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HomeMy WebLinkAboutBLD2007-00313 Demo SFR and Garage - BLD Permit / Conditions - 2/26/2007 LO / � � koo - 8; � $ cogK gym. «e 27CD w8: 2G qna q: cm c / c Co. 0 _ § d w c 0 § _ $ 2 8 / m 2 f ` 8 fC O c) D) x § J Wk E@ S f2 C. CL a 0. § ) o ® .. .. .: .. ■ 2 LU ad 2 � ' ' w m @ - q 0 cl . a e c g m 2 � § U) g � \ E § CD ¥ w 2CL 05 � & / 7 x 2 M @ m $_ & LL Z I § _ _ E IL LL0 pw � � / w Co R w z � k 0 00 , 8 Z rw § D D C 2 0 \ / co k \ i o ¥ d 8 8 - - E EmCD CL o000 E 2 w 0CL s u p � x z $ 2 t � � � � LL m f ° W R � O LL � � � � � k $ U. a w § o o 2 t @ 02 co (0 � kf // ƒ ■ 2 � � \ / JCoIm c cca. I LL w ° 2 k 3 2 ¢ ¢ ° L w « O o ap m2 mm e � \ ¥ ƒ zz LL -j co % « Z � inM3 � o � � E 5W -jo z q m 2QOoL . « 7 % b $ \ c L O Jq CO 2 < a ° z » 0 M � w a � C ® % b / k .. Q77 w0U) b0 w 2 m z � � $ $ 5 z>- § \ k # o � Rkw22 LLw x ■ e < uQIL < � O 2 \ q q B w § k W § § . n n2 � / � / f f E CY) O 2 _ o v 9\ ) \ m ¥ w O ® % $ k © E oc w 0 m I � R . kk � ■ i \ :3 kk \ % / cc q / § a2 § 'k� 2 CO $ 0 E 2f § A � e7 cccm 2 } 32 R CD -0 \ . £ ƒ 2 Co _� S 2 f � M \ £ / � C f e \ § a ° / CL t k k 2 f � cu � Q Om co rI \ \ � m U. � $ ° ■ �/ - � $ � E a ) o C E00 � ( trf f � oE E 2 @ 2E : mom F R � vw o£ 77k 0 2 ca (aOL coR 2� = c � g a) Cl)§ ■ o r- a) E � � f o % � / .- Cc ƒ E CD = e £ � gk k2 k § f / £ Eq 0co a ME 0 ko « 2B $ - 7 7 $ § 2 � � 0 AR t E $ � � ) 2 c » § S R ) \ 7-0 c2ca 2f27© % % o46 _ \ U 72 $ 77 § 2oR (D oC: § 3 � \ 2 o c -0 -6 E m / x kE � E ) § o \ § � w CN k k § \ k f . \ m j _��)oFORM MUST BE COMPLETED IN INK v 'v V ` r V v PLEASE PRESS HARD PERMIT NO.: MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.446T Elms 360 2-5269 Seattle 206 464-6968 Jiq,5.00 APPLIqANT INFORMATI CONTRACTOR INFORMATION Owner Contractor NameS�rp_ ,Fs o,,e,&p� Mail' A ress Mailing Address City State Zip Code 9BSM City State- Zip Code j Phone(` nD)Q5-At 4W0PP, h.0)73,7-9! Other Ph.( Lien/Title HolderA I-o"4 G/TY /i?oel-AAcd Contractor Reg.# Address o Y Expiration PARCEL INFORM TON-1 di it Tax Parcel No. Fi a District_ Legal Description • Site Address(include street name and city Directions to site: d/ CA- oV-n 4Y 7/f,. m14 Is your property within 200' of the following: Body of Water(Name) I' Zn E Saltwater Lake River/Creek Pond Wetland Seasonal Runoff StreamSlopes or Bluffs !f 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? ,C What is the use of the building being demolished? St G a NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED"THIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE W{ RK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's I,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 CONTRACTOR'S AFFIDAVIT4 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 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 -Z - X Date -. 04 Provide a plot plan indicating location of improvements and structure to be demolished. y i f t FOR OFFICIAL USE BEYOND THIS POINT Accepted by Dateg2,2__Submittal Amount Due Receipt No. DEPA TM NTAL REVIEW APPRO D DENIED CONDITION CODE Building Depart e 2 D Occ Grp Type of Const. J Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) TOTALFEES I