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HomeMy WebLinkAboutBLD2025-00621 - BLD CD Environmental Health Review - 5/20/2025 K, MASON COUNTY Permit No: aao "e P l RF COMMUNITY DEVELOPMENT • �n�5 Permit Assistance Center,Building,Planning MAY 2 0 BUILDING PERMIT APPLICATION 615 Hmuer street 1 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: W� I NAME:02 NAME:BOWERS CONSTRUCTION MAILING ADDRESS:PO BOX 783 MAILING ADDRESS:101 INDUSTRIAL PARK WAY CITY:COSMOPOUS STATE:WA ZIP:98E37 CITY:ABERDEEN STATE:WA ZIP:98520 PHONE#1:36o-537-6505 PHONE:360-557-3998 CELL: PHONE#2: EMAIL:MELISSA@BOWERSCONSTRUCT1ONINC.COM EMAIL:CHADQADVANCEDHEATING1.COM L&I REG#BOWERCI771LB EXP. 06/0225 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑ NAME BOWERS CONSTRUCTION EMAIL MELISSA©BOWERSCONSTRUCTIONIN W1. .. MAILING ADDRESS 101 INDUSTRIAL PARK WAY CITY ABERDEEN STATE WA _ZIP 98t� .. ° * I r^'Tw I PHONE 36os57-3998 CELL 111Yi�/i O_ .V H PARCEL INFORMATION: {/ cs,—I-'11`fl MENTAL ENTAL PARCEL NUMBER(12 Digit Number) 22005-52-00064&22005-52-00065 ZONING /7 EA rii LEGAL DESCRIPTION(Abbreviated) PHILLIPS LAKE DN.3 TR 64 PENDING DPC#25-07 AF#2223020 FIRE DISTRICT DISTRICT 5 ,1 SITE ADDRESS 2910 E.PHILLIPS LAKE LOOP RD CITY SHELTON DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 0 SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence.Garage.Commercial Bldg Etc.)GARAGE IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS D NUMBER OF BATHROOMS 1/2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part(s)ofBldg)0 NO 0 DESCRIBE WORK NEW CONSTRUCTION ^ �-^^ SOUARE FOOTAGE: (proposed) y/�`7G 1ST FLOOR 160° sq.ft. 2ND FLOOR/l/sq.ft.. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached 0 Detached 0 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 0 SEWER 0 / NEW 0 EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0 OWNER acknowledges that submission of Inaccurate information may result in a stop work order or pemdt revocation.AcknovAedgement 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 APPLI ATION OF 180 DAYS OF MORE WLL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Sit/2 r Signatu WNER(Must be signed by the OWNER) Date DEPARTM TAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS 1 BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL I cO It / PUBLIC HEALTH 111 g� ^ 5(� C fN}iJgJ�"/►v si • f Q n 6 ',+, 7R 'A A ' r p La g !o ff 0, 0 ^ ° m E '^i - 1 . g .-j . 44101k o> w t \ .,� it i I 11 r7) ',Jr,' i, 11 i SI II I I I 1 R m 1p p , , f A o p Gv Y I Z \ \ -ID m �z OD hA 2 zc, n m .`-'2 2 v dmayDD m o ,c, �.'-o r� co o ' >T vv R. g ioo O ct m c� o AN :,n A s IA m ` ♦ > D T. ,0 . "`N y G 7 j o `\vi ♦ o \ i S 3 ts7 IC:: O \ a'\ I, �A to \\\\a\r1 " ♦ G 0 \ \ I y C1 (1141,%..' • : •- ^.',� �� ,1� .i aft 1v' o /�i: l$,���i$O9i�t* d �a . 1 ,m it �•� I Ho 7 21:. \ i ao—zr r w ` `U/ EH SETBACKS N I'1 / `\ ellif� .-^ A)Grainfield/Reserve requires 10'setback from footing/foundations N S' \ \ �\``� `� B)Sepnc tanks)requires 5'setback`rom all footing/foundations o /_ �!` -- \ \ ` as / ' ,`, C)No foundation/perimeter drains within 30'down-gradient of drainfie'd/ a , �j \\ \• 4 A\ / \ reserve No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' \ \\ \ \ `\`• down-gradient of drainfield/reserve area `7 f-_aj_` El Sewer transport line may only be vathin 10'of a water supply line if '\ �/j.�, � .> \\ \ '4 \,/ ti NEI , , approved by the local health officer and the line is constructed IAW coon ` � 1'141 , is O R / 4 \ II��11 It`s` Ct-9of the DoE'Criteria For Sewage Works Deign-. \\\' —� ,.,j'�� Ii}.t ��''!�\\ \��/ ,\\\ LJ `ss` 00, V I V / \� a:-\`etl�lk \ i O �\ Imp 73 i \\ '.o❖.❖. , ��'$' Y. , 6 �••-+-,- \ \ IUD I CD ..,, 7 ri., Ns. 0 1 • ao X \/ o rn T Z o = t1` \\/ \ p 'fi O v 0 0 r ' :- N Z , ti r t \ o x n� i �, -� MI n n , LIT■ •N r 0 2 N I- 0 C z o � x \ 7C mo rn A z 0