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HomeMy WebLinkAboutBLD2025-00195 MFG Home - BLD Application - 2/18/2025 Permit No: — /--"121 �q Cj MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning FEB 18 2025 BUILDING PERMIT APPLICATION 615 W Alder Sbee PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAMEr—SIA 'Y IVDr.JIa.J1 f%-rSP NAmE:wIt&FLE5►�rt MAILING ADDRESS: RED MAILING ADDRESS:7 0 2 CITY10V I-SQO STATE:_ZIP: O CITY:tatArt,nC+„IL STATE:�i _ZIP:%Sg� PHONE#1: 56a !%!S*% TZ. JPHONE: CELL: PHONE#2: 2,o(.r 3 0 _/J 71eJ EMAIL:1KDQf c.0-MAJS f'OIZ.i C YAHOO t EMAIL:1r9E4R_140N1t31.L4 Q 00 t_0OKLr= L&I REG#y,SII�SM�t_4SL.Il:'�77{P. PRIMARY CONTACT: OWNERld CONTRACTOR❑ OTHER❑ NAME-TPXY EMAIL MAILiNGADDRESS -71&& Ntj 0004 ILO aTYF'K -SQO STATE(,LI�ZIP PHONES9 Qf.CZ T1.9/ CELL�ID(i S36 N12D PARCEL INFORMATION: �+ PARCEL NUMBER(12 Digit Number)� a o/7-�- �/51— OOO 3/ ZONING R,EL J LEGAL DESCRIPTION(Abbreviated)TA(3 2 C.A A #9 'Tit. 3&f FIRE DISTRICT S � SITE ADDRESS LI S/ f—"K t= S H p QC p(L W cITy1HE",L70/0 WA DIRECTIONS TO SITE ADDRESS Wt 3 4( 70 G 44A7"'e MO My Rt4Ni TO nMa L,E PT L/Kt`O s ,r.1j & TMVOcE:=c-ArE W rw L- s0 E LAg"Pidems IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO,& SNOW LOAD:3o 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 18 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)_ rL 5 t C>E C.G IS USE: PRIMARY Jk SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(WhaleB/dg)13 YES(Parr1sl ojBtdg)❑ NO❑ DESCRIBE WORK JVtO e`/fAaVFAG-IlIZE0 Ho AA t9N L-A^rfl SQUARE FOOTAGE:(proposed) 1ST FLOOR I N Qd sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKEC.A VT ^—) MODEL ri(Z►A;IF 9/ YEAR UA LENGTH _ WIDTH-1 BEDROOMS _ BATHS_ - SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES 11 NO❑ IJyes,attach completed Water Adequacy Form PERMAETERNOUNDATION DRAINS PROPOSED? YES❑ NOS EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS_Q 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/applicaflon 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 t COUNTY CODE 14.08.42) X z ems -Signature of OWNER(Must be signed by the OWNER I Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH b L��oa��oo ��� 2��t �" ��roc 5 MD�'i�F �� r..✓ As' F�G�f> i 1 rn t4l ',4 4a , Od � O i 10' min V'' ',9 ____._ _ i s ; tz6,t eV q W o•tCt dw EH APPROVED EH Setbacks J) Rhonda Thompson 03/12/2025 A.) Drainfield/Reserve requires 10'setback from tooling/foundations 3 �N Y X. �t 8.)Septic tank(s)requires 5'setback from all f000ng/foundations IIww11 0 ,•• (� s Wit C.)N Ioundation/Perimeter Drains within 301t.downgradient of n, �✓ ) N D.)No Cut Baerve area "` D.)No Cut 8ank(s)(greater than 5ft and over 45 degrees)within 17_ Soft.down gradient of Drainfie l/Reserve area Vh i NOT AN APPROVED SEPTIC DESIGN p, ZPt Must use SWG 2024-00404 for septic installation ] n �� (P m Z � V`' �� F, NN � Z CJ +� O 1i r) D U 0 VP �� z w , oft J��tac�G —+a►�3'� i ny ys'rac©d � , ,�-�voo Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load —76) P 5 r Maker L/ Y TW",� Model r2` j7 Year ?-d S7 Square feet I Q L Width '.—.)--7 Length 5 a Single/Double/triple-wide (indicate) NEW 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 7 Pads 7 Concrete (pre-cast) 7 ABS Pads (Poly) provide manufactures specification with capacities. Continuous concrete footing(runners) 7 Slab ANCHORING: 7 Ground 7 Magnum i' Concrete-2500 PSI 7 1-bolt O 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 insp o f Applicant/Dealer/Installer(indicate) Date Mason County Building Department MANUFACTURE HOME SUBMITTAL CHECKLIST APPLICATION REQUIREMENTS NOTE: Applying for a Building Permit may require additional approvals prior to applying for a Building Permit. Such permits are: Accessory Dwelling Unit approval, Flood Hazard Permit (requirement when located in Special Flood Hazard Area), well report and septic design approval. Building Permit Application. Fill out the application as completely as possible. Please use only blue or black ink. You can find your tax parcel number on the Mason County Assessor's office to locate this information. If the parcel does not have an address, it will be assigned an address when the application is processed. Signature by owner or authorized agent is required on the application. Manufactured Home Plan Review Submittal Specifications You will need to have verified the unit is designed and rated for the snow load at address to be placed. A snow load map is available at: https://www.masoncountywa.gov/forms/Community Dev/snow_load map.pdf Provide a Tie-Down and Foundation Plan and include footing/pier size. • New units. The manufacturers pier plan and layout, to be supplied by the manufacturer. • Relocated units to be set up to the HUD standards. Must provide a pier plan and reference documents for setup. Copy of tables and specifications from standards. Cq Provide Model Specific Floor Plan- showing use of each room. Site Plan. Your site plan must be no larger that 11"x 17" plain white paper. It must be drawn to scale, include all structures, setbacks to all property lines, driveway, septic system, well, stormwater (drainage) components and plan. N1 Stormwater Worksheet.All stormwater controls and details to be included on the site plan or a separate Stormwater Plan. 71 Water Adequacy compliance- Water adequacy application and all fees and documents must be submitted. yI Septic System Approval-Septic design must be approved prior to application submittal. Submittal Fee's 71 Access Permit-Required for new or modified access off a County or State maintained road. You can reach Mason County Public Works at (360)427-9670 ext. 450 or Washington State Department of Transportation (360)357-2736. Please contact permits@masoncountywa.gov or call 360.427.9670 ext.352 for assistance. NameCfrAXV NOUADUAOW Parcel# 22D 17—$'1 —O0 3y ��Y•r?C1�(7 1�1 �— Mason County FEB 18 2025 Department of Community Development Small Parcel Stormwater Management Application/W@OptWq�II(V _#g3trW 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 surface2. '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 X = KQ X = Measurements for buildings are taken at the X _ - perimeter of the farthest projections (example: eaves/gutters) X = Driveways X 2. _ 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 = 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) 3 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. ` r t X _ /�— Owner/Agent/Contractor(circle one)Date: l 5 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 I of 2 Name f ler~ N0W01.1tt7V- Parcel# ,27.Ol'7' '�7/- C 3y 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 roperty for review and inspection as may be required. ` X Owner/Agent/Contractor(circle one)Date: 2 Page 2 of 2