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HomeMy WebLinkAboutBLD21211 Garage - BLD Permit / Conditions - 11/17/1987 Shorelines: i< Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Dane: Smoke Detector: ooting Setback: n� Foundation Walls: /�)/ �, Framing= Fireplace: NULL & VOIL) UT LXPIKX MN Wood Stove: DATE /—9 '71 Rv OIL TYPE GARAGE/DECK Permit No. 21211 No. Floors Sq Ftg 14 n Owner COSPER, Gary Te1898-3922 Date 11-17-87 Address P 0 Box 189 Union Zip Contractor None Address Zip Legal Description Tr 2 G.L.3 34-22-3 Direction to project site 1 mile East of Alderhrook on SR 106 Plumbing Mechanical Sewer Wood Stove Fireplace Deck 900 Garage 416 Carport Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 7 427-9670 DATEISSUED // /+�/I6p7 PERMIT NO. ��< OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE •1A9 AQ e+ SA D e E(2 k Li., ,2 S `3 a DIRECTIONS II ll � TO JOB SITE / /y� �� O G r p p0� S 1 O PARCEL LEGAL NUMBER 7' wl)eV4��TDESCR. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING WORKCLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE ✓ DESCRIBE WORK O ein C I 0ws- ,2 e 1'e . o,k�, cti &,)m l ipp e-c-;- c-y e BEDROOMS DECKS � CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE ' CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT C SHORELINE SEASONAL OWNERS A FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY TH kT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATIOIN LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENT FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORM NCE THEREWITH, NO CHGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING AP ROVAL FRO THE BUILD /DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWN DATE �D -�G - X BY_ DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION J HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK Od SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION 4.( g��= (p�� SHORELINE coo �0 d WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLA EC Y PERMIT VALIDATION BYMCASH CK MO TOTAL �7(�, 6� ' - PLOT PLAN ADDRESS < D i l.� PERMIT NO. °s 0 LEGAL z n s a e _ l a DESCRIPTION LOT << ( BILK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Ll Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF O PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. LL t INDICATE N TH-"Ik ROLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' n — l✓ v> Q CT _t s Fc ( i 4 i G C i p c SC I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. / NAM[(S) OWNER(S1 OF SITE S STRUCTURE(!) (PRIN ) GNA TUBE OF O NERISI O AUT R ED REP ESENTATIVE OT RITF BELOW THIS LINE 44 — ��/ APPROV DISTRI T AS NOT D i I 1 f „ � 7sc A z y = (1 LI) t 5� f � CA �h CS 2304 SR 106 Washington State TYDepartment of Transportation GENERAL PERMIT PERMIT NO. M87-187 DISTRICT NO. 3 Name and Address of Applicant: Gary Cosper E8100 SR 106 Union, WA 98592 The Applicant, hereinafter referred to as the "Grantee", having applied for a permit to construct, use and maintain a Type "A" road approach for access to a garage adjacent to the highway at Mile Post 8. 143, right side, in Section 34, Township 22 North, Range 3 West, W.M. , on a portion of State Route No. 106 in Mason County, Washington, the Washington State Department of Transportation or its designee, hereinafter referred to as the "Department", hereby orders that this permit be granted, subject to the terms and provisions stated upon the reverse hereof and Exhibits attached hereto and by this reference made a part hereof.- Exhibit "A". Special Provisions for Highway Encroachments, Pages 1 & 2 This permit shall be void unless the work herein contemplated shall have been completed before unP 20- 19RR This permit is accepted and approved by the Grantee subject to the terms and provisions as herein set forth. ///�� DEPARTMEFf/�' /FTRANSPOR TION GRANTEE By: By. Title: Cam/?t/r' Title: Project` Development Support Engineer Date: - , 7f ' Date: Ze 101 DOT 83 PX A-129 r Washington State ®® Department of Transportation _ Office of District Administrator 5720 Capitol Blvd.,KT-11 Washington P.O.Box November 24� 1987 I P.O.Box 9327 Olympia,Washington 98504-9327 Duane Berentson,Secretary Gary Cosper E8100 SR 106 Union, WA 98592 C.S. 2304 SR 106 General Permit No. M87-187 Mile Post 8.143, Rt. Dear Grantee: SIGNATURE AND RETURN REQUIRED Attached are the following items for your action: 1. Sign two copies of the permit under "Grantee" and return to this office. 2. If a bond is required and special provision No. 20 or 21 of the permit attachment "Exhibit A" has been marked, please have the attached bond forms completed by a surety company authorized to do business in the State of Washington. The bond must be in the name of the property owner. The amount of the bond required is noted in the special provision. Return with the two signed permit forms. If you prefer to set up an escrow account in lieu of a bond, you may use the attached "Assignment of Escrow Account" form instead. 