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Home My WebLink AboutGRD95-0012 - GRD Permit / Conditions - 6/2/1995 i MASON COUNTY Mason County Bldg, III 426 W. Cedar g P.O. Box 186 Shelton, Washington 98584 G R A 11 1 N CA P F R M i FOH I NSPEC { IONS UAi I. AZ/--9670 � Q00 3 - .-14 GRD95-0012. PARCEL a22, Al - D I V : BLK , LOT ; JOB ADDRESS : NE 181 RANCH DR TAHUYA OWNER : THOMAS CROSSWHITE CONTRACTOR : ENGINEER : rIL 7 . . . . . YI,F AMOUNT BY DA (F RECEIPT OUT7 . . . . . . . . . ..Y GRADE? . . . . . . . :7 �PRMT 1 22 .50 KS 06/02/95 39257 AREA GRADED . . : 0-: :AC PLAN t 15 -00 KS 06/02/95 39257 VOLUME . . . . . . . : 80 :OV VIO $ 22 .50 KS 06/02/9fi 39257 TOTAL., 60 :00 -.:-:ra:.:r:a--.-:srR:n-:.:ur:cue::-cs��•�sx:m�rsx�.=.:x._a:s.:mraex::e:..::xsxassex:.--� PROJECT DESCRIPTION :GRADING EXISTING FILL TO At-LOW DRAINAGE PR,OJEGT I.00A T I ON .R I G H T ON BF..LFA I R TAHUYA R A 0 D A .8 M I LES, R I G H T ON HANC:H Ii11 1 ,,1, , SF-G0ND 1)R I VFWAY ON RIGHT . 181 RANCH DRIVE . THIS PERMIT BECOMES NUI- 1 AND VOID 1F WORK OR CONSTRUCTION AUTHORIZE-D 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 i:OMMEE.NCED . EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION W 1'T H I N THE 180 DAY Pf. R I OD . OWNER OR AGE N'T DATE t I GAD P111, rev: 04101192 COMPS. 1 ANCE_ TO ATTACHED CONDITIONS IS REQUIRED i 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by � I J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F. FA M I '1 C:: (7) N ID 1 T" 1 C3 N c., Case No . : GRI1915 -0012 For ; iHOMAS CROgSWHITF Paste: 1 1? At upland areas di �-Jurhed or newly created by construction ac:tivit le-.:, shal I he Seeded, vegetated or given some other equivalent type of protection against erosion . J Work mast he done in the drV to help prevent disturbance of unstable soil layers and uncontrollable mass wasting . 3 ), PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 t(% ) AND SECTION 513 , ALL S i TFS MUI;T "� '}iAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I.FGIBlF FROM THE STRiFT OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMENT REOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FFF , BASED ON RATES IN TAKE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BF ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 X '> ALL CLFARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WIL.I BE REGW-AT-ED BY THE REGU1REMENTS PURSUANT TO CHAPTER 70 OF THE UNIFORM BUILDING CODE , X 5 ) ALL SUIIFACF WATER ANO POTENTIAL RUNOFF WILL. BE ?'ONTROLLED ON SITE AND SHALL NOI ADVFRSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTIN(i/DITCHING SYSTEM OR ROAD WAY GRD APR - 71995 MASO COUNTY LAND MODIFICATION PERMIT ^ENERALSERVICES Grading, Excavation, Fill, Slopes, Drainage Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT I #1 4wner �-C)SS Lok �, Phone# a7S -3339 Fire District# L.> tL Address KI E 11 1�4,ic I City A. St /' Zip 985a 8 Owner Address 1G� 0V il City h1 St wtl Zip Describe `rWork- c►� f5 n I-C S -41D b2- QV kj. 11 QL4 6 � ( #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 Engineer's Name Phone# Address City St Zip 3 - 'q0021 3 #4 arcel No. -D acT - :P P � l G , Legal Description TY'GtCf 71 04, _<cAruzy #5 Number of cubic yards to be excavated: Number of cubic yards to be filled-- z) ve-le- Number of cubic yards to be graded: #6 Will this be a balanced cut and fill entirely within the site? 61q1q Yes No C If No: Will fill be brought on site? Yes No Where does imported fill originate from? EEL C'LL1 20 - PP 411 1C —rC1InU Q Does fill contain any potentially hazardous materials? Yes No #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. 1 U l�h Su��,��(��- c bv��a�1� �- u-r��sS - �.�.ye� d«i' �. alr,��- �•�i-�h fresz S #9 Total size of area to be cleared acres/sq ft Size of area to be cleared on slopes over 10% AC/SF #10 Has a soils report been completed on the subject site? NC) If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline o #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? #14 Will the proposed land surface modification change the quality, quantity, or velocity of storm water/groundwater? N #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after construction? Ci (`GS5 LA_) i� i��GV\{�� #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? No #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? No #18 Will the land be replanted upon completion? k If yes, with what types of plants? Pi Yle— #19 Will this modification result in slopes steeper than those currently on the site? 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 50 - �}ou5:. 4 1 r su j Sfi / X LC ,,,• All V 9 � L 4 + __ . 1 f _ i. r�►�� —Ranch APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Jill I 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 PROGkL,3S 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 OFTHE 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 DEP�TMENT. DEPARTMENT. X OWtlff R ��..-- C� F _ �//-Y-�S X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW Planning o' '�'�f/'�L<C� Ct � APP COND APP HOLD �cL � Building Environmental Other Special Conditions FEES �Z St Grading Permit $ Plan Review 1� O C-> Site Inspection Violation Fee 2Z S O Other TOTAL FEES $ d BUILDING PERMIT DATE �' , j q Planner Area lcm �- Yc,Cl1 im qc�vv,i+ — 2 2 3Zcl ,g CHECKLIST FOR PROPOSED CONSTRUCTION Yes No w [ ] [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? [ l [ ] Proposed construction on/over/in wetland [ ] [ ] Proposed construction within floodplain [ ] [ ] Eagle nest State road access needed [ ] [ ] Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [ ] Mobile Home or RV Park [ ] [ ] Exempt from building permit application [ ] [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ ] Meets all requirements (which section(s) of SMP does proposed construction pertain to?) [ ] I ] Variance or Conditional Use Permit required [ ] [ ) Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) [ ) [ ] Exempt from Substantial Development, but within Army Corp_ jurisdiction (WAC 173 -14-115) I J I ] Address needed ( ) ) Directioj,- need d I SITE PLAN HOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE: ;pn &dimensions of existing &proposed property boundaries. ► Approximate slope of land (grade &direction), topography. ,ify legal access including, width of all road right-of-ways&easements. ► Location of significant natural features(water bodies, rivers). ,sate all existing & proposed structures,drainfields, wells & driveways. ► Project description Scale 1°= NEW CC NST RP1cTi o lr�: E3 North Arrow WELL \A/ATER.: e �K WhTEIv FLOW: —4——i FLtT[�E RFnwvtiL: RZL'POSESJ�>~clrU2t; DEVELD�MENT: C� o�6CJ EL.EGTP21 0 IN SAME Drtr-xO SLOPE FENCED Low '0 DRIVE Why ul_v + DRId�WAY - cuLV er 1 N 4 _ _ — EI.ECTRIG , �1 FLAT rat FARxKIrN WEU_ >`L -Fl J ) �IDINCT , 30 CAE is AR.omo FkWT Ll I 50 ' ,' 3 i/ 51D P1= / r OF-fPAILEf- FLAT —00 w11Vc. PIVE I `� w i �T t° ' ►° air R � � — _ 5 G.5-7 I stag have answered kIe above truthfully to the best of my knowledge. Applicant/Owner �' �,> Date FOR OFFICIAL USE ONLY Adjacent property. �� . ),V7 00 04 - - --I rr rr�lx 00* It It n 3p0�_ Jill I s \a , 00 o\ a ,\ ti OD °Os Oho000 it I ,I, p 10 IN 0 0 o Im g 0 a o ii ° It �•. as to ZDI p ii ro o I - - It -___- e. it