HomeMy WebLinkAboutCOM2023-00055 Pump Station and Associated Piping - COM Application - 4/17/2023 MASON COUNTY COMMUNITY SERVICES Permit No:
Cave 202� - ovo �
PERMIT ASSISTANCE CENTER:
• •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352-Fax:(360)427-7798 Phone
Belfair.(360)275-6467-Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
PROPERTY O R INFO RMATION: � /) CONTRACTOR INFORMATION:
NAME R y bi 11, yVo� / V ;Pape and Sons
MAILING ADDRESS:W PACIFIC Ave SUITE 1075 MAILING ADDRESS:9401 Bujacich Rd Unit 1A
CITY:T— STATE:WA ZIP:98401 CITY:Clo Harbor STATE:WA ZIP:98332-84C
PHONE#1:253-212-9901 PHONE:(253)651-W40 CELL: (253)255 38027 r
PHONE#2:206-949.0554 EMAIL:brada@papeWic.wm(Brad Applemen) v
EMAIL:DAVIDGEEOVERTON.COM L&I REG#PAPEsr2o4DE EXP. 04/08/25
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑'
NAME beos.eee, EMAIL
MAILING ADDRESS 100 W Pa k Woe'or CITY''"°" STATE WA ZIP In"
PHONE*f°a'-f•'f CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 123214300130 ZONING
LEGAL DESCRIPTION(Abbreviated) a'""rwRF-sewerunee.tedurtseuon FIRE DISTRICT 01'h m1f PFA
SITE ADDRESS 25252 NE State Route 3,Three-Phase Pump Station CITY Betfair
DIRECTIONS TO SITE ADDRESS Enter off of log yard road Into MTA bt and the gate Is found by following the road rather than turning left into the MTA lot
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑� ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑�
USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Etc. ua ty
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(.,)g Bldg)❑ NO❑�
DESCRIBE WORK New Pump Station and associated piping,electrical,etc.
SQUARE FOOTAGE: (proposed)
1ST FLOOR sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.& STORAGE sq.ft. OTHER I sq.R
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.R Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED"
MAKE MODEL LENGTH
BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acotovAedges that 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 and 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 legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and stnicture(s)for review and inspection. This pernittapplication becomes nul&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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLIC TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
A B C D E F G H
0
`` SURVEY NOTES:
N
g 1. THE PURPOSE OF THIS TOPOGRAPHIC SURVEY 15 FOR CIVIL ENGINEERING DESIGN.
THIS IS NOT A BOUNDARY SURVEY. SOURCES OF BOUNDARY INFORMATION AS
SHOWN INCLUDE FIELD-TIED MONUMENTATION,PLATS,COUNTY RECORDS OF
a /�, SURVEY,AND AUDITOR INDEXING INFORMATION.
p ��' _ 2. THE LOCATIONS OF EXISTING UNDERGROUND UTILITY SYSTEMS,AS SHOWN
o HEREON,ARE TAKEN FROM UTILITY LOCATE PAINT MARKS OR AS-BUILT PLANS AND
a a j ARE SHOWN IN AN APPROXIMATE WAY ONLY.
THE CONTRACTOR SHALL DETERMINE THE EXACT LOCATION OF ALL EXISTING
\ UTILITIES BEFORE COMMENCING WORK AND AGREES TO BE FULLY RESPONSIBLE
�� - - - --- FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S
I Jt FAILURE TO EXACTLY LOCATE AND PRESERVE ANY AND ALL UNDERGROUND
O UTILITIES. ALL LOCATOR SERVICES SHOULD BE CONTACTED PRIOR TO ANY
CONSTRUCTION OR SUBSURFACE EXPLORATION. CALL 1-800-424-5555.
3. FIELD SURVEY: KPG,JULY,2020.LICENSEE MICHAEL R.BOWEN,P.L.S.NO.
29294/RONALD D.REICHEL,P.L.S.NO.38015.
4. CONTOUR INTERVAL=1 FOOT,30.5 FOOT PER NATIONAL MAPPING STANDARDS.
_ CONTOURS DERIVED FROM DIRECT FIELD OBSERVATIONS.
/ f / 5. STORM AND SEWER CONNECTIONS HAVE BEEN DRAWN FROM CENTER OF LID TO
,C-111 " CENTER OF LID.
^J%
+� 6. THE LOCATIONS AND DIMENSIONS OF UNDERGROUND VAULTS HAVE NOT BEEN
VERIFIED AND ARE APPROXIMATE.
