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Home My WebLink AboutBLD2025-00068 MFG Home ADV2025-00019 - BLD Application - 4/28/2023 JUU6 MASON COUNTY Permit No: ixE6'LE"ED% COMMUNITY DEVELOPMENT JAN 21 2025 Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION 615 W.Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME iLI;D Awl riTi Al 0 NAME0111 $4 kW L Td-e— MAILING A DRESS: 7 6 A U S �2� MAILING ADDRESS: �l/.�i�C 121i CITY: Ls STATE:f,LA ZIP: !9R CITY:O1-50'A4 A STATE:_GJA ZIP: Sag PHONE#1: PHONE: �[,b ,p CELL: PHONE#2: ? EMAIL: I- V--ko r-90A A-(AW1 EMAIIFWt M A FA 1 q g C WtA t 1 6& L&I REii#_�J/LL NA g��XP. / U/ PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME 1311( G EMAIL MAILING ADDRESS 12,0. 65K I U& CITY 07W[kVJIL STATE ZIP v PHONE �%n • 2_ U '?2' e CELL� 0- _742-220- PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ! Z 0-Q%5_11Q a4W 3 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITEADDRESS 321 /,/ VleA) CITY tfVDWe()K_ DIRECTIONS TO SITE ADDRESS L�4lLc G�dSNK.t!�4l✓ /uL,tO A-1 $' �� ,rSf �oGF �ul�s� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO A 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: NEWO ADDITION❑ ALTERATION[IREPAIR[IOTHER ❑ A•A, USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]ojBldg)❑ NO❑ DESCRIBE WORK l,(L��/2(/( 1�1751a> N�f•ld. SQUARE FOOTAGE:(proposed) 1ST FLOOR 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 � 7�� MODEL U�4XsU�-YEAR "02S/ LENGTH WIDTH-Z.q BEDROOMS Z- BATHS y SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTINGJ, PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO.g EXISTING SQ.FT. IZPIy EXISTING BEDROOMS__Z_— PROPOSED BEDROOMS 7, 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 permittapplication 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 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 Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load Make ��J Model (/01'1)15y' f£SSu(/G� Year Z!Z Square feet t'Z Width Z 7- Length 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 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 Concrete-2500 PSI 7 J-bolt j( 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 wi be based on the information provided herein and will be verified at time of inspection X Applicant/Dealer/Installer(indicate) Date 1117176 \ l $LD10Z5 - 000ko8 EH Setbacks A.) Drainfield/Reserve requires 10'setback from tooting/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area ID.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within �, ' !�! _. Wilt,down gradient of Drainfield/Reserve area 4 - EH APPROVED Rhonda Thompson 03/04/2025 5'min '-ta- .ge"': 1 1 , MM1r-1 , I U SO)f1fiKJieR A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWq�G JIM HUNTER AND ASSOCIATES P.O.BOX 162,IDLY,WA"W7 7S3-1226 +VJ*A Mao)M _ ---- - -- DESIGNER-JIM HUNTER SEPTIC SYSTEM DESIGN FOR- BILL MCTURNAL SITE ADDR- _� 321 N MOUNTAIN VIEW DR LEGAL- LAKE CUSHMAN#171 LOT 83 cF TPa 42200-54-00083 SiTFI _, k Name Parcel# Y ��Uoa 8� BLER r. ��/ D Mason County JAN 21 Department of Community Development 2025 Small Parcel Stormwater Management Application/Worl�s qx( A 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 40 X = 0 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 X _ above table 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) �G O 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 acknowle a that the information provided is accurate and employees of Mason County are granted access to the above- described pr 2elVeview 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 r ad,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 7S 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: hqp//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 4 A" MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV 01 = - - \ V Building,Planning,Environmental Health,Community Health r 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd "7 2 Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. i Applicant/Owners: 1 1 6 Mailing Address: �002, 'Tj City: L a-c-gA.A State: 10A Zip: Telephone: n ILux— l-UI��- I �'► I� Ir1�1Ll�. i i- Email: IrI G If this reduction is tied to1a building permit,please give permit case number. BLD /)-D'a, - Parcel Number(s): -a',)�oq oaaU Zoning Site Address: n [)l��-C �,� lJ iEi,l�I✓�" Requested setback variance: �`� ft. ❑ Front ❑ Rear 0/side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings,slopes, surface water,wetlands, critical areas, septic,well and driveway. Show all proposed new development. FRONT AND OR REAR YARD REDUCTION REOUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) ize of no more than one-fourth acre; ❑ exi ting improvements of buildings, septic systems, and well areas. SI Y REDUCTION RE UESTS: F exist' g lots of record as of March 5, 2002; ust meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; / \ lot size of no more than one-half acre; e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. It) L + IDS Owner/Agent(please indica Signature Da Official Use Only Approved by: - Date Denied y: Date Reason for denial: 2220781 MASON CO WA 01/21/2025 10:16 AM CERT Return To V,RT� I�� 2 lei;! �,'•4 �N V 1 U e U WA Grantor(s): (1) t ' �'��f r- tf , (2) Grantee(s): (1) PUBLIC Legal Description (1) LAV-E CR8J4r AW *I] LUT'• 9):� (Abbreviated form:i.e. lot, block, plat or section, township, range) Assessor's Tax Parcel: (1) 14 2 Z O 9 - S -A - O O O 8 :1) CERTIFICATE OF RESIDENTIAL USE: LIMITATION ON NUMBER OF BEDROOMS I (We)the undersigned grantor(s), hereby place this notice on record that the above described real estate situated in Mason County, State of Washington; is subject to the following understandings and conditions: 1. The use of this parcel will be restricted to no more than bedrooms. 2. The on-site sewage system was designed for, and the building permit was issued on the basis of no more than 2 bedrooms, and a maximum residential occupancy of no more than -1 persons (two persons per bedroom). 3. Use of the other rooms as bedrooms, in excess of the number identified herein, could result in hydraulic overload and premature failure of the on-site sewage system, and could result in Mason County taking steps to cause vacation of the premise. 4. In the event of any future residential remodeling, expansion, or replacement that results in additional bedrooms to the number specified herein, the property owner will obtain the appropriate permits for expansion of the on-site sewage system. Dated on this Z � day of , 20a Signature of Grantor(s): (1) ' (2) Page 1 of 2 State of Washington ) County of Mason ) I, the undersigned , a Not pry Public i and for the above named County and State, do hereby certify that on this of ey I20�� VIA 17� �A��_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 year t abov. writ ,•�' \ss;ori'F�p� of ry Public in and cr the ate of Washington, Jre siding at ;U 23038426 My commission expires: PUBUO ,`��: of WASN: ` ''�,uuu1,101 , Page 2 of 2 oZ ,ux�A vi �j Q A � o � � i I� •. � Eft S S - Z� � � C,�w.vn •>�'� {.. ,. i JAMFS I LI iSED DES)r,-er? S - - - - - EXPME5: 03/2.217—c" A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWING Low JIM HUNTER AND ASSOCIATES P.O.BOX 162,OLY,WA 98507 753-1226 MmDASSWATEWHOTMAILCOM FlI T DESIGNER-JIM HUNTER FROMm SEVTITIC TANK I —TO N °o MP SEPTIC SYSTEM DESIGN FOR— u— BILL MCTURNAL EFF— �K »oK ��. b.¢ SITE ADDR- '® 321 N MOUNTAIN VIEW DR LEGAL LAKE CUSHMAN # 171 LOT 83 of UWICAL) SEPTIC TANK PUMP CHAMBER(TYPICAL) TP# 42209-54-00083 TS ITE#