HomeMy WebLinkAboutBLD2024-00966 SFR - BLD Application - 8/8/2024 Permit No:MASON COUNTY
o�� -(� �'
COMMUNITY DEVELOPMENTRECEIVED
Permit Assistance Center, Building,Planning "I NG
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Wendy Levenseller NAME:Future Home Services
MAILING ADDRESS:101 E Corbin Lane MAILING ADDRESS:PO BOX 2503
CITY:Belfair STATE:WA ZIP:98528 CITY:Gig Harbor STATE:WA ZIP:98335
PHONE#1:(360)265-5646 PHONE:360-900-6982 CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG#FUTURHS776DO EXP. 03/17/25
PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER E]
NAME Jason Campbell EMAIL jason@futurehomestacoma.com
MAILING ADDRESS 406108th ST S CITY Tacoma STATE WA ZIP 984"
PHONE 253-841-3600EXT211 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122217500100 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) ELY PTN OF TRIO OF SURVEY 5/31 M.C.AGREED ORDER AF#1925825 S 36/76 FIRE DISTRICT 5
SITE ADDRESS 101 E Corbin Lane CITY Belfair
DIRECTIONS TO SITE ADDRESS WA 3 N straight to E North Bay Rd,Continue onto WA 302 E,TL on E Victor RD,
TL onto E Corbin Ln.Destination on left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD:25 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 E] ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER E]ADU
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)Residence ADU
IS USE: PRIMARY Q SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) Q YES(Partlsl of Bldg) ❑ NO ❑
DESCRIBE WORK Install 2 Bedroom+Den 2 Bath ADU
SOUARE FOOTAGE: (proposed)
1 ST FLOOR 1,188 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 72 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*
MAKE Fleetwood MODEL Eagle yF 2025 LENGTH 44
WIDTH 27 BEDROOMS 2 BATHS 2 SERIAL NUMBER Not yet built
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑✓ SEWER❑ / NEW 0 EXISTING ❑
PLUMBING IN STRUCTURE? YES PI NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOE] EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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&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 Wmwy LP.UP,GxaP 08-05-2024
Signature of 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
Document Ref.7ZW6Q-OJSEM-8M3HI-DFQZU
MASON COUNTY Permit No: V0 --09
COMMUNITY DEVELOPMENTRECEIVED
Permit Assistance Center, Building,Planning PLANNIRU
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Wendy Levenseller NAME:Future Home Services
MAILING ADDRESS:101 E Corbin Lane MAILING ADDRESS:PO BOX 2503
CITY:Belfair STATE:WA ZIP:98528 CITY:Gig Harbor STATE:WA ZIP:98335
PHONE#1:(360)265-5646 PHONE:360-900-6982 CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG#FUTURHS776DO EXP. 03/17/25
PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER E]
NAME Jason Campbell EMAIL jason@futurehomestacoma.com
MAILING ADDRESS 406108th ST S CITY Tacoma STATE WA ZIP 98444
PHONE 253-841-3600EXT211 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122217500100 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) ELY PTN OF TRIO OF SURVEY 5131 M.C.AGREED ORDER AF#1925825 S 36176 FIRE DISTRICT 5
SITE ADDRESS 101 E Corbin Lane CITY Belfair
DIRECTIONS TO SITE ADDRESS WA 3 N straight to E North Bay Rd,Continue onto WA 302 E,TL on E Victor RD,
TL onto E Corbin Ln.Destination on left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:25 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 E] ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER Q ADU
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence ADU
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[,]of Bldg) ❑ NO ❑
DESCRIBE WORK Install 2 Bedroom+Den 2 Bath ADU
SQUARE FOOTAGE: (proposed)
I ST FLOOR 1,188 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 72 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*
MAKE Fleetwood MODEL Eagle yEAR 2025 LENGTH 44
WIDTH 27 BEDROOMS 2 BATHS 2 SERIAL NUMBER Not yet built
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW 0 EXISTING ❑
PLUMBING IN STRUCTURE? YES El NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOE] EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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&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 la &Wa Le#MX&Cer 08-05-2024
Signature of 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
Document Ref:7ZW6Q-OJSEM-8M3HI-DFQZU
••• •••
.-
�•• yam. .•w'" �
r •p
•�.��•. Wendy Levenseller •�•�+i
�•��i
.•♦•i 1Aug2024 .••••••
•❖i 1 Aug 1UTC
•+��•.
O••l 'r�i�i
i•���• Recipient Verification: ress: •r•+��.
V mail verified 05 Aug 2024 22:54:36 UTC Location:Seattle,United States
,•••f' r• i••••.
13
1pd
!•��•. .•- • ,.,� +*^ � •� ',4 ,Jam•`. �.. •
•+i�• �p,,.rtr- � ,.c +l►"` .f "r► .'.^'•ram: � �'... .. �i�i
s
t•t
�•��•. .,.-' - .. fir.' a' '� "► '����'
• j
••.• �P s. e•� w ••♦
•
� _ s
r
W
e �
•i�i•. dwTm"" .71 !•�0�.
