HomeMy WebLinkAboutBLD99-0314 Tear Out - BLD Permit / Conditions - 6/10/1999 t MASON COUNTY
Mason County Bldg. III 426 W. Cedar
. P.O. Box 186 Shelton, Washington 98584
M 1 S C EF L_ L_ A 114 E C)U t; PERM I -V FOR INSPECTIONS CALL 427-9670
MIS99--0314 PARCEL &322334460000 PLAT : DIV : BLK : LOT :
JOB ADDRESS : 7550 E STATE ROUTE 106 UNION
APPLICANT : ST . ANDREWS HOUSE
OWNER : S'T . ANDREWS HOUSE
LEGAL : 1112 1117 E1I2 LOT I I I 661C-2 i 6/1-C- 7
PROJECT DESCRIPTION &
BEGIN TEAR OUT FOR ADDITION/REMODEL
PROJECT LOCATION :
1 /4 MILE EAST OF ALDERBROOK INN ON HWY 106
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
DEMO * 42 .00 NJP 06/ 10/99 50567
STFE $ 4 .50 NJP 06/ 10/99 50567
TOTAL : 46 .50 OWNeR OR 'J4GENT DATE
1iS 1119T, rRr: lt441192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footi Setbnck date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date b
BG/SLAB Insulation Floors Final
dates by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water line FINAL INSPECTION
date by dale r,_ ZcPL'� by'. Qf, I Jdate by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
pF Rm 1 -r, 0NC) I ; I (-JPJF3
Case No . : MIS99-0314
For .. ST . ANI)REWS HOUSE
Paget 1
1 ) THE DEMOL.. I T I ON AND D I SPOSAL. OF OFMGL i T I ON DFBR I S MUST MEET RFOU I REMENTS AS PER MASON
t'OlINT RE I..AT i ONS
j X
2 ) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST BE MARRED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RA- S ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/VON' ACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTIN(; INSPECTIONS .
X
3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED A lRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .
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 Attic OTHER
Groundwork
dato b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
II
V
�I
I
PERMIT Ni3
MASON COUNTY
DEMOLITION PERMIT APPLICATION
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 CONTRACTOR INFORMATION
Owner ,T Contractor Name
Mailing Address 1-7S sn v /C' Mailing Address
City (n r-)► , State Zip Code S,Q<- �,7 City State Zip Code
Phone � ( -,) P,9P,- 7__11b2_ Other Ph.L___) Ph.( ) Other Ph.(—
Lien/Title Holder .0 0 A.;t Contractor Reg. #
Address Expiration / /
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District
Legal Description (_t ) % ("—) 1. e::: %z /
Site Address(include street name and city '
Directions to site: ,,I P e t- n .f:�
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?
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-]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 then with. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first ob g appro al. be made without first obtaining approval.
,I
X Date X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
FOR OFFICIAL USE BEYOND THIS POIINT�b
Accepted by Date Submittal Amount Due ..`/ Receipt No. '�, �ln
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
T AL FEES S