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HomeMy WebLinkAboutBLD2025-00309 MFG Home - BLD Application - 3/17/2025 -� MASON COUNTY Pe> mit 'VTo: t�llr,�ib�i�- Od�p�l' COMMUNITY DEVELOPMEkTCEIVED Permit Assistance Center, Building, Planning 17 _ BUILDING PERMIT APPLICATION 61 W. nidat_StWet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Accurate Development,Ins NAME: p NAME:Southshore Construction ` MAILENG ADDRESS:PO Box 76 _ MAILING ADDRESS:PO Box 963 CITY:AIIyn STATE:WA_ZIP:98524 CITY:Belfair STATE:WA ZIP:98528 —-- PHONE #1:206-200-3325 PHONE:360-509-1342 CELL: PHONE 92: EMAIL : E MAIL:tom@thomaswottler.com L&1 REG#_ EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME Same EMAIL MAILING ADDRESS_ CITY STATE ZIP j PHONE CELL _ PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22127-51-ODQ21 ZONINGSF LEGAL DESCRIPTION (Abbreviated) FIRE DISTRICT SITE ADDRESS E.Madrona Parkway CITYShelton DIRECTIONS TO SITE ADDRESS Hwy d East on Rraboenhoft,Follow Road thru tunes without turning to end of road cull de sac to lot on Right i 1S THE PROJECT WITHIN 300 FT C,3j_ SLOPEes)GREATER THAN 14%: YES❑ NO ❑ SNOW LOAD: psf i 1 IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apph): SALTWATER E] LAKE ❑ RIVER CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM ❑ 1 TYPE OF WORK: NEW O ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ i USE OF STRUCTURE (Residence. Garage, Commercial Bldg,Etc.)Residence__ IS USE: PRIMARY [] SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS2 HEATED STRUCTURE? YES o1f7;olePit-,) 0 YES(Purt[sl q(Bldg)❑ \O ❑ 1 DESCRIBE WORKNew Mfg Home on site SQUARE FOOTAGE: (proposed) 1ST FLOOR 1280 _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. I !iARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* i MAKEChempion MODEL Noble YEAR2025 LENGTH48 WIDT1127 BEDROOMS3 BATHS2 SERIAL NUMBERN2848Hb4 ENVIRONMENTAL HEALTH: SP 1 - da( ( i I SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER 0 / NEW EXISTING ❑ PLUMBING IN STRUCTURE? YES n NO❑ #*ves, attach completed Water Adequacy Form � nERI'VIETER-FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FT. 1280 j EXISTING BEDR00jtIS 3 PROPOSED BEDROOMS 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 1 i signature below.I declare that I am the owner and I further declare that 1 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 i Mason County Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: *****Snow Load�� Make i /ko _ Model _A , -E Year Square feet L9-9d Width y7 Length Single ubl /triple-wide(indicate) 1 '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: Cl '-Manufacturer's Pier Plan C7 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 1 Pads C7 Concrete(pre-cast) 7 ABS Pads(Poly) provide manufactures specification with capacities. 7 Continuous concrete footing(runners) C7 Slab ANCHORING: 71 Ground Cl Magnum Concrete-2500 PSI C;K'J-bolt F1 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 proce ses will be bas on the information provided herein and will be verified at time of inspection. / X Applicant/Dealer/Installer(indicate) Date Z��� .�,rrx BLD#_13 ICA 2b25-06'Vq - $ Nlaso❑ 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. t Title 14, Chapter 14.48 of the Mason County Code (MCC) regulates compliance requirements for Stormwater Mana:ement in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website. http/!www.co.mason.wa—us/code,coiuniissioners/index.htni 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 1 their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health s 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 Sniall Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORNINVATER MANACEMENT PLAN FOR THIS SITE b A)_) ► The relevant details from Managing Storm Drainage on Sniall Lots, The Small Parcel Stormwater Site Plan will he installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. 