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Home My WebLink AboutGRD2011-00014 Parking Area - GRD Permit / Conditions - 2/10/2012 T ' 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 i LAND MODIFICATION BUILDING PERMIT GRD2011-00014 OWNER: QUALITY FOOD CENTER, INC RECEIVED: 12/20/2011 CONTRACTOR: LICENSE: EXP: ISSUED: 2/10/2012 ENGINEER: LICENSE: EXP: EXPIRES: SITE ADDRESS: 201 NE STATE ROUTE 300 BELFAIR PARCEL NUMBER: 123294290001 LEGAL DESCRIPTION: TR 10 OF NW SE-LOT: B EX OF SP#591 LOT: 1 C PROJECT DESCRIPTION: DIRECTIONS TO SITE: Grading to remove existing sandfilter and replace with asphalt parking lot ST RT 3 TO BELFAIR, L ON ST RT 300, TO SITE ADDRESS ON THE Add asphalt turn around for truck docks, replace sanitary sewer pumps and LEFT SIDE re-route sewer to public main Inspection Area: Fill?: Unknown Comp. Plan Desig.: Urban Growth Grading?: Yes IRO Desig.: Cutting?.- Shoreline Desig.: Not Applicable Area Graded: Square Feet SEPA?: No Cubic Yards: 900.00 FEES Type By Date Amount Receipt Grading Plan Check Fee GMM 1 212 0/2 0 1 $57.41 S1 20 1 2 0001 Planning Review Fee GMM 12/20/201 $330.00 S120120001 Planning Stormwater Re,. GMM 12/20/201 $255.00 S120120001 Grading Permit Fee DLC 1/30/2012 $274.61 S12012000, Total $917.02 GRD2011-00014 Please refer to the following page(s)for conditions of this permit. Page 1 Of 5 CONDITIONS FOR GRD2011-00014 1) ApprovedPe ,e d Oct. 2011 including demolition, grading,erosion control, and stormwater provisions. X �( 2) Temporary Er �oasures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 3) Proper disposal of constructio b�js use a on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of adjacent waters. X � �� 4) Compliance with the approved StormWater Pollution Prevention plan shall be subject to an on site inspection,or inspections, by the engineer of record representing Barghausen Consulting Engineers, Inc or an authorized representative. Said inspection(s)shall verify that all work has been performed in accordance with the approved plan. Reports shall be submitted to the Mason County Department of Community Development prior to each corresponding inspection and final permit approval. Copies of all special inspection reports shall be made available at time of inspection. 5) The applicant shall implement the provisions and best management practices included in the construction stormwater plan submitted with this Dec.2011 application ma(LQuisy� 6) Access Roads to the site must not be degraded as a result of work. 7) Fire apparatus access shall be maintained such that emergency apparatus will have access to not less than 150-ft from any part of the structure. 8) All engineered fills shall be compacted to 95% max. density and constructed in successive horizontal layers not exceeding 8-inches in loose thickness. COMPACTION REPORT(S) PREPARED AND SIGNED LICENSED DESIGN PROFESSIONAL SHALL BE REQUIRED TO VERIFY THAT FILL MATERIAL HAS BEEN COMPACTED IN ACCORDANCE WITH THE APPROVED PLANS . SUBMIT COMPACTION REPORT(S)TO THE MASON COUNTY BUILDING DEPT., PO BOX 186, SHELTON, WA 98584 PRIOR TO THE FINAL INSPECTION OF THIS PERMIT. X GRD2011-00014 Please refer to the following page(s)for conditions of this permit. Page 2 of 5 9) ALL CLEAR]NG,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 XOUNT� Y C ,�,I, CHAPTER 14.44. 10) The owner/applicant shall provide to Mason County inspection reports prepared by the engineer record, complying with the requirements as noted in Chapter 14.44, section 14.44.220 through 14.44.230. X ..,... 11) Compliance with an approved Storm Water Plan shall be subject to an on site inspection, or inspections, by the engineer of record or an authorized representative. Said inspection(s) shall be performed in accordance with the approved plan, and prior to any modification that would make a determination of compliance impossible. Inspection reports shall be submitted to verify all engineering requirements have been completed in accordance with the approved storm water plan. Reports shall be submitted to the Mason County Department of Community Development prior to each corresponding inspection and final permit app%ai. 0 p ial inspection reports shall be made available at time of inspection. X 12) APPROVED PLANS ON SITE All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Xepart��io ser inspections being performed or approvals granted. 13) CHANGES TO APPROVED PLANS All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or r atygn u be reviewed and approved by Mason County prior to construction. X 14) FINAL INSPECTION REQUIRED All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Co, n� ctl building regulations. 15) PERMIT EXPIRATION All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holderp ev t action from being taken. No more than one extension may be granted. X 16) PROPERTY LINES All property lines shall be clearly identified at the time of inspection. GRD2011-00014 Please refer to the following page(s)for conditions of this permit- Page 3 of 5 17) The scope of this project includes the removal of the existing sand-filter system and replace with an asphalt paved parking lot, addition of a paved truck turnaround, and replace sanitary sewer pumps and re-route sewer to public main.Work beyond the this scope may require additional permit approval prior to performing the work. 