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HomeMy WebLinkAboutBLD2025-00570 - BLD CD Environmental Health Review - 5/12/2025 B .-OZv25 -'Oos--1 MASON COUNTY Permit No: RECEIVED r COMMUNITY DEVELOPMENT JutAf, AY 09 202 Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:JENNIFER ROGERS NAME: MAILING ADDRESS:8256 LATONA AVE NORTHEAST MAILING ADDRESS: CITY:SEATTLE STATE:WA ZIP:98115 CITY: STATE: ZIP: 9� PHONE#1:206.300.7651 PHONE: CELL: <f PHONE#2: EMAIL: EMAIL:JENNIFERANNRQHOTMAIL.COM L&I REG# EXP._/_/_ G r PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ 1 f NT NAME T BRAGDON SHIELDS EMAIL BRA GDON@SANDPOINTSTUDIOS.COM MAILING ADDRESS 11733 SAND POINT WAY NE CITY SE 1TTLE STATE WA ZIP 98125 PHONE 206.465.1325 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22201-50-00053 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) LOT 6,SECTION 6.TOWNSHIP 22 NORTH,RANGE 1 WEST FIRE DISTRICT NORTH MASON SITE ADDRESS 18611 EAST STATE ROUTE 106 CITY BELFAIR DIRECTIONS TO SITE ADDRESS STATE ROUTE 106 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑Q NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE 0 RIVER(CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM❑ TYPE OF WORK: NEW 0 ADDITION El ALTERATION❑ REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENCE IS USE: PRIMARY❑ SEASONAL D NUMBER OF BEDROOMS 1 _ NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Pan(s)ofBldg)❑ NO❑ DESCRIBE WORK SATELLITE BEDROOM ADDITION SOUARE FOOTAGE:(proposed) 1ST FLOOR 192 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK48 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached 0 Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC r❑ SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES B NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO0 EXISTING SQ.FT. 533 EXISTING BEDROOMS 1 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 2 OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) T. Bra don Shields DigitatysgnedbyT.BragdonShields 06 May 2025 x Brag don 2o2505.0614:53:4s-er00• y 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 (r. PUBLIC HEALTH l- sl CAP4ITI.M.S CZ _o - D) D cD cQ =`. c _ QL = O OD Q �CD cn c . - o 5Tn QJ 5. . -' -. �'• Qco & CD • ¢) C 0 CD -I CD N 11 CD D n Q 0r�0�O0 `, .C`SFO 0 O � (D = .+ ,r6. S D - CD Q C 0 S !y Z Su 0 G .O► C - O ``�.///C.Q ^rn f ' Q0- Q. Iv 3 _ gQ CD CD D co Q -R.-4 ? i `. O -• p is CD Q v 4 -,`T' S- n g --r 0 Sv O (D D ,,o, c` -i_ tT�-ri_ • n Q Q Iv t• O �,(' ��� 00 MP4� / \!_� \` a € = hIT am < � Q �a`�1,�` �` 1 ; >�. FN- •D`, ,% �- CD O i �� �' 0 �1+`05 `•, In rrnDZ '^ `` `\N p�\ N 4 Q'Ern ©r F`'- `{4• N.w , 1x -V, _i.,,,0 ,414 <20, .,,41' „ max, ... �i� r `\' • nt ' 1\-/". 84'-.0. sv's \...>it ,/ ..'1,10.,11,',-. , 4 ... rs 4 \\\ �`>� \\`t ->„ÔT: it 0ti soo, \ �` \ 9j `\ 4 1 \ \�\� \\ \\'` m� at, - a o / z \ C rntnOOnWD n 0 Z A J f \ , �gEsZ� yO •dpt�133 -`n 0igc � OO o mDdW �cn fgasg71.0-% rR� ^ R r Pig �s . v o to N �.g y z o.A N 5 0 £ a R 1- Q o E C)1 < fwm so m no co o Daao ce3 z A 5p Mp aN B Y-0 O"�ag � am0mH § o om-o CI)O O �:C N YHN,, HpO f_ atil N O N 4D p ' . o y x A At N ON -m 71m At G(T N . ?"' A • p p I/wf ym = N ry 1 ON a 3 f i 9 N.0 b b 01 V P y f� \ �. og iN D E 3 11ir Isla '°'°' JENNIFER ROGERS '_4 • �III L j SATELLITE BEDROOM ADDITION i ' 0 ,set t EAST STATE ROUTE 1O• •ELrAIR.w••.11,,,. 90525 i s •. Arrow Septic Designs 171 E. Vuecrest Dr. Union, WA 98592 October 14,2024 Mason County Department of Health Services 415 N 6th St Shelton, WA 98584 RE: Jennifer Rogers Property(Parcel #22201-50-00053)septic information for building permit review Dear Inspector: Attached is a septic plot plan for a property located on Hood Canal at 18611 E State Rte 106, Belfair, WA. Records show the existing 1-bedroom house was built in 1940. A 2-bedroom approved septic permit from 1991 is on record, but no as-built is on file. A full operation & maintenance report was done by Bamford Septic Repair on 2-26-24 and he also did a camera scope and located the drainfield at that time. See attached Septic Plot Plan for locations and details of existing septic components. There is an existing pump to gravity trench septic system which consists of solids pump basin to an existing 1,000 gallon septic tank and 80 lineal fa-t of gravity trenches, for a total of 240 s.f.. The existing drainfield is approx. 50' from the bulkhead. /IP The owner plans to add a 1-bedroom fiiiijiMift with jir(s.f.of living space and tie it into the existing septic system. Since the septic is sized for 2-bedrooms,according to the Mason County Environmental Health Building Permit Policy,this would be classified as a Non-Expansion because less than 200 s.f. of living space is being added and the total is still 2-bedrooms. In order to meet the requirements, a recent O&M has just been completed and we are showing a reserve drainfield area that meets the repair table guidelines. The repair is designated as an OSCAR XO2 which meets Treatment Level A. The property owner's contact information is as follows: Jennifer Rogers 8256 Latona Ave NE Seattle, WA 98115-4055 (206)390-7651 If you need further information, please contact my office at(360) 898-2255. Sincerely, off '4)) Ve4.1 L fe'Was aarti 11 reatment System Designer r' ;; 1<!', ,i�c�" tip. • •Res-b.? i ,5, >cs.N°b S-?-Z� .: ZO ' i f S CASE t r _� 15 1� to so 30 40 _ S e.1, c f c .- L9..-k,•\ oo `'" JS{\)1•11 R. CR-oG tRS 1�0o v ``' c-4=� 222o( -so- 00055 ., t$(0 l ( f S-n°�c- Ric. 10 51-)' B z_F-tAR , t,,C A-- qg 5 z tr- i cScF 94sE.furd I A4 t I 1 -\: o- E5 't s ki lea4.44 ndyciatet sI o Ctwt� sa•k.01 -t- voo is) \; ct1-\-11 j DEGKNow d_ cew.�cre* ) 30- 5(, ny �jcu-.',(O \-aJ GIt y 10�41`Y�- 4-0 �ooSe ,9 N tie FycIs-Fzi,c5 O`.: .S) -c•K 1 CD `,i-1-fi` Purr_ V) J L be, ?rot00, 1�CN -4-6 s t © xrs-4-47._ D.F. So 1;‘,,.. 4*. J / `o v^-,.n- .9 ��2226 CJ G Ai` °o° /S w --10 .3 2 ' off Q .e9. , /' •Qa "Ar< 04, t. "-' PAULA JOY '0HNSO+'J '�t/� i��. ICalg-ki L�r gtGPtgt1•• EXPIcu:S Uim: / :v 5 -7.-zs