HomeMy WebLinkAboutBLD2024-01514 MFG Home - BLD Application - 12/31/2024 Authenlisign ID:2E 18333B-DAG4-E F 1 299051
MASON COUNTY Permit No:�LD� -01514
COMMUNITY DEVELOPMENT ' ' _.. `m L i V E
Permit Assistance Center, Building,Planning DEC 3 9 2024
BUILDING PERMIT APPLICATION "f 5 yl�J. 1�1 ; or vtreet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: v1 i V�D m n NAME:P1r1� uke— cons4-'ur�j V1
MAILING ADDRESS: ;i4 MAILING ADDRESS:110 1 f , tTE C
CITY: SAM6A-0 n STATE:\-J 13 Z1F:q gC r4 CITY:S STATE:�ZIP. tetra
PHONE#1-g��-3 2.t-C!L('i S PHON f.o - T'CELI,Q5;-+ZfilS- Zkda' r
PHONE#2: EMAIL: i A aryl
EMAILjjq 'K M0.i •LOt1/� L&I REG# _ FXPDiQ/13/�Q S
PRIM RY CONTACT: OWNER❑ CONTRACTOR$ OT ER,❑
NAME_ Or EMAIL AL In (t�J.C-��
FiAfLIN( DDRF_SS l l St"8 - —CITY ----- SPATE— l.IP
PHONE a CELL
PARCEL INFORMATION: 1
PARCEL NUMBER(12 Digit Number) -1-:� OMDL-0 ZONTNGP-U'fa\V\Vr1124a
ji
LEGAL DESCRIPTION(Abbreviated) I SV( La FIRE DISTRICT I U1
SITE ADDRESS �B�O (� SiMAJO CITY _
DIRE ONS T( SITE ADDRE S N 1 lQ /
o ky) ff cn l0 1
IS THE PROJECT WITHIN 300 4 OF SLOPE(S)GREATER THAN 14%: YES[] NO a SNOW I.OAD:--.ZlQpsf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (caeckanowiapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND If SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW,& ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage.Connnercial Bldg.Err.l q-f'I C-9—
IS USE: PRIMARY D( SEASONAL.❑ NUMBER OF BEDROOMS 3 NUMBER OF BATI IROOMS.-C,�'—
HEATED STRICTUlR�E? YFSOMi e Hld y N YES ❑ NO❑
DESCRIBE WORK d-�n(iLnd 6knL
SOUARE FOOTAGE:rl roar„rl
IST FLOOR l 4qa sq.ft. 2ND FLOOR t P sq.ft. 3RD FLOORN A sq.ft. BASEMENT N sq.ft.
DECKJJ1,O sq.fl. COVERED DECK►J j f�sq.ft. STORAGE I N +t sq.ft. OTHER N 1'�sq.fi.
GARAGE—_sq.fL Altached❑ Detached❑ CARPORT--—sq.fl. Attached❑ Detached❑
NIANU[F'A/CTLURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE t'�C�T O M1^tOUEL�85O'3 e> YE!\R aO-dL- LENGTH 5C0
WIDTH__ BEDKUOAtS 7 I3:\Tf{S SERIAL N- L1,1fI3ER
ENWRONMENTA-L HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER Q / NEWJ3 EXISTING❑
PLUMBING IN STRUCTURE? YFS'R NO❑ If.ves,attach completed IfaterAdequaLy Furm
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO,)& EXISTING SQ.FT. l
EXISTING BEDROOMS O PROPOSED BEDROOMS__>�— TOTAL BEDROOMS 3
OWNER ackrow4edges that submission of inaccurate information may result in a stop work order or permit revocation.Ack=vyiedgemcrht of such is by
signatlae below.I declare that I am the owner and 1 father declare that 1 am enthltd to receive this permit and to do the Work as proposed I have
obtained permission from all the necessary parties,indad;ng any easement holder or parties of interest regard"mis pmiem The avner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to Mho above described property
and structures)for review and inspection.This penneJapplicaron becomes sup ti void N 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. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
. COUNTY CODE 14.08.42)
x 1/ertty DAOK"hh 12/27/24
- Signature of OWNER(Must be started by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS
B11ILDING DEPARTMENT
PLANNING DEPARTMENT
FIRL•bIARSHAL
PUBLIC HEALTH
EH Setbacks
EH APPROVED A.) Drainfieki/Reserve requires 10'setback from tooting/founciations NOT AN APPROVED SEPTIC DESIGN
B.)Septic tank(s)requires 5'setback from all footingifoundations
Rhonda Thompson 01/15/2025 C.)No foundation/Perimeter Drains within 30h,downgradient of Must use SWG 2024-00438 for septic installation
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
5011,down gradient of DrainfiekUReserve area
SIDE
N.
