HomeMy WebLinkAboutBLD2019-00517 Cancelled Demo of MFG Home - BLD Permit / Conditions - 5/16/2019 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
F
D2019-00517 DEMO
JECT DESCRIPTION: DEMO OF MFG HOME WILL REPLACE ISSUED: 05/16/2019
H NEW UNIT ADDRESS: 21 E SHERWOOD RD ALLYN EXPIRES: 11/12/2019
PARCEL: 122305000001
APPLICANT: RONALD F&JACQUELINE PHIPPS OWNER: RONALD F&JACQUELINE PHIPPS
PO BOX 1238 PO BOX 1238
ALLYN,WA 98524 ALLYN,WA 98524
ES: 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
" 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.
* 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 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:Ariane Paysse on:05/16/2019 10:16 AM
Page 1 of 2
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
DEMO BLD2019-00517
" 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.
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 other st /loc I law regulating construction or the performance of construction.
Issued By:
/`� j
Contractor or Authorized Agent: T—�jL�uJ Date:
Printed by:Ariane Paysse on:05/16/2019 10:16 AM
Page 2 of 2
0 0 0 m
v z z z
m D �p \ __ =
n n
y
N O 0
m X X
0 r
o n N W
z m z w
D CD o
m o o m
n o 6
90 o 0
o
D
(7 V
2 O
cn C
r-
Z
m
o T
m
cn
0 O)
O _a
3 r D D cn
m
o v v 0 0 Z m m m O` O` D
m � n n cn
W (D -�
o m o Q �n, ?. m
O n � N N 0
x m o V Q O
w N rn� O
z o� 0
00 o O
O
:3 (D = = Z
� � cD : ^
m m �� ` ,
0 m cn N- D
O O s
z O m D
Ko
v
0 00
00
O n
i�- D
D
o � �
> m O0
cn
m D
-u C)
O O m
z z
m m
o Z
9 m
3
'D C
:3 Z_
Co
MASON COUNTY PERMIT NO.
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext.352 R'FCF/
1ST Shelton,WA 98584 (360)482-5269 Elma ext.352 i.• �/�
- �. SAY ry (�,j
DEMOLITION PERMIT APPLICATION 2ff'
Sys VA.
OWNER INFORMATION: CONTRACTOR INFORMATION: . der ,3tr et
n
NAME: �''' V"k (J --
NAME:
MAILING ADDRESS: ff,;;�, I Shec&m-.) MAILING ADDRESS:
CITY: STATE: Ld4 ZIP: Y16,2,tf CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP. /
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 2 2 3 0 __3 O -- 0 a pa FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) : D;� 4 trZ A Pt- L fl
SITE ADDRESS A. CITY 1 y h r
DIRECTIONS TO SITE ADDRESS: r6 w S f- -1
k P d' t i O'd rCQ
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEKJ POND❑ WETLAND❑ SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT- GREATER THAN 14% YES❑ NO ❑
IF YOUR PROTECT 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 DEMOLIS �IDCF, ARAGE ETC.)
HOW WILL THE DEBRIS BE DISPOSED OF?: �0`5 / ��A a. J tW
PROVIDE A PLOT PLAN INDICATING LOCATI N OF STRUCTURE TO BE DEMOLISHED
kAo M J T 0 a C AAo vv\o : to a
OWNER/CONTRACTOR acknowledges submission of inaCCL rate inform tion 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
INSPECTIO. a'NACTIV /_O�F THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X �� �sY' o �
Sig9.n,ature of Applicant,
X Flo h F'rU S OWNER/REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW_: APPROVED DATE pENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT