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Home My WebLink AboutGRD94-0053 - GRD Permit / Conditions - 1/6/1999 MASON COUNTY PERMIT Mason County Bldg. III 426 W. Cedar NULL & VOIP BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 DATE f EY GR1194-0#9)3 I'APFI1 I l l)ti tllll3r,f. NE 1 491 1 All tiYA H1.A C K`iM1 1-11 RD "! ANtiYA OWN[ k , CAR01 Cl AUK �AveJ LA,-E 7M a y_j-- 1�fill III AC 1 01 I t4(i I N I I" I? f" 1 1 I j 1 fs-•+ algrlrlef I I f £t I?€ dl :�,I:Wf+I if j +� I !:t'I i 1i G)0 I ITT)-It CT t 111' A 1 I tiff r fm I I to i� I�orw 1 !, ` I11 10 1= 1 00 1 tlNii 11f 6 Il I i I I fit, hHtl { IA ft I I tl I ! 'JI I Al<I. P 11 1 !';4} ' X '.rh ` 1 f .jfq I Iit I'EiI t l fti!�tl OIli 1 !`ili ' Itl kftA0 11-1 I P F P M i I IiFC(IMf' NIII i ANO V(1 111 I I I1(1I?V 1,,w !)II I #1(11< I I it I t•1n I I Ilhlt.ir Mr 1 11 )-i i I II I f..; I ,i .9 1)AYsi „ 111., 1 f 1. 11N",I El,I#(' 1 1 1)14 ilk I:mpt,. I ; It`.1'1 14111 If 1 01t A 1'1 Ir I fill a1 1 ,io IJAY`'e !'t i 1 1 Ni I I tYi( 01 1 f (lm m( 1,41A 1) I V f l)F NIA ()I i-ON I I NjIA I I r4 (.F L40Iv 11 t to I III 1 .:,.1 11:a , ;,1 6A() NBM1. ruv� CpMWI 1A"CF '10 Al -tACitE() CONDI` 1 ION,, 14, RFgtia7RE"1) 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Page No. 1 CASE HISTORY FOR CASE NO.: GRD94-0053 CAROL CLARK NE1491 TAHUYA BLACKSMITX RD TAHUYA 06/21/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- received 07 94 07/14/94 KW 12 e r iv d GRDA010 Application / / / / / / GRDA040 RLC Checklist Review / / / / 07/22/94 DONE AHB 07/26/94 TMJ GRDA050 Approved For Issuance / / / / 08/09/94 DONE KS 08/09/94 KS GRDA100 Building review 07/28/94 / / O8/08/94 DONE WLC O8/08/94 WLC GRDA110 Planning review 07/14/94 / / 07/28/94 DONE MMS 07/28/94 MMS GRDA500 (F) Issue permit / / / / 08/18/94 DONE KS O8/18/94 KS GRDA650 File Possession / / / / 07/28/94 Sent to BLD SENT MMS 07/28/94 MMS GRDA920 Miscellaneous action / / / / 06/12/96 SENT LETTER OF EXPIRATION GAS TILL PEND CS 06/12/96 CMS 07-12-96 TO REPLY OR PERMIT WILL BECOME NULL AND VOID. GRDB003 Final Inspection / / / / 06/18/96 IT APPEARS THE ROAD WAS PUT IN BUT THE PART LW 06/21/96 LAW 50X50 LEVEL AREA DOES NOT APPEAR TO b c COMPLETED AT THIS TIME. MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 POOSIJANI 10 1991 UNIrORM R11JtDl`Mq L"01 , qLCIYON AOW ( l ) nNO JflEt * oil . h1t " IFFM HAVE APPRnVE0 N"NRUIRK 010 APDR14414 1`ROVI "I- 0 IN %HCH A PObill "M An In Ell VIAINIY VVql ! AND I L G I R I E toom m nrpi-Fi "If RQAIA UPON IIN6 I V PIROPIRlY MA40N LOIINVY 11111111IN1 or-PASIM1, NY RFq"YPVn VHAI I " In 01' t "MV1111`0 PI-i11114 I-A, CAI IINN I- OV ANY 4111 IN41"i' l11i 10171m4pVC110m FEE . "Awl- D ON HAIII IN IAHII An OF 1111 14QI "NFF"NM HIIIIDIMN 100i ASKEWID it OWNER/tONIRACIOV IAIIS 10 Post AV= 44 ON % Ifk VPIOP I " H10111- Kil1 ! �,;I nil CIVAR ( MVIA11111110 . "MAIA1010 , IrInVAIINA . VVITIVA( IM6 . 