HomeMy WebLinkAboutGRD94-0008 Grading - GRD Permit / Conditions - 12/28/2023 MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.m 426 W.Cedar
P.O.Box 186 Shelfon,WaOhangfon 98SU
(SZO 427-9670
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
Oq/ &--/96
To: sc� -Tad S�f-
RE: Permit Number #
To Whom It May Concern;
During a recent review of our files, it was determined that your permit
may.meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please_ contact this office for a final inspection, update
inspection or extension prior to C'�/_L ,-,/96 to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely,nnn
Building Department '
cc: Property File
U.S. FLANK
Trust Group
1420 Fifth Avenue
Post Olticc Boy i_'i i
Seattle,WA 9811 1 (i,-(�
Christy Smith
Mason County Dept. Of General Services
P.O. Box 186 i U L 2 2 15 13
Shelton, WA 98584
July 19, 1996
Re: Permit Number GRD 94-0008
Ms. Smith,
In regard to your July 16th letter, U.S. Bank, as Trustee for the Samuel Theler Trust, did not
apply for a building permit in Mason County. Should you have an active permit under the Samuel
Theler name, it was applied for by a person who was not authorized to conduct business for the
Trust. If this is the case, please remove the name of the Trust from the permit as this is creating a
liability for the Trust which cannot continue. It occurs to me also, that this creates a liability for
Mason County if you in fact permitted a person to obtain a permit under false pretenses and failed
to verify authority to sign.
Please forward to me at the address above, copies of all correspondence and applications so that
we may perform a legal review of the County's action in this matter as well as identify the persons
who are using the name of the Trust in an unapproved manner.
yl
In the future, please confirm that the person who applies for such a permit under the name of the
Samuel Theler Trust does indeed have written authority to conduct business for the Trust.
Sincerely,
U.S. BANK OF WASHINGTON
4501
Steven Goff, CPM
Assistant Vice President
(206) 344-7823
GRID
MASON COUNTY E,b
LAND MODIFICATION PERMIT p0�
Grading, Excavation, Fill, Slopes, Drainage
Department of General Services R�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner (,/ 3 e s Phone# 4q6 3VY-7823 Fire District#
Site Address \ City St Zip
Owner Address w w 14 -Tp7 p.o. boa- -7zo City Sod rrc St ttJ4. Zip 48Ti
Describe Work Ca,��?�u�r��a�,o��y,,,,�10� �oo�,' vt� c�cce3� .11�,0�. z rLoo-w t-"//
#2 Contractor Name L✓e 3- .✓rJ��,y ����,��/M'JN.. Contractor Reg#
Address /0 0. &x Expiration Date
City a St Z,4JA Zip �i4�`i , Phone# 24� ad
#3 Engineer's Name O Phone# 2GY-
Address 47 ! ,o ,cam. /O _ S� /�3/{ City ��/�,. � St uJ�ra. Zip '��3.Y3
233a saw O1Z- 1a3AA vd 0000-7
#4 Parcel No. 1Z 3 3 2 - Socv - oa 0-7
Legal Description N&j%y xj-4:7%Y , 5Qe—L1- ,) 3 z� 7:;?3.v . k./c.J 3
#5 Number of cubic yards to be excavated: SoFRI
Number of cubic yards to be filled: 5v z r�
Number of cubic yards to be graded: '� SC.)
�m
#6 Will this be a balanced cut and fill entirely within the site? m
Yes No C
f�
If No: Will fill be brought on site? Yes No m
Where does imported fill originate from? 7-22_ Z// "J'z _s IZ6" a �h
Does fill contain any potentially hazardous materials?
Yes No X
#7 Will excavated materials be taken off site?Yes No
If Yes: Where will excavated materials be taken?
#8 Briefly describe existing terrain, vegetation, and improvements on subject site? �ann<.�G�, ,r",,c ��Zr�
i
y4�.ti4 S Al
S
#9 Total size of area to be cleared U z<<: ; ;23 9,91 i4l Zacres/sq ft
Size of area to be cleared on slopes over 10% 02—Z' -r/A"C/SF
#10 Has a soils report been completed on the subject site? 1(/O —,d0fass '4'<-
If yes, include copy with application. �P��"T�'
#11 Is the subject site within 200 feet of a designated shoreline /Uy
#12 Does the subject site contain any of the following features?
River Lake Wetlands Saltwater
Slope greater than 15% Soft compressible soils
Seasonal Runoff_ None
#13 Will the proposed land surface modification change the points
where storm water or groundwater enters or exits the site? -V-
#14 Will the proposed land surface modification change the quality,
quantity, or velocity of storm water/groundwater? AO
#15 What methods, if any, will be utilized to minimize erosion and
possible sedimentation into nearby waters during and after
construction? �{i a, f,//
alr »2-� Aa /lacu.ca� o�dw/ ro�„�/ aJloG✓ S¢�.ts �� . UNe COsvio��v.rc¢
a✓e oud/ i�ui/I /2P, � �sy c.` o! �.fJ2o,�s2A. -do ��s.,. 3,
#16 Will this land modification result in the redirection of any surface
water runoff onto adjacent properties? Alc -
#17 Will surface or subsurface runoff be collected or controlled by
interceptors, curtain drains, or other water collection devices
once this land modification has been completed? -cwe ;�,G
#18 Will the land be replanted upon completion? l✓� -
If yes, with what types of plants?
#19 Will this modification result in slopes steeper than those currently
on the site? &E> If so, how steep?
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
5-ee
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT
ANYTIME AFTER WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN-
SPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING T r T��
DEPAIRWjfyIENT.�(�J DEPARTMENT,-
�f7 c9f- �ill
X OWNER X BY /
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by Date:
DEPARTMENTAL REVIEW
APP COND APP HOLD
Planning
Building li tIr it#yt c 2 70 0r--
55I U13Cl'N
Environmental
Other
Special Conditions FEES
Grading Permit
Plan Review o0
Site Inspection
Violation Fee
Other
TOTAL FEES $ 7 `