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Home My WebLink AboutBLD2024-01075 - BLD Application - 9/4/2024 MASON COUNTY Permit No: BLD7-07A-n10"I5 COMMUNITY DEVELOPMENiElVED Permit Assistance Center, Building, Planning SEF 0 4 210 BUILDING PERMIT APPLICATION 615 W Alder t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: !,e NAME: ) NAME: MAILING ADDRESS: b MAILING AD RESS: CITY:Sk STATE:ZIP: CITY: STATE: 1�/ _ZIP: PHONE#1: 3L1n � ) S"��i PHONE: CELL: m PHONE#2: j(ppUn �.��j� EMAIL : EMAIL: L&I REG# YO a/01,Z G EXP. PRIMARYCONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME C N�If EMAI MAILING ADDRESS CITY_ �p Y1 STATE_ ZIP S PHONE fGC)l/(�"�� r��1 2 LL_?,1! tl U (��— �q� PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING/Q LEGAL DESCRIPTION(Abbreviated)ZC 6tf ,Sr, N W,5 s FIRE DISTRICT 6 SITE ADDRESS / (/ t,, p CITY DIRECTIONS TO SITE ADDRESS 4 r ✓ "•z �` y 7/O /�U w / �.wn i' f Y /O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] Nt 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: NEWA ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etta / Pzx IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg)19— YES (Part[s1 of Bldg) ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 1ST FLOOR j y/ G'/ sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK 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 y tJ E V J d t i eS MODEL jq 3 9�1 YEAR QO(1 LENGTH WIDTH BEDROOMS Ll BATHS—a SERIAL NUMBER_ ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES td NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[71,. 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 1 SU. 70 1 , A 1 -- J Q �rans{afMCf Q~ � J RPSF�Ve _- 133 z r, 31� Pcotpst 0.S�Mt^Y� • %< l4S ,� $J' Name 6e 7`r— Cr►+ct 11-6 Parcel# 7,V),/-)-O,2 VdOOO ('D BLD# 262A -010'iS 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 X 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 = 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 acknowled a that the information provided is accurate and employees of Mason County are granted access to the above- described prope for revie and inspection as may be required. X wne 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 Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load 7� Make&veJaA 1'7o:ylPs Model tY3 93i Year Square feet Width -.2— 7 Length ) ? Singl Doubl triple-wide(indicate) NEW o(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: -1 Manufacturer's Pier Plan FOUNDATION: 1 HUD24 CFR part 3285 Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 1 Pads 71 Concrete(pre-cast) 71 ABS Pads (Poly) provide manufactures specification with capacities. 1 Continuous concrete footing(runners) Slab ANCHORING: 1 Ground 1 Magnum Concrete-2500 PSI O 1-bolt 71 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 inspect' X Applica ealer/I nstaller(indicate) Date ,2-o//_)- y Parcel Number:421262400060 Parcel Number: 421262400060 Legal Description: TR 6 OF SE NW S 52/47 „+ Size in Acres: 3.00 View Scanned Property Records Check if permits are available � v Information may be outdated, please vi it Taxsifter for up to date information. l • Owner: SEMANKO,SCOTT L&CHRISTINE 14651 N US HWY 101 SHELTON WA 98584 Range:4W Township:21 N Zoom to^ •••