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Home My WebLink AboutBLD2024-00249 - BLD CD Environmental Health Review - 3/4/2024 MASON COUNTY COMMUNITY SERVICES PermitN.: ?)I ba OOI4'00�W9 PBRMITASSISTANCBCEMER: RECEIVED .ewu>raD.vuNxrnv-vMNx:xB1�rx-RPFMwsxu B15 W.Wu5bep,BM1e1v¢WA�SW Pl a tla (3"4nAAo M-F(3W)W-M!Phm-pdojv FEB 2 8 2024 e.nx- c PM..E1x'(Jmfa0A - BUILDING PERMIT APPLICATION 615 W. Alder 1 m PROPERTY OWNERINFORMATION: CONTRACTOR INFORMATION: C NAME: ?Elo�1AS t/u�'F NAME i=j_ /l�Isrri/s cso riacr�Aw. = ZJ MAH.IIIGADDRESS: 9i 4"r 130& W WJUNGADDRPSS: (of SP rz� m 0 CITV_,S ecYZu 3 SEATB:�_Z7:: 49� LT CYSMets2.J:. SFAT& W &!S A zIP: " D Z PHONB#l: PHONE:34A.� 3E--Q 7,aRT. -4Yo �- PHONE#2: EbWL: el _ b¢.I Ln.a Pd1 lllm -� FldaE, _ L&I REO#ExjjgrKjj* ellms. LI 2 mPRIMARY CONTACT: OWNRR❑ CONTRil ® Z NAME EMM. Pr b e IH —I N=NGADDREM /OI E_ iPcSeurr_- nr CITY sNeu.vl ST TB��yB' 9�'E/ PHONE1-(,o J52. 7, v7 CRLL .3lo0-V90- V4oI PARCEL INFORMATION: 3 PARCFS.NOMBFS(12Dig[Nimb¢) 024— T5-- (X10 TAND70 n a IEGALDESCRIPTION(AbbaHaf¢� MBDSYRICf IT, =ADDRESS <FfiarnJ C a_ DIltFL't'IONSTO=ADDRESS m 0 IS THEPHOIECT WH'HDf 300 FP OF SLOPR(ST GREATERTHAN II A: YESE NOD SNOWTAAD4� < LS PTWAT TYWRBIN30BPTOFTum%DOWIlVG: (Ou3ua mmgp1 sActwwTex❑ IA%8❑ arvvu�aHeE❑ Porn❑ weTLArro❑ BRAsoNALRTINOFF❑ mwarc❑ TYPE OF WORK N if ADammD ALTmw D A "D OTT n USR OF STRUCR?RB(desf.:•A Gu+m['mwYBr�.BeJ _CCP BUM PRWARYW SEASONAL❑ NUMBBR OF eliDA00Ms Z N[E�BAOFHATHRppMBJ_ IDATED STRTICTORHI YES( I W W YE4 E'm#de3W❑ NO❑ DESCS(RRWOHX A)OW Sr-K SQUARE FOOTAGE:� '2a� ISTFLOOR9¢L K..B ZND FIAOa�32s}8 3AD FLOOR W.8 HAEEMENT q.8 DBCK ,& COVEREDDBC% ,..& Sf(1RAGH Iq.B OTHER ,& GARAG ,&�r a D De D c PORT .a.8 a, <] D m D . MANUFACTURED HOMEINFORMATION: ' •<COPMSOFTfMFLOORPLANMUlRED' MARS MODEL YBAR LENGTH WIDTH REOROOMS RAIDS SEnaNOTINER )9 V QNMENTALHEALTH: SEWAGHi56WFRSOORCE SSPTICg SBWPlt❑ / NSW® H=TRG❑ PLLJme1NGBS SIBOCPIRE? YES NOD Ijym,muAmmpldd WmoddrywcyF.rm PIItASTHB/FOLIIiDATION DRAIIES PROPOSED? YES NOO EY CNGSO.FT. EXIs1'INpHIDA00MS _ PAOPOSID I3EOAOOMS�_ TOTALBEDROOMS_-?._ (TNNFF[v>mb�saY¢Wn6Ymrl Fw•c.ele N(wmstlon^ve'IeMYI eYgvnk uasmgmBrewa�rt AdrwAagemv[atm l:bhy a�aWte MW.ILGmellmlvn Cn gxyatllNaM1a Oe�:eNrtlan eNAW b�.wFntlb pmni6ugbA Me wM1apopmttLlM1M . arwtlK;:eP�h tlW Mre itRmn 9m P:.'^�6 m�wna 9mnan'P�Bs.timem:aA�.�tlYs W�¢a T:e wmcmlwW aN zbumre(¢)fartmwvtlinSamm lN¢M.B�F'll�enMmn®:uA 6v�P Aotai v�tra0 mvW6im i¢Mm:mia muWtm a%¢vrcm.mu¢cm.ax'v¢owwd¢a lore P_. .�Im am¢. PROOF OF CONTINUATION OFWORNON THIS PE rr IS SYMEANS OF INSPECTION. WACTNITYOFTHIS PERMIT APPLICATION OF 1BO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON CODE 1eMAZ) sIpI�MWOWNFA mun..W.. ER oem - 4 . . ,;: •AP%$rzYEnr� DwxB�; D y ;,DA 4wG5i..TOTSRrcor>t![¢otiss SVHDINO DffiAB'1)®,T PLANrIDiG I>1+YAHTAHTTT FIRRraARSHAL PUBILCHBALTH �1 1 IVL q 2 ] i WillHM | , q I ; q x ) m \ � \ W q -- ) , !! J : ! � � \ ! ] ;!, |■i � I Rhonda Thompson From: EILEEN BAILEY <ei bailey@msn.com> Sent: Wednesday,June 5, 2024 11:20 AM To: Rhonda Thompson Subject: Re: BLD2024-00249 Attachments: Huff 200 Lary Dog Lane Shelton lab results.pdf Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and knowthe content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Rhonda, Thank you so much for your help with this.Attached is the water test lab results from Vanguard.Tim will amend the site plan and I'll get that over to you as soon as possible. I attest that the septic system is brand new and has never been used. Thank you, Eileen