HomeMy WebLinkAboutGRD2003-00020 Cancelled - GRD Permit / Conditions - 10/23/2003 Inspection Line (360)427-7262
soMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
lo Shelton, WA 98584
LAND MODIFICATION BUILDING PERMIT GRD2003-00020
OWNER: J BAR D MINI STORAGE INC
CONTRACTOR: J BAR D CONSTRUCTION (360) 275-1004 LICENSE: JBARDC`0440E EXP: 10/26/20 RECEIVED: 9/15/2003
ENGINEER: LICENSE: EXP:
ISSUED: 10/23/200:
SITE ADDRESS: 23270 NE STATE ROUTE 3 BELFAIR
EXPIRES:
PARCEL NUMBER: 123325000020
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 9 & N 10
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
9000 CUBIC YARD EXCAVATION AND GRADING CENTER OF BELFAIR, BETWEEN BAPTIST CHURCH AND ANIMAL
HOSPITAL
Inspection Area: Fill?: No
Comp. Plan Desig.: Urban Growth Grading?: Yes
IRO Desig.: None Cutting?: Yes
Shoreline Desig.: Area Graded: 34,000.00 Square Feet
SEPA?: Yes Cubic Yards: 9,000.00
FEES
Type By Date Amount Receipt
Grading Plan Check Fee TW 9/15/2003 $49.25 S12003000
Planning Review Fee TW 9/15/2003 $250.00 S12003000
Public Works Review AT 10/13/200: $78.44 B12003000
Grading Permit Fee TLG 10/17/200: $310.50 B12003000
Total $688.19
GRD2003-00020 Please refer to the following page(s)for conditions of this permit. 1 of 4
' CONDITIONS FOR
GRD2003-00020
1) All upland areas distur or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection
against ero ion. X
2) Proper dispos f spoil' and/or debris must be in such a manner that debris cannot enter w lands or cause water quality degradation of adjacent
waters. X
3) A other necess permits from Mason County, Washington State and/or Federal Agencies th t alb required for this proposed development and
co struction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X . .'u.
4) Teat drary Erosion control measures must be implemente to prevent water quality degradation of adjacent waters or wetlands.
X d
5) App�ved per site plan and topographic cross-section. X
6) All fills sh II be compacted to a minimum of 90 percent of maximum density.X 1 1
7) ALL CLEA ING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING A D SIMILIAR WORK WILL BE REGULATED BY THE
REQUIRE NTS PURSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS ADOPTED BY RESOLUTION
141-96X
8) PURSUANT O 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
PO ITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY
BU DING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION
FE BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OW /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
1
X
9) Not as on County Public Works when the project is near completion so that conformity of the work with the proposed plans can be inspected.
i
X
10) Ma County requires reports to be submitted into compliance with Mason County Chapter 33, section 3317.1 through and including Section 3318.1
prio o 'nal inspection.
X
GRD2003-00020 Please refer to the following page(s)for conditions of this permit. 2 of 4
1 i) Note h setbacks in Chapter 33 are required to be met as noted on plans.
X
This permit become null an 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. videnoe of c tinuation 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: _ 2-3 -4�) S
GRD2003-00020 Please refer to the following page(s)for conditions of this permit. 3 of 4
CONCRETE MECHANICAL MANUFACTURED HOME
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o Footings I Setbacks Date B y Ribbons
o Date By Gas Piping Date By
o Foundation Walls Date B y Set-up
Date By INSULATION Date By
E G / Slab Insulation Floors Final
D ate B y Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date B y
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PERMIT NO.: GRD C; /';
' 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
APPLICAUT INF MATIP.N CONTRACTOR INFORM TION '
Owner -yf2 ► Contractor Name
Mail' Address Mai Wig Address
City. FIA► St to Zip Code Cit State Zip Code
Phone(" 2_7,T1Wq Other Ph.(.%O )" 01 (47 Ph.(.3&2n )7-7 -+/ Other Ph. 1-911
Lien/Title Holder !✓ -y2 Contractor Reg. # �.
