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Home My WebLink AboutGRD92-0025 - GRD Permit / Conditions - 8/3/1993 MASON COUNTY PERMIT Mason County Bldg. III 426 W. Cedar NULL & VOID BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 DATE 6Y 1OIt 11111)It1 ',`, . . . . . . . . . . . . . ul il41 le NARRV NE l SNN Nt, 1 (JI t l- NORMAN KRl1EGFR 441 -2901 1 I I i �{ � i '(1'i r)r9+Iltt•! 1 F';' �,;! + ; I�1 + 1 1 ( I � t ! Y iilri ri i,i�rti+l U _ at ; - � I•I r)N �}, r,ls )i'f ), t.� , I ilfl , 1,1?O.j 1 t.r))_N I 1 ON= 1 0 ilY01.t i,i Ij+ it ;Ii1111 1 / I '. Lt1N . oil I+ I mo, I r.li, 1<+i!tli ++r•I I I ( I rit N(IIiP I i)I FURI I I A N I i HkVF Y0W, II.f PF. I?M I I HI: VOIVII.`i NIII I ANII Vol I to I r I1t)1,1= Ifit I 'IN`, I ie!ll 1 1 (IN All l llt)i, i :^1,to I '-, Nil i ! 0i I,.i l I II I fi' I 1'1(}`r'`., OV 11, 1 "W, I Ii1li, I 1 f I N I11, 1-)tiIi k, 1 `• II`,I'I f`4I!I I! I +il•.' it i i I. t 01) tll I )to loci 1 i1Pl , i I hi At I i N 1l1i11� I t t)MMi N( r It 1 `•11 lif Nt 1 )11 i i1h11 1 NtIFti I I (IFi ui LIt)rr! I t) t ic+it,l i Pi .I't ! I I nN I 11111 l Y. E. T. INDUSTR , INC. ell led James T Suzuki, Pre t Mill+rPh FRNI. re, Atli ,y 'or P1't t ANl_f 1 A Al rAC.{it fl t:l)Ni) t 1 { (IN`i f REQl1IRE n 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 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 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 a 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 6R1)9�--@t+I �a I'/ll�!•f ! .+, ..ias '•H4?b?1t49+d4Y . . . . . . . . . . . . . . . MAW t< HARRY NF t ON rONiItAl I ++t: I rlla I NI 1. 1, NORMAN KRUEGER 491 29ii:1 i 11ij 1' I Y1,1 NMi+ilp: rif<L r1 ril+rt(1t t+ t9 }�! rltt '�; i,ta Ath f'tz+l.li + 1 I+l .;+ I� i i' ! ! •+11 ++l;H!i 11•t(: '; !'it(t.1t l. I� I +.lt. o3f .lt)Id - t +1 r.t'+`tt+ t- til 4t+ II ',IIIi{1i '�.' 4 '�� IUf�f _ �1! I+ I nr,r,� I !•11, (;�+;;� ��,1 1 i l i,{i+, to+1h't<'1 r1I iii.' f i 1)N1) kivfv:.. 1•t+fi ! !i 1 :; f'ht<h1 I I Is± +. +rFtr •, N11t 1 At�I) 1f►► I.i1 1 t LJui:h (tt� i:i+N`; i I-�11+ I , ut•4 nII 111++fi t li 1+ t ' N+r I + �+N+hlf t�t� t It I-I I I it I tJ Its�,> fIAY` iljr 1 ► CON`, 1101+ 1 I i)N t,l? 1,1111';t I u•,11 Nut 11 I OF A 1'i Ik I M) tit- i Hs) Om'; AI Atl_v t ! Mt AI 1 I ►< t-Iut 1'liMM+ NI i 1+ I `Jtt+LN(,1 t 1 i (11.41 1WINNI I +1N kit t-111NIN, I ', is I'1:+Ili III IN'.1't + 11014 fit IIIItl III1 I110 111, . I+111,+f ii 1)P N t,.. _�y �� 111i I 1 00 t'l+Ml. ray. 441011, 2 c Pt IANCF 10 At11ACHUD. CONO1 I ION`; I REQU1RLD 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 date by PLUMBING OTHER Groundwork Attic date by ate by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by H f)T i rye '/E !� J MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.0, Box 186 Shelton, Washington 98584 #I- CIO 1 1 A 0 1-�Y H i I N it I I t A Y 11.1 t t f t t I I I I tit 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 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 by date by � a MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 •. 411< ,lc i t�ri�{ i r.�,�:1 i i�i� � c.� � il< t'iy, �.I• i(,i1r t� L4r� � . Mild c?C. . ., (f 1.r• S! ] {.. 1 i r -rt . j I 4,. i i h I r 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 by date by MASON CODNT� c CCGt � SQr1 a LAND MODIFICATION PE ,0; can ILTr en eta �t d� �. Depart�aent of General Services - e( ,ef- �.Q 426 W. Cedar/P. O. Box 186, Shelton, WA 98584 42 - -800-5V2-5628 PLEASE PRINT 2.Dct2, -UO2 / #1 Owner ` .