HomeMy WebLinkAboutRoad No. 50810 - RAP Permit / Conditions - 9/1/1993 Road No: 50810
Road Name: Shelton Springs
MASON COUNTY ROAD DEPARTMENT
411 North Fifth
Shelton, WA 98584
PERMIT
Subject to all terms, conditions and provisions written or printed below or on
any part of this form,
PERMISSION IS HEREBY GRANTED TO: Shelton Church of the Nazarene-Willis Barney
Address: 1331 Shelton Springs Road, Shelton, WA 98584 Phone: 426-1298
To install a commercial/multi use access to access new church.
Location: Next to parsonage at above address - will be inproving existing
at the future church location sign. _
Legal Description: _Qep
"FR
l Sincl it - ontact person - 426-0519
Culvert Specifications: Culvert to be metal, concrete or polyethylene.
Culvert to be minimum of 12" diameter by 20' length.
Culvert will lay in line of ditch.
Access to be graveled to property line with 3" of clean gravel.
A Bond in the amount of $ 50.00 accompanies this permit.
(Rct. # 12912 Check # 2089 . )
Contractor: Address: Phone:
License No: Expires:
* Access will be staked and flagged by Permittee for pre-inspection.
* Access will be pre-inspected by this office prior to installation.
* Access installation shall be in accordance with county specifications.
* Commercial/multi use access shall require STOP sign, installed in
conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party or parties to whom it
is granted shall have communicated with, and received instructions from the
Road Supervisor , Phone: 427-9670 extension 450.
This permit shall be void unless the work her contemp ated shall havq been
completed on or before _ 1g
DATED at Shelton, Washington, thisILStday of , 19�.
Issued by: ", I,
h om x ( � 11
Title: 1
Chapter 36.75 of the
Revised Code of Washington
36.75.130 • No person shall be permitted to build or construct any approach to any county road without first obtaining permission therefor from the board.
(1943 c 174 sec. 1)
36.75.140 • The boards of the several counties of the state may adopt reasonable rules for the construction of approaches which, when complied with, shall
entitle a person to build or construct an approach from any abutting property to any county road. The rules may include provisions for the construction of
culverts under the approaches, the depth of fills over the culverts and for such other drainage facilities as the board deems necessary. The construction of
approaches, culverts, fills, or such other drainage facilities as marY be required, shall be under the supervision of the board, and all such construction shall be
et the expense of the person beriefitted by the construction (1943 c 174 sec. 1)
GENERAL PROVISIONS APPLICABLE TO ALL PERMITS
During the progress of the worksuch barriers and warning sans shall be erected and maintained as may be necessary or as may be directed for the
protection of the traveling public; the barriers shall be properly lighted when necessary.
In accepting this permit the petitioner, his successors or assigns, agrees to protect Mason County and save it harmless from an clams action or
damages of every kind and descrption which may accrue to or W suffered by any person or pe►sons, corporation or property by reason of the performance of
any such work, character of materials used or manner of installation, maintenance and operation or by the inproper occupancy of rights of way or public
place or public structure, and in case any suit or action is brought against said Mason County for damages arising out of or by reason of any of the above
causes, the petitioner his successors or ass'gns will upon notice to fim or them of c ncement of such action, defend the same at his or their own sole
cost and expense and will satisfy judgment alter the said suit or action shall have finall on determined 4 adverse to Mason County.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of a county road in such manner as to interfere with the
travel over said road.
Except as herein authorized, no excavation shall be made or obstacle placed within four (4) feet of the edge of the pavement.
If the work done under this permit inte(.feres in any way with the drainagy of,the county roads, the grantee shaft wholly and at his own expense make
such provision as t4a Mason County Road �rgina3i may difact % t0a caio 0. Sold drainaga.
On complet'!on of said work herein contemplated an rubbish and debris shall be immediately removed end the toadway and roadside shall be left neat and
presentable and satisfactory to the Mason County Road Engineer.
An myork, workmanship, labor and material shall comply with the Washington State Electrical Code and Washington State Department of Highways
Standards and Specifications for Road and Bridge Construction dated January 1963. Installations to Specifications of Civil Aeronautics Administration.
In case of any damage to any roads streets, public places, structures or public property of any kind on account of said work by the grantee, he will at
once repair and restore said damage at fus own sole cost and expense.
No Saturday Sunday or Holiday work permitted under this permit except in case of emergency, or between the hours of 6:00 PM and 6:00 AM the
following work day.
Notify Local Fire District before opening any,trench across any Roadway and when project is completed.
Pefmittee shall notify Mason County Road Engineers before making any roadway cuts and immediately after completion of project.
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the Mason County Road Engineer and the entire
expense of said supervision shall be borne by the party of parties to wham this permit is issued.
The County Commissioners hereby reserve the right to order the change of location or the removal of any structure or structures authorized by this
permit, at any time, said change or removal to be made at the sole expense of the party or parties to whom this permit is issued, or their successors and
assigns.
