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Home My WebLink AboutBLD2023-01080 MFG Home - BLD Application - 9/8/2023 MASON COUNTY Permit No:: COMMUNITY DEVELOPMENT R E C E I V E C N C Permit Assistance Center,Building,Planning 8 2623 00 BUILDING PERMIT APPLICATION skees PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r NAME: Ems'I Il i NAME: L£ e S 3..6 zic MAILING ADDRESS: VIO 7 MAIL ADDRESS: 7 CITY: 94%ou STATE*%z A ZIP: jjS;8 CITY: AW' STATE:%APr ZIP: q) SZ PHONE#1: 2O6-39 7.Sa4? PHONE: a -3,R -7Sbee10ELL: T PHONE#2: EMAIL: e"\,• ,f% S 0 'n&'1- C EMAIL: oA • . L&I REG# LE=bbF= Q EXP. 9 S 40, 4 PRIMARY CONTACT: �I' OWNER CONTRACTOR❑ O NAME mar• ZDG'�' EMAIL ec1• �9c+bu�•Cof11 MAILING ADDRESS CITY i- STATEWk ZIP-qkS-10 PHONE 206- M)-7r02 CELL E PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3 a 3 a a- y 3 clbom ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS_ 617 >45 1A,, oNx- h "bc-vt- CITY !� DIRE ONS TO SITE ADDRESS - Tp C9 r /f IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESar NO❑ SNOW LOAD:_&sf IS PROPERTY SALTWATER❑FVl'['HT AKFII�i 200 FT OF THE❑ RIVER/CREEKLD WING:❑(Cheatai�D� SEASONAL RUNOFF NK-STREAM❑ TYPE OF WORK: NEW 9'ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,commercial Bldg,Etc.) 14%lJ--� 1 AEC3 H 0 04- IS USE: PRIMARY❑ SEASON.XL e NUMBER OF BEDROOMS 9. NUMBER OF BATHROOMS HEATED STRUCTURE? YES(WhokBhlg)[KYES(Parris .014g)❑ N ❑ DESCRIBE WORK k t 0. f9""4 ..Ared SQUARE FOOTAGE:(proposed) 1ST FLOOR f jdQ sq.ft. 2ND FLOOR sq.IL3RD FLOOR sq R BASEMENT sq.& DECK sq.& COVERED DECK sq.& STORAGE sq.& OTHER sq.ft. GARAGE sq.& Attached❑ Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFAC-TgagMODEL )aia URED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUMED* MAKE Webt' � CT YEAR ZOa3 LENGTH-60 WIDTH BEDROOMS ,Z BATHS SERIAL NUMBER�2yS^OW-A-A,6/.35VA ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 9 SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES M NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATIONDRAINS PROPOSED? YES❑ NO�r' 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.1 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.t 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 permittapplication becomes null 8 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 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X � glll23 Sign re of OWNER(Must be signed by the OWNER I Data DEPARTMENTAL REVIEW APPROVED. DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH •vx>;.: MASON COUNTY Permit No: 1 1) — (�S� COMMUNITY DEVELOPMENT RE N'C Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFO/RMATION: NAME: NAME: MAILING ADDRESS: O W)e J-7-Sr MAILIN_0 ADDRESS: 7 E� ..r� CITY: Zt1 .L( STAT _ZIP:9sS�S CITY: �� STATE:�PZIP: qRS� Z PHONE#1: J2 6-39/ -7SOJ? PHONE: -34 -7Sbe'10ELL: PHONE#2: EMAIL: Qoz%,. :'M S Q 4-m,1- C EMAIL: at • . L&I REG# kezbb FX87Z,4 11 EXP. 9 / $/ 400 PRIMARY CONTACT: �� OWNER I' CONTRACTOR❑ O ❑ NAME �` Z�'brr'r`AS EMAIL rt.C\• �bt �� •CeM MAILINGADDRESS 1?b Mmi( a7 CITY bowr STATE Wes_Z1p__q15Ap PHONE a•Ob- 301I-7$-02 CELL %M;r PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3 2 3a a- y3- ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 617 hlW jma3Nfko h �Ocv� CITYI Off !] v5se DIRE ONS TO SITE ADDRESS Tp r IS THE PROJECT WTTHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:_Psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheat all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF STREAM❑ TYPE OF WORK: NEW Er ADDITION❑ ALTERATION,❑ _REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Co,mnereial Bldg,Etc.) ktS% AFC-H mu IS USE: PRIMARY❑ SEASONAL l!S NUMBER OF BEDROOMS �. NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(whole Bldg)(gam YES(T q[sI ofBldyd❑ NJ❑ DESCRIBE WORK fL4n, 0. f'�ai�t•�ac• C Ira•�i 1. . SQUARE FOOTAGE:(p,opared) I ST FLOOR f kQ sq.R 2ND FLOOR sq.R 3RD FLOOR sq.R BASEMENT sq.R. DECK ) sq.