HomeMy WebLinkAboutBLD2016-00319 Final Heat Pump - BLD Permit / Conditions - 4/15/2016 Gas Piping MANUFACTURED HOME Z
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FORM MUST BE COMPLETED IN INK PERMIT NO.: GR260
PLEASE PRESS HARD MASON COUNTY
LAND MODIFICATION PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98684
Shelton 360 27-9670 Belfair 360 2764" Elms 60 2d269 Seattle 206 64-6968
APPLICANT INFO MA PCONTRACTOR INF�O MATION
Owner R A00i Contractor Name /O
Mailing Add rss a 2 t&q Mailing Address
City State 40? J1.7ip Code L City State Zip Code
Phone(-jLO)295-357Sbther Ph.C& T Ph.( Other Ph.(
Lien/Title Holder Contractor Reg.#
Address Expiration
ENGINEER INFORMATIO
Name � C ��a7 h e Z 75— 3
Address State Zip Code QMZU! J
PARCEL INFORMATION-12 di it ax P rce No. l�{�1 Oeqeb Z 4P ict Fire Distr
Legal Description e.
Site Address(include street name and cit OQ
Directions to site: i
Will timber be cut and sold in parcel preparation?(Yes/No)
Is your property within 200'of the following:Body of Water(Name) /''�9�/��Gf/!Q Saltwater_
Lake River/Creek Pond Wetland Seasonal Runoff Stream,V_Slopes or
Bluffs Soft compressible soils L/
TYPE OF JOB-Excavation X Filling Grading Total size of area G ,�Z
Size of area to be cleared on lopies ver 1 % 01 stimated amount of cubic yards JM
Describe Work cl
LAND MODIFICATION INFORMATION YES NO
Will fill be brought on site? If yes,source :j � P y /d 5-0J/ O
Will excavated materials be taken off site? If yes,destination 5j�� 0- O'
Does fill contain potential hazardous materials? I7 10
Has a soils report been completed on site? If yes,include copy. � 0Will proposal result in redirection of any surface water runoff onto adjacent properties? O
Will proposed work alter where storm water or ground water enters or exits the site?
Will quality,quantity or velocity of storm/ground water be altered? 0
Will runoff be collected/controlled by interceptors,curtain drains or other collection devices?
Will the land be replanted upon completion? O
Will the proposal result in slopes steeper than those currently on site?Is the site within 200'of a designated shoreline? A
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
+ PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
Information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
GV �' inspection of this project. Acknowledgment of such is by signature below:
O
4 < OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
M W ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
t:'V Li will be done in conformance I
No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first o4don' ppr be made without first obtaining approval.-
cc Date Date
F'�•1 FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Planning Department
Public Works Department
Fire Marshal
FEES
Grading Permit Fee /p�(o. Site Inspection
Plan Review Fee A4,Q. 7J Other
Public Works Fee Pre-Paid at Submittal a ( )
violation Fee TOTAL FEES