HomeMy WebLinkAboutBLD2019-00570 Cancelled Demo - BLD Permit / Conditions - 5/30/2019 Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2019-00570 DEMO
PROJECT DESCRIPTION: DEMO PERMIT FOR MFG HOME ISSUED: 05/30/2019
SITE ADDRESS: UNKNOWN MASON COUNTY
EXPIRES: 11/26/2019
PARCEL: 223297500100
APPLICANT: ROY R NETTLEBECK OWNER: ROY R NETTLEBECK
170 NE RANCH DR 170 NE RANCH DR
TAHUYA,WA 98588-9773 TAHUYA,WA 98588-9773
1.360.275.6805
GENERAL CONTRACTOR'S LICENSE: R.W. EXCA License: RWEXCWE842K5
P O BO Expires: 05/25/2020
ALLYN, 98
1.206.85
FEES: Paid Due
State Fee-Residential $6.50 $0.00
Demolition Fee $120.00 $0.00
Totals : $126.50 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
* 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.
* 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.
* For public safety, it is the responsibility of the applicant to confirm through written verification all utility services (electric,
gas, water, sewer, ...) have been terminated prior to demolishing a structure.
Printed by:Genie Mcfarland on:05/30/2019 09:36 AM
Page 1 of 2
Mason County
Mason County - Division of Community Development
a
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
DEMO BLD2019-00570
* 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
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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 A t orized Agent: Date: 5o
Printed by:Genie Mcfarland on:05/30/2019 09:36 AM
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o coU�' ';,,, MASON COUNTY PERMIT NO.?I�ZUI�'l '�5��
_ DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
Issd PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Roy Nettlebeck NAME: R.W. Excavation, LLC
MAILING ADDRESS: 170 NE Ranch Dr MAILING ADDRESS: PO Box 1711
CITY: Tahuya STATE: WA ZIP:98588 CITY:AIIyn STATE: WA ZIP:98524
PHONE:360-275-6805 CELL: PHONE:206-856-7282 CELL:
EMAIL:tahuyabee sinclair.net EMAIL : rwexcavation(ftutlook.com
L&I REG# RWEXCWE842K5 EXP. 05/25/2020
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 223297500100 FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) : TR 10 OF SURVEY 8/150
SITE ADDRESS 170 NE Ranch Dr CITY Tahuya
DIRECTIONS TO SITE ADDRESS:
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 WITHIN AN AREA 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.) Residence
HOW WILL THE DEBRIS BE DISPOSED OF ?
Debris to be taken to Olympic View Transfer Station
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.INA OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x 5/29/2019
Sign,ure of Applicant Date
x Robert Webster, R.W. Excavation, LLC OWNER/REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW~-.. Ak] P dVED DATE DENTED! DATE TAG INC}T1 /C£?I fiDIT (3N
BUILDING DEPARTMENT
PLANNING DEPARTMENT
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