& COVERED DECK sq.ft. STORAGE sq.& OTHER sq.ft. GARAGE sq.& Attached❑ Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE WtNi ?Ld)o MODEL I ALig CT YEAR ZOa3 LENGTH An WIDTH BEDROOMS Z BATHS SERIAL NUMBER -A i61MYA ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC N SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE, YES LS NO❑ Ifym attach completed Water Adequacy Form PERIMETER/FOUNDATIONDRAINS PROPOSED? YES❑ NOE"" EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS_� TOTAL BEDROOMS OWNER acknowledges that submismn of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that 1 am the owner and 1 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 arty 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 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 14.08A2) X � q �1123 Signabre of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED- DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT -1 FIRE MARSHAL PUBLIC HEALTH 3a 3a8- ya- onolo P 3�3�8- y r- 000 yo 12 x 35 G�sxy y"Pm ick N COO a , z , E 0 1 sry E 3�.342 S - y3 - 00000 -7, 5 S ' � t ba ►z o r ga �rao 300 960 y1� Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load //o )4.5 As- Make WeS4 Z A%t— Model /0'2) 8 CT_ Year oQ0,�3 i l Square feet iJV 5t Width a Length Sa Single Couble)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: WManufacturer'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 Pads 7 Concrete (pre-cast) l ABS Pads(Poly) provide manufactures specification with capacities. 9"'Continuous concrete footing (runners) '1 Slab ANCHORING: O Ground O Magnum XKConcrete-2500 PSI 1-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. X Jk4 _Applicant/Dealer/Installer(indicate) Date / !.Z Champion Home Builders,Inc. 550 Booth Bend Rd 0 Invoice P.O. Box 388 LINE No.: 245-A101354 MCMINNVILLE,OR 97128 Phone: 503-472-3181 Invoice Date: 02/01/23 Order No.: SR002415 Fax: Retailer P.O.: Bill To: 0427WA Sell To: 0427WA Brand: West Ridge It's Your Home,LLC. It's Your Home,LLC. Model: 2F 1218 CT Belfair View Estates Belfair View Estates Retail Customer: 1 B 1173 NE Hurd Rd. 1173 NE Hurd Rd. Overall Height: 166" Belfair,WA 98528 Belfair,WA 98528 Shipping Agent: Dealer Pick Up Charles Bair Shipping County: MASON FOB: Factory Retailer Page: 2 of 3 Ship Date Serial No. Model Yr Floor Size Base House Description 02/01/23 245-OOP-H-Al01354AB 2023 60'0"X 27'0" 52X28 2CIK 2B Code Option Package Quantity Extended Price OP000545 WOOD SHELVES IN WARDROBE 1 63.00 OP000547 WOOD SHELVES IN PANTRY/LINEN 1 79.00 OP000548 WOOD SHELVES IN WALK-IN CLOSET 1 225.00 OP000604 SS UNDERMOUNT SINK 1 386.00 OP000608 4"CERAMIC TILE BKSPL ILO HPL 11.5 109.25 OP000650 60"STALL ILO 60"GARDEN T/S 1 200 00 OP000663 HI-RISE ELONGTD TOILET ILO STD 2 348,00 OP000672 EXTERIOR FF FAUCET 2 112.00 OP000728 3OX58 WINDOW EXTRA 2 1,050.00 OP000746 46X52 WINDOW EXTRA 1 600.00 OP000851 DELTA PULL-OUT W/SPRAYER 1 787.50 OP000861 LINEN CABINET OVER TOILET 2 464.00 OP000905 40#ROOF LONIM 4112 DW, 60 1,680.00 