HomeMy WebLinkAboutBLD2025-00620 - BLD CD Environmental Health Review - 6/23/2025 t�
MASON COUNTY Permit No: i51��l/0 ✓U oeD O�CJ COMMUNITY DEVELOPl 1G' I V E D
Permit Assistance Center, Building,Planning MAY 20 2025'
BUILDING PERMIT APPLICATION
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORI�IATIO�`Ider Street GA
` NAME:CHAD LARSON NAME:BOWERS CONSTRUCTION . iat
MAILING ADDRESS:PO BOX 783 MAILING ADDRESS:101 INDUSTRIAL PARK WAY lei r-)
CITY:COSMOPOLIS STATE:WA ZIP:98537 CITY:ABERDEEN STATE:WA Zip:98520 I; CJ3
PHONE#1:360.580-4456-CHAD PHONE:380-5574998 CELL: t...)
PHONE#2:380-581-4269-KELLIE(SPOUSE) EMAIL:meissa@bowersconstructioninc.c0m p Lit
EMAIL:CHAD@ADVANCEDHEATING1.COM ' L&I REG#BOWERCI771LB EXP.06/02/255
PRIMARY CONTACT: OWNER❑ CONTRACTOR CI OTHER❑
NAME BOWERS CONSTRUCTION EMAIL meissa@bowersconstructionInc.com
MAILING ADDRESS 101 INDUSTRIAL PKWY CITY ABERDEEN 'fl -Y N TAL
PHONE 3W-557499B CELL
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PARCEL INFORMATION: ' HEALTH.
PARCEL NUMBER(12 Digit Number) 22005-52-00064 eal49e5ie9ever" ZONING
LEGAL DESCRIPTION(Abbreviated)PNIWPS LAKE DIV.3 TR S4 PENDING DPC*25.07 SFM 2223020 FIRE DISTRICT DISTRICT 5
SITE ADDRESS2910 E PHILLIPS LAKE LOOP RD CITYSHELTON
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD: psf
' IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE El RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW r ADDITION Cl ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENCE
IS USE: PRIMARY 0 SEASONAL D NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]of Bldg)0 NO 0
DESCRIBE WORK4-ZONE DUCTLESS HEAT PUMP
SOUARE FOOTAGE:(proposed)
„/1ST FLOOR554 +- sq.ft. 2ND FLOOR390 sq.ft. 3RD FLOOR sq.ft. BASEMENT545 sq.ft.
r✓`0 DECK2 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE_ sq.ft. Attached 0 Detached El CARPORT sq.ft. Attached 0 Detached 0
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 9 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES Q NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NOD EXISTING SQ.FT.1152
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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
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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) O��
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Signature WNER(Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL / +�I�,
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