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HomeMy WebLinkAboutGRD2005-00017 17,000 cy - GRD Permit / Conditions - 7/13/2005 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 GRD2005-00017 OWNER: MASON COUNTY PARKS DEPARTMENT RECEIVED: 7/13/2005 CONTRACTOR: LICENSE: EXP: ISSUED: ENGINEER: LICENSE: EXP: EXPIRES: SITE ADDRESS: 11 NE FERN WY BELFAIR PARCEL NUMBER: 123301460000 LEGAL DESCRIPTION: N 3/4 OF NE EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: Grading Excavation of 17000 C.Y. Sand Hill Rd. to Sand Hill Park. Inspection Area: Fill?: Yes Comp. Plan Desig.: Grading?: Yes IRO Desig.: Cutting?: Shoreline Desig.: Area Graded: SEPA?: Cubic Yards: 17,000.00 FEES Type By Date Amount Receipt Total GRD2005-00017 Please refer to the following page(s)for conditions of this permit. 1 of 4 CONDITIONS FOR GRD2005-00017 1) A rapid access "Knox" system is required for this complex. Contact Mason County Fire District#2 at 360-275-6711 for an application and mounting instructions. X 2) Cut and fill slopes shall be setback from site boundaries in accordance with Section 14.44.190. X 3) 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 4) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAYx 5) 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 CODE, TITLE 14, CHAPTER 14.44. X 6) All fills shall be compacted to a minimum of 90 percent of maximum density.X 7) The grading plan (Sheet L-3) indicates a stockpile site has been designated on the adjacent Sand Hill Elementary School site south of the park. Excavated material must remain on site unless the contractor can produce a valid grading permit which covers the receiving property. Waste material may be allowed to be delivered to the school property if it has an active grading permit to cover the import of material. It appears that a portion of the un-developed property immediately north of the currently proposed improvements contains closed depressions that could be cleared of vegetation in preparation of receiving waste material. Contaminated materials should be hauled to a permitted solid waste site or other property permitted soil receiving site. X The stormwater management plan (Sheet C-1) has been reviewed and approved based on applicants claim that no new imperviousness results from the proposed park improvements. The Temporary Erosion and Sediment Control features promoted on plan sheet C-2 should be implemented as necessary to protect neighboring properties and State waters from potential adverse stormwater runoff impacts. X GRD2005-00017 Please referto the following page(s)for conditions of this permit. 2 of 4 .8) This permit is limited to grading activities only and does not grant approval for any other improvements. Separate plumbing and building permits are required for additional work. Work associated with submitted plans outside of the scope of the grading activities will be reviewed under the submitted COM2005-00087 permit. Work shall not commence on those improvements until the permit has been approved and issued. X Grading permit consists of plan sheets: SUO-1 of 1, L-1, L-2, L-3, L-4, C-1 and C-2. Plans on site are to consist of the above and the Geotechnical Report dated 7/6/05 and Specifications, Proposal and Contract Document book. X 9) A 20 foot wide fire apparatus access road is required to extend 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 apparatus access roads longer than 150 feet are required to have an approved turnaround. The maximum grade of a fire apparatus access road is 14%. X 10) 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 1 1) Proper disposal of construction debris must be on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of adjacent waters. X 12) Approved per site plan and topographic cross-section. 