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Home My WebLink AboutGRD94-0063 Final - GRD Permit / Conditions - 11/1/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 C-v FAA F-) I RJ C; p F" R 1\4 1 -T' FOR INSPECTIONS CALL 42I-9670 po-,3,3,E 'j3cfc 0 PVK— Lu-)5 as-a3 GRD94—0063 PARCEL :322365 1 Ofr 022 PLA T' :Pi-PL 0 D I V : BLK s LOT : J0E3 ADDRESS : OWNER : MAURICE CONKLIN CONTRA(1-014 ENGINEER : FILL? . . . . . . .7 TYPE AMOUNT BY DATE RECEIPT GRADE? . . . . . . . :? PRMT $ 117 .00 KS 051 1919`,, 39134 AREA GRADED . . : 0 : :7 PLAN :30 .00 KS 05/ 19/95 39134 VOLUME . . . . . . . . 0 :0y TOTAL 147 .00 .. Ta[pISG%-MS^—.�.5"�'%ti.—C�".:..5.;".:..:.F-"�^.'r!n,T�T3l-S.'��'.'.YZC"EY�C+i.";.6C.s:12^SC':T•S::','L^..�= PRO.11=C T DESCR I P f ION -GRADING PR-OJECT L.00AT I ON THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CONSTRUCTION AIJTHOR17FD IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS A1' ANY TIME AFTER WORK IS COMMENCED . EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD . OWNER OR AGENT" I /f DATE : -- � ..�._._.c�::�,1�.�.c 600 PBM1, rev: 84191192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 d date by date y b ��_ date by MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I PFFAM 1 'U CC) ND 1 T I C-1N : Case No . : 02RD94--0063 Corr MAUR I CE CONK1. I N Page : 1 1 ) A Road Approach Permit or Approval must be granted bV the Washington d-:tate Department. of Transportation . For more information contact Paula Hammond, Transportation Planning Engineer , at (206 )35 7-2620, ext. 630 . 2 ) AlI u[:AIand ar&as dIsturbed or new Iy created bV con str toot ion activitIes s hit II be seeded, vettetated or, given some other, equivalent type of protection against erosion . X 3 ) The proposed protect must be consistent with aI1 applicable policies anti other { provisions of the Shoreline Management Act , its rules , and the Mason County Shoreline Master Program . Approved SDP/CtIP 94--33 . 4 ) i'empor;-jr y Erosion control measures must be implemented to prevent water qua i i tv f i 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 PLUMBING date by OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I II I MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 degradat ion of ad jac4 iii watei S or welt I 'iwt 5 ) Appi oved per s t to 1) 1 an and topograph i o cross sect t on . X 6 ) Excavat ion spo i I s sha I I be taken to an of it(- l octet i can approved by Mason County, 7 ) Work must bo done in the dry to help prevent disturbance of unstable soil layers and uncontroltable mass wartinq . X 8 ) PURSUANT TO 1991 UNIFORM 130 1 1-la i NG CODE , SFC T ION 30Cy(C ) AND SEC 1 ION t-11;3 , AI_t MUST HAVE= APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND t. EG I Bt E FROM THE STRFE T OR ROAD FRONT 1 NG 'T HE PROPERTY , MASON COUNTY 1311 11_1)1 NG DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RF I NSPECT I ON FEE , BASET) ON RATES IN TABLE 3A OF THE 1991 UNIFORM RU 1 L D I NG CODL W 1 1-.i. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . I X 9 ) AL CtEARING, CUTTFNG, GRADING, EXCAVATING, TERRACING, FI Lt. ING AND SIMtIIAR WORK WILL BF REGULATED BY THE RFQUIRFMENTS PURSUANT TO CHAPTER 70 OF THE UNIFORM BUILDING CODE . 