HomeMy WebLinkAboutBLD2021-00433 - BLD CD Environmental Health Review - 3/26/2021 415 N 6TH STREET,SHELTON,WA 98584
/�� ,,� MASON COUNTY SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
Ii COMMUNITY SERVICES ELMA:360-482-5269,EXT 400
SHoilth
�,� e„�d',,,g,Nanning.Env FAX:360-427-7787
ENVIRONMENTAL HEALTH REVIEW OF BUILDING PERMIT
GR Massee Architecture, Inc. 06/02/2021
4810 Pt Fosdick Dr NW#244
Gig Harbor, WA 98335
Applicant: TSENG VACATION PROPERTIES LLC
Parcel Owner: TSENG VACATION PROPERTIES LLC
Site Address: 6671 NE North Shore Rd
Primary Parcel Number: 222095100002
Permit Number: BLD2021-00433
Permit Description: REPLACEMENT ADU
Permit Submitted Date: 03126/2021
Permit Review Date: 06/02/2021
The above mentioned building permit has been reviewed by Environmental Health and found more information is
required.
All septic systems on this property need to be mapped by a licensed septic designer with locating equipment.A shoreline
property is defined as having an onsite septic system within 100 feet of marine shoreline in EH review policy. It is likely
the main home septic system is within 100 feet of shoreline.An increase of 200 sqft+ building footprint on this shoreline
property requires the septic systems be in full compliance with current code.The reserve areas (replacement drainfield in
the event the primary drainfield fails) also need to be in full compliance with current requirements.
The county only has one asbuilt for this property. Any other septic systems will need to have an "After the Fact" Asbuilt
done by licensed septic designer.These asbuilt(s)will be reviewed by the county and further requirements may be
needed, but these items needs to be completed prior to a follow up review,
We will also require an approved two party well permit.
Thanks,
It you have any questions or concerns let us know.
Sincerely,iRhonda Thompson, EH
opecialist
360-427-9670, Extension 581
rthompson@co.mason.wa.us
[ ] Jeff Wilmoth, EH Specialist
360-427-9670, Extension 543
jwilmoth@co.mason.wa.us
[ ] Luke Cencula, EH Specialist
360-427-9670, Extension 584
Icencula@co.mason.wa.us
's MASON COUNTY COMMUNITY SERVICES Permit No:1Id2AtI -6' 133
PERTSISA CENTER:
.BUILDINGMIA?HAS
PLANNINGSTNCE•PUeLIC HEALTH•FIREMARSHNL
iZt
615 W.Alder .l
Street,Shelton!WA 96584 C
Phone SM1elton:f360)427-9670 eN 352•Fe+f360)427-7798 Phone ..Be 5I '�(�
Harr:(360)275-4467•Phone Elmo:(36014822-5289
O\ ��� rR3+e'^ BUILDING PERMIT APPLICATION
�'Q,��,P PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: '
,' NAME: Dana Tsang NAME:
V MAILING ADDRESS:6671 NE North Shore Rd MARLING ADDRESS:
CITY:Belfair STATE:WA ZIP:96528 CITY: STATE: ZIP:
PHONE#1: 206-679.0923 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: tsenpdana0dvahoo.com I.AI REG# Er.JJ—
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME GR Massee Architecture,Inc. EMAIL gretchen(agrmarchitecture.Com
MAILING ADDRESS 4610 Pt Fosdick Dr NW#244 CITY Gig Harbor STATE WA ZIP 96335
PHONE 253.312.7593 CELL 253.312.7593
PARCEL INFORMATION.
PARCEL NUMBER(12 Digk Number) 22209-51-00002 zONINGRural Residential 2.5
LEGAL DESCRIPTION(Abbreviated) Clifton Beach Tracts TR 2 8 T 1,6 TR 1 ST I FIRE DISTRICT 03
SITE ADDRESS 6671 NE North Shore Rd CITY Belfair
DIRECTIONS TO SITE ADDRESS From Belfair,head NW on WA-300 W,turn Left to stay on WA-300 W.continue
onto NE North Shore Road for 3.1 miles,destination will be on your Left.
IS THE PROJECT WITHIN 30p FT OF SLOPE(s)GREATER THAN 14%: YES® NO SNOW LOAD:_psf
IS PROPERTY WITHIN 200FT OF THE FOLLOWING: (Cheek all that apply):
SALTWATER R1 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW M ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OE STRUCTURE(Residence,Garage,CcnmeremlBldg Ere.) Detached ADU
IS USE: PRIMARY SEASONAL® NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(whole Bldg)❑ YES(Fords)of Bldg)R NO❑
DESCRIBE WO n.0 Replexistingcabinwith e detached 2 b d ADU with:garage.Ex cabin slab to remain.