1111114h AND 41MIlIAN Mich W ! Rf (y"! AIFD HY Ilit 1110" IF)IMI' Mrn VOWn"AMI ' 10 LHAtII-P 10 111 M "Nivopm R" ll "Im" cook ( Am- nil t ; ol - Wall he comparl-vc! to A minim"m of 40 P"r —nt n ! max i mom i MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar I P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 0u/_1-/96 TO:0A K�fl N-E, 1500 72qhugo 7G/zzt't r , Lei/3 q85� RE: Permit Number #C-1 P-D 0515 To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection pect on 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to Ol / /96 to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department cc: Property File J RECERFt � MASON COUNTY GRD Jul- w � LAND MODIFICATION PERMIT e3'ENERALSERVICES Grading, Excavation, Fill, Slopes, Drainage Department of General Services O 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 #iZeAddress r Z-7 S- y 6 Z A (Zo t.. C.�-A K-K- Phone,# `� Fire District# rl : . _14 1 i T&,nU 0, ajac"MI.00Clty TAHu yA St w� Zip y�'saX wner Address N, E, I S0 o TA H /A �c-K-�I'MrCity T4 H'�VA St WA Zip �1��' Describe Work , v�OG L/ / d� o o f A r. r ? E - #2 Contractor Name Np Contractor Reg# Address f997 Expiration Date h-.3o- V-5- City Z St GLJc, Zip r X3/2 Phone# z 7S- #3 Engineer's Name �� Phone# Address City St Zip #4 cel No.'Z233o _ Sa _ o o z.y S Legal Description Z-o% Twos #4cA1d�e_� jv�e�y- - H nN 4 J D,71 v Al 7D /Y7A1 v Al Co cc.--ry i vG-7-D Al #5 Number of cubic yards to be excavated: yo d �Y5 Number of cubic yards to be filled: Number of cubic yards to be graded: #6 Will this be a balanced cut and fill entirely within the site? Yes No If No: Will fill be brought on site? Yes No Where does imported fill originate from? 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 im rovements on subject site? /r #9 Total size of area to be cleared /sq ft Size of area to be cleared on slopes over 10% /I//l1 AC/SF #10 Has a soils report been completed on the subject site? A-c If yes, include copy with application. #11 Is the subject site within 200 feet of a designated shoreline 41-z d I #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 L--- #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? 40 #15 What methods, if any, will be utilized to minimize erosion and possible sedimentation into nearby waters during and after / construction?- J y7' ,��v�J-s cr c Y e �.[rrY y /Q Q #16 Will this land modification result in the redirection of any surface water runoff onto adjacent properties? /20 #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? C /'s�� #18 Will the land be replanted upon completion? A ep If yes, with what types of plants? #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 879 ` � v � �ed � 0 5.. O Ct j 6LQ t APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW P°t I rc,-� 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 PROGRESS 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 OF THE 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 DEPARTMENT. DEPARTMENT. I X OWNER X BY DATE DATE ,/92/ " FOR OFFICIAL USE ONLY: Accepted by: _ Date: DEPARTMENTAL REVIEW Planning QLC_aL43 2 APP r nNn APP HOLD r Building F1(�L_ MK , 13& ' %ttCED QN ftil 02 &AN iC MAY-t72.i C, tN Environmental Other Special Conditions FEES cJ Grading Permit $ Plan Review Z Site Inspection Violation Fee Other TOTAL FEES