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HomeMy WebLinkAboutBLD2023-00409 - BLD CD Environmental Health Review - 4/17/2023 /pv`"° Pam, MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASS/STANCE CENTER: il •..\� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL r( > 615 W.Alder Street,Shelton,WA 98584 APR 17 2023 ,J-� r Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone ! ti e� Ballet,:(360)275-4467•Phone Elma:(360)482-5269 �J•"''"9s"^ 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: t C et r NAME: Fr.;‘,0 h t (f,,s t- rn MAILING A DRESS: 5L1 S L cire.sC Y DRMAILING ADDRESS:0c Qc SS 0.D Z CITY:SleI 14✓N STATE: Wit ZIP: tiVirrif CITY:Later 7 STATE:wi ZIP: r03.507 C PHONE#1:34,0-570-rs(44 S PHONE:' c -7`+Z-5V CELL: PHONE 2: EMAIL: 'cgw.`4L7.w✓7(Lc-_j'yvi v..\.cG f = DO EMAIL: 4(k(befftf 2.0� 8 Sw+a%1 -corn L&I REG# F,rtrof .; L3.V t EXP. q /Zl'z ' 0 PRIMARY CONTACT: OWNER 0 CONTRACTOR'' OTHER 0 " Z NAME 4v 1. ,rC4 ?6\ EMAIL K MAILING ADDRESS Qo �7c S S C'D CITY L,4d,.l STATE�AI4—ZIP `I If ' . rn o PHONE 3P1D -7-i L 4 w 5;y CELL I Z PARCEL INFORMATION: 2 oo PARCEL NUMBER(12 Digit Number) .5 I q lC`"! -5 Z'DCDI`j ZONING v N r.�. LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT cam-) SITE ADDRESS 5Zi S ��'2Sce.i14- nc_ CITY $ha1+a.s DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO VOW LOAD:3°.psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chen k all that app(•'): SALTWATER❑ LAKE❑ RIVER/ EK 0 POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM 0 TYPE OF WORK: NEW ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0 USE OF STRUCTURE( idence.Garage.Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL 0 ER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) YES(Part(s)of Bldg)❑ NO❑ DESCRIBE WORK Qf 1Nt 0..•-e .?-faf plC;ce }{ SOUARE FOOTAGE: (proposed) 4 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 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0 MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE S q V4 Q tjt r%A- MODEL Z-g''{O A YEAR ZO Lam, LENGTH y [? WIDTH Z? BEDROOMS 3 BATHS Z SERIAL NUMBER TAD ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC thi/ SEWER❑ / NEW 0 EXISTING PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ. EXISTING BEDROOMS PROPOSED BEDROOMS J 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 properly and structure(s)for review and inspection. This permit/application 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 COUNTY CODE 14.08.42) ig ure OWNER(Must be signed by the OW R) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ell- 7g JZJ COP I r/h'1S --c"l e m o m w-ft. '6._t e.) - exeb e.ty /t D rt tl fi _. . ._... .... ..._. 1Z ____—. f / i ov ... i/ rj • n� I 9 CD r . .: f t —C) i' IQ trl I c v . . f (( ,_. ?, U- Li -iI t N. , u�ua 5 f ,., `—.1`' \ •-.T . . , \.f\ ---:....„,- w f^ 36 0 r 7 o pro n 3> �, e. 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N� Co •'`cp -,, C O Ve -0 :YfS1P pR , �o t °22.4 -9 o a; --- te1N � C ry1 4 W 1 / . n-i, 7 �' --- r oKcrr "'``lip /` V i . - i * * • • ill\-;-1,..n. ',..,:rt-t_. 1-_=, ili • i.. El _' . 42'H HP I..i..,1..:...-:- ..--7- ._ 1 i ,�.yy 1 : l I i Y �i t{ I ' S * S { ] 2 t 1 i 1 6 m �1.. ._! 1 Ij _ + dbT VeV ,--.,,,,-1 - , w I I. } 1 ....., _,.....__,__ O l / r ,..., ... __ zOPT: .w, oPT wOw OPT.WOW It") 1 Arrow Septic Designs 171 E. Vuecrest Dr. Union, WA 98592 July 7,2023 Mason County Department of Health Services 415N6thSt Shelton,WA 98584 RE: Patricia Berry Property(Parcel #31904-52-00014) Septic Reserve Dear Inspector: Attached is a plot plan for the Patricia Berry property located at 521 SE Crescent Dr, Shelton, WA 98584. There is an existing 20' x 48' (960 s.f.)2-bedroom manufactured home installed in 1969 that is going to be replaced. The owner is planning to install a new 27' x 40' (1,080 s.f.)2-bedroom manufactured home. The new home will be installed in a similar location to the old home but turned 90 degrees, see attached site plan for details. The site has an existing 2-bedroom gravity septic system installed in 1979. The existing system consists 1 of a 1,000 gallon single-compartment concrete septic tank followed by 90 lineal feet of drainfield trenches (270 s.f.). The septic was pumped and inspected by Royal Flush in February-2023 and showed some deficiencies with effluent returning to the tank. The d-box has been cleaned out and roots removed and 1 B-Line reinspected and gave the system a non-deficient inspection report in March-2023 and stated that the"system is operating at this time." Reports are available in OnlineRME. We have set aside 405 s.f.of drainfield reserve area,enough for a 2-bedroom septic in Type 4 soil should it be needed in the future. This reserve area has no setback issues as it is 100+ from any wells or surface water. No soil is to be disturbed in this area and it should not be used for vehicle traffic or parking. The property owner's contact information is as follows: Patracia Berry 521 SE Crescent Dr Shelton, WA 98584 James Brazzell (360)742-9934—FrankLynn Construction, LLC If you need further information,please feel free to contact my office at(360) 898-2255. 5t,,,,,, Sincerely, '' 0„),.A ..':. ,t 714, "40r • :.•1.+.1 t-f�,. 510.349 PAULA JOY JOHNSON (l) Pa e Paula J.Johnson Licensed Onsite Wastewater Treatment System Designer 1 610 12+_,yecteNc ( \i'..) -- — 1 Q-clzi Nam. t X i$},,.,,q'Fag( Kz. ova.,, e/ I _ ( 24 " T-r:.�e l lv 5 tg loO 5 / 1 (----- 1 �-1-15-* (2)3' X 45 ' �-.' 'y ��o rocs r� \ Tv �t.�eS wl-#�+ N�w ,r ^A.i-t- ` - i F, 2-7 ' x 4 o s ky ...n.cS•\;eh 0 VI T 1 Ext 54 „7 N ,,,o,,nQ 3t1D i ..... 0 rC) d 251 Xs4 ' o i --- ! \ ) ,.;ek 111 . i I , ..•44 51OC3;o '1'� �T O: PAUL(A JOY JOHpSON i --t C r �.`����� S �SIGNE'tt.. R �^ exv, s a 1 ? ��b SC. I '' = 20 ' '7 - 7- Z'S T ! Key. ` i- -p_c'""" Ol Cleanout 2 1,000 Gallon Septic Tank � -Q -�I -5 -Lj� O l -Compartment 52 15E C,.Y e.5 L'e-,..‘, Dr v1 e- t.-�''N lkS� a 584 0 D Box