13) 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 anv 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 ackno ledge that the i ormation provided is accurate and employees of Mason County are granted access to the above- described p erty for . e and inspection as may be required. X &:;�AgentiContractor(circle one)Date: Page 2 of 2 -W. R NameA +�f Parcel# /27�S/-OC�O�/ _ BLD -R6)6- Voq 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 surface2. l '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. 'Common 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 storm-water. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious " t �n.W rtc This Table Surface Type Length X Width - Area " All dimensions in feet Buildings— X ?li•� _ /��(� X = Measurements for buildings are taken at the X perimeter of the farthest projections (example: eaves/gutters) Driveways X I = X = Length of drive begins at the right of way i k 11 X Parking Areas X = i X = Any paved, gravel or packed area per definition I -- -- -- - —! above table i X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X77, - Others X = X = 11;` 1�6 tz6W1i1t C wi i fE O th' prop:�S °S 6 devek prnent is gCeatei than 200C square feat a X__--------------_-'_ ! Panel Stormwater Site Plan is Rcoiu; ed Totai 1rral,ervious Surface Area (s,.am 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. ! Ova ncr'Buildcr/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 acknow dge that the in ation provided is accurate and employees of Mason County are granted access to the above- described pro erty for rev' and i s ection as may be required. 1 X «ner ent/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. p 1 Page l of'- 1 EXODUS ACRES E MADRONA PARKWAY PARCEL 22127-51-00021 t 2A� 38' +/- SCALE 1" = 30' 2T v an r, / d4Det-hed� dmgs � =� r i /n_/ <.a net!Chad i aM,ngs 48' OF D i DA 133' + 25' w 5' RR5 Zoning Front Yard Setback. 25'. f� Side & Rear Yard Setbacks. Residential dwelling LI f )r6JL,�),N j/4v and accessory structures is 20'. OR 10%width of lot if not more than 1 00' wide OR approved ADV 04/11/2025 signed EH APPROVED by S=t APPROVED %edy / Rhonda Thompson 04/21/2025 MASON COUNTY DCD PLANNING SCOTT RUEQY,AICP / Public sewer and water 520 E MADRONA PARKWAY U MIN SIDE- 10% of lot PARCEL 22127-51-00022 Afl setbacks are measured from the furthest I EXODUS ACRES projection of the building. I I E MADRONA PARKWAY Common-line mitigati n PARCEL 22127-51-0021— I t C c&2- I 27' I \v 2pT = i m � � 103' I 4x4DMachM . 48'S2 SCALE 1" = 50' N 51' Q I � a I v 55' yr 101.5' 186.26' - 20' MIN building setback from slope. See Geo report The approval of this project is subject to the recommendations / and specifications outlined in the attached geotechnical report. All applicable recommendations and specifications shall be applied 510EMADRONA PARKWAY to the development on this site. Any deviation requires stamped PARCEL22127-51-00020 written approval from the registered design professional responsible for the report and may-require special inspection by same. Structures and/or land modifications (grading, cuts, fills, etc.) required in the geotechnical report, may require a separate Disclaimer: Mason County does not require a permit. The geotechnical report shall remain attached to the survey to obtain a building permit. As a result, site \J approved building plans. plans may not reflect accurate data. It is the applicant's responsibility to comply with setback requirements. WO 0SO ut m SrvLoc PUBLIC UTILITY DISTRICT- Cust ❑ AFC APPLICATION FOR NEW ELECTRICAL SERVICE This application must be filled out completely to ensure line extension costs are tabulated accurately. Applications may be submitted to the Service Engineering Department by: -Mailing to:Mason PUD 3,P:O.Box 2148,Shelton,WA 98584 -Electronically:Email to serviceenQineering@ nm npud3.org or access fillable form at ww-%?.pud3.org -In person:Main Office:2621 E Johns Prairie Rd,Shelton,WA 98584,or Belfair Payment Center:24081 E State Route 3,Ste.B,Belfair,WA 98528 Please include the appropriate Application Fee(as indicated below),or an invoice may be billed to you. APPLICATION FEES Single Phase Residential Service$200.00-Single Phase Development$300.00(3+Parcels)-Three Phase Service$�00.00 NOTE-Application Fees are not refundable Customer Information: Have you had an account with Mason PUD3? 