HomeMy WebLinkAboutBLD2025-00003 Pole Bldg - BLD Application - 1/2/2024 (2) MASON COUNTY Permit No: R1_[Z? 02c; —00003
_ COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Bullding,Planning J Af1 N O 2 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA •AJCI&r S L
NAME:CHERYL MCBRIDE NAME:KIFER CONSTRUCTION LLC
MAILING ADDRESS:200 EAST COTTON WOOD DRIVE MAILING ADDRESS:1515 KRESKY AVENUE
CITY:GRAPEVIEW STATE:WA ZIP:98W CITY:centralia STATE:wa ZIP:9=1
PHONE#1:206 714-0457 PHONE:360 807-4140 CELL: 360 N&7548
PHONE#2: EMAIL,:CHUCK@KIFERCONSTRUCTION.ORG
EMAIL:MCBIRDY11@GMAIL.COM I&I REG#KIFERCL823DM Exp. 3 2/1 2026
PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑
NAME CHARLES KIFER EMAIL CHUCKQKIFERCONSTRUCTION.ORG
MAILING ADDRESS 1515 KRESKY AVENUE CITY CENTRraw STATE`"a ZIP 98531
PHONE 3808074140 CELL 360 888 7548
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 221281450010 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 200 EAST COTTON WOOD DRIVE CITY GRAPEVIEW,WA 98545
DIRECTIONS TO SITE ADDRESS
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❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residettee Giam8e,Cotmaeraia/B/d&Etc.)GARAGE
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(WholeBklgl❑ YES(Panls]ofBW❑ NO❑
DESCRIBE WORK 307(40-A16'POST FRAME STRUCTURE W/12'X40'LEANTO
SQUARE FOOTAGE:(proposed)
I 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 Ism 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:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING I]
PLUMBING IN STRUCTURE? YES❑ NO❑ Ijyes,attach completed Water Adequacy Form
PERIN ETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. 1728
EXISTING BEDROOMS NONE 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 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 APP AT OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
ti4 / COUNTY CODE 14.08.42)
X 12/30/2024
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
f PUBLIC HEALTH
Date Received:
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning
Permit#:
Property Owner's Authorization Letter
Name
Mailing Address eeZ!54,,2 d
City yi -10 State ZIP
Phone 6a 7/X-d fS7 Email 41
Parcel Number
Site Address J j 7Lj�/7 w d
City &4e s/i PGv State j�IA_ZIP qCs 5/4,
I(we):
(Property Owners Name)
Hereby Authorize: Xt��� 4�_
(Name of Person/Contractor to Sign Permit)
To apply for, sign, and pick-up building permits for the following proposed work:
(Brief Description of Work to be Done)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
(Property Ow),er Signature) (Date)
Name CHERYL MCBRIDE Parcel# 221281450010 BI.D# 2025- 00003
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2.
'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 ofstormwater.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
PROPOSED HOUSE X = Measurements for buildings are taken at the
EXISTING GARAGE X = perimeter of the farthest projections (example:
eaves/gutters)
EXISTING HOUSE 96 X 58 = 5568
Driveways X
X = 9021 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
PROPOSED GARAGE 40 X 30 = 1200 If the total impervious area of the proposed site
PROPOSEDLEANT01 40 X 1 12 = 480 development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 16296
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 acknowled that the information provided is accurate and employees of Mason County are granted access to the above-
described pr r i and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: 12/30/2024
If the Total Impervi 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 CHERYL McBRIDE Parcel# 221281450010 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:
htta//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) X 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: 12/30/2024
Page 2 of 2
OWNER: CHERYL McBRIDE z
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MASON COUNTY TAX PARCEL: 221281450010 p `�
ADDRESS: 200 EAST COTTON WOOD DRIVE GRAPEVIEW, WA 98546
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