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 of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER OAGENT: DATE:�2/20/12 Barg ah usConsultingEngineers, Inc. GRD2011-00014 Please refer to the following page(s)for conditions of this permit. Page 4 of 5 FORM MUST BE COMPLETED IN INK PERMIT NO.: GRD Cg i� - CDOC PLEASE PRESS HARD MASON COUNTY LAND MODIFICATION PERMIT APPLICATION �dI I�411� 424 W.CeddtfP.O.Box 186,Shelton,WA 00684 Shelton(3601427-9670 Belrair(360j_276-4487 Elora S80 482-6269 Seattle 12061464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Quality Food Centers Inc. Elite Commercial Contracting(Contact. Joe Gallagher) Mailing Address 10112 N.E.1 Oth Street 804 West Meeker Street,Suite 201 City Bellevue State 3/A_ Zip Code g8nn4 Kent,WA 98032 Phone 4( 25 )455-3761 Other Ph.(_ Office(253)893-3100 Mobile:(206)255.9927 Lier itle Holder Contractor Reg.#EL�T6C 0-2QCQ I L® I N G Address Expiration U�/e3 L!te- a 13 _ ENGINEER INFORMATION Name Jason Hubbell P E.Barghausen Consulting Engineers,Inc. Phone 4( 25 )251-6222 Address 18215-72nd Avenue South State WA Zip Code 98032 PARCEL INFORMATION-12 digit Tax Parcel No. 12329/_ 2 9nn01 Fire District f.lason C ity Legal Descnption See ittgched Fire Districl 2 Site Addressonclude street name and city 201 N E SR-300 Beifair.WA 98528 Directions to site: Go north on WA 3 turn left onto Old Belfair Highway take first left onto WA_300 Will timber be cut and sold in parcel preparation?(Yes/No) No Is your property within 200'of the following:Body of Water(Name) No Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils TYPE OF JOB-Excavation r' Filling Grading Total size of area 10 000 se ft Size of area to be cleared on slopes over 10% Estimated amount of cubic yards,900 Describe Work Remove existina sandfilter and replacp with ncphnll pirkina 1�a_sphalt turn amend for truck rinrkc, Replace sanitary sewer Dumps and re-route sewer to ouhiie main - LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes,source C Will excavated materials be taken off site? If yes,destination APProved location. Depends Does fill contain potential hazardous materials? on soil testing. 0 Has a soils report been completed on site? if yes,include copy. Will proposal result in redirection of any surface water runoff onto adjacent properties? 0 Will proposed work alter where storm water or ground water enters or exits the site? 13 Will quality,quantity or velocity of storm/ground water be altered? E Will runoff be collected/controlled by interceptors,curtain drains or other collection devices? Will the land be replanted upon completion? Will the proposal result in slopes steeper than those currently on site? 0i Is the site within 200'of a designated shoreline? NOTICE: THIS PERMIT BECOMES NULL 8 VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF p CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 100 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 baby: OWNER AFFIDAVIT•I certify that 1 am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law 118.27 and am aware of the contractor In the State of Washington and that I am aware or the ordnance requ7emerts for which this permit Is issued and that all work ordinance requirements regulating the work for which this perm.1 is issued will be done In conformance lheresdlh. Na changes sha�bemade wi!troul and a 1 work shag be done In canto nee IherernU. No changes shot X t obtal ng approval.�l /] be made thout first obtalnl par rt. — .IJS�/j/t �"--Z Date - DatoL2—.5 If f FOR OFFICIAL USE B OND THIS P I Accepted by Date Submittal Amount Due Receipt No. z 7Department REVIEW A"ROVED DENED — CONDITION CODES Buildi Plann Public Works Department Fjre Marshal FEES Grading Permit Fee n7 Site Inspection Plan Review Fee g Other Public Works Fee Pre-Paid at Submittal ) � Violation Fee TOTAL FEES fli.v r L4ASON coUNTY, C!o p y o+- ,e-p�� FORM MUST BE CO=Lfll IN INK PERMIT NO.: GRDoID��"D04 PLEASE PRESS HARD MASON COUNTY 14 LAND MODIFICATION PERMIT APPLICATION -AlI4YL, 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427.9670 Belfair 360 27"67 Elma 360 2-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Quality Food Centers, Inc. Contractor Name To-be-determined- cJZE,�� Mailing Address 10112 N.E. 10th Street Mailing Address City Bellevue State_UA_ Zip Code 98004 City State Zip Code Phone 4( 25 ) 455-3761 Other Ph.