0 Yes 0 No Name(s) ��'e'a?� "� Primary Phone# G� — Email �l /al'1Ssi.�y// •��� Alternate Phone# Mailing Address 'Q � -!ck City Stated Zip s Electrical Contractor/Builder Contractor Phone# Contractor Email Address Do you give permission to PUD 3 to provide information regarding your request for service to your contractor/electrician/agent? Yes W No Load Information: Service Type: ❑ Home ❑ R.V. ❑ Development(3+Parcels) OV19-anufactured Home ❑ NEEM ❑ Other House/Building Size �/ Square Feet Service Size/System Capacity Fee: 0 100 Amps:$700.00 Amps:$1,700.00 0 320 Amps:$2,700.00 0 lm>400 Amps:$8/AMP 0 30 120/209 V:$14/AMP 0 30 277/4R0 V:$34/AMP Type of Heat: Additional Loads: ❑ Baseboard Watts Or-Water Heater: O'Clectric 13 Gas ❑ Wall Mount Forced Air Watts ❑ Cooking: 0 Electric 0 Gas Z/Electric Furnace Watts OlDryer: 13 Efectric 0 Gas ❑ Heat Pump LRA Ton Auxiliary Heat Watts ❑ Hot Tub Watts ❑ Welder Watts ❑ Gas ❑ Oil ❑ propane ❑ Other ❑ Well Hp ❑ Compressor Hp ❑ Ductless Heat Pump LRA RLA Brand ❑ Tankless Hot Water Heater Watts or ❑ Gas Model# ❑ EV Charger ❑ Other Site Information: Special Directions to Site:(Map on next page) Site Address Development Div/Lot# A,S,OWX<0-S 72,-' -A'zV,6 Parcel No. x�/z 7— �!-QDa Z/ o¢Y -AeG-,o6fr S'iSaC •LOB Gate Code Key for Access: 0 Yes Cr Property corners are professionally surveyed&visible: W- es F7�o County property located in: gorviason 0 Kitsap 0 Grays Harbor -NORTH- EXISTING POLE EXODUS ACRES 'ISM POLE / E MADRONA PARKWAY PARCEL 22127-51-0021 LOCATION / LREAD / /ER LINES 7.r / ULITIEROUND JWTIES Z7. !x A INR,MA,'fhI.XPINInF,.:Al11.N1 103' SEPTIC TANK m r. 4 x 4 Detached Landings as' SCALE 1" =50' Op DRAIN FIELD 1' IL D A 101.5' ✓ > 55' ^ ITEM TO BE REMOVED: 3.1� V Rnrlt 186.26' 71 A SKETCH OF YOUR SERVICE LOCATION SHOWING THE FOLLOWING ITEMS(EXISTING AND PROPOSED): Boundaries of tract Location of poles Location and orientation of buildings or structures Location of existing underground utilities Location of roadways,driveways,and clearings Location and length of buried underground secondary service wire and size of wire Location of septic tank Location of meter base(including temporary service if requesting) Additional Information: Temporary Service: (Not Required to Submit AppHeation) 13 Yes C No Building Permit# NOTE:Temporary service will be disconnected upon State Electrical Work Permit# connection of permanent service. Failure to apply Date Approved: for temporary service may be subject to an additional charge if installed without notification. Additional remarks(including any future load requirements): I affirm that the above information is correct to the best of my knowledge,and that I have been provided with PUD 3's Line Extension Policy, Service Rules and Regulations(www.pud1org/rulesandreg_s), and Customer Information Package. I understand that changes I make in the above information or attached drawings may increase th ime requi or PUD 3 to provide service and may be subject to a revision fee. Signature Date ........................................................................................................................................ PUD 3 USE ONLY Date Received Received By Assigned To Date Billing Cycle Cycle Route MR Invoice# Application Fee:0 Billed © Paid/ Check# Engineer's Notes: