HomeMy WebLinkAboutBLD2019-00252 Final Demo - BLD Permit / Conditions - 8/9/2017 > 'p MASON COUNTY PERMIT NO. 01(i ZGIi>-CL 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL m [{ �' ]
WWW.CO.MASON.WA.VS (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATTION: CONTRACTOR INrFORMATION:
NAME: CarlC tleSYwaM NAME:
MAILING ADDRESS: P6 9 ox 1364 MAILING ADDRESS:
CITY: CSd�yr STATE:_t49 a ZIP: I ITS CITY: STATE: ZIP: _
PHONE: CELL: 3W 1 0 01-3 PHONE: CELL:
EMAIL: "ro Car( &— cu, nvk. cam, EMAIL :
L&I REG# EXP.
PARCEL INFORMATION: A '
PARCEL NUMBER(12 DIGIT NUMBER) a - 10 FIRE DISTRICT/yM�f
LEGAI.DESCRIPTION(ABBREVIATED) : 2% &`-L ScwAIE TV- a oV SP N&I
SITE ADDRESSJaqI E ccd 8 CITY k IFaLr
DIRECTIONS TO SITE AD RESS: (9I `
IS PROPERTY WITHIN 200 FT:
SALTWATER[] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT- GREATER THAN 14% YES❑ NO ❑
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 REDEVELOPMENT.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.)
�I
HOW WILL THE DEBRIS BE DISPOSED OF t?� '' cfi lr I r, 0 v—
AAAaA 6 � m2yo r UM ied� CAP v ekd , A a t7 cT 61 f'rf
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
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
INSPECTION. INACTIVIT RMIT APPLICATION OF 180 DAYS WlL INVALIDATE THE APPLICATION.
Si nature of Applicant Date
X Cirl Elnresww" OWNER/REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
BUILDING DEPARTMENT
PLANNING DEPARTMENT
Mason County
`.MASON COUNTY Mason County Community Services
COMMUNITY SERVICES
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2019-00252 DEMO
PROJECT DESCRIPTION: DEMO PERMIT FOR 1955 SFR ISSUED: 03/21/2019
SITE ADDRESS: 1241 NE OLD BELFAIR HWY BELFAIR
EXPIRES: 09/17/2019
PARCEL: 123201391072
APPLICANT: CARL EHRESMAN II OWNER: CARL EHRESMAN II
P O BOX 1267 P O BOX 1267
BELFAIR,WA 98528-1241 BELFAIR,WA 98528-1241
FEES: Paid Due
Demolition Fee $120.00 - $0.00
State Fee-Residential $6.50 $0.00
Totals : $126.50 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
• The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800422-5623, www.orcaa.org
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* All construction and demolition debris must be removed from the beach after project completion. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State
waters.
Printed by:Genie Mcfarland on:03/21/2019 02:13 PM
Page 1 of 2
Mason County
MASON COUNTY Y Mason County Community Services
COMMUNITY SERVICES
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.masonma.us
DEMO BLD2019-00252
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By: )
Contractor or Autho . ed Agents Date:
Printed by:Genie Mcfarland on:03/21/2019 02:13 PM
Page 2 of 2
INSPECTION CARD
MASON COUNTY Mason County
COMMUNITY SLRVICLS
615 W. Alder St. Bldg. 8, Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
PERMIT# BLD2019-00252 PROJECT ADDRESS . 1241 NE Old Belfair Hwy Belfair, WA 98528
PARCEL# 123201391072 PROJECT DESCRIPTION DEMO PERMIT FOR 1955 SFR
OWNER CARL EHRESMAN II ADDRESS P O BOX 1267 PHONE
CONTRACTOR ADDRESS PHONE
CONTRACTOR LICENSE LENDER
INSPECTION INSP DATF Comments INSPECTION INSP I DATE Comments
BLD-Final Inspection
�o
Q
Mason County
MASON COUNTY Mason County Community Services
COMMUNITY SERVICES
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2019-00252 DEMO
PROJECT DESCRIPTION: DEMO PERMIT FOR 1955 SFR ISSUED: 03/21/2019
SITE ADDRESS: 1241 NE OLD BELFAIR HWY BELFAIR
EXPIRES: 09/17/2019
PARCEL: 123201391072
APPLICANT: CARL EHRESMAN II OWNER: CARL EHRESMAN II
P O BOX 1267 P O BOX 1267
BELFAIR,WA 98528-1241 BELFAIR,WA 98528-1241
FEES: Paid Due -
Demolition Fee $120.00 $0.00
State Fee-Residential $6.50 $0.00
Totals : $126.50 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
* The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800-422-5623, www.orcaa.org
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* All construction and demolition debris must be removed from the beach after project completion. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State
waters.
Printed by:Genie Mcfarland on:03/21/2019 02:13 PM
Page 1 of 2
Mason County
MASON COUNTY Mason County Community Services
COMMUNITY SERVICES
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.masonma.us
DEMO BLD2019-00252
hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
11
Issued By:
Contractor or Autho ' ed Agen . ��y
—c - -- Date:
Printed by:Genie Mcfarland on:03/21/2019 02:13 PM
Page 2 of 2