10) At 1.. SURFACF WATER AND POTENTIAL RUNOFF WILL 13F CONTROLLED ON SITE AND SHAt.1. NOT ADVE=RS1_Y AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW FNTFRING OR ABUTTING TO ANY STA"I F" OR COUNTY CULVERT I NG 11)I TCH 1 NG SYSTEM OR ROAD WAY x 1 1 ) All fit 1 :s �:ha 1 1 be compacted to a minimum of 90 peroent of maximum density . 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 MR90TNM �- �� ✓ MASON COUNTY GRD AUG 2 5 1994 LAND MODIFICATION PERMIT HEALTH SERVICES 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 #1 Owner M et u a i c r- CON K k►0 Phone# MK-a/4 Fire District# Site Address iO `1 - 1.w a d City VN i0 ry St IA)I""- Zip Owner Address 100 y - f b City v AJ St uJ/J'. Zip Describe Work E Y 6A'i <. nAJ K `o nA"b )ze-i^ '..., (.'.j Pi 1_L - �A,-nr_h QjA ; 3 t nX' Lib i a ;'/\j #2 Contractor Name (L . , Fnti-e S f n 4, CC)^-)S yLJ-w -., - Contractor Reg# %-02ek1✓'/S9r;p Address P, 0. f30x Expiration Date City Moo DS,20/L'T St Zip 96$'yk Phone# o2U6 • yap, 9sya #3 Engineer's Name Yd '4rJ (Z_ SG g ro 2K Q. E • Phone# a0G- 9- q.ZSS`t Address 55 -CLef�rL F F e-►. o o&i-ye City C L,y St Zip 91P o I #4 Parcel No. r3 Cj 0 2 Z R;7- '1_' a�- Legal Description r Q 2 °.by S c,c #5 Number of cubic yards to be excavated:_ IS(J0 /7 0o ca r VL10 S Number of cubic yards to be filled: ��LZST 13Ac1CI-r c L Number of cubic yards to be graded: #6 Will this be a balanced cut and fill entirely within the site? Yes �� No If No: Will fill be brought on site? Yes No x Where does imported fill originate from? knee. - Aj e.En /`0 fGat;L a : - 1..,:LL PePO-s: =+ f9n)c ft— S. AIJ!j 54r.-�, Z�,o P/4- '+-k t, e� ✓` tV,t l/04L. Does fill contain any potentially hazardous materials? L1, e ib Qf r"-et Yes No �- #7 Will excavated materials be taken off site?Yes X No If Yes: Where will excavated materials be taken? S- S o ti e lw�n j2 jaT- 61W1�e. 0-o ri Go r-y - 0(--0 &A-n.o'y P + - io_' r-<Lr` ; ~ #8 Briefly describe existing terrain, vegetation, and improvements on subject site? I'lU uS t11,j J L-P cv o n✓,i tt 03 ri i W- 6, 5 Lo f, d E ti rq),4 �Stl 6f vte it 6 eoot ri /=..z #9 Total size of area to be cleared /t� E 4 oq-cp -£ acres/sq ft Size of area to be cleared on slopes over 100/- G: S ' AC/SF #10 Has a soils report been completed on the subject site? If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline tii-f S #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 4 #13 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? kit #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? A To-4((, 1`K-�ewck PAAJw i,a IC J #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? E R 2i L-4- Nc)4 #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? Nc) #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? `-Sy 5t 5cop-5— R u Le i ti� [,��ZC � I"V -,es� Ur— If yes, with what types of plants? 6IL,I S S es #19 Will this modification result in slopes steeper than those currently on the site? NU If so, how steep? 3+0 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 S eL A++c,Lk a t-at N 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 OFTHE 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 OBTAININaAPPROJVL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER 4- X BY 7 0--, DATE 7 DATE� S - � y� � i FOR OFFICIAL USE ONLY:Accepted by: Date: -------------- DEPARTMENTAL REVIEW Planning APP COND APP HOLD DY �o Building Environmental Other Special Conditions FEES vc Grading Permit $ P 7 Plan Review Site Inspection Violation Fee Other TOTAL FEES $ 14 c