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HomeMy WebLinkAboutGRD94-00041 Cancelled - GRD Permit / Conditions - 6/9/1994, IM cc Z ^7 61 >. m 3, ,*4 = .� M _ -0 C^e O C, cn 1-4 101 p 7 ) � 3:1 OD 0 - n 30 r i :z `O Q a �, OD � y U7 ti, s III m r ' 0'w ro Z y w f: tk go Z < OR 2 pot 0. fp CL C"r CJ) x 0 00 0 O 00 0, C :3 Z =r Z 0 OL 0 p, cn K) 0'. 40 0 10 OL OD Q CJI CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by OTHER PLUMBING Attic Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by C� Y v v� r i GRD g MASON COUNTY LAND MODIFICATION PERMIT Grading, Excavation, Fill, Slopes, Drainage 1 t d Department of General Services ©� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner -� ������ Phone# a-7A Fire District# Site Address -- t 8 2155 H w N 3 O City 4 L L�j H St _U1 Zip 9 aS 2- Owner Address -3oc;tO 3 3 Qa" 5" City t" Q U 2ASt�_Zip ITS 0a Describe Work 1 L �'`� R c.[-:j_ u Ta L y L o #2 Contractor Name -Ac e= t� J tL� �f -� tJ C. Contractor Reg Address fox 4 l o O W Go 1= i�T o Expiration Date City Q St Jj_ A[ _Zip qS Z Phone# #3 Engineer's Name Phone# Address City St Zip #4 Parcel No.12- 27-0 - _- % Legal Description ^ 1A6, C #5 Number of cubic yards to be excavated: �- Number of cubic yards to be filled: A P Pill,ox 2 4 c>o y o s Number of cubic yards to be graded: 5 ►� #6 Will this be a balanced cut and fill entirely within the site? Yes No ►., a If No: Will fill be brought on site? Yes _ S No N. Where does imported fill originate from? W �} 3 t_ly I� jG to (? I Does fill contain any potentially hazardous materials? Yes No o i #7 Will excavated materials be taken off site?Yes No U 0 IJ C-L- If Yes: Where will excavated materials be taken? 1 #8 Briefly describe existing terrain, vegetation, and improvements on subject site? - C R 5Sy UlV G--_n..l bJD ( AJ 0 � 'r 'tLfZ-&P $ #9 Total size of area to be cleared_ 4? ono acre /sq ft Size of area to be cleared on slopes over 10% --EE) AC/SF #10 Has a soils report been completed on the subject site? �- If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline N o #12 Does the subject site contain any of the following features? River Lake Wetlands Saltwater Slope greater than 15% Soft compressible soils Seasonal Runoff None ?<1 #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? U D #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? N o #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? , -�- !r (_ ', C:� ay J L c #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? U d #17 Will surface or subsurface runoff be collected or controlled by interceptors, curtain drains, or other water collection devices once this land modification has been completed? Y'==5 #18 Will the land be replanted upon completion? 1 J o If yes,with what types of plants? #19 Will this modification result in slopes steeper than those currently on the site? 1J o If so, how steep? Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW sx� QC4 r F k p� E 4 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW C-pe � f i W ai. ii h i r 'r NOTICE:THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN- SPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDIN EP TMENT. DEPARTMENT. X OWNER X BY DATE J~/2(q DATE FQR OFFICkAtT USE ONI,Y AW4bWd by p t� DEPARTMENTAL REVIEW Planning — APP COND APP HOLD C.e 7 Building Environmental Other Special Conditions FEES Grading Permit $ j Plan Review Site Inspection Violation Fee Other TOTAL FEES $ , —A2, •, i. A [^�_ 1 46 #' ti I�r ' -..r' +,.a...=� is - : ''�''� �;!%.- �•--• .,�'. ... . �es'`'+' T w '1 . w MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION TO: r RE: Permit Number # To Whom It May Concern; During a recent review of our files, it was determined that-your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the.work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each .required inspection. If our records are inaccurate and you have had a final inspection, please send.a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to C:>/ / :J3/9( -to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department cc: Pronertv F11P ` V Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: GRD94-0041 BARBARA BRADSHAW ............... 11/08/94 1) **CUSTOM CONDITION** -- Fill area to be used for parking only. 2) **CUSTOM CONDITION** -- Fill materials must be bermed near drainage ditch to prevent deposition of materials in ditch. 3) **CUSTOM CONDITION** -- Once finished grade is completed, erosion control must be implemented. Area to be graveled. 4) '*CUSTOM CONDITION** -- Fill material currently in drainage ditch must be removed. UAe AsN� sT s}.per i-T ! �C S I v,4(7 jjvLZE -� f} - LT /o VA L COS 1(/-7 lq4 -rw"j-,qtd kt � a C 6 7,x, - a..gfl LluA uW,trk &4,4a LM� � C Ste- wQ 56i-t�� a_;� 6441� kv7n v � TD DATE TIME AM FR 7 PM D� AREA CODE OF Y NO.��� c�-7S- EXT. M E " S S A G E PHONED❑ BBAAC�K CATLLu D❑ vw ❑ AGAIN [E] WAS IN ❑ ENT❑ tict C�c tj Harold&Ynez Demick l E. 18M Hwy.3*20 _- _ �,;- ;, PO. Box 594 Allyn,WA 98524-0594