HomeMy WebLinkAboutGRD2021-00004 Site Prep Office Bldg - GRD Application - 3/3/2021 MASON COUNTY BUILDING PERMIT NO.GV-A
DEPARTMENT OF COMMUNITY DEVELOPMENT
gUrLDIIUG•PLANIUAIG•FIRE MARSHAL V
_ WWW.CO.MASON.WA.US (360)427-9670 Sheltr}h�s G;E I V E D
_ - Mason County Bldg.8, (360)275-4467 Belfair ext.352
rasa 615 W.Alder Street,Shelton,WA 98584 (360)482-526..9 Elma e4`13At5 O 3 2021
LAND MODIFICATION PERMIT (Grading Permit)615 W.
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: �711rb�l�. I Ill/ (1Ch AME:
MAILING AD SS: 1,0,ek>�4 '2_177 _ MAILING ADDRESS:
CITY: STATE:_ZIP CITY: STATE: ZIP:
Zy' PHONE: CELL: PHONE: CELL:
EMAIL: 461A EMAIL:
L&I PEG# EXP.
PARCEL INFORMATION: 54-A--
PARCEL NUMBER(12 DIGIT NUMBER) 143 Vt4 3 W 1? 1 ej.a FIRE DISTRICT
LEGAL DESCRIPTION ABBREVIATED):
SITE ADDRESS CITY
DI CTIONS TO SITE ADDRESS yir{ !dF
eF7 U)9
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND$ SEASONAL RUNOFF❑ STREAM*
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO O
WILLTIIvIBER BE CUT AND SOLD IN PARCEL PREPARATION? YES ❑ NO I.0
, U
TYPE OF JOB: EXCAVATION ❑ FILLING ❑ GRADING' CUTTING ❑ OTHER
TOTAL SIZE OF PARCEL ACRES/SQ FT SIZE OF AREA TO BE EFFECTED ACRES/SQ FT
ESTIMATED AMOUNTY OF CUBIC YARDS !Z&V
DOES THE SITE HAVE SLOPES 14%OR GREATER YES[] NO&
DESCRIBE SCOPE OF WORK Z,,Q ( 4AW lz,-le"IF 4:9 cKE 6VILLOM67
WILL FILL BE BROUGHT ON SITE? IF YES,SITE ADDRESS:
WILL EXCAVATED MATERIAL BE TAKEN OFF SITE?IF YES,SITE ADDRESS: r
DOES FILL CONTAIN POTENTIAL HAZARDOUS MATERIALS? YES❑ NO�
HAS A SOILS REPORT BEEN COMPLETED ON SITE?IF YES,INCLUDE A COPY. YES NO❑
WILL PROPSAL RESULT IN REDIRECTION OF ANY SURFACE WWATER RUNOFF? YES❑ N0,§
WILL WORK ALTER WHERE STORMWATER OF GROUND WATER ENTERS OR EXISTS THE SITE? YES 4ft NO❑
WILL QUALITY,QUANTITY OR VELOCITY OF STORM/GROUND WATER BE ALTERED? YES 0 NOt.
WILL THE RUNOFF BE COLLETED/CONTROLLED BY INTERCEPTORS,CURTAIN DRAINS OR OTHER DEVICES? YES 4% NO❑
WILL THE LAND BE REPLANTED UPON COMPLETION? YES I$ NO❑
WILL THE PROPOSAL RESULT IN SLOPES STEEPER THAN THOSE CURRENTLY ON SITE? YES# NO 0
IS THE SITE WITHIN 200 FT OF A DESIGNATED SHORELINE OR A WETLAND? YES if NO❑
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the.necessary
parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and inspection.This permit/application becomes null&void If work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPE CTIV TY OF THIS PERMIT APPLICATION OF 180 DAYS V�YIIL�►LL INVALIDATE THE APPLICATION.
x �(1YRlt 2 2c�Z-1
S' ature pp Icant � Date
x ` f:� zfi7 OWNER/REPRESENTATIVE/CONTRACTOR
Pr' ame (CIRCLE TO INDICATE)
- 2 N5-2-q -�Z�
GET SOME TUBE TIME LLC Cj
PARCEL #123294300190 R
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FOUND 2" REBAR WITH YELLOW
PLASTIC CAP STAMPED "AES 20795".
VISITED 5-19-2020.
