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Home My WebLink AboutGRD96-0011 - GRD Permit / Conditions - 6/10/1996 q � MASON COUNTY 1r Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 C.4 F-1 A I::a 1 N 0 F'° V, Fit M 1 T FOR INSPECTIONS CALL 4.' f••9B'70 ORD90--001 1 PARt;EL t322334460000 VL.Al DI V t BL.K e LOT t JOB ADDRESS t F 7550 STATE ROIITf 10fi lily i W4 OWNERt ST . ANDRFWS HOUSE CONTRACTOR - ENGINEER t �n¢arax:'�!;s�.xmaus.;:rw,euc:• xae tsar==wn.�-+�av+r.>Zcs.oxr.:eczaac•nm-a..amcmcme I F I L1.7 . . . . . . . . t? TYPE AMOUNT BY DATE" RECEIPT CUT? . . . . . . . . . t? a � ,.�7 � ._ ., -.,. GRADE? , . . . . . . t? PRMT $ 22 . 50 KS 06/ 10/96 42110 ARkA GRADED . . : OttAC PIAN $ 15 .00 KS 06/ 10/96 42110 VOL()ME Oov iGIAL. R 37 .50 --sxrras:r-..:aim:=sycex�_•x c.-.samx..^ue:airs�.:-mrzaricr.:,vxa.cx:�c:.s<r.r,.ms_•. PROJECT DESCR 1 PT 1 ON t_GRAEI f NG PROJECT LOCATION .- 1 /4 MILF EAST OF AI DERBHOOK INN ON IIWY 106 THIS PERM 1 '1' BECOMES NULL AND VOID IF WOR ' OR CONSTRUC"I'I ON AUTHOR i TED IS NOT COIAMENC,ED WITHIN 180 DAYS , OR 117 CONSTRUCTION OR WORK IS SU.w NDED FOP A PF.R i OD OF 180 DAYS A F ANY T I MI" ArTE R WORK IS COMMENCED . EV I DE.hlt l - (ANT I NUAT I ON OF # RK IS A PROGRESS INSPECTION WITHIN THE 160 T)AY PERIOD . i `.►WNIP OR AGE T r � �'..f ._ ' PAT1: t 610__PRIIT, ;eu r 01141192 COMPLIANCE TO ATTACHED CONDITIONS IS AFOUIHED 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 FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date�/- >._ 7 by )7 date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.0, Box 186 Shelton, Washington 98584 Case No . : G11096-0011 For i ',',I . ANDREWS HOUSE Page : I 1 ) are.,is disturbed or newly created by oonstructican act. vitie", 0,811 be Seeded, /vegetae!o or given some other equivalent type of protection against erosion . 2) A p p r Q,Yvd P Site- plan and topoqraphic lt� X 3) App I joiriri"V—sh I I Irtoorporale Froolneer ln%j Review requirement(; Into p pri P() r�op X---- 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 PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by +I I II I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 4 ) PORE=UANT 10 1991 IIN 1 FORM BU 11.0I NC C:ODF , SECT I ON 306 (C ) AND SF CT I ON 513 , ALI. S I TES, MUS`I HAVF APPROVED NOMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I.F G F BI F FROM THF" I;TEtFE:T OR HOAD I'RON'1 i NQ f 11F: PRC►PFRTY . MASON COUNTY F1011. D I NG DEPARTMENT T REQUIRES THAT 'THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEF , RASED ON RA'f F S IN TABLE 3A OFF T HV 1991 UNIFORM BUILDING CODE W 1 1 1 IAF ASSE,SRED IF' OWNER/CONTRACTOR FAILS TO POST ADDRFSS ON SITE PRIOR TO REOUE ST I NG NSP11 't`I0 S . 5 ) ALL CLE NG, C't)-IIING,, GAADING. UXC:A11AI ING, T RRACING, V11.t_ ING AND SiMll 1AH WORK W11. 1 B REGut.