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 OR AGENT: DATE: GRD2005-00017 Please refer to the following page(s)for conditions of this permit. 3 of 4 o CONCRETE MECHANICAL MANUFACTURED HOME Y,C:) CD Footings I Setback s Ribbons (D Date F,y Gas Piping C) Date e B Foundation Walls Date By Set-tip Date By INSULATION Date By Footings/Setbacks Floors FINAL INSPECTION Date By Date By Date By. FRAMING Walls FIRE DEPARTMENT Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING H," DAN Date By (D CD Water Line FINAL INSPECTION S� m Date By IT gy Dalc liy 0 E� Type of Insp. Pass/Fail Request Date Inspect.Date Done By Comments (D 6 <11. " I - e--2 > 0 (n 0 0 CD CD z CD 0 o C: z Cn —4 3 (n 0 M v > M z 0 iJ V11J1J11'\%J 11JJ1 Al\J.ltliLl 1% A asI {J JL' "A. 9 �65_DATEOFINSP,ECTlON _? kv_4-_5 REQUEST TAKEN BY TIME TODAY'S DATE F'c�7/-✓- DATE INSPECTION REQUESTED ^[ -� NAME ON PERMIT SITE ADDRESS PERMIT# G ��Od4 I TYPE OF PERMIT 17 ZC. TELEPHONE#AND NAME l� 1 INSPECTION AREA ltblc: ,cbr ls: 4av TYPE OF INSPECTION: ( (P 7 2J( - ce/ler 4y5 FOOTING WALLBOARD NAILING HOLES iYs�srft/' FOUNDATION FINAL PROGRESS`"'i SLAB INSULATION MH HOME FOOTING OTHER 5faal.-4' TSLAB ROUGH-IN PLUMBING MH HOME SET-UP FRAME/PLUMB/MECH/PEN MH HOME FINAL INSULATION WOODSTOVE/PROPANE FIRMED DATE S CONTACT TIME CON � iT/1 Y FORM MUST BE COMPLETED IN INK �J PLEASE PRESS HARD PERMIT NO.: GRD 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 MASCN MuNT`{ 14X CONTRACTOR INFORMATION Owner OCL)4 MICHO'AV , NARK DI1Z�-T p, Contractor Name Mailing Address Mailing Address City S14 LT-C>N State _1�4A Zip Code 97137S City State Zip Code Phone )4Z7-TZ70 Other Ph,( Ph.(� Other Ph.( ) Lien/Title Holder MASON COUNTY Contractor Reg. # Address SA S o b Expiration ENGINEER INFORMATION Name MAr-L--n:> 91FC-V RD Phone Z( c) ) "3Z-3-_M)9 Address v I T • 5C---A L State & Zip Code 9J3 O PARCEL INFORMATION-12 digit Tax Parcel No. Z3-50 40c000 Fire District Z Legal Description SEA ATIAGHM U-N Site Address(include street name and city�/4��f1►Ll,N4Rk lax NE sr4NpHIL.LI ►�. ► AFL�FAIR h Directions to site: FV-W S7-ATJF I24DOTF 3 TtY.N W90-b SrATI✓I2Za� -�00 TU�A1I201& 5R FA11Z,STATt yAKI<. Fw fJc�Rt1--1 Or s4Mu HI1.1.t�q c�F7't N�7E ul�s�fy wt,U tZD Ty 5'AJ�►D�11 t.t,N4sz.K..k�r nolZrhi �Et.EMF1•tT74►L`i< Will timber be cut and sold in parcel preparation? (Yes/No)�E� Is your property within 200' of the following: Body of Water(Name) NO Saltwater NG Lake_ to River/Creek_ 4 o Pond No Wetland tyc) Seasonal Runoff No Stream_Hu Slopes or Bluffs 1tF7 S Soft compressible soils I`ID TYPE OF JOB - Excavation ✓ Filling ✓ Grading Total size of area3O.AC. SITU,_7.70AC.MTV Size of area to be cleared on slopes over 10% .M AG Estimated amount of cubic yards 11,toor) C`{ Describe Work XcAyA7nt�44 of 17ooa C i G= EM13iANKMENT4 PLACe ANO CrN"1PACT- g000 c'f c�l�l st r>✓; F_tF09r 9000 C'1 TD A03ACE')T SC4400L. RA�(FII:FLO Ala 1V SfiDLK.NIL�. LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes, source LtCE'NSEU mmMEQ7 iAL. Sall. Sc.PPLA6-1ZJ l2___1 ❑ Will excavated materials be taken off site? If yes, destination , LAIAr- tv r xHcVL- '-,TV- ir", ❑ Does fill contain potential hazardous materials? ❑ Isr, Has a soils report been completed on site? If yes, include copy. GY ❑ Will proposal result in redirection of any surface water runoff onto adjacent properties? ❑ [9- Will proposed work alter where storm water or ground water enters or exits the site? ❑ Er Will quality, quantity or velocity of storm/ground water be altered? ❑ Isr Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? sv� ❑ Will the land be replanted upon completion? W ❑ Will the proposal result in slopes steeper than those currently on site? ❑ gal- ls the site within 200' of a designated shoreline? ❑ Ev, 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 C CW 6 rzL� Date-7 17, CAS X Date