HomeMy WebLinkAboutGRD94-00055 - GRD Permit / Conditions - 1/20/1999 • MASON COUNTY
Mason County Bldg. III 426 W. Cedar
1
P.O. Box 186 Shelton, Washington 98584
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i1i ;rJ! Al AN HOOVIH '
AP
't PERMIT
NUL��L�� & ��VOID BY EXPIRATION
+i LIhIE DATE L1 BYE
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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
BGISLAB 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
J
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 4 0 0
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I vii, I ;If I I tit
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
data by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by I date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwcrk 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 xj
DEPARTMENT of GENERAL SERVICES
Mason County BIdg.111 426 W.Cedar
P.O.Box 166 Shelton,Wathington 98SU
(360)427-9670
_♦Mr
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
6
TO: Ck-UQn CI V o(/e.,r
Rdre iIr, W P 01
RE: Permit Number # GW
To Whom It May Concern;
During a recent review of our files, it was determined that your permit
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please contact this office for a final inspection, update
inspection or extension prior to L�/ / Q,_/gg to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely
w8s"'fo-'
Building Department
cc: Property File
MASON COUNTY
DEPARTMLNT of GENERAL SERVICES
Mason County Bldg.m 426 W.Cedar .
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
`f-
BUILDING PARKS&RECREATION
, FAIR/CONVENTION CENTER ADMINISTRATION
iq/lCU7 h6ej,-
AS
OMI'
Re: Permit No. :�R�y/y C�V�
Dear 1271-
As per your recent request, this office has'- noted the above
permit for extension to rad�rC/ �� In order to
�99�keep your permit valid, you must tall for inspection prior to this
date. In the event that you do not call for inspection, the Uniform
Building Code allows for jurisdictions to require the renewal of
building permits. Depending on the length of time of expiration,
there are two methods used_ If the permit is expired by less than
one year, renewal may be obtained by paying half of the original
building permit fee at the discretion of the building official and
if the permit is expired by more than one year, the jurisdiction
can require that the permit actually be processed as a new permit
with routing to all required departments.
If you should have any further validity of permits, p questions regarding the
P lease contact the Building Department at
(360) 427-9670, Monday-Friday between
5 : 00pm. the hours of 8 : 00am and
P
Sincerely,
Mason County Building Department
CC: Property File
ligV&-.0 r000Q0
AUG 211996
1F-NERALSLHV10E,q
From Allan J . Hoover- 16 August 1996
NE 2491 Old Belfair Hwy
Belfair Wa 98528
To Mason County Building Dept
PO Box 186
Shelton Wa 98584
Attn: TAMI
Re Permit No GRD 94-0055
This letter is to request an extension for my grading permit
#94-0055. Budget has kept us from completing the project at this
time. The contractor- is due in any day to work some more,
weather permitting . Thank you very much for your help in this
matter . If I can answer any questions please call me at
(360)275-4362 after 5pm or (360)981-1262 (pager )anytime.
Allan J . Hoover-
GRD X
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
#1 w er A L L AN �2 K V N hov l/�A' Phone # .006 �7S `/36 2-Fire District#
ite Address NE z'g9i ocD 47Ei-f-o4I,0, H,-J p, City aGLf,4sR St w,,9 Zip 9k.52&
Owner Address S,1 ME q s A 0o yr City St Zip
Describe Work /17-,t.re fO
� • 1
J
Cd -,�)1 1 bra U0 vl� CA. Cc / )
#2 Contractor Name 4 P?HctchCA ff\a Contractor Reg #
Address Expiration Date
City St Zip Phone #
#3 Engineer's Name Phone #
Address City St Zip
#4 Parcel No. {�
Legal Description n
F�9 ,
#5 Number of cubic yards to be excavated: /g�
Number of cubic yards to be filled: ;0c
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
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? S%n vwr
! 6
#9 Total size of area to be cleared l as—q ft
Size of area to be cleared on slopes over 10% AC/SF
#10 Has a soils report been completed on the subject site? N1
If yes, include copy with application.
#11 Is the subject site within 200 feet of a designated shoreline J
#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? N C
#14 Will the proposed land surface modification change the quality,
quantity, or velocity of storm water/groundwater? `X)
#15 What methods, if any, will be utilized to minimize erosion and
possible sedimentation into nearby waters during and after
construction?
#16 Will this land modification result in the redirection of any surface
water runoff onto adjacent properties? No
#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? W I IV C-" r— S ��e i�d�^� a t �Ao�S �oW
#18 Will the land be replanted upon completion? Ir' S
If yes, with what types of plants? 64 k ASS
#19 Will this modification result in slopes steeper than those currently
on the site? N 0 If so, how steep?
I
t
Show following on the site plan
Lot Dime.isions 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
---- �. IV'�°�
W t 1,L
�l
�Y
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 [)AYS 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 OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER p. q X BY
DATE 7 4 / DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
Planning SLA S C7F - 13 APP COND APP HOLD
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Building - iLt_i L-, Z mJ�- LL comoe G
(- b NO F1L" ALL E
109 e r 0 61 IV rCaf < < Cti
Environmental
Other
Special Conditions FEES
Grading Permit $ y 3 , S
Plan Review ZZ"
Site Inspection
Violation Fee
Other
TOTAL FEES 00
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