� Phone# 16 1av _ Site Address 4 ' wa Ci ty St Zi AVE Owner Address O C-- St Zip p W,,)p„� t,/1 t Describe Work y - , ' <� #Z Cont_-actor Contractor Reg# Address Expiration date / / Ci ty St Zip_Phone #3 Engineer's Name L P e#�(: Address ,` � �Ci rNo-3 #4 Parcel No. Z3(b _ 0 iU _ D 41 Q o_G Legal Description #5 Number of cubic yards to be excavated: b Number of cubic yards to be filled: / Number of cubic yards to be graded: ;�g #6 Will this be a balanced cut and fit entirely within the site? Yes _ No If NO: Will fill be brought on site? Yes 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 a sting to ain, egetatio an improvements on subject site? #9 Has a soils report been completed on the subject s to 7 If yes, include copy with application. #10 Does the subject site contain any of the fol;owing features? River l,� _ Lake v Wetlands Sal twa ter Slope greater than 15:• Soft compressible soils iw Seasonal Runoff None _ #11 Will the proposed land surface modification change the points where storm water or groundwater enters or exits the site? ` #22 Will the proposed land surface mod+Fi ca tion change the guality, quanti ty, or Velocity of stor-la ter,/groundwa ter? J �r #13 Is the subject site within 200 feet of a designated shoreline? #14 whams- =hods, if any, will be utilized to minimi a erosion possible sedimentation into nearby waters? #IS will =',is land modification result in the 'rection of any surface water runoff onto adjacent properties? #16 will.---Mace or subsurface runoff be collected or controlled by iMt:e geptors, curtain drains, or other water collection device J once this land modification has been completed? rr will the land be replanted upon completion? If yes, with what types of plants? > #18 what are the I=9ths and ea is of slopes currently st ' g on the site? #19 will this modification result in slopes steeper than those currently on the s'L e?1-.4z:2 If so, how stee 7 4-IX Show following on the si to plan Directions to job site Lot Dimensions /IA Flood Zones Existing StructuresNiJ Fences Structure SetbacksIvIl Driveways Water Lines f✓� Shorelines Q Drainage Plan Al/I Topography Septic Sys t emsAA Wells Proposed Improvements sements Name of Flanking St_-eet j Name of Fronting Street , e,r I Scale: Dace: APPLICANT TO DRAW SITE PLAN BEL0T1' ' I I APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO c� iNOTZ:.E: "ZH:S - PERMIT BECOMES NULL AND VOID IF„ Wr`^1 OR CONSTRUCTION A=CRIZED 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 CCMMENC,:.D 41i 0 cRS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.Z7 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON GaUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AMD ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPPAARTMENT. DEPARTMENT. X OWNER X BY IIA�E DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, SPA 98584 427-9670/1-800-562-5628 FO&,OFFICIAL USE ONLY: Accepted by: Date: OCT 19 1992 J�n-FPAR AL REVIEW GENERAL SERVICES FOR OFFICE USE ONLY Approved Cand Nold ApVa"i Planning: Environmental Health: Building Plan Review: Fire Marshall : Other: 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 A?TAC-t44G 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 APP COND APP HOLD Planning -, 7 Building C C) 1l Environmental Other Special Conditions FEES _ Grading Permit $ ` Plan Review `��• Site Inspection Violation Fee Other TOTAL FEES � I