S89004'37.86"E 175.00'
y W y
RETAINING WALL IS 5.5'
WEST OF PROP LINE I W y W
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PENINSULA COMMUNITY FED CU iu
PARCEL #123294390170 _ o�, W
N DM BELFAIR INVESTMENTS LLC �� N
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I PARCEL #123294300180
\�
RETAINING WALL IS0.8'
EAST OF PROP LINE \ \ w
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PL
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204.54' _ S89004'37.86"E 379.54' _ - 175.00'
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\ / DM BELFAIR INVESTMENTS LLC
PARCEL #123294300180
I :
S89°04'37.86"E 426.95'--1.7--- -� �J-- — — -
FENCE CORNER IS 0.3'
SOUTH OF PROP LINE
SOUTH OF SECTION 29. LOCAL WRENCH , INC - A WA CORP FOL
CALC PER UNRECORDED PARCEL #123294390175
• m Ho H PLA:
SURVEY BY LS#20795 ON ''11 o VIS:
THE DATE OF 1/29/20. rU 02' M
SE F
e _ S89°18'17.8 "E 1321_14' OF_ CAL,
32 SUR
THE
-I NOTES CONSTRUCTION SEQUENCE
INTER ANY TRENCH OR OTHER EXCAVATION FOUR OR MORE
i THAT DOES NOT MEET THE OPEN PIT REQUIREMENTS OF 1. CONTACT THE COUNTY TO SCHEDULE APRE-CONSTRUCVTION MEETING.
ON 2-09.3(3)B, IT SHALL BE SHORED AND CRIBBED. THE FIELD LOCATE AND VERIFY ALL EXISTING SERVICES AND UTILITIES
IS ALONE RESPONSIBLE FOR WORKER SAFETY. ALL TRENCH WITHIN PROJECT AREA. SEE VERIFICATION NOTE. FIELD VERIFY
MS SHALL MEET THE REQUIREMENTS OF THE WASHINGTON HORIZONTAL AND VERTICAL LOCATIONS OF UTILITIES AND UTILITY
CONNECTIONS, AND PROVIDE INFORMATION TO PROJECT ENGINEER.
AFETY AND HEALTH ACT, CHAPTER 49.17 RCW, 2. ESTABLISH INITIAL TEMPORARY CONSTRUCTION ENTRANCE.
3. ESTABLISH CLEARING AND GRADING LIMITS PER PLAN.
4. INSTALL CATCHBASIN INLET PROTECTION TO ALL EXISTING
CATCHBASINS LOCATED WITHIN 500-FT OF THE PROJECT SITE AND
NOTES OTHER EROSION CONTROL MEASURES AS NEEDED.
1 5. SCHEDULE AN EROSION CONTROL INSPECTION WITH THE COUNTY AS
-ITY INFORMATION DEPICTED ON THESE PLANS WAS OBTAINED NEEDED OR REQUIRED BY PERMIT.
fAILABLE SOURCES AT THE TIME OF DESIGN. CONTRACTOR 6. GRADE SITE PER PLAN.
ELY RESPONSIBLE FOR THE RELOCATION OF EXISTING 7. CONSTRUCT IMPROVEMENTS
D CONFLICTING UTILITIES DEPICTED OR NOT DEPICTED ON 8. ARRANGE FINAL INSPECTION WITH COUNTY.
9. REMOVE TESC MEASURES WHEN ALLOWED BY THE COUNTY.
'ECIFICATION
1 2 3 4 5 6 7 8
O .
COM2021-00032 _ I 1OWrs1
N01'45'20'E 1332.43' 6T — 10,
Mason County I — —— WETLAND 3s'.3z
Pe{mit Document I LANDSGAPIN6 1
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PROPOSED BUILDING
.... FF+72 T
9t 12,5405E '^F $
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GAST414-PLACE 1 CURB,7YP
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RETAINING WALL
So1-45.20-W 248.00' LANDSCAPING
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EAST.SANITARY AA77
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APPROVED I a
MASON COUNTY
rTD1/C�yD{��77PLANNING
EH APPROVED
5(?07T PZUEDV Af l:f' t)2/28/2022 I Exl5 DG A I y
5
6 12/08/2021I \ I
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7 5 ALLS� I
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SITE PLAN
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7
55 ALL5 BUILDINGAREA5
I I EXIST.BLOC,B 2120 5F
I i PROP05EO BLDG G 12,600 5F
TOTAL 18,6105F
REQUIRED PARKING I
18,410x3• %STALL5 architects
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Site Plan \ PROVIDED PARKING 835TALL5 ® w•�,"•
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