shown Orifice placement on scale bar -Box/"T"/"L" location s Lateral placement, with Additional Mound Information 3 Septic tank/pump chamber distances to edge of bed location 11 Endslope width } Lgcatxgry of--wells, roads ( Overall fill dimensions ---- Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load Make r Model Year IIrW Square feet Width Length Single ouble triple-wide(indicate) NEW 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: Cl Manufacturer's Pier Plan 54- 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 'I Pads 71 Concrete (pre-cast) J ABS Pads(Poly) provide manufactures specification with capacities. Continuous concrete footing (runners) L 1 Slab ANCHORING: Cl Ground O 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. X/ , f Applicant/Dealer/Installer(indicate) Date vv Name . , `(� Parcel# ffl%5= ! BLD# 202,e1 —n\�'►� Mason County RECEIVED Department of Community Development Small Parcel Stormwater Management Application/WorkslW QAgAAof 2) Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required AM%Aw%APAtion 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. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Widt = Area *All dimensions in feet Buildings X X = Measurements for buildings are taken at the _ 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.UO = Oth rs 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) 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 ' ection as may be required. n 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 Name." tW4—y- 5M5bQQ q7 , � Parcel# BLD# pce,- 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 d lare that I am the owner,owner's legal representative,or the contractor.I firther acknowledge that the information provided' accurate and employees of Mason County are granted access to the above- described property for reand inspectio y be required. e 5 Ag 5/z X lhkylc�� Owner/Agent/Contractor(circle one)Date: Page 2 of 2 APPLICANT TO DRAW SITE PLAN BELOW a TftN� �-- ua 7Z �o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW r i i ,X- ► "A� P R2 OF') (� Lib Nor 0 � o LA a 00 O `" T T 7 YA- U a T Q 13 i t I Joycelyn Johnson ScAJ-a- Certified Designer — ��--� Septic Systems o (o ' ax