HomeMy WebLinkAboutBLD2025-00498 Pole Bldg - BLD Application - 4/22/2025 MASON COUNTY Permit No: ( 2 '® Q->
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qP COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning APR 2 2 2025
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Kameron Olinger NAME:Thale Construction LLC
MAILING ADDRESS:3132 w Satsop cloquallum rd MAILING ADDRESS:110 SE Gosnell Ln
CITY:elma STATE:wa ZIP:98541 CITY:shelton STATE:wa ZIP:98584
PHONE#1:3604904857 PHONE:3604636300 CELL:
PHONE#2: EMAIL thaleconstructionllc@gmail.com
EMAIL: L&I REG#THALECL79P5 EXP,10/2¢/20?5
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑
NAME Colton Thale EMAIL thaleconstructionllc@gmail.com
MAILING ADDRESS 110 SE Gosnell Ln CITY shehon STATE wa ZIP98584
PHONE 3604636300 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)619243100000 ZONINGihland
LEGAL DESCRIPTION(Abbreviated)PCL1 of BLA#21-14 AF#2156685 NE SW Ex S 49/160 FIRE DISTRICT13
SITE ADDRESS3132 w satsop cloquallum CITYeIma
DIRECTIONS TO SITE ADDRESS 100 yards passed 2 mile marker on w satsop cloquallum site is on the left on top of hill
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER [71
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)garage
IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan(sjofBldgl❑ NO❑
DESCRIBE WORKpole building
SQUARE FOOTAGE:(proposed)
1ST 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.
GARAGE3168 sq.ft. Attached❑ Detached Q CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MO YEAR LENGTH
7DTH�::: BEDROOMS BATHS
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO E] If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE] 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 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)
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
PUBLIC HEALTH
MASON COUNTY
COMMUNITY SERVICES
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Name $ C Permit#: Z02D2 6 ,0 v,fl•`''
FEE CALCULATION OR
Occupancy Type Square Footage Valuation Amount Total Valuation
(vB) (sq. ft. x valuation)
Residence/Addition/Basement $167.37 $
Garage/Storage LjPj $66.48 $ 2— U
Unfinished Basement $31.50 $
Deck $17.00 $
Carport/Covered Deck $24.00 $
Other $
TOTAL VALUATION $ `a to ,L04
Estimated Plan Review Fee: $
Planning Dept. Review Fee [$275, $450, $100]: $ 'jej OC)
Environmental Health Review Fee: $
Fire Access & Grade Review Fee ($97.00]: $
ADD - Address Application Fee [$185.00]. $ EX lS l V1�
GEO - Geo-technical Review Fee [$300.00]: $
ADV - Review Fee[$130.00] $
WAT - WAT Fee:
Other:
TOTAL DUE WHEN PERMIT IS SUBMITTED: $
The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning
Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees,and plumbing permit fees
will be calculated during plan review. The balance of all other fees will be collected when permit is issued.
ESTIMATED BUILDING PERMIT FEES
Building Permit Fee (ICC, Table 1 — Building Valuation Data) $
Estimated Mechanical Fees (U.M.C., Table 1-A). $
Estimated Plumbing Fees (U.P.C. ,Table 1-1) $
State Fee: $25 ✓$6.50 $ �, U
Technology Surcharge:
Other: $
Estimated Building Permit Fees WHEN PERMIT IS READY for pickup: $ .�
("all fees subject to change w/o notice) GRAND TOTAL $
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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:
bgp//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) V'—'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
100 W PUBLIC WORKS DR
SHELTON,WA 98584
If this development has,or will have,a septic/drainfteld 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
615 W ALDER 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/Agen Contracto (circle one)Date:
Page 2 of 2
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NamoU tTO 14LN1L Parcel#61 T aW 310000 0 BLD#_
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 stotmwater 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'.
'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.
'Common 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 Im envious 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
X _ above table
Patics/Walks X =
X = Any paved,gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stomiwater Site Plan is Required
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 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:
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