7. UTILITIES ARE NOTED AS INDICATED IN THE FIELD BY UTILITY LOCATORS. MULTIPLE
j ANDlOR UTILITIES MAY SHARE TRENCHES;THIS MAY NOT BE SHOWN IN THE
208 DRAWING.
z 202 ,•C-109
207 21,
- CONTRACTOR STAGING AREA CONTROL POINT LIST
206 C-107
Y� Y,. a 2O \� PT# NORTHING i FASTING PT# DESCRIPTION NORTHING FASTING ELEVATION
C-108 . T N A 174628.79 Il 1152089.66 22 SPIKE 174509.52 1151133.14 339.08'
e • ., „, ,,.
:•� f I
B 174558.04 1152230.48 23 HT 17468611 1151872.69 343.66'
/ 204 _ -
k CONTRACTOR STAGING AREA C 174586.63 1152262.59 24 HT 174633.03 1151999.69 348.76'
q �" 6.. D 174662.87 1152230.73 ...._. 25 HT 174763.32 1152168.34 346.87'
205 - -- -
E 174744.36 1152248.64 26 - HT
175106.24 1152472.56 342.58'
�' �, ..,,:• `'Tj F _\203 - J =- - F 174829.65 1152200.49 27 HT j 175370.45 1152754.83 347.81'
G � {( - G 174791.11 1152159.81 28 1 HT j 174503.74 1151039.38 337.35'
H 174703.44 1152172.81 29 HT 174525.50 1150861.01 330,47'
m
❑ 29 1 j 5 H ` - 27� '}"^.. 1 -_- _-175564.72 1152567.08 201 HT 175713.92 1152466.36 330.90'
211 _ _� I 26 J 175480.33 1152663.70 202 HT 175808.70 1152379.07 329.22'
209 . / C-103 -_ -
o s I' K 175431.76 1152688.88 203 HT 175655.72 1152366.45 326.95'
-_ ___-.__- C-1 Q$ I L 175454.77 1152733.27 204 I HT 175540.78 1152089.39 311.39'
210 C-102 - - - - - - --- -
$ _ , • C-104 M 175511.75 1152703.72 205 I HT 175446.67 1152049.45 325.4V
212 \, 23 ♦ aI E - N 175602.37 1152599.97 206 HT 175766.49 1152340.89 328.57'
f I 24 D 207 HT 175749.45 1152233.06 318.92'
22 - "" (�` \ 208 HT 176128 31 1152573.83 327.36'
a - -_
C-10
28 4 -
/ CONTRACTOR .4 209 HT 174488.98 1150736.98 316.21'
213 _ C-101 A STAGING AREA 210 HT 174452 61 1150638.17 313.82'
..G. B �� 211 HT 174750.18 1151965.03 339.63'
HORIZONTAL AND VERTICAL DATUM
a �Q? 212 HT 174259.69 1150651.21 336.79'
Q
HORIZONTAL DATUM: NAD 83/11 213 HT 174048.85 1150529.06 327.65'
VERTICAL DATUM: NAVD 88
'; E r p �J HORIZONTAL AND VERTICAL DATUMS ESTABLISHED BY RTK GPS
C �J OBSERVATION UTILIZING WSRN(WASHINGTON STATE
REFERENCE NETWORK)WITH CHECKS TO WSDOT CONTROL
'r POINTS"NEW KIRK"AND"LYNCH COVE"
gAN DESIGNED MASON COUNTY SCALE WA
ISSUED FOR BID SCALES a JM SHEET KEY MAP
0 1, ��' BELFAIR,WASHINGTON JOB NO
0 25- DRAWNBELFAIR WATER RECLAMATION FACILITY SURVEY CONTROL,AND 1997005.01
g` ANY PRINTS NOT BEARING THIS STAMP MAY HAVE BEEN PRINTED PRIOR IF THIS BAR IS NOT imSEWER EXTENSION CONTRACTOR STAGE AREAS DATE
TO ADVERTISING AND CANNOT BE CONSIDERED AS BID DOCUMENTS. DIMENSION SHOWN, APRIL 2022
USERS OF THIS DOCUMENT IN EDITABLE ELECTRONIC FORMATS ARE 51.a
CAUTIONED AGAINST USE WITHOUT FIRST DETERMINING WHETHER ADJUST SCALES o tl�' CHECKED SHEET OF -
3 CHANGES MAY HAVE BEEN MADE SUBSEQUENT TO ITS PREPARATION. ACCORDINGLY. VgpNAL gGRy � Ke n n ed y J e n ks
NO REVISION DATE BY 22 NTvv G-005
�_ - , d