OPOO1010 ENERGY STAR HOME PROGRAM DW 52 1,638.00 OP001038 MOVE INTERIOR WALL 1 110.00 OPOO1139 12 Month Limited Warranty 1 0.00 OP001163 50 GAL ELECTRIC W/H 1 0.00 OP001342 PROGRAMABLE THERMOSTAT 1 0.00 OP001399 TRUE 4:12 ROOF PITCH ILO 112 60 1,380.00 OP001519 ADD UTILITY SINK 1 236.00 THE FOLLOWING ITEMS ARE INCLUDED IN THE TOTAL INVOICE PRICE: BASE PRICE. . . . . . . . . . . . $ 118,795.00 1.FREIGHT: i The TOTAL INVOICE PRICE includes net freight in the amount of 5 0 consisting of mileage charges,permits,flag OPTION TOTAL. . . $ 38,434.80 cars and other associated items.The BASE PRICE of the home does (],does not IX]include freight i MISCELLANEOUS CHARGES . . .$ -15,462.59 2.VOLUME BENEFIT(S): 'SALES TAX(IF APPLICABLE) . . .$ 0.00 A VEP 0 is applicable to this invoice TOTAL FREIGHT CHARGES . . . .$ 0.00 3.SPECIAL BENEFIT(S): TOTAL INVOICE PRICE . . . .$ 141,767.21 The TOTAL INVOICE PRICE does 11,does not IX]include an amount attributable to special VEP. 4.INFORMATION I Attention: For information about Special Benefits or Freight amounts(please specify)p!ease write or call FINANCED BY: Certified C.O.D. Special Benefits or Freight.Champion Home Builders,Inc,550 Booth Bend Rd.P.O.Box 388,MCMINNVILLE,OR 97128,Phone:503-472-3181_ Champion Home Builders,Inc.certifies that(1)this invoice is in compliance with the Truth in Invoicing Practices Plan Code: Approval:# Statement(Statement)as approved by resolution of the Manufactured Housing Institute on September 13,2004(2) that the manufacturer,in preparing and certifying this invoice and any disclosoures required to be made by Approval by: the Statement,is providing to the best of its knowledge and belief accurate,complete,and truthful information,and TERMS . . . . . . . . . . . . . . BLD/DEV10 that(3)the manufacturer expressly acknowledges that lenders and insurers rely on invoices and any disclosures required to be made by the Statement to make finance.insurance and purchase decisions. DEPOSIT AMOUNT. . . . . . . . . 141,767.21 1 tY„ FINANCE AMOUNT. . . . . .$ 0.00 TIPS 2004 COMPLIANT By:, + http-IMrww.manufacturedhousing.orglt ips200 Todd Haddican Champion Home Builders.Inc.certifies that to the best of its knowledge and belief,this manufactured home has been inspected and is constructed in conformance with the National Manufactured Housing Construction and Safety Standards Act of 1974,as amended in effect on the date of manufacture. HUD Certification Label#ORE 560564 ORE 560565. REV,05117 Some items such as tires,rims and/or axles may have been recycled after thorough inspection for safety and appearance. Chamoion is a registered trademark o`Champion Home Builders,Inc. Name :rAnts Parcel# 3a 3G-LC— y3" OOOEb BLD# 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 5,7 X o?g = 1454 S X g = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Drivewa s X X = Length of drive begins at the right of way X = Parking Areas X = �C - C'?t► X = An paved, gravel or pa ked area per efinition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = E�pX = If the total impervious area of the proposed site X Ny = 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. OwnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.1 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. / 2 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 46 A,1 Namc Parcel# 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 Stonnwater 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