1+LL9 1 t We R
� 1 ( , Existing ?
Watilrlina' Driveway
� d
1 t 6.6
\ / Dock 16tck
x10
/ t SF �\
Septic Units ................A
I _ Wetland buffers overlayed from
I - r Wetland Report site plan
RR5 STANDARD SETBACKS' F
Front:25' _ - -
Sides:20' �- \
Rear: 20' \\
'unless otherwise stated on the site plan
.all setbacks measured from the farthest
projection of the buildingSIDE \
'subject to EH setbacks - - - - - - - -._ - - -.-.-.- - -
/ �i
1
ProbalA
New 2,027 Sp.Ft Mnxdadwed Home t
Parcels Address: Date: l
52001-77-00020 460 W SIMPSON RD.SHELTON.WA 12r=2024
f
1Lv1alon: scats: L•°°I°wner.: -David a A 1"=5 PLN Approved
0' andverity Dammam it
1 Zonklp: PlnnacM Constrenion wn 01/14/2025
silo Ptah dra 8Y.
R,►al Residential 5 Acre Shelton,Iwl Radaelkleyers Mason County Community Development
(26312264s0a \
Gavin Scouten
Noaa: \ All Changes Subject to Approval
X•Splash Blocks \
Home size 27'X 56(3bAl2ba) \ Disclaimer
t Mason County does not require surveys for
t building.As a result,site plans may not reflect
accurate data.It is the applicant's responsibility
to comply with setback requirements.
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
lb
UNIT INFORMATION: *****Snow
*****Snow Load 30 ( '
Make�l,e� U Model a �J(D3 g Year Ca"i
Square feet Iy Width ti r Length S r
Single/ oubl /triple-wide indicate NE or 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
71 Pads
7 Concrete(pre-cast)
7 ABS Pads(Poly)provide manufactures specification with capacities.
7 Continuous concrete footing(runners)
X Slab
ANCHORING:
7 Ground
7 Magnum
Concrete-2500 PSI
Cl J-bolt
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 1 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 �-- A lican Dealer Installer indicate Date 1 L -2 7
pP ( ) ��
r
Namej��CJJ k , bbQMa an el# C_xM IL—74— QO 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'.
'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 �J�O X a�t = Lt
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
DrivewaysX =
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 =
Patios Uelks b X = Any paved,gravel or packed area per definition
_ 3 above table
uC,EL X
Others X
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
8
mall Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) S
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/etracto (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
Nami�ra 3 Uc,64 Darn 'arcel# r k 0 062 BLD# ay �
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)JJJ 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 stonmwater 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/ ontra (circle one)Date:
Page 2 of 2
671'P
N`
e�e
Existing
Wati Driveway
• a
•6 3TP�
•
LrDc
NP
4
N �
"
ck
posed
P b o
SFR
Septic Tanks
Ion a
� a
b
b
Project:
New 2,027 Sq.Ft Manufactured Home
Parcel# Address: Date:
52001-77-00020 480 W SIMPSON RD,SHELTON,WA 12/20/2024
Revision: Scale: Legal Owners:
A 1"=50' David and Verity Damm,ann
Zoning: Pinnacle Construction Site plan drawn By.
Rural Residential 5 Acre Shelton,WA Rachel Meyers
(253)225-2808
Notes:
X=Splash Blocks
Home size 27'X 56'(3bd/2ba)