3. Retain the third copy for your records until the validated permit is signed by and returned from this office. 4. No work is authorized until you have received the validated permit and given the required notice to the State's representative. Please call this office at 753-1901 if you have further questions about the permit or bond. Since y oe . L. ANDERSON Project Development Support Engineer RLA PJL Attachment cc: C. Vanderpool VrAOWashington State Department of Transportation Office of District Administrator 5720 Capitol Blvd.,KT-11 Tumwater,Washington P.O.Box 9327 Olympia,Washington 98504-9327 Duane Berentson,Secretary To: Gary Cosper Date: 11/24/87 From: Richard L. Anderson District Location Support Engineer Permit No. M 87-187 Enclosed is your executed permit allowing you to perform the indicated work on State highway right of way. Before beginning work, please telephone both the State Highway Maintenance Superintendent and the Utility Underground Locate Center to advise as to your start of work date and location. No work is authorized within the highway right of way until this notice is given. RLA/ PJL Attachment cc: C. Vanderpool GENERAL PROVISIONS 1. The Grantee, its successors and assigns, agrees to protect the State of Washington and save it harmless from all claims, actions or damages of every kind and description which may accrue to or be suffered by any person,persons,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 occupancy of right of way by the Grantee;in case any suit or action is brought against the Department for damages arising out of or by reason of any of the above causes,the petitioner,its successors or assigns will,upon notice of commencement of such action,defend the same at its sole cost and expense and satisfy any judgment arising therefrom if determined adverse to the State of Washington. 2. During the progress of the work such barriers 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 at night. 3. Except as herein authorized, no excavation shall be made or obstacle placed within the limits of the State highway in such a manner as to interfere with the travel over said road. 4. If the work done under this permit interferes in any way with the drainage of the State highway,the Grantee shall wholly and at its own expense make such provision as the Department may direct to take care of said drainage. 5. On completion of said work herein contemplated all rubbish and debris shall be immediately removed and the roadway and roadside shall be left neat and presentable and satisfactory to the Department. 6. All of the work herein contemplated shall be done under the supervision and to the satisfaction of the Department and the entire expense of said supervision shall be borne by the party or parties to whom this permit is issued. 7. The Department hereby reserves 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. 8. All such changes, reconstruction or relocation by the Grantee shall be done in such manner as will cause the least inter- ference with any of the Department's work and the Department shall in no wise be held liable for any damage to the Grantee by reason of any such work by the Department, its agents or representatives, or by the exercise of any rights by the Department upon roads,streets, public places or structures in question. 9. This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the Department from granting other permits or franchise rights of like or other nature to other public or private companies or individuals,nor shall it prevent the Department from using any of its roads, streets, or public places,or affect its right to full supervision and control over all or any part of them, none of which is hereby surrendered. 10. The Department may revoke, amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the Grantee. The Grantee shall immediately remove all facilities from the right of way.Any facilities remaining upon the right of way 30 days after written notice of cancellation shall be removed by the Department at the expense of the Grantee. 11. The party or parties to whom this permit is issued shall maintain at its or their sole expense the structure or object for which this permit is granted in a condition satisfactory to the Department. 12. If the Grantee enters into a contract or agreement with a contractor to perform the work provided herein to be performed by the Grantee, the Grantee for itself, its assigns and its successors in interest, agrees that it will not discriminate on the basis of race, color, sex, or national origin in its choice of contractors and will include all of the nondiscrimination pro- visions set forth in Appendix "A" from Title VI of the Civil Rights Act of 1964 and Section 162(a) of the Federal Aid Act of 1973 (23 U.S.C. 324), and as said Regulations may be amended. Breach of any of the above nondiscrimination covenants shall be cause for cancellation as herein provided. 