••���•. •• • • • 1 /11 • •. • • •- 1 p— ���.�•
i•��i�i i i i i•��iiii ii�i�i°i•�+ii+iiiii�i+iiii+iiiiii•i+i+ii+ii�i�ii'•i iiii•ii+ii i�iiii+ii�i i�i iii�iiii+i+ii%%%i%�+%ii•%%��+�!�%%%%1�.;
:��+.+.::•:::::�•.•:•..�:ice.•.�•:❖.�:•::•.!.• •�❖.::�::�::+.::.•::�•:.::•.�::!:�:.�.::•.� : �:+.
434
N 0
' r�
48 Exi[ing Drainfi Id H
a
Existing Residence 2 ^n
30' Prima Drainfiel 3 Bed 2 Bath 9
16f 2564SgFt EH APPROVED
APPROVED
08/13/2024
Rhonda Thompson 09/19/2024
sy, Line alreas ly MASON COUNTY DCD PLANNING
Sleeved
a NOT AN APPROVED SEPTIC DESIGN
Water Line
.77 Q 73' Must use SWG 2022-00012 for septic installation
o
cG ° EH Setbacks
8 z "
Alrainfield/Reserve requires 10'setback from footing/foundations
LU
B.)Septic tank(s)requires 5'setback from all footing/toundations
Existin Well House and Shed C.)No foundation/Perimeter Drains within 30ft,downgradient of
g Drainfield/Reserve area
4-0. 6x6 Deck D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
Soft,down gradient of Drainfield/Reserve area
I 44 407 as3'
M uffactu eil
1,188 Ft ell�&,Us °o
73
q6' Septic Tank a 5 6z6 Deck ti Well Radius w
Slope 0
n n
556 Disclaimer: Mason County does not require a
See ADU2022-00004 survey to obtain a building permit.As a result,site
Impervious plans may not reflect accurate data. It is the
ADU Impervious t,t88SgFt applicant's responsibility to comply with setback
Proposed Driveway t,o54 Sq Ft RR5 Zoning requirements.
Total Proposed Impervious 2.242 Sq Ft Front Yard Setback.25'. q
Side&Rear Yard Setbacks.Residential dwelling 0 40 80
and accessory structures is 20'.
OR 10%width of lot if not more than 1 00'wide
OR approved ADV
Scale t"-40'
Wendy Levenseller(ADU) Q
io3 E Corbin Ln Future Home Services DLb,,�00,1-0C''q(p�a
Belfair,WA 98528
9*67
Parcel I222I-75-00 Ioo
August B,2024
BUILDING
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load 30#
Make Fleetwood Model Eagle Year 2025
Square feet 1,188 Width 27 Length 44
Single/ oub a triple-wide(indicate) ( 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:
X1 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
,—I Pads
71 Concrete (pre-cast)
-1 ABS Pads(Poly) provide manufactures specification with capacities.
iA Continuous concrete footing(runners)
71 Slab
ANCHORING:
71 Ground
7 Magnum
9J Concrete-2500 PSI
C7 J-bolt
K7 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 1440tV C44V,1�1b&& Applicant/Dealer/Installer(indicate) Date 8/7/2024
Name Wendy Levenseller Parcel# 122217500100 BLD# c -0;)L4-009(g(0
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 46 X 29 = 1344
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways 62 X 17 = 1054
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 4 X 6 = 24
4 X 6 = 24 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) 2,446
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/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
>G
Name Wendy Levenseller Parcel# 12221-75-00100 BLD# �VaC —00%
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) JC 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 ,7&wfy�C�i Owner gen ontractor(circle one)Date: 8/7/24
Page 2 of 2
434' ° `n
N 0
48 Exi ting Drainfi Id
18, 1
F�
CD c.
30. Prima Drainfiel Existing Residence
3 Bed 2 Bath 9
161' 2564 Sq Ft
Exi tin Line already
s •
b'�rjv Sleeved
a '
Ca
w Water Line
�D 73'
CO
a 0
o koN
U y
o
Existing Well House and Shed
6x6 Deck
44 407
27X44 2 Bed 2 Bat j
Manufactured ufactured go el
1
Sq Ft s
73' ____ 1 0�NeU Raa�� _0
— J
6' 6x6 Deck
9 Septic Tank BO Slope 50'Well Radius
N N
558
Impervious
ADU Impervious 1,188 Sq Ft
Proposed Driveway 1,054 Sq Ft
Total Proposed Impervious 2,242 Sq Ft
0 40 80
Scale i"-40'
Wendy Levenseller (ADU) Rba,�
'II1o3 E Corbin Ln Future Home Services ��`C'®d q�O�Y
Belfair, WA 98528
Parcel 12221-75-00100 August 8,2024