HomeMy WebLinkAboutBLD2024-01005 WRI2024-00020 MFG Home - BLD Application - 8/15/2024 MASON COUNTY Permit No: P)LU202.A - WC
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning RECE /CD
BUILDING PERMIT APPLICATION \/ C
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: AUG 1 5 Z4
NAME:Dahl Properties,Inc. NAME:NW Green Construction,Inc.
MAILING ADDRESS:261 N Hamilton RD MAILING ADDRESS:261 N Hamilton RD '9bV@t
CITY:Chehalis STATE:WA ZIP:98532 CITY:Chehalis STATE:WA 2
PHONE#1:3607400345 PHONE:3607400345 CELL:
PHONE#2: EMAIL:rebe=@nwgreenhomes.net
EMAII,:rebecca@nwgreenhomes.net L&I REG#NWGREGC922Q5 EXp
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER E]
NAME Rebecca Meister(Agent) EMAIL rebecca@nwgreenhomes.net
MAILING ADDRESS 261 N Hamilton RD CITY Chehalis STATE WA ZIP 98532
PHONE 3607400345 CELL
PARCEL INFORMATION: rj20 2_4- 1:J— 50030
PARCEL NUMBER(12 Digit Number) ZONING RR5
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 16
SITE ADDRESS XXX Highland Rd(LOT 3) CITY Shelton
DIRECTIONS TO SITE ADDRESS Head west on W Alder St toward N 7th St Turn left at the 1st cross street onto N 7th St;Turn right onto W Railroad Ave;
Continue onto W Shelton Matlock Rd;Turn left onto W Highland Rd
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:25 sf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkauthatapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM E]
TYPE OF WORK: NEW B ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCTURE(Rvsidmce,Garage,Commercial Bid&Etc.) Single-family residence
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)❑� YES(Part[a]ofBldg)❑ NO❑
DESCRIBE WORK Placement of a 27x60 manufactured home w/decks;connect to new OSS and existing well
SQUARE FOOTAGE:(papased)
1ST FLOOR 1600 sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fL
DECK 32 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.fL
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
EKE Fleetwood Homes MODEL Pure 28604M YEAR 2024 LENGTH 60
WIDTH 26'8 BEDROOMS 3 BATHS 2 SERIAL NUMBER To be assigned
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.Fr.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 1 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 CO NUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT AP CATION OF 180 DAY OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
X 7/30/2024
tptre ofOWWER Ix I e9l nod by the OWNER Date
DEPAI&MENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Ot PROPOSED 3 BEDROOM RESIDENCE
NOTES O PROPOSED DRNE
-RESTRICTIVE LAYER BELOW-m•PRNIWY IArRESEwE WELL
_NDWELLS
> Ar OoEve ,��DRAINFIELD NOT AN APPROVED SEPTIC DESIGN Qp PROPO��sTueouTICLEAMOUT PE.-e°.5)
ELWSE-MERE TO SI ADE RODUIRED ALL TAW Los Must use swG 2024-00191 for septic installation Q
P �Z ® PROPOSED SEPRC TANK(N.EL.•B6A/OUT.EL.•67.7)
SOIL LOOS
`�.r '.`� O PROP08ED WI°1P C1°WER(KW EL-u.3)
'
GMYELLY SANDY LOOM 0-2' EH APPROVED �F QT 2a-rwcTnHm_M(scwo)
a1NVH1Y'MEDIUM SAM N-As O PROPOSED VALVE BOX(IE..102.3)
A (iIAYELLY-SANDY LOM B..r Rhonda Thompson 0911712024
N ¢• ` O PROPOSED ORABi1flD AREA
OTtUNG
3) GRAMMY SANDY LOAM o-rr RESERVE AREA
AAA oRAVE1LY MED SAND 42-GW
UarIIA+O eo•• LOT 3
EH Setbacks
Alrainfield/Reserve requires 10'setback from footing/foundations � `\
B.)Septic tank(s)requires 5'setback from all tooling/foundations
C.)No foundation/Perimeter Drains within 30tt,downgradient of ----
Drainfiel&Reserve area �` SEE DIFTAL
D.)No Cut Bank(s)(greater than SR and over 45 degrees)within
50h,down gradient of Drainfield/Reserve area -
. .��' • SCALE-1'=100'-0'
108 / / / 0 1°
p �< 7
102
too
5 1 2
3
98
° es
ROM 19 GROUND EL.Q TH.111E1 1CD!► 90
LOT 5
t **GHLA10RDTOA LEFT AT aO HIGHLAND , �U' AESENTRA10E ITE TOSONTH:RIGYIT. lAiati.ANv- LoT 7j
a
J( / COAL DAHL1l DESIGN T0 -
Y '\ XIEABDR-
\ ° � X%IA(i•IANDRD-LAYS
- O HGI4A10ACREB-LOTS M-A tOF2
1
�°PIN OF 52tW1300000°�°
Mason County Building Division
MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS
UNIT INFORMATION: *****Snow Load C)�tv
Make Elk 0C)A Model Po6Dj W Year 2-0-*
Square feet �b c7() Width $ Length b0
Single/ oubl /triple-wide (indicate) EW r 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:
9' Manufacturer's Pier Plan
O HUD24 CFR part 3285
FOUNDATION:
Check the type of foundation and attach detail plans from manufacturer's or the ANSI
A22VHUD24 CFR part 3285
Pads
33' Concrete (pre-cast)
71 ABS Pads(Poly) provide manufactures specification with capacities.
O Continuous concrete footing(runners)
O Slab
ANCHORING:
71 Ground
71 Magnum
p Concrete-2500 PSI
71 J-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
inspection.