E-DWAJZI) t✓IAct,EU GWNE2S tZtVlz,F rMrATIvE FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Planning Department Public Works Department Fire Marshal FEES Grading Permit Fee Site Inspection Plan Review Fee Other Public Works Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES Inspection Line(360)127-7262 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 GRD2005-00017 OWNER: MASON COUNTY PARKS DEPARTMENT RECEIVED: 7/13/2005 CONTRACTOR: LICENSE: EXP: ISSUED: ENGINEER: LICENSE: EXP: EXPIRES: SITE ADDRESS:, 11 NE FERN WY BELFAIR PARCEL NUMBERI"a 123301460000 LEGAL DESCRIPTION: N 3/4 OF NE EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: Grading Excavation of 17000 C.Y. Sand Hill Rd. to Sand Hill Park. Inspection Area: Fill?: Yes Comp. Plan Desig.: Grading?: Yes IRO Desig.: Cutting?: Shoreline Desig.: Area Graded: SEPA?: Cubic Yards: 17,000.00 FEES Type By Date Amount Receipt Total GRD2005-00017 Please referto the following page(s)for conditions of this permit. 1 of 4 CONDITIONS FOR GRD2005-00017 1) A rapid access "Knox" system is required for this complex. Contact Mason County Fire District#2 at 360-275-6711 for an application and mounting instructions. X 2) Cut and fill slopes shall be setback from site boundaries in accordance with Section 14.44.190. X (. e) 3) 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 4) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAYx 5) 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 CODE, TITLE 14, CHAPTER 14.44. X L 6) All fills shall be compacted to a minimum of 90 percent of maximum density.X '? 7) The grading plan (Sheet L-3) indicates a stockpile site has been designated on the adjacent Sand Hill Elementary School site south of the park. Excavated material must remain on site unless the contractor can produce a valid grading permit which covers the receiving property. Waste material may be allowed to be delivered to the school property if it has an active grading permit to cover the import of material. It appears that a portion of the un-developed property immediately north of the currently proposed improvements contains closed depressions that could be cleared of vegetation in preparation of receiving waste material. Contaminated materials should be hauled to a permitted solid waste site or other property permitted soil receiving site. X C.. o - The stormwater management plan (Sheet C-1) has been reviewed and approved based on applicants claim that no new imperviousness results from the proposed park improvements. The Temporary Erosion and Sediment Control features promoted on plan sheet C-2 should be implemented as necessary to protect neighboring properties and State waters from potential adverse stormwater runoff impacts. X GRD2005-00017 Please referto the following page(s)for conditions of this permit. 2 of 4 8) This-permit is limited to grading activities only and does not grant approval for any other improvements. Separate plumbing and building permits are required for additional work. Work associated with submitted plans outside of the scope of the grading activities will be reviewed under the submitted COM2005-00087 permit. Work shall not commence on those improvements until the permit has been approved and issued. X C C�) Grading permit consists of plan sheets: SUO-1 of 1, L-1, L-2, L-3, L-4, C-1 and C-2. Plans on site are to consist of the above and the Geotechnical Report dated 7/6/05 and Specifications, Proposal and Contract Document book. X C"g, 9) A 20 foot wide fire apparatus access road is required to extend 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 apparatus access roads longer than 150 feet are required to have an approved turnaround. The maximum grade of a fire apparatus access road is 14%. X C'O. 10) 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 C, o . 