Bailey El. Kristyn &Son Construction, Inc ei_bailey@msn.com 360-432-3147 office From:Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Wednesday,June 5,202411:09 AM To: EILEEN BAILEY<ei bailey@msn.com> Subject:BLD2024-00249 Hello, Here is the building site plan that was submitted and I also attached the septic asbuilt foryour convenience.I need to see ALL septic components shown on your building site plan.That includes tanks,transport lines,drainfield, reserve,etc.Then please also send me over the satisfactory bacteriology test on the well and whether the septic system installed in 2021 has ever been used. Thank you, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6'h St.Shelton,WA 98584 360-427-9670 ext.581 Rtho mpson@masoncou ntywa.gov 1 ! P � Q r B6 � Ub 1Jb Be 1 z � n ASS s � } B II C N aj�t MASON COUNTY Permit No: 0 a0 a4.- COMMUNITY DEVELOP D Permit:Assistance Center, Building,Planning BUILDING PERMIT APPLICATION FEB 21 M4 PROPERTY OWNER INFORMATION: CONTRACTOR INF ATION: NAME:DARREN MILLER NAME.cner-Wilda, ENVIRONMENTAL MAILING ADDRESS:5484 E.COLLINS RD MAILING ADDRESS:____W CITY:PORT ORCHARD STATE:WA ZIP:98366 CITY: STATE: PHONE k l:380-821-3530 PHONE: CELL: PHONE 82: EMAIL: EMAIL:KSPDARREN@OUTLOOKCOM L&I REG# ¢/ PRIMARY CONTACT: OWNER[]r CONTRACTOR❑ OTHER[] NAME DARREN MILLER EMAIL KSPDARREN@OUTLOOK.COM F MAILING ADDRESS 5484 E COLLINS RD CITY P.Toecwwo STATE WA ZIPNT,66 PHONE seossl sue CELL SOME "00- PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22108-55-00009 ZONING M LEGAL DESCRUMON(Abbreviated) LOT 2 TRACK9RE'tATTRS aC,D,E Pa RISE ESTATES FIRE DISTRICT" SITE ADDRESS 120 E OLYMPIC DRIVE CITYGRAPEVIEW WA DIRECTIONSTOSITEADDRESS FR mM 3T WEBTdIM MBENSONROLEFTIXRMASONLILRO.R ONE.LNBONLKORE,RMWONEOLY MCC 0E4TMATMONTNERIGWBE EN110a IMEM MMM IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[a SNOW LOAD:"nbsf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Charkou thowly): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW[]y ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Ramdsnca,Gaage,CMm .ftIBldg,E,M)SINGLE FAMILY RESIDENCE IS USE: PREytARY 0 SEASONAL❑ NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS2.5 HEATED STRUCTURE? YES(Wks BW❑ YES(rartNJ MrBW []+ NO❑ DESCRIBE WORKBUILD NEW 2 STORY WiBASEMENT SHOP SQUARE FOOTAGE: as,,M,ry 1ST FLOOR 14R0 sq.R 2ND FLOOR TTp sq.ft. 3RD FLOOR sq.ft. BASEMENTg� sq.R DECK 06 sq.ft. COVERED DECK ERI sq.ft. STORAGE sq.ft. OTHER sac sq.ft. GARAGE' sq.ft. Attached E Detached❑ CARPORT sae sq.ft. Attached 0 Detached❑ MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED" MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: INSTALL FROM 1985 SEWAGEISEWER SOURCE: SEPTIC[]+ SEWER❑ / NEW Q EXISTING R] PLUMBING IN STRUCTURE? YES EI NO❑ Ijyes, attach completed Water Adequacy Form PERAIETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS s TOTAL BEDROOMS a OWNER acknowledges that submission of Inaccurate Information may result in a stop work order or permit revocation.Acknowledgement of such Is by algnature below.I dedam that I am the caner and I further declare that I am entaled 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 property and structure(s)for review and inspection. This pen liVepplication becomes null&void 8 work or aulhomed construction is not commenced within 180 days or 8 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) Darren Miller D,iMllyegredbyDrimEnMiller 2/8/2024 X Dare:2024.02.000sslas-osop Signature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH