HomeMy WebLinkAboutBLD2025-00587 - BLD CD Environmental Health Review - 5/13/2025 •
MASON COUNTY Permit No: i , '4% Q 1ED
COMMUNITY DEVELOPMENT MAY 13 2025
Permit Assistance Center, Building,Planning 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NEE: Eric Michels NAME: Washington Home Center
MAILING ADDRESS:4280 E Rasor Rd W MAILING ADDRESS: 61 SE Ryan Rd
CITY:Belfair STATE:WA ZIP:98528 CITY: Shelton STATE: WA ZIP:98584
PHONE#1:(317)997-0675 PHONE:(360)427-6667 CELL: I C3
PHONE#2: EMAIL: II T % LIP
EMAIL:emichaels166@gmail.com L&I REG# 04427 EXP. 08/31/25
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0
NAME Eric Michels EMAIL emichaels166@gmail.com
MAILING ADDRESS 4280 E Rasor Rd W CITY Beltair STATE WA ZIP 98528
PHONE CELL (317)997-0875
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) P22237790094 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) TR 9-0 of SURVEY 15/35 LOT:D OF SP S2523 96o1039 FIRE DISTRICT NMRFA
SITE ADDRESS 4280 E Rasor Rd W CITY Betfair
DIRECTIONS TO SITE ADDRESS From Belfair take WA 106 W;Turn left onto E Trails Road;Turn left onto E Trails End Drive;
Tun left onto E Rasor Rd W;Turn left onto easement between 4270 and 4275 E Rasor Rd W;Property is at end of easement on right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO D SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all drat apply):
SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW D ADDITION 0 ALTERATION❑ REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc)Residence
IS USE: PRIMARY(] SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]of Bldg)0 NO 0
DESCRIBE WORK Installation of manufachued home
SOUARE FOOTAGE:(proposed)
1ST FLOOR 1770 sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft.
DECK 72 sq.ft. COVERED DECK 0 sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft.
GARAGE 0 sq.ft. Attached❑ Detached 0 CARPORT 0 sq.fL Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE KIT Custom Homebuilders MODEL Cedar Canyon 2057 YEAR 2025 LENGTH 60'
WIDTH 29'6' BEDROOMS 2 BATHS 3 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Q SEWER❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. 0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS.MZ TOTAL BEDROOMS 2
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Adcnowledgementof 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 property
and structure(s)for review and inspection. This permit/application becomes null&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 APPUCATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
/�n COUNTY CODE 14.08.42)
• x I /r�4 L 04/22/2025
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL PUBLIC HEALTH `rr
p f q J7)— t s c \
06/05/2025
APPROVED
MASON COUNTY DCD PLANNING
SCOTT RUEbv,AfCP
Site Plan and Topography 0
Scale: 1" = 40'
el 244'
270'
Disclaimer: Mason County does not require a • el 257'
survey to obtain a building permit. As a result, site RR5 Zoning
plans may not reflect accurate data. It is the Front Yard Setback. 25'.
applicant's responsibility to comply with setback Side& Rear Yard Setbacks. Residential dwelling
requirements. and accessory structures is 20'.
OR 10%width of lot if not more than 100'wide
OR approved ADV
170'
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EH APPROVED v��e`
Rhonda Thompson 06/17/2025 om�°�o�^e`"�
20':Driveway ®Sys�em
Easernentrd
et 253' 160' To E R�as_ o w
N el 251'
+ •---biciA65 -60-5&rri
EH Setbacks - h 5 /1 6WI L
A.) Drainfield/Reserve requires 10'setback from footing/foundations nO 1 0 KY)f C�
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
E.)Use approved mitigation from section C1-9 of the department of
ecology's"Criteria For Sewage Works Design,"when sewer
transport lines are within 10ft of water supply lines.