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Home My WebLink AboutBLD2024-00102 Pole Bldg - BLD Application - 1/24/2024 MASON COUNTY COMMUNITY SERVICES Permit No: L PERMIT ASSISTANCE CENTER: BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 '"_', E C E 1 v E D Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone BeBair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION JAN 2 4 2024 PROPERTY OWNER INFORMATION: CONTRACTOR I Otmw ,&der Street NAME;JAMES 8 DENISE HICKEY NAME;KIFER CONSTRUCTION LLC MAILING ADDRESS:14793 N US HWY 101 MAILING ADDRESS:1515 KRESKY AVE CITY;SHELTON STATE:WA ZIP:98584 CITY:CENTRALIA STATE:WA ZIP:98531 PHONE#1:3605562100 PHONE:3608074140 CELL: 36MB87548 PHONE#2: EMAIL:CHUCK®KIFERCONSTRUCTION.ORG EMAIL:DENISEHICKEY83@GMAIL.COM L&I REG#KIFE CCLS23DM EXP. 3 212024 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑r OTHER❑ NAME CHUCK KIFER EMAIL CHUCKOKIFERCONSTRUCTION.ORG MAILING ADDRESS 1515 KRESKY AVE CITY CENTRALIA STATE WA ZIP 98531 PHONE 3608074140 CELL 36ON87548 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 421262300140 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 14793 N US HWY 101 CITY CHELTON DIRECTIONS TO SITE ADDRESS FOLLOW N US HWY 101 NORTH 6 MILES,SITE ON THE LEFT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑+ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkan that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW[a ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Erc)GARAGE IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/s1.fBldg)❑ NO❑ DESCRIBE WORK 26X26 POLE BUILDING SQUARE FOOTAGE:(proposed) 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 876 sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑� EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO I] Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[a EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 descri bed 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 CONTI UATION F WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT A�' 77O � D YS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON rCOUNTY CODE 14.08.42) XG /- 2 H-2az'q Signature cLOWNER(Must be signed by the OWNER I Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH c Name Parcel# yZ/ 2.623oy,1,i0 BLD# L i0 —/1 )16 Mason County ,E IV ED Department of Community Development Small Parcel Stormwater Management APPlication/Worksheet � 04 A �N Alder Street Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever lAuilding application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surfacez. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include;but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area * All dimensions in feet Buildings X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = p Eta X = If the total impervious area of the proposed site Pow Q/zaN X development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) (n7 If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the in ation provided is accurate and employees of Mason County are granted access to the above- describAproper d inspection as may be required. X Owner/Agent/Contractor(circle one)Date: !" 2-120?19 If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name /,//G`f fk Parcel# 14VZe230-/419 BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: httn//www.co.mason.wa—us/code/Commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone:(360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical:415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone:(360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 OWNER: JAMES & DENISE HICKEY MASON COUNTY TAX PARCEL_ 421262300140 ��/ � �bl d a, z �c cLu ADDRESS: 14793 N US HWY 101 SHELTON, WA 98584 `� Z 0 US HWY 101 RECEIVED JAN 2 4 2024 p U 2 615 W. Alder Street U W U z a. U > w p a LL U z Y 175'-0" z O w z c, J m V O z _m U 5-0" 10 ► O'DRIVEWAY } w Y f DOWNSPOUTS& SILT FENCE o 0 0 = o � SPLASH BLOCKS ( i 341'-54" 1 Lu z 1 Q o w Z = Q > 111 PROPOSED 32'-0" a � o 26X26 < < o N Z O POLE BARN SEPTIC TANK o o W W rn J EXISTING ~ ~ = W " = HOUSE w w w o Q cn co 0 z N z o H o 199'-0" R100'-0" CD c TEM ORARY CA COVER m 0 M L 0' 25' 50' O ai x DRAINFIELD 0d WELL V o RESERVE ofa a DRAINFIELD m W SHEET NUMBER 20F9