HomeMy WebLinkAboutBLD2019-00792 Demo of Mobile Home - BLD Permit / Conditions - 7/22/2019 Mason County
Mason County - Division of Community Development
�W"' "n� h 615 W.Alder St. Bldg. 8
Shelton,WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2019-00792 DEMO
PROJECT DESCRIPTION: DEMO OF MOBILE HOME ISSUED: 07/22/2019
SITE ADDRESS: 20 NE ROESSEL RD BELFAIR
EXPIRES: 01/18/2020
PARCEL: 123325000050
APPLICANT: TURNER, SANDY OWNER: SANDY TURNER
20 NE ROESSEL RD#37 20 NE ROESSEL RD#37
BELFAIR,WA 98528 BELFAIR,WA 98528
253-380-6824
GENERAL CONTRACTOR'S LICENSE: C&C RECYCLING License: CCRECR*85067
17016 16TH AVE E Expires: 04/24/2021 ti '
SPANAWAY,WA 98387
253-677-1798
- r
FEES: Paid Due
State Fee-Residential $6.50 $0.00
Demolition Fee $120.00 $0.00
Totals : $126.50 $0.00
REQUIRED INSPECTIONS
1
BLD-Final Inspection I—I/ IA4, /`��1' v1Z11;Z'a1?V,0
CONDITIONS
* 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.
* 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:Nicole Norris on:07/22/2019 11:15 AM
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Mason County
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«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 BLD2019-00792
" 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 Authorized A Date: ,ter 2-�Z _4-
9 - ;� _
Printed by:Nicole Norris on:07/22/2019 11:15 AM
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94� COU
, "MASON COUNTY PERMIT NO���9�
f 4f DEPARTMENT OF COMMUNITY DEVELOPMENT
Sul ial iYG =r`hi rlii/ift3 a f TPE ice.'u E D
WWW.CO.MASON.WA.US (360)427-9670 Shelto e ���
""asr�n Crunty'Bldg !Il AL�'A'� e fin filar ct;4a+ 1Zfit1�774_.t ea7 RnIfL er o�r4
/list PO Box 279, Shelton,WA 98584 �.�•3.s - ��r 1 2 2 2019
(360)482-5269 Elma ext.
DEMOLITION PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
N—N4E: rNao q's r
MAILING ADD SS:Z0 ti (�b� t�\ P� n�} MAILING ADDRESS: ( I A-U
CITY: C3�(�r _STATE:w —ZIP: CITY: STATE:�c ZIP: `'3�
PHONE:Z�3-35�G'�` _CELL: PHON ,S3- t W6 CELL:
EMAIL: EMAIL:-CYL v C c�}-'}�j cO S� c%- 1,co v-1
L&I REG# EXP.
PARCEL INFORMATION: --— --
PARCEL NUMBER(12 DIGIT NUMBER) Z 3 Z —5(� -C�}pS� FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) :
SITE ADDRESS ZG .k). Q(,)Q 55 CITY t3 e �c�;c
DIRECTIONS TO SITE ADDRESS:
IS PROPERTY WITHIN 200 FT:
SALTWATER[] LAKE RIVERICREEK[] POND WETLAND SEASONAL RUNOFF STREAM
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESQ NO 0
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE PLE SE
COAr�®CT�ryF Pl T?VrVfNC Dll,IfV?_nr n�CAR r��rn�r �pTr�T,�nn��Ar� _?'O ,ITdAT fiW
EVS- URE REDEVELOPMENT '
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) �Z t2Sic
HOW WILL THE DEBRIS BE DISPOSED OF
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
E++ry+ �,rccaa/rr,aaurr:rvarr a+n u/c rac.c.:aorary
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 construc
tion work'
Y Is suspended for period of 180 days.p p y PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSP TIO elf— IVITY F THIS PERMIT APPLICATION OF 180 DAYS WILL IA—�IDAT„E THPpLICATtON.
X_- + t
i _Signature of ApplicantNV
Date
OWNER/REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE j DENIED { DATE TAGSINOTES CONDITIONS j
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