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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