- iBY THE RFOI)F REMFNTS f IJRSUANT TO CHAPTER 70 Oi THE ON I FORM EAU i LD I NG MODE= . X F) AIA SURFACE WATER AND P01 ENT i AL HUNOt F W 1 1 I- BI-: CONTROL 1 I'D ON S I TV AND SHAI 1_ NO I ADVF=RS A ECT ANY ADJACENT PROPERTIES NOR I NCRFA :E THE VELOCITY FLOW ENTERING OR ABUTTIN ANY STA-IF OR COUNTY C:()I VFA1 ING/DITCHING SY�+'fFM OR ROAD WAY 7 ) A l l f I I 1 sho 1 I be ooMpao 1 011 t 0 a rn 1 n i 101m cat 00 pef avian t 01 MaX I Mum Qd 1 t V I 1 F• 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 PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 1 I I r r(- 1 GRD Y ' MASON COUNTY LAND MODIFICATION PERMIT Grading, Excavation, Fill, Slopes, Drainage Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT G !/ /7J #1 Owner STA•cf/,�/1 F�c1 'S f/o v s�-- Phone#36o 8 q f-236 zFire District# Site Address 7S'S7v Hu: y 106 Cit St 1.1 -4 Zip 9191j-9 Z Owner Address City St Zip Describe Work 44 is Time, 4 S A 0 C� 5 S i.s�ST.9 �=iZ E=.�� />rf 4"4-/ 7- c� DI d�� T GrJ�9 r�-� i v ,o/2 o T T s/;7 Vt), c,-- 2)/Z c,Z #2 Contractor Name 4 PC ic Ex C,}✓A-" a . Contractor Reg# Address C 5n SSo 4w� 1 o 6 Expiration Date 16 - 9(, City Zt h!) St WAI Zip Phone# #3 Engineer's Name �U/t row/ c� l�U.UA.7�� J/L . AG�'rl�� Phone#36• efV- 2-36 Z Address r 25- 0 o-1 6 Cit St e,.J Zip - #4 Parcel No.-3 Z 2-3.3 -_yam- 6 )o 0 0 Legal Description aJ / o�= 6iJ l L 0,C o oc hod�'R,v S & 3 7- 2 Z A/, 2 .3 �, cv #5 Number of cubic yards to be excavated: /0 Tv 2- 0 iZ Q S O Number of cubic yards to be filled: 3 ca TD U n 16zz Number of cubic yards to be graded: s v .O G O #6 Will this be a balanced cut and fill entirely within the site? Yes No If No: Will fill be brought on site? Yes x No Where does imported fill originate from? Does fill contain any potentially hazardous materials? Yes No #7 Will excavated materials be taken off site?Yes No If Yes: Where will excavated materials be taken? #8 Briefly describe existing terrain, vegetation, and improvements on subject site? / a 6 � 1� � • .r�, #9 Total size of area to be cleared —D o C3 -ae /sq ft Size of area to be cleared on slopes over 10% AC/SF #10 Has a soils report been completed on the subject site? AU 0 If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline Al 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 #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? AJ o #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? AID #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? Al A . #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? // u #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? #18 Will the land be replanted upon completion? If yes, with what types of plants? 4/,4 r/ V #19 Will this modification result in slopes steeper than those currently on the site? 4/6) 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 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 OF THE 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 BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE '//' (, FOR OFFICIAL USE ONLY:Accepted by Date: DEPARTMENTAL REVIEW Planning PR-Ic4trl 54-Arw ir4(tZfZft42AfE APP COND APP HOLD e7 y I tvl✓ i►.IC �V«w 5fr1L q�7 c H- p HRF�.3 �o D rridys Building JAJL Environmental Other Special Conditions FEES Grading Permit $ ZZ Plan Review /S oa Site Inspection Violation Fee Other TOTALFEES $ t� *P2 IVV L o aAr/a/ EL /96 � w BuS,SI- �(OED 22. a \ Z y�.I o D 9•ZQ �.9 S , �iY.O,Q�,ays /YDl�SE" 1 1 C19T0l) 9,451 J 40M/L C. (Z Al AC F S j I s� Q 1 NOGG E" — Sj:•4N,D,Q��c1/,.S NDUS� i L- - 09 41 - -F-/F - ---./- ��