HomeMy WebLinkAboutBLD2021-00334 - BLD CD Environmental Health Review - 3/8/2021 415 N 6TH STREET,SHELTON.WA 98584
:: ^^w SHELTON:360427-9670,EXT 400
MASON COUNTY aELFAIR.360-275-4467,EXT 400
COMMUNITY SERVICES ELMA:360482-5269.EXT 400
J' 9,,Ps .,f, a4 mm,o,.nienw Health.Community linalth FAX 360427-7787
ENVIRONMENTAL HEALTH REVIEW OF BUILDING PERMIT
03/24/2021
RILEY SAMUEL&CHRISTINE
1320 KAISER RD SW
OLYMPIA, WA 98512
Applicant: RILEY SAMUEL & CHRISTINE
Parcel Owner: RILEY SAMUEL& CHRISTINE
Site Address: 20 N STAIRCASE RIDGE NORTH
Primary Parcel Number: 523095000005
Permit NumberBL02021-00334
SMALL ADDITION
Permit Description: 03/0812021
Permit Submitted Date: 03/24/2021
Permit Review Date:
The above mentioned building permit has been reviewed by Environmental Health and found more information is
required.
The county does not have any septic records on file for this property.We will require you hire a licensed septic designer
with locating equipment to create an "After the Fact" asbuilt. Please also have septic designer designate a reserve
drainfield area. County Assessors office lists this property as a 3bd house, please contact them to have this adjusted to
accurately represent the current 2bd home and assumed 2bd septic system.Thank you.
If you have any questions or concerns let us know.
Sincerely,
[ ] Rhonda Thompson, EH
Specialist
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
MASON COUNTY COMMUNITY SERVICES Permit rco: it ef-,(f V E D
PERMIT ASSISTANCE CENTER P•(C V C
P.
BUILD
ING PLANVJO•PU IC HEEL H•FIRS MARSHAL
-�' 615 W_Aider Street,Shelton.WA 905BC MAR 08 2021
j 3 Phone Shelton (360)427-96I0 ad.352 F x:(360)4217Th8 phone 42\
/ B 11 (3601275-4467•Phone El ma (360)482 5289
BUILDING PERMIT APPLICATION _ 615 WAIder Street
PROPERTY OWNER INFORMATION: CONTRACTOR IINFORMATIOON: /1 1
�� AME: 2 - Q I NAME nnit l re-ASS. e IS
eAr
AILING DDRESS' O W MAILING AD DRESS a j °CO
t . CITY_AILING_
10. STATFd_PI ZIP ag5la I CITY: r STATE: L�
PHONE MU_ (,?Ab 710-030 PHONE eQIil _ tIOS CELL: r.�
C:((� PIIONE112 EMAIL
C: I go •�EXP e 1�3i22ad
EMAIL:CtiNrs,•^1C eorKlen kroAsla.da,l.ce,y ti
, PRIMARY CONT CI: OWNER I] CONTRACTOR B. OTHER I, Ma_ / gym
NAME EMAIL Ale
MAILING OD ESS Ate- CITY STATE ZIP 98531f
PHONE - CELL e.�C'�^', fa J
5
PARCEL INFORMATION: RQ
PARCEL NUMBER(12 Digit Number) f C^- 11005 Z'ZONING II'Keg
Q f/ _J�C bCab�
LEGAL DESCRIPTION(Abbreviated) e ^ t.d4S` . t.it •e#a labJFIRE DISTRICT IR
1 SITE ADDRESSy?Q ,)attire CA. 'I r -' CITY OfY
DIIRECTIO TO SITES ADDRESS •11R aAVE oe� r W K or-alb
IliIA WA' -vim d� /AL. Prfle / Q.
•
IS TIIE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE NO I`w SNO LOAD: psf
IS PROPERTY WITHIN 200 FT OF'THE FOLLOWING: (Cheek an Mompply).
I SAL(WATER❑ LAKE RIVER/CREEK❑ NPOND❑ WETLAND SEASONAL RUNOFF STREAM[]_
TYPE OF WORK: NEW❑ ADDII ION Y` ALTERATION[) \\ REPAIR❑ OTHERR ❑ ���
USE OF STRUCTURE(Re d e Garage,rimmercral Wig,G)Vat ebb- A44N11 g M`A6n
IS USE PRIMARY[1 SEASONAL p,. NUMBER OF BEDROOMS op NUMB-ER OF BATHROOMS�/ I
HEATEDRIEWORKU '1 x(d5F YES rya,l/a/W61d NO�J40 1,005e (ikW("IQ �Pe� kaf B
I DESCRIBE WORK Ha SP 10 P,G G.1L—`
1 SOEARE FOOToAGE: mmpeaa
1ST FLOOR ��Pr_sq.ft. 2ND FLOOR sq.it3RD FLOOR _sq.ft. BASEMENT_ sgft
IDECK _sq.ft. COVERED DECK -sq.ft STORAGE sq.ft. O'CIIER_ sq.
GARAGE _sq.ft. Attached Detached CARPORT sq.ft. Attached[1 Detached
MANUFACTURED HOME INFORMATION: '4 COPIES OF'I RE FLOOR PLAN REQUIRED*
MAKE_ a IA_ MODEL YEAR LENGTH
WIDTH BEDROOMS_ BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE. SEPTIC SEWER G / NEW❑ EXISTING
PLUMBING IN IRUCTUREP YESg, NOS] Ifyes,attach completed(Vaal Adequacy Farm •T �/
PERIMTER/FOUNDAI ION DRAINS PROPOSED? YES❑ NOV EXISTING SQ.FT. 74
FXI HMG BEDROOMS O( PROPOSED BEDROOMS iffr. TOTAL BEDROOMS P
OWNER acknoyeedges
that a I I' mrIl information may amult stop M1 orderpermit
revocation.AUnoWed9ement al such is by
signatureave
ibelow.i dedare Nal theand.N h declare Mannth ldlrorp N of interest
permit e dio g thisNpprojec.I s he owner or legal
obtained permission represents
all ry p rKt:Gs.includinge any to access the above tlesenbeb property
representative,repr renew that thems information Kt:Goad Isp accuratealionecoande5 grants employees8ifof Mason County
and slMl cress)Tct wonand Iuspedied. a er ofISlO ayn becomes null8 void if work or authorized construction is not commenced wiNm 190
days or O constructionwM is suspended for a period of ISO days.
PROOF OF CONTINUATIO F WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERM! APPLI T Nr 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO UW� ,Q(�y�BE EXPI ED.111ASON
COUNTY CODE 14.00.02)
9/Z O2 3-8- 24
x Signature of OWNER( dby the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOT'ES/CONDITIONS
BUILDING DEPARTMEN I
PLANNING DEPAR IMENT
FIRE MARSHAL
PUBLIC HEALTH