An sych cha es, reconstruction or relocation by the grantee$ shall be done in such manner as will cause the least interference with any of the county's
work end Mason shall in no wise bg held liable for any damage to the grantee by reason of any such work by Mason County, its agents or
representatives, or by the exercise of any rights by the County upon the roads, streets, public places or structures in question.
If at any time the County of Mason deems it advisable to change the alignment or grade of any road, street, public place of structure by widening,
grading, re9rading, plankinq� paving, improving, alterirmg or repairing same, the grantee upon written notice by the.County o Mason its representatives or
aqents will at his own sole cost and expense inmedatefy so raise, lower, change, move or reconstruct such utilities herein granted, to conform to the plans
of work contemplated or ordered by the County.
This permit or plivle a shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent the County from using any of its roads, streets, or public places, or affect
IN right to fun supervision and control over all or any part of thorn, none of which is hereby surrendered.
Ttis County Comjniric~icrs may rey,l:e, annul, cite.be, ersnd aTplify or terminsta this permit or nnv of Ihn ronrfiiinns herein entrner»fed if nrantee fails
to 4onmply with any or all of its provisions, requirements or regulations as}ierein set forth or,thro h willful or unreasonable neglect, fails to heed or comply
with notices given or d the utility herein granted is not installed or operated and maintained in conformity herewith or at an or for any cause or reason
whatsoever.
The party qr parties to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in e
condition satisfactory to the Mason County Road Engineer,
In accepting this permit, the grantee his successors and assigns agree that any damage or injury done tp the property of the grantee or any expense
incurred by him through the operation of a contractor, working for the County, or of any County employee shall W a( the sole expense of the grantee, his
successors or assigns.
The undersigned hereby accept this permit subject to the terms and conditions as herein set forth.
5onae� 'u C. r fV C-LA Q
By S Cr -'L[�►2 Cb�u tl C�1 r�2 i1 f
Dated this day of
IL __
I
MASON COUNTY DEPT. OF HEALTH SERVICES N® 1466
environmental Health Division
426 WEST CEDAR•P.O.Box 1666
SHELTON,WASHINGTON98584 3 3 OFFICE OF MASON COUNTY ENGINEER
TELEPHONE(206)427 70 DATE:
l P.O. BOX 1850
TL �� ✓ SHELTON,WA 98584
Date 1
Name &A
WATER PROG.346M FEE FOOD PROG.346.56 FEE LIV.ENIVIR.346.58 FEE
Well sites 35.00 Food handlers 8.00 Pools(seasonal) 50.00
Address
Water sys.plan review Duplicate 2.00 Pools(year round) 200.00
Water sys.surveys 40.00 Restaurants:1-50 seats 100.00 Subdivision 100&5/lot r
Loan app./water only 40.00 50-100 seats 150.00 Large lot plats 100&20/lot DESCRIPTION AMOUNT
SOLID WASTE 346M 100+seats 200.00 Short plats 75.00 Pats&Maps
Banquet rooms 30.00 Pre-school inspec. 40.00
Catering 40.00 Elem.schools 175.00 Plat Checking
Itinerant per day 10.00 Middle schools 175.00 Reimburseable
per 3 days 20.00 High schools 225.00
Taverns-no food 50.00 Private schools 50.00
with food 75.00 Plan review '40.00
Bakery 75.00 Camps(fixed) 50.00
UOUID WASTE 346.54 Bed and breakfast 35.00 Other camps 65.00
Sew.sys.permit-resident. 185.00 Groceries-4 ck stnd 45.00 BACT.SMPL.346.59 y� $
Sew.sys.permit-commerc. 200.00 5-8 ck stnd 68.00 Lab test 18.00 l/ l
Sew.sys.permit-repair(res.) 30.00 9+ck stnd 80.00 Serial dilution 24.00 / ( ,
0
Sew.sys.permit-repair(com) 60.00 Deli 25.00 Special collection 40.00
Parcel review 40.00 School kit(1-50) 75.00 Routine collection 10.00
Re-inspection/Re-eval. 40.00 School kit(50-100) 100.00 Donations `
Large system reviews '40.00 School kit(100+) 150.00
N
Loan approval application 50.00 Mobile restaurant 75.00
Installer test fee 60.00 Produce market 40.00 Equipment Rent
r
Installer annual certification 58.00 Confections 25.00 MISC.346.79 Materials
Designer test fee 100.00 Meat/fish market 75.00
Designer annual certification 58.00 Roadside Vendor-per 3 days 25.00 Gas
Pumper test fee 50.00 per 7days 40.00 Repairs
Pumper annual certification 50.00 Concession/drive-in 40.00
Dye test 75.00 Food processing 50.00 Trust Accts.• Bond & Deposit
Contiguous Sewage App. 135.00 Plan review 50.00 Tax
TOTAL
'$40 for first hour •Y� O"
then$37/hour
COMMENTS: 12 912
Received From: (') /� i 7 1 TOTA Rec'd by
By: C CUSTOMER COPY