Address , Expiration / 2_1 n -1-
ENGINEES INFO r
MATION _
Name - Phone Cam) Z Jrh �n
Address 5Filct M State Zip Code3-7
PARCEL INFORMATION-12 digit Tax Parcel No. 1233 Z 5 / 00 / Fire District 2-
Legal Description LE N OF CX
Site Address(include street name and city Z V
Directions to site: C TCiP14 v
Will timber be cut and sold in pa rc�l preparation? (Yes/No)_�Q
Is your property Within 200' of the following: Body of Water(Name) Saltwater
Lake I0 . RJver/Creek Pond Wet►an"O seasonal Runoff Stream Slopes or
Bluffs_)6L�, _Soft compressible soils
TYPE OF JOB - Excavation X Filling Grading Total size of area
Size of area to be cleared on slopes over 10% Estimated amount of cubig yard
Describ6 Work'''. ` -
�..
LAND MODIFICATION INFORMATION YES NO
Will fill be brought on site? If yes, source O X
Will excavated materials be taken off If:yes,es, destination ,wt pggr , 1uaU O
�
Does fill contain potential hazardous materials? i:jqT7L 4 1 7pkyjv 0
Has a soils report been completed on site? If yes, include copy.A>&W �„ ��anni E3
Will proposal result in redirection of any surface water runoff onto adjacent prope s? 13 A
Will proposed work alter where storm water or ground water enters or exits the site? 13 .6
Will quality, quantity or velocity of storm/ground water be altered? 0 .B
Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? 0
Will the land be replanted upon completion? 0
13
Will the proposal result in slopes steeper than those currently on site? 0
0
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-I 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 c ntractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work or linance requirements regulating the work for which this permit is issued
wi be done in conformance therewith. No changes shall be made without an all work shall be done in conformance therewith. No changes shall
fir obtaining ap I. be made without firs btaining approval. �}
X Date q_ X Date 7
FOR OFFICIAL USE BE ND THIS POINTW S
Accepted by Date J mittal Amount Due Z Receipt No
DEPARTMENTAL REVIEW I MPR DENIED CONDITION CODES
Building Department �S C
Planning Department
Public Works Department l P SX* Ll
Fire Marshal
In S
FEES
Grading Permit Fee 35 Site Inspection
Plan Review Fee Other
Public Works Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
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PERMIT NO.: BLD qq
✓�
MASON COUNTY
BUILDING 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
APPLICA T INF�g MATION CONTRACTOR INFORMATION
Owner /9a V lJ /771* 5�uY"� Contractor Name Je ILYIN �
Mailing Ad re s ! a O Mailing�Addfess '
City�0a 3 State Zip Cpde City 1a / fa State Z,iID Code. ?ry
Phone( o )'772�3`/7,Other Ph.( )73! %Fo9l Ph. Other Ph. 7C>o
Lien/Title Holder Contractor Reg. # o
Address Expiration_ / Zf; . o
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tay Parcel o./Z Fire District
Legal Description, L11,14 'R [
Site Address(Please include street�me,� citreet numiber and )
Directions to site Vc i" r /
Will timber be cut and sold in parcel preparation? (Yes/No)�i
Is your property within 200' of the following: Body of Water(Name) A ?�_a Saltwater gc,
Lake+'I O River/Creek((U Pond / lu Wetland f I Seasonal Runoff. 5ltreb(n !?<) Slopes or
Bluffs Y?U
TYPE OF JOB New-4.,`Add Alt Rep it Other se of Building
Describe WorkAl i c.
No. of Bedrooms d,4 No. of Bathrooms �14 SQUARt FOOTAGE-1st loor 2nd Floor °ZZ-o
3rd Floor i'ivK Loft t4c,-K Basement f rye Deck acAc, Other — sq. ft.
Gar _L_Z Attached Detached / Carport 41L7 Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance 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 will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Dat6a -2
FOR OFFICIAL USE BEYOND THIS POINT
T �U
Accepted by 4t_ I Dat Submittal Amount Du Receipt No.Qj/)_��
DEPART ,ENTAI» REVIEW APPROVED DENIED> CONDITION CODES
Building Department
Occ Grou — I Type Constr. -
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FlES
Building Permit Fee :57 �/ t'^� Site Inspection
Plan Review Fee 3 9.a UFC Plan Review Fee
Plumbing & Base Fee Public Fe
Mechanical & Base Fee ,� Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
::: OTAL FEES
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