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Home My WebLink AboutCOM2010-00030 DEMO - COM Permit / Conditions - 4/16/2010 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2010-00030 OWNER: GIRL SCOUTS OF WESTERN WA RECEIVED: 4/16/2010 CONTRACTOR: LICENSE: EXP: ISSUED: 4/16/2010 SITE ADDRESS: 251 E LAKE DEVEREAUX ALLYN EXPIRES: 10/16/201C PARCEL NUMBER: 122074060000 LEGAL DESCRIPTION: S 3/4 OF E1/2 ELY OF R.R. R/W & WLY OF SR 3 EX., & SW 1/4 NW 1/4 IN SEC 8, W OF SR 3 (DOR#1807 004) PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLISH OLD CARETAKER RESIDENCE General Information Construction &Occupancy Information No. of Units: Type of Constr., Type of Use: Insp.Area: No. of Bathrooms: Occ. Group: Type of Work: DEM Fire Dist.: 5 No. of Stories: Occ. Load: Valuation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline& Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2010-00030 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type 1, Qty. Type Qty. Type By Date Amount Receipt Building State Fee T XAi d/1w9n1n cd rn glgntnnn Demolition Fee TIN Allwgnin 1�117 r;n -q»ninnn Total $122.00 CASE NOTES FOR COM2010-00030 CONDITIONS FOR COM2010-00030 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6� -09P2 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owner/Agent is ponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) Demolltio actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is directed fo conatct Olympic Air Pollution Control Authority(ORCAA) IT IS UNLAWFUL FOR ANY PERSON TO CAUSE OR ALLOW THE DEMOLITION (OR MAJOR RENOVATION) OF ANY STRUCTURE UNLESS ALL ASBESTOS CONTAINING MATERIALS HAVE BEEN REMOVED FROM THE AREA TO BE DEMOLISHED. WORK SHALL NOT COMMENCE ON AN ASBESTOS PROJECT OR DEMOLITION UNLESS THE OWNER OR OPERATOR HAS OBTAINED WRITTEN APPROVAL FROM ORCAA, 2490 B LIMITED LANE NW, OLYMPIA WA 9850 , 36(I�6-1044, 800-422-5623, WWW.ORCAA.ORG X 4) A(b ding permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The fail to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non c por.�t with Mason County ordinances and building regulations. X 5) II p rmits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control oftrrnipe _,Nolder have prevented action from being taken. No more than one extension may be granted. Xf COM2010-00030 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 commcQped. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of evnrk is by means of a pr ress inspection.The owne the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described pr rty and str rp for iew an inspection. e OWNER OR AGENT. DATE: F� COM2010-00030 3 of 4 Lom l FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: MASON COUNTY DEMOLITION PERMIT APPLICATION J 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 ,^L CONTRACTOR INFORMATION Owner;4jeL 'i6 ar r�GitVi V fAVtiN) Contractor Name L-1 aPC74f Mailing Address LA" �' 1z!!0 Mailing Address 5(6 ' City A"�6y State' A Zip Code— City State WA Zip Code Phone( )) Other Ph.L__) Ph.( )bRt17 y2511-Other Ph. )5�v -577'.S Lien/Title Holder Contractor Reg. # ja,r3VA 0 f-h 5 Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(include street name and city Directions to site: Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs If your project is located adjacent to or within an area that is listed above, it is advisable to contact the Dept. of Community Development regarding future development prior to demolition; since removal of an existing structure could affect future building locations. How will the debris be disposed of? {'A-Ill`-�f'�k= What is the use of the building being demolished? 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-I certify that I am exempt from the requirements of CCONTRACTOR'S AFFIDAVIT-I certiyl that I am currently registered as a e,the Contractor Registration Law RCW 18.27 and am aware of the �z_Qntractor_in the Stat of Washingtol 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. X Date 'G' f X Date Provide a plot plan indicating location of improvements and structure to be demolished. 4 \\ t,+ZsLV FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Gr Type of Const. Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) ,. ...`;& "Y'F "' k TOTAL FEES 111