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HomeMy WebLinkAboutGRD2008-00008 - GRD Permit / Conditions - 9/22/2008 (2) A, Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 IP10 Shelton, WA 98584 LAND MODIFICATION BUILDING PERMIT GRD2008-00008 OWNER: THOMAS L BRAND RECEIVED: 7/9/2008 CONTRACTOR: LICENSE: EXP: ISSUED: g/22/2008 ENGINEER: LICENSE: EXP: EXPIRES: SITE ADDRESS: 21 W LITTLE EGYPT RD SHELTON PARCEL NUMBER: 420172300050 LEGAL DESCRIPTION: TR 5 OF S1/2 NW EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: Filling/Grading.less 500 cy SE CORNER OF LITTLE EGYPT RD. AND W. SHELTON MATLOCK Inspection Area: Fill?: Yes Comp. Plan Desig.: Rural Grading?: Yes IRO Desig.: Cutting?: Shoreline Desig.: Not Applicable Area Graded: SEPA?: No Cubic Yards: 500.00 FEES Type By Date Amount Receipt Planning Review Fee KKK 7/9/2008 $190.00 S22008000 Building State Fee ARC 9/22/2008 $4.50 S22008000 Grading Permit Fee ARC 9/22/2008 $107.00 S22008000 Grading Plan Check Fee ARC 9/22/2008 $37.00 S22008000 Building Violation Fee MB 9/22/2008 $68.00 S22008006 Grading Permit Fee MB 9/22/2008 $107.00 S22008000 Total $513.50 GRD2008-00008 Please refer to the following page(s)for conditions of this permit. 1 of 3 - a CONDITIONS FOR GRD2008-00008 1) All other necessary permits from Mason County, Washington State and/or Federal Agencies that Mred for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 2) All upland areas disturber newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion. X�=��� 3) Approved per site plan and topographic cross-section. X 6'4"�a 4) Tempor ry rosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 5) ALL CLEARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WILL BE REGULATED BY THE REQUIREMENTS PURSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS ADOPTED BY RESOLUTION 141-96 and MASON COUN,TY CODE, TITLE 14, CHAPTER 14.44. X �� 6) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAYx 7) Cut and fill slopes shall be setback from site boundaries in accordance with Section 14.44.190. X25�rn 8) Own : nis responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 9) Retaining walls needed to support a surch uch as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X� I This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER OR AGENT: . DATE: .�G �G GRD2008-00008 Please refer to the following page(s)for conditions of this permit. 2 of 3 PERMIT NO.: GRD MASON COUNTY LAND MODIFICATION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address WT.. Mailing Address City _'T h Q/'Te.y State w&Zip Code City State Zip Code Phone(--?4A ) 4/_J-QQkJtherPh.( Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration ENGINEER INFORMATION Name Phone (� Address State Zip Code PARCEL INFORMATION-12 digit Tax Parcel No. ..©13 / / `a 45 SO Fire District Legal Description Ir-S Site Address(include street name and city oaf w J., i T 7"/ E C=<' A-r It D Directions to site: 1�7,.#. • ,1-- 0 X F"h r, -r^,i I*- A " �..A c tr_ &I _, "—?.+ r 6 c,!p!- Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils TYPE OF JOB - Excavation Filling Grading Total size of area Size of area to be cleared on slopes over 10% r': Estimated amount of cubic yards Describe Work �44,"„v rye �. , �.�`• LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes, source '" �G 5 ❑ ❑ �► Will excavated materials be taken off site? If yes, destination A! ❑ ❑' Does fill contain potential hazardous materials? ❑ ❑ Has a soils report been completed on site? If yes, include copy. ❑ { �- ❑ Will proposal result in redirection of any surface water runoff onto adjacent properties? ❑ ❑ 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? ❑ ❑ Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? ❑,,/' �F Will the land be replanted upon completion? 0 ❑ ,� Will the proposal result in slopes steeper than those currently on site? �, Is the site within 200' of a designated shoreline? 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 inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I 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 ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Q,1'fLI Date I-oE Submittal Amount Due NuldbReceipt No. DEPARTMENTAL REVIEW APPROVED I DENIED CONDITION CODES Building Department Planning Department Public Works Department LGrading FEES mit Fee Site Inspection Fee Other s Fee Pre-Paid at Submittal TOTAL FEES RECEIVED JUL 0 9 2008 PLANNING MASON COUNTY d � v - Gef r le 2n APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CH-A-NNGE, I S SUBJECT TO/6� L By 13� Date'/ �1�� /u cl 11j-r4, ,' n co C o Z co V