HomeMy WebLinkAboutRAP2004-00088 RAP9872 - RAP Permit / Conditions - 3/3/2004 PERMIT
o C oad Department Permit Number: 9872
Ort t Road Name Jensen
T�Ielionio Road Number 51930
A S 84 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form, R E C
EIvFn
Permission Is Bill And Bonnie Russell
Hereby Granted To: P O Box 433 MAY 17 2004
Shelton WA 98584
426-4245 426 W. CEDAR ST.
To Install: single family access
Location: 42 E Jensen Road
Parcel Number: 32131-41-00050-
Legal Description:
A bond in the amount of $ $25.00 accompanies this permit.
Receipt Number: 20491 Check Number: 4700
Contractor
Address
City/St/Zip:
Phone : 426-
i
Lic. Number: Expires:
i
Specifications:
Access to be graveled to property line with 3"depth of clean gravel. Culvert to be aluminum,concrete or polyethylene.
Access will be staked and Nagged by Permittee for pre4nspection. Culvert will lay in line of ditch.
Access will be pre-inspected by this office prim to installation. Culvert to be minimum of 12"diameter by 20'length.
Access must be perpendicular(90 degrees)to the County Road.
Access installation shall be in accordance with county specifications.
Commercial/Mufti use access shall require STOP Signs,installed in conformance to the MUTCD manual,at intersection with county road.
No work shall be done under this permit until the party to whom it is
granted has communicated with and received instructions from the road
supervisor at : 360-427-9670 ext. 450 .
RESULTS OF SITE INSPECTION: See Attachment "A"
This permit shall be void and bond forfeited to Mason County unless the
work herei contem laced shall hav been completed on or before:
41
Dated at Shelton, Washington, this �C7 day ofW��40GUG
Issued by:
Title.
Chapter 36.75 of the Revised Code of Washington
36.75 130-No person ``t perrriitt to b itdd or construct any approach to any county road without first
obtaining permission ther�eforom the d.�1943 c 174 sec.
36.75.140- rdds of the at counties of the state may adopt reasonable rules for the struction of
approaches whhi when corn wi sha 1 entitle a per n to gold or construct an a pr om any
abuttinproperty fo any ntyl road. rues ma irx:luc�e rout ons for a construction of cu-verts under the
approa es. the depth o€ Ns o+er the ct�iiverts l rid fir uch o�ier drainage faCilitI a lafie board d ems
necessary. The construction 0T roa es,cu Bits, f Fls, or such other drama a ad is s as ma Pbe required,
shall be ur�der the su i on t the board,and 11 such construction shall be a the expense of
tie person
nefitted by the construction - c 174 sec.
GENERAL PROVISIONS APPLICABLE TO ALL PERMITS
During the progress of the wo*such barriers and warning signs shall be erected andd aintained as ma be
Rw�hen�e�ceosr as may a directed for the protection of the traveling public;the barriers shadI be property lighted
nary.
In acceptin is permit,tt)e petitioner, his successors or assi ns, agrees to protect Mason County and ave it
less from all claims, actions or damages of every kind anft escription which may accrue to or bbe suf�ered
y any person or persons, corporation or property by reason o e performance of any such work, character of
materials ed�r manner��installation, m mtenance and operation or by the improper occup ncy of rights of
way or puZlsie place or public structure and in case any suit or action is brought against said IV�ason County,for
damages ansin out of or by reason ofany of the above causes t e etitioner, his successors or assigns will
upon notice to im or of commen mend f such action, de en�the same at his or their ow sole cost and
xpense and wii I satin gment after t ie sat suit or action shall have finally been determined i adverse to
mason County.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of a county road
in such manner as to interfere with the travel over said road.
Except as herein authorized, no excavation shall be made or obstacle placed within four(4) feet of the edge of
the pavement.
If the work done under this permit interferes in any way wip the drainage of the county roads, the grantee
shall vyholiyno at his own expense make such provision as a Mason County Road Engineer may drect to take
care o said drainage.
On completion of said work herein contemplated, all rubbish and debris shall be immediately removed and the
roadway and roadside shall be left neat and presentable and satisfactory to the Mason County Road Engineer.
All worts,workman ip, tabor and material shall coin ty with the W hingtor� Stat Eleatricai Code, and the
urrent edition of the Washin ton State Department of Yransportation�tanclard and%pecitications for Road and
BridgeConstruction. Installafgions shall also conform to Specifications of Federal Aviation Administration when
applcable.
In c se of any damage to any roads, streets, public laces, structures or public property of any kind on account
Of saiwork by the grantee, he will at once repair and restoresaid damage at his own sole cost and expense.
No Sat rddaa Sunda or Holiday work permitted under this permit except in case of emergency, or between the
hours of 6:OO M and :00 AM the following work day.
Notify Local Fire District before opening any trench across any Roadway and when project is completed.
Permittee shall notify Mason County Road Engineers before malting any roadway cuts and immediately after
completion of protect.
All of the w herein contemplated shall be done under the supervision and t9 th satisfaction of the Mason
County Road Engineer and the entire expense of said supervision shaft be borne by the party or parties to whom
this permit is issued.
The County Commissioners.hereby reserve the right to order the change of location or the removal of an
structure or structures authorized by this Hermit, at any time said change or removal to be made at the sole
expense of the party or parties to whom this permit is issued, or their successors and assigns.
All such changes, reconstruction or relocation by the grantees shall b done in such manr�gr as will cause the
least interference with any of the countys work and Mason County shalt in no wise be held Eiable for any dama e
to the grantee by reason of any such work by Mason Qounty, its agents or representatives, or by the exercise of
any rights by the County upon the roads, streets, public places or structures in question.
If at any time the County of Mason deems it advisable to change the alignment or grade of any road,street,
tublic place of structure by vyidernn radin r radmg,.planking, pavifig, improving, alterin or repairing same,
he grantee upon written notice by t., eToun gty'o�tason, its representatives ar a Brits, will at%is own sole cost
and expense, mmediatety so raise, lower, change, rn ve or reconstruct such utilities herein granted, to conform
to the plans oI work contemplated or ordered by the County-
This
permit or privilege.shall not be deemed or held to be an exclusive one and shall not prohibit the County
from grantin other permits or franchise rights of like or other nature to other ublic or privat utilities, nor shall it
prevent the County from usingany of its roads, streets,or public places, or of ect its right to full supervision and
control over all or any part of hem, none of which is hereby surrendered.
The County Commissioners ma revoke, rinut,cha e, amend, amplify, or terminate this permit or any of
the conditions herein enumerated itgrantee Pails to comply with any or all?tits provisions, requirements or
regulations as herein set forth or, throughwllf I or unreasonable neglect, ails to heo or comply wi h notice
given or if the utility herein granted is not installed or operated and maintained in conformity herewiM or at art or
for any cause or reason whatsoever.
The pparty or arties to whom this permit is issued shall maintain at his or their sole expense the structure or
object for whicl�i this permit is granted in a condition satisfactory to the Mason County Road Engineer.
In accepting this permit, the grantee, his successors and assigns agree that any damage or injury done to the
prt,yor of a nra tee or any expen a incurred by him through the operation of a contractor, working for the
County, y Gpounty employee s; all be at the sole expense of the grantee, his successors or assigns.
The undersigned hereby accepts this permit subject to the terms and conditions as herein set forth.
Q
Signed
By
01/i2100 Dated this day of W,9!Z l'' 200/
1
a
TranssmRtal iLA kleet
Permit Number: 9872
Type of Permit: District : 1
single family access Rd Number: 51930
Road Name: Jensen
Permdttee: Location .
Bill And Bonnie Russell Date 04/22/04
BOND INFORMATION
Bond Posted: Yes If Posted - Amount of Bond: $ $25.00
County Receipt Number: 20491 Check Number: 4700
SITE PRE-INSPECTION l2 3
Sight Distance: Left di- Right �_ Culvert Required: Yes X_ No
Comments:
Date: y_c,C /-b y By: //��1f. (Inspector)
PROPERTY OWNER NOTIFICATION
Property owner notified of result f site inspection and permit issued by Engineer's
Office on this date: ^ Access may now be installed.
Comments:
NOTIFICATION OF COMPLETION
Received notification from permittee that access is complete and ready for final
inspection on this date:
FINAL INSPECTION:
Comments:
Date: By: (Inspector)
TO: ACCOUNTING (for return of bond)
Request for bond return sent to Treasurer's Office:
Bond returned to Permittee:
By: Check Number: