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Home My WebLink AboutBLD2009-00927 Final Demo - BLD Permit / Conditions - 10/20/2009 > Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 i� RESIDENTIAL BUILDING PERMIT BLD2009-00927 OWNER: DAN NORDSTROM RECEIVED: 10/20/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 10/20/2009 SITE ADDRESS: 7261 E STATE ROUTE 106 UNION EXPIRES: 4/20/2010 PARCEL NUMBER: 322335000017 LEGAL DESCRIPTION: SUNNY BEACH PCL 5 OF BLA#04-58 &T.L. PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO PERMIT PERMIT FOR CABIN THAT IS BEING REPLACED ST RT 106, PAST UNION TO SITE ADDRESS ON THE LEFT SIDE General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: DEM Fire Dist.: 6 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft.Side 1: Ft. Shoreline Desig.: Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Demolition Fee GMM 10/20/200 $117.50 S12009000 Building State Fee GMM 10/20/200 $4.50 512009000 Total $122.00 BLD2009-00927 Please refer to the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2009-W927 CONDITIONS FOR BLD2009-00927 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 ris and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0 Th erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owne wilder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) re Tres 5ft setback from all footing/foundations. C. No found ion dAins within 30ft, down gradient of drainfield/reserve area. X 3) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is directed to 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 APPROV L FROM ORCAA, 2490 B LIMITED LANE NW, OLYMPIA WA 98502, 360-586-1044, 800-422-5623, WWW.ORCAA.ORG X 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 commenced. 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 work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property an uct evie n nspection. OWNER OR AGENT: DATE:1G ' Zo' 0c7 BLD2009-00927 Please referto the following pages for conditions of this permit. 2 of 2 W li o CONCRETE MECHANICAL MANUFACTURED HOME ZO o m_ _.. Date m Footings 1 Setbacks Gas Piping By Ribbons o Interior Date By Interior-Date By Date By l) N Exterior Date By Exterior-Date By Se Bc�s�ABINSUINSULATIONt- 0 Point Load!Isolated Footi�,gs INSULATI INSULATION Date By c .-� Date By Data By FIRE DEPARTMENT D Foundation Walls Floors Date By Z Date By Data By DECKS FRAMING q Wails Date By Dafe, BY Data � By PROPANE TANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Date By pate By Type. Date By D.W.v DRYWALL Type Int Brace Wail Date By W Date By pate 8y FINAL INSPECTION p n i Water Line Fire Seperation NO �6 Date By Date By Date By O m t0 `° Pass or Request Inspect. c CD Type a#Insp. Fail Date Date Dane By Comments W a CD VQ m cu y O 8 O_ O N O CD CD ..a O --w MASON COUNTY PERMIT NO. (L)C1 BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Amy and Dan Nordstrom Company Name West Bellevue Construction LLC Mailing Address 3621 90th Avenue NE Mailing Address 2535 85th Avenue NE City Yarrow Point State WA Zip Code 98004 City Bellevue State WA Zip Code 98004 Phone(425) 941-4223 Other Ph. Phone(206) 819-5330 Other Ph. Lien/Tiitle HolderTWA40H TRUST L4.1e- Contractor Reg. # WESTBBC951DU Exp.03-31-2011 E mail address daninoutdoorresearch.com E Mail Address Markwbconst(cDaol.com Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Yes Existing Septic Connect to Water System ves Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 32233 50 Fire District Legal Description SW 1/4.SE 1/4 SECTION 33.TOWNSHIP 22 NORTH.RANGE ST.W.M. Site Address(Please include street name,street number and city)W08 E State Hwy 106, Union, WA 98592 Directions to site Proiect Site is on Hood Canal. aooroximately 2 mileswwe,*of Union on Hiahwav 106 EAST Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Yac Lake No River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%Yes. south end of nronertv Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other Demolition PRIMARY RESIDENCE ❑ SEASONAL Use of Building single family Describe Work demolish existing single familv residence No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. j OV\1NER/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information I provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date- Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department { Environmental Health Department Public Works Department Fire Marshal FEES Buildina Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical &Base fee Other € Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES