HomeMy WebLinkAboutBLD2107-00816 DEMO - BLD Permit / Conditions - 8/24/2017 C0
MECHANICAL MANUFACTURED HOME
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0) INSULATION Date By X
Point Load I Isolated Footings BG I SLAB INSULATION 0
Date By Date By FIRE DEPARTMENT z
Foundation Walls Floors Date By 90
Date By Data By DECKS By
Walls Date X
FRAMING Data By PROPANE TANKS —z
Date By Vault Dat By
PLUMBING Data By OTHER
Groundwork Attic Type_
Data By By
Date By Date Y
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Int.Brace Wall Date
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Copp MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT
Phone: (360)427-9670, ext.35?
Mason County
615 W Alder St
Shelton, WA 98584
;R;d RESIDENTIAL BUILDING PERMIT BLD2017-00816
OWNER: MYRON & KARIN STRUCK RECEIVED: 8/24/2017
CONTRACTOR: LICENSE: EXP: ISSUED: 8/24/2017
SITE ADDRESS: 773 E WINDJAMMER CIR SHELTON EXPIRES: 2/24/2018
PARCEL NUMBER: 121195700043
LEGAL DESCRIPTION: HARTSTENE POINTE#10 LOT: 43
DIRECTIONS TO SITE:
PROJECT DESCRIPTION:
DEMO EXISTING CABIN/SFR
General Information Construction 8�Occu 11 pancy Information
Square Footage Information
No.of Bedrooms: Type of Constr.: Lot Size: Deck:
Type of Use: SF Insp.Area: No.of Bathrooms: Occ.Group: Building:
Fire Dist.: 5 No.of Stories: Occ. Load:
Type of Work: DEM Basement:
Valuation: Building Height: Occ. Status:
Setback Information Shoreline 8,Planning Information
Manufactured Home Information Water Body:
rMake: Length: Ft. Front: Ft. Shoreline: Ft• SEPA?:
Rear: Ft. Slope: Ft Shoreline Desig.:
del: Width: Ft Side 1: Ft.
Year: Serial No.:
Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures
Mechanical Fixtures FEES
Type Qty.
Type By Date Amount Receipt
Type Qty. Demolition Fee JBN 8/24/2017 $ 117.50 S2201700000001
Building State Fee JBN 8/24/2017 $4.50 S2201700000001
Total $122.00
BLD2017-00816
Please refer to the following pages for conditions of this permit. Page 1 of 3
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c MASON COUNTY PERMIT NO.
W . COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWV1►.CO.MASON.WA.US (360)427-9670 Shelton ext.35 ��
—-_— Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext. 35
IRsa c Shelton,WA 98584 (360)482-5269 Elma ext. 352
- AlUi 2 4 2017
DEMOLITION PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:
GI NAME:
..��/'Y,(C/�
MAILING DRESS:8'73r�5 ar oA C` R ..S MAILING ADDRESS:
CITY:
STATE. UUi� ZIP:y85l CITY: STATE: ZIP:
PHONE 3( �59 77/`f CELL: 3Gp ��/ 00 PHONE: CELL:
EMAIL: EAR
L&I REG# EXP.
PARCEL INFORMATION: FIRE DISTRICT ors i1
PARCEL NUMBER(12 DIGIT NUMBER) A
9- -OCLEGAL DESCRIPTION(ABBREVIATED) : rzie- 90i y ITY shc/ f)
SITE ADDRESS -733i�7
DIRE TIONS TO SITE ADDRESS: p / S'{a 3eli
l3r° IYDr h �sIan rIv � /'_ ` /s D� ' to I( , o f 7;/u rd
IS PR PERTY WITHIN 200 FT:
SALTWATERR LAKE❑ RIVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑NO,S
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE PLEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENTII.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) Cd �iI-
HOW WILL THE DEBRIS BE DISPOSED OF?:�lcPa�e / S rJ a6c�i 1I6
PROVIDE A//PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
s e� c� G Cal z°G1 lY1GtP-S
OWNER/CONTRACTOR 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 contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary
parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and inspection.This permit/application.becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPEC N. INACTIV Y OF HIS PERMIT APPLICATION OF 180 DAYS WILL IN AL199ATE THE APPLICATION.
8ay/!'7
x
of-A plicant- —--
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Date — — - - - -- -----
X J1 /`/�1 /�{ S <� OWNER/REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTIVIENTAL.REVIEW° AEPtEDAT DllAESE57CON3� ONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
Z