13. Any breach of any of the conditions and requirements herein made,or failure on the part of the Grantee of this permit to proceed with due diligence and in good faith after its acceptance, with construction work hereunder, shall subject this permit to cancellation as herein provided. 14. This permit is subject to all applicable provisions of Chapter 47.32 RCW and/or Chapter 47.44 RCW and amendments thereto. Form 224-004 DOT Revised 10183 OX A-129 Ankh, SPECIAL PROVISIONS FOR ©v Washington State HIGHWAY ENCROACHMENTS Department of Transportation Permit No. M87-187 Applicable provisions are denoted by W ® 1. No work provided for herein shall be performed until the Grantee is granted authorization by the Department's representative: Name: Chuck Vanderpool Title: Area Maintenance Superintendent Address: 4590 State Highway No. 3 S.W. , Port Orchard, WA 98366 Telephone No.: 478-4664 ® 2. Prior to the beginning of construction a preconstruction conference shall be held at which the Department and the Grantee and his engineer, contractor and inspector shall be present. ® 3. Should the Grantee choose to perform the work outlined herein with other than its own forces,a representative of the Grantee shall be present at all times while the construction is in progress unless otherwise agreed to by the Department. All contact between the Department and the Grantee's contractor shall be through the representative of the Grantee. Where the Grantee chooses to perform the work with its own forces, it may elect to appoint one of its employees engaged in the construction as its representative. Failure to comply with this provision shall be grounds for restricting any further work by the Grantee within the right of way, until said requirement is met. ® 4. A copy of the permit must be on the job site,and protected from the elements,at all times during any of the construction authorized by said permit within the Department's right of way. lbf 5. This permit does not give the Grantee, or any agent, or contractor of the Grantee any rights to cut, spray, retard, remove, destroy, damage, disfigure or in any way modify the physical condition of any vegetative material located on the highway right of way, except by written permission from the Department. All restoration shall be done to the satisfaction of the Department at the sole expense of the Grantee. 6. If necessary to increase sight distance,brush shall be removed from both sides of the approach and stumps shall be removed.The indiscriminate cutting of merchantable timber or disfiguring of any feature of scenic value shall not be permitted. 7. The approach(es) shall be constructed in accordance with the attached Type /1At1 Plate Sufficient length of 12 inches diameter culvert pipe shall be placed in ditch and laid to a true line and grade. The approach(es) shall be sur- faced to the limits as shown on the plan with a 6 inch minimum compacted depth of gravel base material and a 3 inch compacted depth of crushed surfacing top course.Asphalt paving will not be required.Finished grade of the approach shall be in accordance with the profile control as shown on the attached plan. Directing of surface water from private property to Department right of way will not be permitted. Culvert shall have beveled ends. ❑ 8. The approach(es) (intersection) shall be constructed in accordance with the attached Sufficient length of inch diameter culvert pipe shall be placed in ditch and laid to a true line and grade. The approach(es) (intersection) shall be surfaced to the limits as shown on the plan with a 6 inch minimum compacted depth of gravel base material,a 3 inch minimum compacted depth of crushed surfacing top course and paved with a 3 inch minimum compacted depth of Asphaltic Concrete Class "B" unless otherwise specified by the Department. Any existing oil mat on shoulder or roadway shall be removed and new pavement laid to a butt joint with existing pavement. Finished grade of new pavement shall be in accordance with the profile control as shown on attached plan.Directing of surface water from private property onto Department right of way will not be permitted. ❑ 9. All buildings and appurtenances shall be so located at a distance from the right of way line of any State Highway that none of the right of way therefore is required for use of the patrons or customers of any such establishment. Grantee shall comply with county building codes. Set-back requirements for the location of buildings in relation to the right of way line are a function of local authorities and they should be consulted regarding requirements that must be adhered to. ❑ 10. The Grantee agrees to schedule the work herein referred to and perform said work in such a manner as not to delay the Department's contractor in the performance of his contract. 