( I Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration ENGINEER INFORMATION Name Jason Hubbell, P.E.,Barghausen Consulting Engineers, Inc. Phone 425 )251-6222 Address 18215- 72nd Avenue South State WA Zip Code 98032 PARCEL INFORMATION-12 digit Tax Parcel No. 12329 42 / 90001 Fire District Mason COL Ity Legal Description See attached. Fire District 2 Site Address(include street name and city 201_N.E. SR-300, Belfair, WA 98528 Directions to site: Go north on WA-3. turn left onto Old Belfair Highway, take first left onto WA-300 Will timber be cut and sold in parcel preparation? (Yes/No) No Is your property within 200' of the following: Body of Water(Name) No Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils TYPE OF JOB - Excavation_ Filling Grading Total Size of area to be cleared on slopes over 10% tEstimated amount of cubic yards 900 Describe Work Remove existing sandfilter and replace with ashparking lot Add asphalt turn arniinri fnr tnirk rinrks, Replace sanitary sewer Dumps and re-route sewer to public main LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes, source ❑ Ile Will excavated materials be taken off site? If yes, destination Approved location. Depends ❑ Does fill contain potential hazardous materials? on soil testing. ❑ ti� Has a soils report been completed on site? If yes, include copy. ❑ Will proposal result in redirection of any surface water runoff onto adjacent properties? ❑ Will proposed work alter where storm water or ground water enters or exits the site? 0 1� 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? O E Will the land be replanted upon completion? 13 Will the proposal result in slopes steeper than those currently on site? E3 Fe 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: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. '` be made without first obtaining approval. X o a( t 1 4 Date FOR OFFICIAL USt BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. Dununiy vcNa1unoiiL Planning Department Public Works Department Fire tReview FEES Gradmit Fee Site Inspection Plan Fee Other Public Works Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FCRM MUST aE COMPLETED IN INK PERMIT NO.: GRD O I PLEASE PRESS HARD MASON COUNTY LAND MODIFICATION PERMIT APPLICATION �IIAn 424 W.CedarfP.O.Box 186,Shelton,WA 98584 Shelton 360 427.9670 Belfalr 360 276-448T Elma 360 82-5269 Seattle 206 464.6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Quality Food Centers Inc. Elite Commercial Contracting(Contact: Joe Gallagher) Mailing Address 1 D112 N.E.10th Street 804 West Meeker Street,Suite 201 City Bellevue State WA Zip Code 98004 Kent,WA 98032 Phone 4( 25 1 455-3761 Other Ph.( Office(253)893-3100 Mobile:(206)255.9927 Lien/Title Holder Contractor Reg.#EL _recc0-2.0CQ Address Expiration U�2_/�4 1— 13 ENGINEER INFORMATION Name Jason Hubbell P E.BaMhausen Consulting Encineers,Inc. Phone 425 )251-6222 Address 18215-72nd Avenue South State WA Zip Code 98032 PARCEL INFORMATION-12 digit Tax Parcel No. 12329/_�_/ 90001 Fire District f+lason Co ty Legal Description See attached. Fire Distric 2 Site Address include street name and city 201 N.E. SR-300 Belfair,WA 98528 Directions to site: Go north on WA-3 turn left onto Old Beifair Highway,take first left onto WA-300 Will limber be cut and sold in parcel preparation?(Yes/No) NO Is your property within 200'of the following:Body of Water(Name) No Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils TYPE OF JOB-Excavation y,�' _Fiiling Grading Total size of area 10 000 so ft Size of area to be cleared on slopes over 10% Estimated amount of cubic yards 900 Describe Work Remove existing sandfilter and rep rkina Int Arid asphalt turn arms mri far lrurk darks, Replace sanitary sewer pumDs and re-route sewer LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes,source Will excavated materials be taken off site? If yes,destination Approved location. Depends L� 0 Does fill contain potential hazardous materials? on soil testing. 0 Has a soils report been completed on site? If yes,include copy. Will proposal result in redirection of any surface water runoff onto adjacent properties? ❑ Will proposed work alter where storm water or ground water enters or exits the site? Will quality,quantity or velocity of storm/ground water be altered? 0 0 Will runoff be collected/controlled by interceptors,curtain drains or other collection devices? IV 13 Will the land be replanted upon completion? 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 b.VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 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 Nissan county access to the above described property and structures for review and Inspection or this project.Acknowledgment of such Is by signature below: OWNER AFFIDAVIT-]cedify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT4 certify that I am currently registered as a the Contractor Registration Lad RCW 18.27 and am aware of the contractor In the Slate of Washington and that I am aware of the ordinance requirements for which this permit Is issued and that all work ordinance requirements regulating the work for vh'^.h this permit Is issued Will be done In conformance therewith. No changes shall be made without a2atlwork shall be done In conform nce Iherevdlh. No changes sha�tfirst obtal ng approval./^� bIhout first obtainln ppr I.- Date FOR OFFICIAL USE B OND THIS P I Accepted by Date Submittal Amount Due Recelpt No. DEPARTMENTAL REVIEW APPROVED OEN!ED CONDITION CODES Building Department Planning Department Public Works Department Fire Marshal FEES Grading Permit Fee Site Inspection Plan Review Fee Other Works Fee Pre-Paid at Submittal[,Public iolation Fee TOTAL FEES DEC 202011 MASON COUNTY,