11) Proper disposal of construction debris must be on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of adjacent waters. X C_,©k 12) Approved per site plan and topographic cross-section. 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 anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day periiood. Final inspection must be approved before building can be occupied. OWNERORAGENT: DATE: 25 _ GRD2005-00017 Please refer to the following page(s)for conditions of this permit. 3 of 4 a Building Permit Application Sand Hill Park Attachment Legal Description: All of the north three quarters of the northeast quarter of the northeast quarter of Section 30, Township 23 North, Range 1 West, W.M., together with all improvements, containing 30 acres, more or less, according to the government survey thereof. FORM MUST BE COMPLETED IN INK PERMIT NO.: GRDe % PLEASE PRESS HARD MASON COUNTY LAND MODIFICATION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 276.4467 Elma 360 482-5269 Seattle 206 464-6968 FAddress ANT INFORMATION M+AscN COUNTY 14A- CONTRACTOR INFORMATION x NIIGHO-;AU , �{Zlc, DI)zMM� Contractor Name ddress �1�. pSL�X 7 Mailing Address IFLT'ON State�A Zip Code qS� City State Zip Code (ob) JZ7-SZ70Other Ph.(_� Ph.(_� Other Ph.(_� Holder MASON CCON7Y Contractor Reg. # 5A S ow Expiration ENGINEER INFORMATION Name MAC-L��1> K1 CKC>IZD Phone Z(_ c)( ) 3Z'3-79)9 Address c_,F_AttL. State L� Zip Code 9f� PARCEL INFORMATION-12 digit Tax Parcel No. S 50 /r14 / (. U0OD Fire District Z Legal Description A=,L-- ATr ACNM J5- Site Address(include street name and city_SANO H)L.L N y_V_• )oob NE-s,4NDHIL.L3:ZQ �-(,FA)P1 ,L&Vk­ Directions to site: FILM STAI pt)o-r>r-3 TCJ12N W1;1"bN ST-AT'lly-12� -AD T x,',Al2US 5eL1=r41t=,st4Tt-PAgle- RM NOIZ-M4 Or4 SAND s>~M MO6 uf S41`IV Hu.IZ-p Ty SAmo HI LL PAILK jL�6T 14DIZ7H OF IFLEMENT741Z!t, Will timber be cut and sold in parcel preparation? (Yes/No)��S Is your property within 200' of the following: Body of Water(Name) NO Saltwater ND Lake River/Creek NO Pond No Wetland roc) Seasonal Runoff Ho Stream mp Slopes or Bluffs 11 S Soft compressible soils Iyo r TYPE OF JOB - Excavation Filling Grading Total size of areaWAC.S1=1 7.7L)AC.MTVR Size of area to be cleared on slopes over 10% .MAC Estimated amount of cubic yards 11,O00 C`{ Describe Work IE,Xc,4VAT U44 er; 17cco C-1 4- EMIi5;ANI4.M67NTa Pt AC4 ANO CcMPAC-r f3raoo C't cN1 c ij E;X?09r qwc> Cr To AWAc_eXr 6Le-T-ItTTAIZ`f SGHCOL. PLA�(�ikb-L0 StDLKpll.tr •— LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes, source 1._105NSE0 aDmMeI WIAL. Soi 1. supPbi 61Z. M___1 ❑ Will excavated materials be taken off site? If yes, destination Auk"-11 SG1400L, '-ITV- CK, ❑ Does fill contain potential hazardous materials? ❑ 61-10 Has a soils report been completed on site? If yes, include copy. 131-1' ❑ Will proposal result in redirection of any surface water runoff onto adjacent properties? ❑ BY-' Will proposed work alter where storm water or ground water enters or exits the site? 0 Et'* Will quality, quantity or velocity of storm/ground water be altered? 0 U, Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? SK, 0 Will the land be replanted upon completion? W 13 Will the proposal result in slopes steeper than those currently on site? ❑ 931- � 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-]certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that 1 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 �C)/Cc-�-Z C Date 7 1 L ds X Date tWwAl2u I epW FOR OFFICIAL USE BEYOND THIS POINT I�SL GWNERS Kr �T'A'11yE Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department ram` j Planning Department Public Works Department Fire Marshal FEES Grading Permit Fee Site Inspection Plan Review Fee Other Public Works Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES