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GRD2001-00005 Cancelled - GRD Permit / Conditions - 1/23/2003
Inspection Line (360) 27262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427 96704ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 I4 Shelton, WA 98584 l LAND MODIFICATION BUILDING PERMIT GRD2001-00005 OWNER: CADY TREE FARM LL pEAMIT RECEIVED: 04/26/2001 CONTRACTOR: RICHARD MEEK 360-275-4104 ISSUED: 04/16/200 ENGINEER: NULL $ VOItr�3 8Y EXPIRATION SITE ADDRESS: -719_00100 (�,7� DATE 02�3�gY bl1'�' '—�—EXPIRES: PARCEL NUMBER: 322024466996- LEGAL DESCRIPTION: SE SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: GRADING of new road BELFAIR TAHUYA RD APPROX 800' NORTH OF TAHUYA RIVER RD Inspection Area: Fill?: Yes Comp. Plan Desig.: Rural Grading?: Yes IRO Desig.: Wetland Cutting?: Yes Shoreline Desig.: Area Graded: 1.00 Acres SEPA?: Yes Cubic Yards: 1,250.00 FEES Type By Date Amount Receipt RLC Fee SAL 05/10/200 $70.00 56317 Grading Plan Check Fee TLG 05/16/200 $30.00 56110 Grading Permit Fee TLG 05/16/200 $126.00 56317 Public Works Review TLG 05/16/200 $18.50 56317 Total $2".50 GRD2001-00005 Please refer to the following page(s) for conditions of this permit. 1 of 3 CONDITIONS FOR GRD2001-00006 < 1) Access Roads to the site must not be degraded as a result of work. X 2) A 20 foot wide fire apparatus access road is required to estend within 150 feet of any portion of the exterior walls of the building. An unobstructed vertica clearance of 13 feet, 6 inches is required. Dead-end fire awara less roads longer than 150 feet are required to have an approved turnaround. The maximum grade of a fire apparatus access road is 14%. X / (_ 3) All upland afea di bid or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection again erosion. 4) Proper disposal.qf construction debris must be on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of adj waters. X f 5) All other necessary permits from Mason County, Washington State and/or Federal Agencies hat required for this proposed development and constr must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X �� (� 6) All culverts shall be maintained in perpetuity to ensure that drainage will not overflow. 7) Xe �ry sign control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. 8) Approved per site plan and topographic cross-section. X� 9) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR IN SASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTE ROAD WAYx 10) A Road Access Permit or Ap naval mks e granted by the Mason County Department of Public Works. For more information contact Charell Holcomb, (206)427-9670, ext. 450. X % C! 11) Roads accessina�acp proposed lot shall be constructed to Mason County Large Lot Subdivision Standards and approved by the Mason County Dept. O Works. X 12) Operation and maintenance agreements shall be provided for the maintenance of all privately maintained stormwater facilities and roads.. The operatio maintenance agreement shall be completed by the applicant and approved by the Mason County Department of Public Works. Following approval by P )Workse,7pjipant shall record the O&M agreement with the Mason County Auditor and the Auditor's File Number shall be referenced on the final plat GRD2001-00005 Please refer to the following page(s) for conditions of this permit. 2 of 3 13) All future development of the proposed site will be subject to the conditions that are listed. However, this does not exempt future proposals from further r through theme PA process. 14) A stormwater ite plan will be created and implemented prior to development, clearing, grading, or construction of any portion of the proposed segregati 15) Minimum 65 �oot buffer/setback shall be maintained from regulated type III wetlands unless otherwise authorized by Mason County Planning Dept. 16) All fills shall be compacted to a minimum of 90 percent of maximum density.X 17) ALL CLEARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WILL BE REGULATED,BY THE REQUIREMEN PURSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS ADOPTED BY RESOLUTION 141-96X 'v" C ' i 18) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES110�2,IAtCF EASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTE ROAD WA // (� 19) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POS AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTM REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS AD BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS PRIOR TO REQUESTING INSPECTIONS. X 20) The engineer of record shall provide to Mason County Building Department upon completion of the work described in this permit, a report specifying co to the approved engineered plans prior to final inspection by Mason County. X v 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 period. Final inspection must be approved before building can be occupied. OWNER OR AGENT: d' X. DATE: GRD2001-00005 Please refer to the following page(s) for conditions of this permit. 3 of 3 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date Ribbons date by Gas Piping date by Foiundation Walls date by Set up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Warts 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 Line NAL INSPECTION date by date by date by 1 WORK ORDER.- PUBLIC WORKS DEPT. Date: c--- -C 1 (q Work order L.—C Number. We PERMIT#-�A )5 1 Requested by: T)C-n - Date: Authorized by: Tll Type of Work: J CHARGE TO: 11 NAME 7-0-0 N d AGENCY/COMPANY BILLING ADDRESS PHONE r (B) Pub. Works Person In Charge: ........... .. .. (c) Project Time Line: (from-to dates) TO Project SW date: Estimated Fk-Jsh Date: Approximate hot": ESTIMATED TOTAL SS: COST ESTIMATE (D) Emp4oy- Rate Hours Svt0t-Al Fringe% TOTAL RAN EQUIPMENT USED: MATERIAL USED: ............ ............ (F) Aa.1 Cost s BARS: PROJ#- DATE Env4oyee TOTAL$ WORKED Name LgAk Hours SuNQW Fringe% EQUIPMENT USED: to Vni ate TOTAL$S MATERIAL USED: TOTAL ALL (G) BILLED DATE INV 0 PAID DATE REC-0 CKO I , PERMIT NO.: GRD,-Z6D1 MASON COUNTY LAND MODIFICATION PERMIT APPLICATION V/Z 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 INFORMATIO CONTRACTOR INFORMATION Owner C _ PAK m Contractor Namek«-H A A 0 M t e K R*Y, Vey TNREs Mailing Addres E o L P A R i D Mailing Address D 8ok 11 9 6 City S,4EC1-nP4 State LVA Zip Code CitygEtFA i R State WA Zip Code ;L Phone Go 6 03YO Other Ph.(36o )43-6 SASS Ph.a6o L175 94104 Othe-Ph.( Lien/Title Holder Iy A Contractor Reg.#GG©! Address N/A Expiration ENGINEER INFORMATION h Name I 3c �, ) ya6 7"! � u n!C.- Phone Address 111C, State 14, i�- Zip Code a i '841 PARCEL INFORMATION-12 digit Tax Parcel No.313.0�3. / / p o 4 ca d • Fire District Legal Description 5 E QLA A rCM P. o illr S V Q u 2. �-'A- A4 k 3W W M m% r Site Address(include street name and city C.0 o Directions to site: 132`FAat2 TA a u y,+ A PA e x 5�QQ A/oRT m F TA uyq Ie Will timber be cut and sold in parcel preparation? (Yes/No) A(Q Is your property within 200' of the following: Body of Water(Name) (V Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils x *: TYPE OF JOB - Excavation cam- Filling &-- Grading Total size of area 0 s q'2. A L RL• Size of area to be cleared on sl es over 10%44 ft Loi4 Estimated amount of cubic yards '1 O Describe Work R oA.0 �PUiLLM G LAND MODIFICATION INFORMATION YES NO Will fill be brought on site? If yes, source o A4 Will excavated materials be taken off site? If yes, destination 1 Does fill contain potential hazardous materials? E3 Has a soils report been completed on site? If yes, include copy. ,� O Will proposal result in redirection of any surface water runoff onto adjacent properties? 0 Will proposed work alter where storm water or ground water enters or exits the site? 13 Will quality, quantity or velocity of storm/ground water be altered? Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? � , Will the land be replanted upon completion? Will the proposal result in slopes steeper than those currently on site? 13 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 propecity 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-1 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. a4e�Z Date 11 6 X - Date—O/ FOR OFFICIAL USE BEYOND THIS POINT�/,�/�, Accepted by` / Date Submittal Amount Due w. Receipt No. DEPARTMENTAL REVIEW P VED IED CONDITION CODES Building Depart ZIA3 O/ 1 � � �� � 5 0 Planning Depaifment re Public Works Department Fire Marshal FEES Grading Permit Fee Site Inspection Plan Review Fee Other Public Works Fee J Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES