HomeMy WebLinkAboutGRD2003-00022 Final - GRD Permit / Conditions - 5/25/2007 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 Ij
Shelton,WA 98584
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LAND MODIFICATION BUILDING PERMIT pril GRD2003-00022
OWNER: JACK JOHNSON RECEIVED: 10/23/2003
CONTRACTOR: JACK JOHNSON CONSTRUCTION LICENSE:JACKJC112MI EXP: 7/20/2004 ISSUED: 2/3/2004 1
ENGINEER: LICENSE: EXP: EXPIRES:
SITE ADDRESS: 23251 NE STATE ROUTE 3 BELFAIR
PARCEL NUMBER: 123325000022 p fRagT
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 10 EXC E: 10 10 EXQ�P
PROJECT DESCRIPTION: DIRECTIONS TO SITE: 1�1J� �c� Y
496 YARDS of fill and grading for private parking area HWY 3 TO BELFAIR ACROSS141 Y 3 WEST SIDE FROM VET CLINIC
AND J BAR D STORAGE
Inspection Area: 1 Fill?: Yes
Comp. Plan Desig.: Unknown Grading?: Yes
IRO Desig.: Cutting?:
Shoreline Desig.: Not Applicable Area Graded: Square Feet
SEPA?: Cubic Yards: 496.00
FEES
Type By Date Amount Receipt
Planning Review Fee NJP 10/23/200 $150.00 S22003000
Grading Plan Check Fee NJP 10/23/200 $37.00 S22003000
Grading Permit Fee TLG 1/21/2004 $107.00 S22004000
Total $294.00
GRD2003-00022 Please referto the following page(s)for conditions of this permit. 1 of 4
CONDITIONS FOR
GRD2003-00022
1)
2) This permit is for the grading and filling for a private parking area only, no structure or other use is proposed.
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The ecology block wall will be less than 4' in height from base to top. It will act as a barrier to prevent sloughing of fill material. Parking will be
configured and setback to not impound a surcharge on the ecology block walls without approval from Mason County.
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3) All fills shall be compacted to a minimum of 90 percent of maximum density and compaction reports provided prior to final inspection
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4) ALL CLEARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WILL BE REGULATED BY THE
REQUIREMENTS URSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS ADOPTED BY RESOLUTION
141-96X
5) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON
RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS
TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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6) Setbacks of fill material shall comply with Mason County Grading Permit Standards, refer to Mason County Code, Title 14, Chapter 44, Section
14.44.190 Setbacks, excepting that any structure(ecology block wall) over 30" in height, must be a minimum of T from all property lines and 10'to all
County and State road right of ways pursuant to Building Department ordinance regulations or a variance must first be obtained.
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7) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREAS THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/D ITCH ING
SYSTEM OR ROAD WAYx
GRD2003-00022 Please refer to the following page(s)for conditions of this permit. 2 of 4
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 oo jatjoni of()oyprk is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
-OWNER O AGENT: �L' ` DATE:_� — O
GRD2003-00022 Please referto the following page(s)for conditions of this permit. 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
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C) Footings / Setbacks Date By Ribbons
o Date By Gas Piping Date By
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N Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / S lab I nsulatio n Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By NVALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
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APPROVED
MASON BUILDING INSPECTOR T'lans include pages of
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C E SUB 1 CT T APPROVAL l ocuments that must
CHANGES {} - - e ,:main Att c1led to approved plan:
�y§MIT sHANQga FOR APPROVAL'
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DATE APPROVED:
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SHORT PLAT OF A PORTION OF LOT 10 OF SAM B . THELER
HOME AND GARDEN TRACTS , AS RECORDED IN VOLUME 4 OF
PLATS , PAGE 20.
OWNERS : JACK E . a KATHY JOHNSON
P . O . BOX 1119
BELFAIR , WA 98528
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oN-STATE MASON COUNTY
BPS c DEPARTMENT OF COMMUNITY DEVELOPMENT
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o Y �? P 0 Box 279, Shelton,WA 98584
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1864
NOTIFICATION OF INCOMPLETE APPLICATION
November 03, 2003
JACK JOHNSON
NE 23221 HWY 3
BELFAIR WA 98528
Parcel No.: 123325000022
Project Description: 496 YARDS
Dear Applicant:
You have submitted a permit application (case no. GRD2003-00022) for proposed
construction or development in the county. Upon review of your application, I have
determined that the contents of the application are incomplete or do not provide
enough detail for review.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 577 if you have questions.
Ic
Rick Mira
Land Use Planner
Mason County Planning Department
11/3/2003 1 of 2 GRD2003-00022
NOTIFICATION OF INCOMPLETE APPLICATION
11/3/2003 Case No.: GRD2003-00022
Comments: A preliminary review of the proposed grading indicates that the work
will exceed the 500 cubic yard threshold that triggers review under the
State Environmental Policy Act. Based upon site information provided
in the application, approximately 833 cubic yards will be graded and/or
filled. If you feel this calculation is erroneous, please provide project
details that would allow a more detailed analysis Otherwise, a SEPA
checklist is enclosed for your convenience.
11/3/2003 2 of 2 GRD2003-00022
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PERMIT NO.: GRD ,200
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 CONTRACTOR INFORMATION
Owner Contractor Name c_ ti 4
Mailing Address Mailing Address ,0.
City State Zip Code 3 Z City „ ;f u d State Zip Code 7RSZ,�'
Phone( Other Ph.( Ph. 't,O "7,U-7101 Other PhTY i7S_Sq&
Lien/Title Holder Contractor Reg. #
Address Expiration / /
ENGINEER INFORMATION
Name Phone (�
Address State Zip Code
PARCEL INFORMATION-12 digit Tax Parcel No. / C>O LL Fire District_
Legal Description C 1 WAJ2Q n 1 we lct 10 0{ Aw, k, rt
Site Address(include street name and city &1C 7.S\ a; Ci 724
Directions t4p site
Will timber be cut and sold in parcel preparation? (Yes/No) N 0
Is your property within 200' of the following: Body of Water(Name) Q Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs Soft compressible soils
TYPE OF JOB -Excavation Filling ZS Grading Total size of area ^c 7 *_7
Size of area to be cleared on slopes over 10% Estimated amount of cubic yards ` 9 6 yacd S
Describe Work a w. -c< ; 1c� o{ {,0 ,gill i (oc -4 o 0
t;o�. l/�c�l► tti�;s[^ a Ins: y' S��r \0 1 t e� Clt t See e Ck 4 0 �-afc u aH anPlr °"-
LAND MODIFICATION INFORMATION YES NO
Will fill be brought on site? If yes, source PPv,•. (r,<aV< to 0
Will excavated materials be taken off site? If yes, destination 13 10
Does fill contain potential hazardous materials? 13 0
Has a soils report been completed on site? If yes, include copy. 0 E3
Will proposal result in redirection of any surface water runoff onto adjacent properties? 0 13
Will proposed work alter where storm water or ground water enters or exits the site? 13 o
Will quality, quantity or velocity of storm/ground water be altered? E3 a
Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? E 13
Will the land be replanted upon completion? 17 0
Will the proposal result in slopes steeper than those currently on site? 17 13
Is the site within 200' of a designated shoreline? 0 13
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
fi%btaining apTAAA
l. made wit ut first obtaining approval.
XA r Date d- �" X Dat .�
Q FOR OFFICIAL USE BEY D TINIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW fIlly
OVED I DENIED CONDITION CODES
Building Department �v'a
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