SOUARE FOOTAGE:(proposed)
1ST FLOOR 560 sq. . 2ND FLOOR 426 sq.ft. 3RD FLOOR sq.ft. BASEMENT sy.R
DECK e171 sq.ft. COVERED DECK sq.R STORAGE sq.ft. OTTER2117 sq.tt.a0 UY111 Oh TPGr
GARAGE 338 sq.ft. Attached® Detached❑ CARPORT sq.ft. Attached❑ Detached❑ e-letaao
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC® SEWER 0 / NEW EXISTING IN
PLUMBING IN STRUCTURE? YES g1 NO (fyes,attach completed Water Adequacy Form
PERLMETER/FOUNDATION DRAINS PROPOSED? YES® NOE EXISTING SQ.FT. _
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
+ III etpwoM War Ge Il Ym N% oMed9 entNeocM1 la by
' 2 e , it t ago; .«1b. to , n}eyr IQ In a stop wpkgdr v Mrm%MgeweFl�atAebroMidOemsnt al such isJ
, J -4f1 P 1 A, I err FONSetee I MOW OdrappI lint IRMO to receiveMR
. fi I 4::: ' ' r i 6a� 6WD:6 frriryParBn,Mch p nywemeld holler or parties of
I x Y �'Sat it .A 1 1,irM Me lefFieMfm providid Is accurate and grants employees of
" it' s "-kvN.'''"A^'-" 'i" ": '-r-.- C. forrcr ewglM� 7, PpmNapplcetlm become null 8 void
y„ . I k " J `9Cfi11 k I "g bNY FT"4 INpMiKdml 1lwspended frk a period of 180 days.PROOF
hr `l 17P P A • *L d0 ?1 Ay lbw I ctivITYO TMIPEIUAR APPLICATION 01118 DAYS
"BG `Y1 T 4.1- l rr P
�p'� Y9" Y /
� r zF�"mm°*-yy�rr`yy a `tg''kg?• £tic A 4 _ 4/A / 7_I
e -A r`:1:Ct ).l iT E, $ 4 'fi7 "Ey h u S t l' p +v pI
J Terri
rh. " :4 r5y ° 't 1 , 'MINIM DATE TAGSMOTR61CONDLTIONS
VI ®11 �Ca_ iB'H all $ ..:' 0 hu ` >keaL
1 .YeJ p tang a)d re•�.� A f4,4a'M!-0sY2a
~ r P , AR aMwM ,. 'r'ar 1 al tl l Mjyy „^MMr je .i
o I I
� Et
It° S W Q �
IIN in 01 1 QI. e C
MoNWE V Q WVZ�
co w
c sU O U w O co j� p
t � c w OZ z o .O. w .
ar u (NA J z
. aaao Q o J 0 Zo2LLm ~ mr 0a awt La - 0 QO
wmammo y O »l- FX ❑ ❑w
42 J i
co -3 \o CD Si
E lr\ >
x =
irk OD< 0
0 K3a 4, � ool '�
O O m z
.c
J X w
Z W w I— F 0
Z Z ° IL E J J J t Q J w °
au
d JaU' N W y Z z 4 O N QQ LL H N 0
U Z U Z w U' w Q K K K co
qa > a F JZ F F : 0 W W w
I W X *D W J J Q U' O m J I a N Q W W W
r' OW 00 2 w N i ° J x I W - K U - K K
i Z t
O Y a >o @ i J 1° E U> O ~` 0 w w c (CI C E
Z o ❑ F " E
aa
♦ Of O N O N ` 0 O Z c Z 8 d N
.t.ZNw r W Ny„1, 4 U ❑ J O C ::::
LL ° S (7Z < U U oo° 7F Q ZOO 0 0 i ❑ UU `� N Ci J ZU'73
emu ❑ ❑ o C = w ? omE C.arc 4 ° yhIWCO .71
co w °2F 3 U ¢ maaEi ci 10co
,Q •• N Ot7 O ZcEDI it ° w No 4. c ❑ TN N `m
+ , UK Z Z °O > Vt. $ K5. c U
�. < Q ❑ 4a O z nm9 � m
JNJ JFONO : 0C.) ra� aaal O.-0 __0
Zm Q Q W O I WA = N .t.. or()
N
Joii iN � 000- u -h44. k 'm >, a- asc3
� Kd re 0 K 0- KQ U K a N U 4. c o �.0 , 0
r a°Q a J a a ul H 0 I ' dz n� 3 o
COIA ao w w h. a w cc o 0 < m u w ckzzu c ?(u\c� -moo ° u d .44
" EQ22 OOw F im lLL � NO - $ JZ2 CAL 0U .