11. Work shall be restricted to the hours between 8:00 a.m. and 4:30 p.m. and no work shall be allowed on the right of way Saturdays, Sundays or Holidays, unless otherwise authorized by the Department. ® 12. The shoulders, where disturbed, shall be surfaced with crushed surfacing top course three inches minimum compacted depth, or as directed by the Department. The surface of the finished shoulder shall slope down from the edge of pavement at the rate of '/2 inch per foot unless otherwise directed.The restored shoulder must not have any strips or sections less than 2 feet wide.The restored shoulder shall be surfaced with asphalt concrete pavement. FORM 224-713 DOT REVISED 5i83 Page 1 EXHIBIT "A" ® 13. The Grantee shall be responsible for constructing and maintaining the road approach(es) and appurtenances between the shoulder line of the highway and the right of way line inclusive of surfacing and drainage. The Department has the right to inspect all installations at the time of construction and at any time afterward and to require that necessary changes and repairs be made. Unsatisfactory work will be corrected by the Department, at the Grantee's expense, or access may be removed at the Grantee's expense. Directing of surface water from private property onto Department right of way will not be permitted. ❑ 14. The approach shall be sufficiently surfaced back an adequate distance from the edge of the pavement to prevent any mud tracking onto the highway. Any mud tracked onto the highway shall be immediately cleaned up by the Grantee or his agent. ❑ 15. Standard highway warning signs designated as "Truck Crossing" sign, plate W11-6, shall be placed and maintained at Grantee's expense on each side of the approach. Signs shall be in evidence only when access is actually being used.If necessary flagman shall be provided.Sufficient parking space shall be provided by the Grantee outside Department right of way so no vehicles will be parked on said right of way. ❑ 16. All manholes, valve covers, and like appurtenances shall be constructed at such an elevation to conform to the shoulder slope from the edge of pavement or as directed by the Department. ® 17. All slopes,slope treatment,top soil,ditches,pipes,etc.,disturbed by this operation shall be restored to their original cross section and condition. All hazards shall be marked by warning signs, barricades and lights. If necessary, flagmen shall be employed for the purpose of protecting the traveling public. ® 18. During the construction and/or maintenance of this facility, the Grantee shall comply with the "Manual on Uniform Traffic Control Devices for Streets and Highways." ❑ 19. Bond coverage required to insure proper compliance with all terms and conditions of said permit will be furnished by a Blanket Surety Bond held at Headquarters in Olympia. ❑ 20. A surety bond in the amount of $ written by a surety company authorized to do business in the State of Washington, shall be furnished to ensure compliance with any and all of the terms and conditions of this permit and shall remain in force until all work under this permit has been completed and approved by the Department. ❑ 21. Before any log hauling operations begin, a surety bond in the amount of $ shall be furnished by the Grantee to protect the Department against any damage to the highway and to ensure complete removal of the approach and cleaning up of the right of way to the satisfaction of the Department. Approval of all clean up work shall be secured before the bond will be released. ❑ 22. This permit is subject to the terms and conditions of Agreement No. In case anything contained herein is inconsistent with said agreement, the agreement shall govern. ❑ 23. This section of highway is ON the master plat)for limited access highways. At such time as this plan is implemented,your access will be subject to review. ® 24. Relative to advertising adjacent to all State highways, we wish to call your attention to the Scenic Vistas Act of 1971, Chapter 47.42 RCW and State Transportation Commission ruling Chapter 468-66 WAC. Violation of this section of the statutes will be sufficient cause for cancellation of this permit. On-Premise signs are allowed. ® 25. The Grantee shall notify the Department's representative upon completion of the work under this permit or franchise so that a final inspection can be made. © 26. Approach must be turnpiked between the apron and the garage to catch drainage flowing toward the highway. z ' (BACK) DOT REVISED 5a3 Page 2 Existing Shoulder Width 20' R. Culvert Pipe with beveled end treatment see Section 323 9 Asphalt Concrete* as necessary to fit conditions Continue 20' radius as required if ap proach is at an angle. - 20' R. For Mail Box location see Figure 321-5 Edge of Pavement *When the travel lanes are bituminous, a similar type may be used on the approaches. +15% Max. Shoulder Slopel 20' Min. .: ± 2.0% Max. Vertical Curves not to exceed a 3�/4 -15% Max. hump or a 2' depression in a 10' chord. --Difference from shoulder slope. NON-COMMERCIAL APPROACH TYPE A Figure 321-4a 321-9 "lay 1986 I