X A lica t/Dealer/Installer(indicate) Date �" 2�
Name12AW -ext 1% Parcel# 5aolq•13.00000 (1 3) BLD# 2o2--1 —Ot oOs
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 bo X 26 ' i"; _ t b oo
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways V� D X I n = 15 0o
X = Length of drive begins at the right of way
X =
Parking Areas o X Cj a = S o 0
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 y = b
X 16 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) 63 ;?-
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
Name�DAI"gfgy `oi u, Parcel# C;2024' 13.00OtXO (Lvt3) 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:
h!W//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/ ent/ ontractor(circle one)Date: '30.20Z4
Page 2 of 2
PLANNING
2214740 MASON CO WA
08/20/2024 09:03 AN NOTGE
DAHL PROPERTIES LLC #200688 Rec Fee: $304.50 Pages: 2
Return To 1IIIIIIIIIIIIIIIIHII illIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111IIIIIIII
y^w VQ)VeakS LLc RECEIVED
C Vyhal►5 Wf) 1'6532- AUG 2 0 2024
1 15 W. Alder Street
Grantor(s): (1) DAW [If (2)
Grantee(s): (1) PUBLIC
Legal Description (1)_A_pY 3 01F LLS 5-4
(Abbreviated form:i.e. lot, block,plat or section, township, range)
Assessor's Tax Parcel: (1).� 2 O 2. A - I 3 -_5 O O ?) O
C32J-V V210 )
TITLE NOTIFICATION OF WATER RESOURCE INVENTORY AREA (WRIA)
I (We), the undersigned grantor(s), hereby place this notice on record that the described real
estate situated in Mason County, State of Washington is subject to water use restrictions and
conditions set by Washington State Senate Bill 6091 and Mason County Code 6.68. These
restrictions and conditions are based on location of property and/or Water Resource
Inventory Area or WRIA.
WRIA: l�i
Maximum Annual Average G ons Per Day: 950 gallons
Dated on this day A 20 ) .
Sign ure of rantor(s):
(1) ' (2)
Sta e of Washington )
County of Mason )
Page 1 of 2
I, the undersigned, a Notary Public in and for the above named County and State, do hereby
certify that on this it-day of 4'-N nmt 2024 ,
('awir, \01r,�- personally appeared before me, who is known to be
signer of the above instrument, and acknowledged that he (she) (they) signed it.
GIVEN under my hand and official seal the day and gear last above written.
l
REGEc:CA R. MEIS7EF? 7-'t- D 'wl
NOTARY PUBLIC
STATE OF WASHINGTON Notary Public in and for the St to of Washington,
License Number 167937
My Cornwission Expires April 14,2027 residing at I-Q�11C ('o uti w�
My commission expires: 4 Li 2oZ1
Page 2 of 2
O PROPOSED 3 BEDROOM RESIDENCE
NOTES: O PROPOSED DRIVE
RESTRICTIVE LAYER BELOW-60'PRIMARY J 42"RESERVE
-FIVE TIMES RULE MET PROPOSED WELL
NO WELLS WITHIN 100'OF DRAINFIELD �Q 3
ELAPSE TIME METER AND EVENT COUNTER REQUIRED w O O4 PROPOSED STUBOUT J CLEANOUT(IE.-88.5)
-RISERS TO SURFACE REQUIRED OVER ALL TANK LIDS V PROPOSED SEPTIC TANK(IN.EL.-88.0 J OUT.EL.-87.7)
P
SOIL LOGS1100,
O PROPOSED PUMP CHAMBER(PUMP EL.-84.5)
.ram CQ O7 280'-2"PVC TIGHTLINE(SCH40)
1) GRAVELLY SANDY LOAM 0-24' - ��.�
GRAVELLY MEDIUM SAND 24-65 PROPOSED VALVE BOX(IE-102.5)
2) GRAVELLY SANDY LOAM 0-42' `�\ �� FR 2
MOTTLING 42"- �\ � O9 PROPOSED DRAINFIELD AREA
3) GRAVELLY SANDY LOAM 0-42" ` O
�� t0 RESERVE AREA
GRAVELLY MEDIUM SAND 42-60"
MOTTLING 6W* `� LOT 3 -�
,
p
`FA�
SEE DETAIL
` � r
9 `\`� V SCALE-1"=100' 0"
SCALE-1"=30'-0"
108 1 / / / 104 `•� -
one O / / / / ` 102 . 7
0
3
98 1
� 8 /46
� - - _
\ R8M IS GROUND T.H.1(RBM=�W.0) \
LOT 5
l 92
1
\ 4 HIGHLAND RD TO A LEFT AT 2ND HIGHLAND
\ ACRES ENTRANCE TO SITE ON THL RIGHT- t&HLAND _ LDT 3
\ 8
\ SEPTIC SYSTEM DESIGN FOR-
i
CALVIN DAHL
O SITE ADDR-
\ 5 XX HIGHLAND RD-LOT 3
4 O r/ LEGAL- HIGHLAND ACRES-LOT 3 1 OF 2
TPVA PTN OF 520241300000 STE v