1 op Z p N �A. LL. F I=uy� W J m F LL � �-y, Z O W N ._ T N O C
ZZh i 16 C N RI 5 K U w .. .C `t -J Q ad co N y p8j 2 > U
1 aaw 1��} HNwaawwa c3}� Q 2 Q caa) m o � °i a�
� m ¢ oV1H 33373N � 'r V 2 w 2 ii � E . a) w
AAA Septicp� LLC Septic Service Report
sr'Satisfactory o Unsatisfactory
Property Owner Ei.1, fox Phone#(360) 7/O-.f522
Site Address 667/ NE N"-Bart ArA' City e/ ,i
Tax Parcel k -- -- For Sale? H Yes 0 No
Septic Inspection �
Tank Size ❑500 0? ❑ 1000 1200 o MOO Effluent Level o High t formal 0 Low
If of Compartments ❑ One gtwo o Three Tank Condition /Satisfactory o Unsatisfactory
Tank Material epncrete o Metal o Fiberglass o Poly Tank Pumped oyes or/No
Inlet Baffle 4atisfactory a Needs Repair Outlet Baffle Satisfactory o Needs Repair I
Center Baffle r'Satisfactory❑ Needs Repairer N/A Baffle Repairs o Repair Made o Repair Needed i
Effluent Filter o Cleaned o Not Cleaned Wi N/A Risers o Yes`��'J(o
Tank Depth 6 is/n Risers To Grade o Yes A?Jo
Pump Chamber ❑Yes e'No P/C Gallons o 1000 0 1200❑
Operations&Maintenance Inspectio�\
Is the pump functioning? o Yes o No
' Type/Modelpump
of pump
j Tested gallons per minute flow �_______>
Is alarm functioning as intended? o Yes o No
Were the lateral lines flushed? ❑Yes o No
i Average squirt height(in feet) _ ❑ Not rmed
' Pending present? ❑Yes o No
Components accessible for service? o Yes
All required service performed? es o No
Surfacing effluent from any component(inclu ' ound) o Yes o No _
Components appear to be waterti .• Yes o No
Improper encroachment, r,or settling problems o es o No
All riser lids secure stened upon departure ❑Y-• o No
Electrical rep ' needed(if yes,describe in comments) ❑Yes o No
Root Intvt11On (if yes,describe in comments) ❑Yes o No
Settling problems observed(if yes, describe in comments) c Yes o No
House was vacant or used infrequently,assessment of o Yes o No
drainfield was not possible
Septage Measurements
1"Comp.Scum IT-1 2n°Comp.Scum f--I 3i°Comp. Scum P/C Scum _
1't Comp.Sludge T— I 2n°Comp. Sludge 1—I 3ftl Comp. Sludge / P/C Sludge
Total Gallons Pumpedpp Disposal Facility ❑ Biorecycling 0 Other
Comments rant( air" 0(7/9 atId 1101-
./LtS-re� q 4Arc 5iiJ djti0:1- /
-Few 9-.0 it/4/ 4ddgceodI . Sc?7iM .�L 07' L on 7Yopr✓m/. Sirli<
r nw;R home, /p
Serviceman Signature /1 /0- V eh Date of Service —/2—2GZO
GiD
AAA Septic LLC Septic Service Report
"Satisfactory❑ Unsatisfactory
Property Owner El ?Ox Phone# l-3(56) 7/0- 5Y22
Site Address C67/ if M 5da*t /.7 City /3PAQ//7
Tax Parcel# -- -- For Sale? Yes[ No
Septic Inspection �
Tank Size ❑ 500❑7 ❑ 1000 1200 o 1500 Effluent Level o jigh i<ormal a Low
#of Compartments ❑pne two o Three Tank Condition fatisfactory❑ Unsatisfactory
Tank Material V5oncrete o Metal❑ Fiberglass a Poly Tank Pumped q//Yes o No
Inlet Baffle WSatisfactory o Needs Repair Outlet Baffle Vatisfactory o Needs Repair
Center Baffle D'Satisfactory o Needs Repay o N/A Baffle Repairs o Repair Made o Repair Needed
Effluent Filter o Cleaned o Not Cleaned iN/A Risers ❑Yes cy(99
Mc Depth 6 �h Risers To Grade ❑Yes pro
Pump Chamber o Yes VNo P/C Gallons o 1000❑ 1200❑
Operations&Maintenance inspection
Is the pump functioning? o Yes o No
Type/Model of pump
Tested gallons per minute flow
Is alarm functioning as intended? o Yes a No
_Were the lateral lines flushed? c Yes o No
Average squirt height(in feet) o o Not Performed
Ponding present? ir , s❑ ir
Components accessible for service? , . o No —
E,All required service performed? s o No
Surfacing effluent from any component(includi ound es o No
Components appear to be watertight ❑Y. ❑ No
FImproper encroachment,cover,o ling problems ! c Ye • No
All riser lids securely fas pon departure ❑Yes . No
Electrical repairs ne (If yes,describe in comments) c Yes o No
Root intrusion(If yes, describe in comments) ❑ Yes o No
Settling problems observed(If yes,describe in comments) ❑ Yes o No
House was vacant or used Infrequently, assessment of o Yes o No
drainfield was not possible
Septage Measurements
1't Comp. Scum 3—LI 2nd Comp.Scum /- ( 3`d Comp.Scum P/C Scum _
1"Comp.Sludge /6-IS 2nd Comp.Sludge 9- 6 3rd Comp.Sludge P/C SIu
Total Gallons Pumped /2,00 Disposal Facility1 L5 Bsorecycling 0 Other
/,/r4r ll ,,,�y
Comments / ski c efJ for d-0 rn/h/ f 1- Q000t 5`rl"
z of.1 on yr edy . Stec - r f snx/// Ca,b,n, d �1
Serviceman Signature Date of Service 9-/2- 2Q?-0