HomeMy WebLinkAboutBLD2024-00422 - BLD CD Environmental Health Review - 4/1/2024 MASON COUNTY Permit No: I dECEIVEU
oa�l
COMMUNITY DEVELOPMENT APR o 1 2024
Permit Assistance Center, Building,Planning
615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:ww.a.wm....w.�I.w.a.w a.ue.r.N e.uwR NAME: O[�")2e71 U1. t71P�"I.t%OG�-S
MAILING ADDRESS:625 W Rallroad Ave No.200 MAILING ADDRESS:
CT11:shelian STATE:wA ZIP:93534 CITY: STATE: ZIP:_
PHONE#1:350-229e9772 PHONE: CELL.:,
PHONE#2:350-401-0140 EMAIL :
EMAIL:teambakkanhomeaOgrrail.00m L&I REG# EXP.
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑
NAME Knifi-Antl^10A EMAIL teambakkenhamealligmail.mm
MAILING ADDRESS 625 W Railroad Ave No.2W CITY sl.ad, STATE WA 7
PHONE a rn CELL—a' m
PARCEL INFORMATION: -P
PARCEL NUMBER(12 Digit Nwnber) 2201&50Ao194. ZONINGS C
LEGAL DESCRIPTION(Abbreviated) I amedakee#1 Lot 199 FIRF,.DISTRICT lr jn'
SITE ADDRESS371 E Agate Or CITYshefton
DIRECTIONS TO SITE ADDRESS Tum ism Timbadeks,Tum Right on Lekashom,Tum Left on Agate or,Continue to tl»Bile on the kR.
IS THE PROJECT WITHIN 300 FL OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_Psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (checkeu rhatappy'): S,
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM[] f
TYPE OF WORK: NEW❑+ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(handmre,Garage.Canr,nerckt Bktg, ,.)Resklandal
In
IS USE: PRIMARY�]+ SEASONAL❑ NUMBER OF BEDROOMS3 NUMBER OF BATHHROOMS2
HEATED STRUCTURE? YES(WhckBldg)Q YES(Pw[s/ofB1dgl❑ NO❑
DESCRIBE WORKManuiawred Fiane
SOUARE FOOTAGE: (pmpwed)
1ST FTAORI404 sq.R 2ND FLOOR sq.ft. 3RD FLDOR sq.fL BASEMENT sq.tL
DECK32 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
N MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED`
:n MAKEKaiston MODELNOW YEAR2024 LENGTH52
N WIDTH27 HEDROOMS3 BATHS2 SERIAL.NUMBER
ENVIRONMENTAL HEALTH:
VEERIMETERIFOUNDATION
/SEWER SOURCE: SEPTIC +❑ SEWER❑ / NEW 0 EXISTING❑.
G IN STRUCTURE? YES Q NO ❑ Tf yes,attach completed Water Adequacy Forst
ER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] EXISTING SQ.FP.
G BEDROOMS 0 PROPOSED BEDROOMS 3 TOTALBEDROOMS3
knovdedges mat submission d'naccurate information may resua in astop workorderor pertrevocation.AdmoaledgemenldsudIiis byelow.I declare me I am me owner and I Kamer declare mat I am entitled to re dis pewit aad m dome works ppaee 1 haveermissionhom all menecessarypaN ..: r]nY]a]Ne Ih]I m,]Inlarmatinn nrmiutM k AMrII]IC nnA nr]n1R mm�4mme d k.1]Rnn!'ru,nN u:rnea rn IF]ohm,]d]e�eMd nnrvvN
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22018-50-00194 L NOT AN APPROVED SEPTIC DESIGN
371 E Agate Dr Must use swG2020-00341 ter septic installation
E.Agate Dr
72' C�/�l•
D/W
20'
x4
15' 6'
27 x 52 manufactured
home --
Valve Box
5' min
2-Transport
160.86' �-
1 DD% 160.15'
Reserve
X St.
Clean out typ
s t .
EH APPROVED
amm.Tlvxnpson 05/152024
EH Setbacks
A.) Dramfield/Reserve requires l O'setback from footing/foundations
ks) feel9 ROVED
B.)Septic tan requires 5'setback from all ingtloundations
C.)No foundation/Perimeter Drains within 30ft,downgradiem of
Drainfield/Reserve area 1G 0
D.)No Cut Banks)(greater than 5ft and over 45 degrees)within 2020
50ft,down gradient of Drainfield/Reserve area
Y ENVI I.Y WENTAL HEALTH
From ason
Winfcd from ndacnn r.,mtv nees