HomeMy WebLinkAboutBLD2023-00563 MFG Home - BLD Application - 11/14/2023 Well radius for 22 -79-90664
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o Building Site Plan Name: Marcinko Tax Parcel: 22310-79-90663�� �
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a co o •; W Scale = 1" = 40' Address: 797 NE Blacksmith Or, Belfair
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td A.) Draintie Id/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
Name_ �N�N�r � Parcel# .. 79 q 1QO BLD40Id 202 JOO 15 IV J
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 aft?r 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)'Awhe 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: sl�G2-5
Page 2 of 2
Name /rIN/('Ciln o Parcel# 2 31(i --49 - 9 0101 3 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 X 3. 1 =
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 = !� (pQ
Snc( i T = Any paved, gravel or packed area per definition
above table
X =
PatiosMalks m.431 X to 1 = 93.3341
/Lq i 1 X Lt = .5 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) 3 .2
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 revi and inspection as ay be required. /� l
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
Mason County
Community Services-Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: Snow Load Z4
Make Model _ y &2,
Square feet q10 Width �� I Length 2tj) ?i3 ) D 4)
Singl /Doubt triple-wide (indicate) NEW or 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 A22S.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:
b Manufacturer' Pier Plan
X 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)
X Slab
ANCHORING:
O Ground
O Magnum
1X Concrete-2500 PSI
1 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 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 Applicant/Dealer/Installer(indicate) Date
MASON COUNTY Permit No:'/?)I 61 202,�5 -006V3
COMMUNITY DEVELOPM]K: tIVED
NBC Permit Assistance Center, Building,Planning MAY 18 2023
BUILDING PERMIT APPLICATION 615 W. Alder $treqMn
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 14,RLb
NAME: fl'-11L14. UzeA#6 NAME: �rtA,rlL - ""=
MAILING ADDRESS: 5617MAILING ADDRESS:
CITY:S-etyAtfjG STATE:_ IP: 6 CITY: STATE: ZIP:
PHONE#1: L1dJ _ CELL:
PHONE#2: AAA ) 162-1 EMAIL : -----
EMAIL: L&I REG# EX .
PRIMARY CONTACT: , OWNERY CONTRACTORX OTHERXs-�/G- ben n0/-:;
NAME_�fA44k A Ad&rG 4 EMAIL �S
MAILING APDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) .9t A 3 ZONING Stil iG AftlI 'S
LEGAL DESCRIPTION(Abbreviate ) ►- FIRE DISTRICT#IqSn thn¢
SITE ADDRESS 7qJ WE 81ackS of S p 9S90�—Jn VVb4 5
DIRECTIONS TO SITE ADDRESS,�d _
ENE Sm I�h�, F ie Ln- Am d NA a ��- Q�
IS THE PROJECT WITHIN no FT OF SLOPES)GREATER TEIAt`J t4a/'.: YES❑ NOX SNOW LOA J: A5 psf I
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
USE OF STRUCTURE (Residence,Garage, Commercial Bldg Etc)
IS USE: PRIMARY % SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 2.
HEATED STRUCTURE? YES (whole Bidg)X YES(Part[sj of Bldg) ❑ NO ❑ff'�
DESCRIBE WORK De( ' d ft 1a NbW A4 4
SQUARE FOOTAGE: (proposed)
1 ST FLOOR�•�q. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. B A QFA,mi T'r _ _sq`ft.-
DECK _ _ I.& COS,/EWDECK 195 sq. ft. STORAGE sq.ft. OTHER 1 � 'VrJ r tq.J.-Y - '
GARAGE sq.ft. Attached❑ Detached 0 CARPORT-- - --- - --sq. ft. Attached Q Detached
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE F1 f e+ulood MODEL Bf en'rg+11Y) YEAR Z LENGTH (�
WTDTH_ 3 BEDROOMS _ BA''TH��S Thy SERIAL NUMBER�/�I F) Q z 31A6q
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTICQ` SEWER❑ / NEW J;� EXISTING ❑
PLUMBING IN STRUCTURE? YES 54 1 yf✓ NO❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES [J NO� EXISTING SQ.FT.
EXISTING BEDROOMS_�� PROPOSED BEDROOMS�_ TOTAL BEDROOMS Z
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
srguawce uewuu, e`r r udr.a 04de s d e uf Sues wHe tf r-dHH s fURHeP esrdrts that t drti diitkled td receive tHly permit and to do the work as proposed.1 have
obtained permission from all the necessary parties;including any easement holder or parties of interest regarding this project. The owner or legal
rPnrPQPntafivP ranmcantc that tha infnrrnatinn nrnviriori is acruratP anri nrantc PmnlnvPPc of 11Aacnn r',ra infix accPcc to the ahnva riPcrrihPri nrnnarty