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Home My WebLink AboutBLD2024-00004 MFG Home - BLD Application - 1/2/2024 MASON COUNTY Permit No: 0006� COMMUNITY DEVEL&P�RYEI Permit Assistance Center, Building,Planning JAN -2 2024 BUILDING PERMIT APPLICATU Alder ftj PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ING NAME:TAYLOR VALVERDE NAME:COUNTY LINE DEVELOPMENT MAILING ADDRESS:10501108TH AVE SW MAILING ADDRESS:1811 PADRICK RD CITY:TACOMA STATE:WA ZIP:98498 CITY:CENTRALIA STATE:WA ZIP:98531 PHONE#1: PHONE:3602920909 CELL: PHONE#2: EMAIL:MIKE@COUNTYLINEDEVELOPMENTLLC.COM EMAIL: L&I REG#COUNTLD781R7 E}{P. 12,r22F�02- PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑ NAME SAME AS ABOVE EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)42332-50-00038 ZONING LEGAL DESCRIPTION(Abbreviated) LAKE CUSHMAN#11 TR 38 FIRE DISTRICT SITE ADDRESS 80 N RIM VIEW PL CITY HOODSPORT DIRECTIONS TO SITE ADDRESS 101 TO HOODSPORT,LEFT TOWARDS LOAKE CUSHMAN,L ON N RIM VIEW PL IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE] 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 p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)RESIDENCE IS USE: PRIMARY❑ SEASONAL E] NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(whole Bldg)❑ YES(Part[s]ofBldg)❑ NO❑ DESCRIBE WORK INSTALL NEW SINGLE WIDE MANUFACTURED HOME SOUARE FOOTAGE:(proposed) 1ST FLOORS33 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK32 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 REQUIRED* MAKECMHALBANY MODELTEMPO yEAR2024 LENGTH40 WIDTH14 BEDROOMS 1 BATHS 1 SERIAL NUMBERTBD ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC(] SEWER❑ / NEW EXISTING PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION S PROPOSED? YES❑ NOE] 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 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 8 void if work or authorized construction is not commenced within 180 days or if construction work is s pended for a period of 180 days. PROOF OF CO TINU(ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT ICA ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Si ature 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 Permit No: 0000 MASON COUNT 000MMUNITYfECEIVED D VELOPMEN Permit Assistance Center, Building,Planning JAN -2 2024 BUILDING PERMIT APPLICATION treet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:TAYLOR VALVERDE DAME:COUNTY LINE DEVELOPMENT MAILING ADDRESS:10501108TH AVE SW MAILING ADDRESS:1811 PADRICK RD CITY:TACOMA STATE:WA ZIP:98498 CITY:CENTRALIA STATE:WA ZIP:98531 PHONE#1: PHONE:3602920909 CELL: PHONE#2: EMAIL:MIKE@COUNTYLINEDEVELOPMENTLLC.COM EMAIL: L&I REG#COUNTLD781R7 BxP. 12/22=2• PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ NAME SAME AS ABOVE EMAIL MAILINGADDRESS CITY STATE ZIP PHONE CELL kNNING PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)42332-50-00038 ZONING LEGAL DESCRIPTION(Abbreviated)LAKE CUSHMAN#11 TR 38 FIRE DISTRICT SITE ADDRESS80 N RIM VIEW PL CITYHOODSPORT DIRECTIONS TO SITE ADDRESS 101 TO HOODSPORT,LEFT TOWARDS LOAKE CUSHMAN,L ON N RIM VIEW PL IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD 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 p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ • USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)RESIDENCE IS USE: PRIMARY❑ SEASONAL E] NUMBER OF BEDROOMS' NUMBER OF BATHROOMS' HEATED STRUCTURE? YES(WhOeBldg)❑ YES(Part[,1 of Bldg)❑ NO❑ DESCRIBE WORK INSTALL NEW SINGLE WIDE MANUFACTURED HOME SOUARE FOOTAGE: (proposed) 1 ST FLOOR533 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK32 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 REQUIRED* MAKECMH ALBANY MODELTEMPO yEAR2024 LENGTH40 WIDTH 14 BEDROOMS 1 BATHS 1 SERIAL NUMBERTBD ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW EXISTING 0 PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed WaterAdeguacy Form PERIMETER/FOUNDATION S PROPOSED? YES❑ NOE] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS I 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 i/SOTO pended for a period of 180 days. PROOF OF CO TINION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT PICA OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) �rf 0 X � Si ature 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 �1_oab�q -000q9 Disclaimer:Mason County does not require a survey to obtain a APPROVED building permit. As a result, site plans may not reflect - MASON COUNTY DCD PLANNING accurate data. It is the applicant's responsibility to SITE PLAN REQUIRED TO BE ON SITE comply with setback requirements. CHANGES SUBJECT TO APPROVAL By: /� �' Date: 02/18/2025 a i C S} Re Ser Ve N ;m Vftw PL i I � / ��,•fr 1 M t-t n r Ise tZ P ° f D — — - - PLANNING SETBACKS Setbacks measured from 3 farthest projection of structure Front: 25' Rear: 20'** Side: 7.5' t - ; *Subject to EH Setbacks **Must also meet slope setbacks which is 10'from artificially steepened slopes around pad AND 50'from slopes greater than 40% x t EH Setbacks A.) Drainfield/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 I EH APPROVED Rhonda Thompson 02/19/2025 4 Name \` IG el# yL33z- S-y -o�3o BLD 'OLOG��Ll-6066� V Mason County N -14 rtm�9�t. of Community Development Small Parce��tor aV anagement em WQ01-NG r Per Mason County Cote, 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 TypeWeX Width = Area *All dimensions in feet BuildingsX q1DXMeasurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) XDrivewa sXX = Length of drive begins at the right of way x35 = 'Joo Parkin AreasX VV® 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 = 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) 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 roperty for review and inspection as may be required. 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 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 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 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