HomeMy WebLinkAboutGRD2007-00007 - GRD Permit / Conditions - 4/1/2008 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 GRD2007-00007
OWNER: SOUTH SHORE ENTERPRISES RECEIVED: 3/22/2007
CONTRACTOR: LICENSE: EXP: ISSUED: 4/1/2008 1
ENGINEER: LICENSE: EXP: EXPIRES:
SITE ADDRESS: 320 E DALBY RD UNION
PARCEL NUMBER: 322325094015
LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO BLKS: 94-9E
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Fill dirt from 6999 SR 106 Union. McReavy Rd. to Union.
Inspection Area: Fill?: Yes
Comp. Plan Desig.: Grading?: Yes
IRO Desig.: Cutting?: Yes
Shoreline Desig.: Area Graded: Acres
SEPA?: Cubic Yards: 1,000.00
FEES
Type By Date Amount Receipt
Public Works Review JES 1/10/2008 $73.10 S12008000
Grading Permit Fee ARC 1/15/2008 $194.50 S12008000
Grading Plan Check Fee ARC 1/15/2008 $37.00 S12008000
Total $304.60
GRD2007-00007 Please referto the following page(s)for conditions of this permit. 1 of 4
CONDITIONS FOR
GRD2007-00007
1) All comments received by the County from the Department of Ecology are considered conditions of this permit. Dated April 27, 2007.
X
1 l
2) When building is constructed a licensed civil enginer should design foundations accordingly to condition of soils.
X__
3) 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 ODE, TITLE 14, CHAPTER 14.44.
X
4) 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 i 12;�
5) The owner/applicant shall provide to Mason County inspection reports prepared by the engineer record, complying with the requirements as noted in
Chapter14.44, section 14.44.220 through 14.44.230.
XT'
6) Cut and
fill slopes shall be setback from site boundaries in accordance with Section 14.44.190.
X
7) Owner/Aqent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X ,. 2,
8) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X -,
9) This parcel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
X k2a'
GRD2007-00007 Please referto the following page(s)for conditions of this permit. 2 of 4
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 anytime after work is
commenced. Evidence of co-nlia�tion of work i a progress inspection within the 180 day period. Final in pedion must be approved before building can be occupied.
OWN ER OR AGENT: 'C e CIC - - DATE:
GRD2007-00007 Please refer to the following page(s)for conditions of this permit. 3 of 4
�l
PERMIT NO:i GIRDwo
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 �VA whore L-11.41 Contractor Name
Mailing Address J5 i!S3f rl Mailing Address
City State Zip Code City State Zip Code
Phone( - A- Other Ph.(-'k a ) 1 .j Ph. Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
ENGINEER INFORMATION
Name Phone �)
Address State Zip Code
PARCEL INFORMATION-12 digit Tax Parcel No. 32-2 / 50 / ` '1 QItE Fire District
Legal Description 6—i' `i`i- c1 L.c L-01 S', i-3 t 2--'S - .30 '+ PTA
Site Address(include street name and city a N b Ro a ',, l v
Directions to site: i nP-Kf: 4 To 1 b,4 I ivf Uvi I 0,,N 6o Kitj4 t Dv-�\ �171
-U n/ ' U VC
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% Estimated amount of cubic yards
Describe Work ice,, tom_ , / (�
LAND MODIFICATION INFORMATION q //-- I )) YES NO
Will fill be brought on site? If yes, source ��� / f0lo Un I(Nl, LA ❑ ❑
Will excavated materials be taken off site? If yes, destination ❑ ❑
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? ❑ ❑
Will the land be replanted upon completion? ❑ ❑
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-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 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 t t Date3Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPIR veD DENIED CONDITION CODES
Building Department
Planning Department
Public Works Department
Fire Marshal
FEES
Grading Permit Fee da } Site Inspection
Plan Review Fee e41 a Other
Public or Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES