HomeMy WebLinkAboutGRD2005-00012 Cancelled - BLD Engineering / Geo-tech Reports - 4/14/2005 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
Shelton, WA 98584
LAND MODIFICATION BUILDING PERMIT GRD2005-00012
OWNER: SUSANNAH FARLEY RECEIVED: 6/23/2005
CONTRACTOR: NORTH BAY LAND DEVELOPMENT LLC 275-9590 - 360-710-1292 LICENSE: NORTHI ISSUED: 7/14/2005
ENGINEER: LICENSE: EXP.- EXPIRES:
SITE ADDRESS: 340 NE RIVERSIDE PL BELFAIR
PARCEL NUMBER: 123201093341
LEGAL DESCRIPTION: TR 34-A OF E1/2 NE LOT A OF SP#2347
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
EXCAVATE, FILL AND GRADE APPROX. 400 C.Y. AREA. ST RT 3 TO BELFAIR, L ON ST RT 300, AT 4-WAY GO TO OLD
BELFAIR HWY. FOLLOW JUST PAST NEWKIRK RD ON THE RIGHT
TO RIVERSIDE PL, FOLLOW RIVERSIDE PLACE TO VERY VERY END.
GM
Inspection Area: Fill?: Yes
Comp. Plan Desig.: Urban Growth Grading?: Yes
IRO Desig.: Cutting?: Yes
Shoreline Desig.: Not Applicable Area Graded: 0.00 Acres
SEPA?: No Cubic Yards: 400.00
FEES
Type By Date Amount Receipt
Grading Plan Check Fee CMH 6/23/2005 $37.00 B12005000
Planning Review Fee CMH 6/23/2005 $155.00 612005000
Public Works Review AT 6/29/2005 $39.22 612005000
Grading Permit Fee TLG 7/13/2005 $89.50 612005000
Total $320.72
GRD2005-00012 Please referto the following page(s)for conditions of this permit. 1 of 4
CONDITIONS FOR
GRD2005-00012
1) Proper disposal of constru ebris must be on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of
adjacent waters. X
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2) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are r_ d for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
3) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection
against erosion. X
4) Approved per site plan and topographic cross-section. X 65�E
5) All fills shall be compacted to a minimum of 90 percent of maximum density.X
6) 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
COUNTY OD , TITLE 14, CHAPTER 14.44.
X
7) Cut and fill slopes shall be setback from site boundaries in accordance with Section 14.44.190.
X
8) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASETA LOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM OR ROAD WAYx
9) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON
RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS
TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X ' �1V
10) Graded and filled areas shall be cleared of vegetation and deleterious materials before commencing work. Finished grade must comply with Chapter
14.44. If any fill area is intended to support or be within 5' of any proposed structure, fill shall be placed as structural fill and compaction tests will be
required prior to foundation approval. Stormwater shall be dispersed into naturally vegetated areas. Erosion and sediment control is required onsite
during all constru ion. Neighboring properties are required to be protected from potential adverse stormwater runoff impacts.
X
GRD2005-00012 Please referto the following page(s)for conditions of this permit. 2 of 4
11) A 20 foot wide fire apparatus access road is required to estend within 150 feet of any portion of the exterior walls of the building. An unobstructed vertical
• clearance of 13 feet, 6 inches is required. Dead-end fire apparat roads longer than 150 feet are required to have an approved turnaround. The
maximum grade of a fire apparatus access road is 14%. X
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 any time after work is
commenced. Evidence ee inua i of w es spection within the 180 day period. Final insp dion must be approved before building can be occupied.
OWNER OR AGENT: �� DATE:
GRD2005-00012 Please referto the following page(s)for conditions of this permit. 3 of 4
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PERMIT NO.: GRD0)005 00(' I
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 Gc Contractor Name 0 —NI
Mailing Address2G 3 S. �4 r Mailing Address N C
City9i?E-M F_k7FVN State_16/Ar Zip Code / Z City LL& 8,4R fro(Z State�� Zip Code
Phone t ( )792 —"lPther Ph.(.3(aQ 6 Ph.(3(oD )a 7 5 75900ther Ph.(3(0o ) /0 -
Lien/Title Holder C`UG!/VTRYwibE_ Contractor Reg. # Q k 7 ?Y.R L D aaMW
Address Expiration
ENGINEER INFORMATION
Name Phone L�
Address State Zip Code
PARCEL INFORMATION-12 digit Tax Parcel No. /23-20105331Ld Asem F,irp;ptstriV 't HO
18
Legal Description 01"v 3itwe
Site Address(include street name and city,
Directions to site* c o _,
Will timber be c t and sold in parcel pre ation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) /46 Saltwater,_
Lake River/Creek_,�ZL Pond / 0 Wetland/VD Seasonal Runoff,&/0 StreamA//QSlopes or
Bluffs Soft compressible soils,&LQ_
ado/Owx. .?5Jo 5� t rv .�v✓r�i
TYPE OF JOB - Excavation. �Filling___,�_Grading Total size of area
Size of area to be cleared on slopes over 10% Estimated amount of cubiF yards 44)
Describe Wo n h d f h c r
Avelu F]
LAND MODIFICATION INFORMATION YES NO
Will fill be brought on site? If yes, source 13 J4
Will excavated materials be taken off site? If yes, destination E3 A
Does fill contain potential hazardous materials? 1
Has a soils report been completed on site? If yes, include copy. 13
Will proposal result in redirection of any surface water runoff onto adjacent properties? 1
Will proposed work alter where storm water or ground water enters or exits the site? 0
Will quality, quantity or velocity of storm/ground water be altered? 1
Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? ,3
Will the land be replanted upon completion? 0
Will the proposal result in slopes steeper than those currently on site? 0
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: CC
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 cif tt�t lVArJrL I+pregistered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washingt n a d at I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the wor fiich�{tl�permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in confornlh h. hanges shall
fir Trnn ppro be made without first obtaining appro a.
X BELFAIR OFFICE
Date Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW 1
PROVED DENIED CONDITION CODES
Building Department (K.s
Planning Department
Public Works Department
Fire Marshal
FEES
Grading Permit Fee Site Inspection
Plan Review Fee Other
57
Public Works Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES