HomeMy WebLinkAboutBLD2015-01059 Cancelled Demo SFR - BLD Permit / Conditions - 4/16/2020 Inspection Line (360)427-7262
Co����, MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-01059
OWNER: GARY HANSON - RECEIVED: 12/23/2015
CONTRACTOR: LICENSE: EXP: ` ISSUED: 12/23/2015
SITE ADDRESS: 4101 E STATE ROUTE 106 UNION
PARCEL NUMBER: 322314300090 EXPIRES: 6/23/2016
LEGAL DESCRIPTION: TR 9 OF S 13.14 AC G.L. 3 &TAX 281-B-1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT FOR SFR (1430 SQ FT) BROCKDALE RD, MCREAVY RD, R ON DALBY RD, FOLLOW TO ST RT 106
TO SITE ADDRESS
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 6 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft.
Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee GMM 12/23/201 $4.50 S1201500000001
Demolition Fee GMM 12/23/201 $ 117.50 S1201500000001
Total $ 122.00
BLD2015-01059 Please refer to the following pages for conditions of this permit. Page 1 of 2
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CONCRETE MECHANICAL MANUFACTURED HOME
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Footings I Setbacks Gas Piping Ribbons (l)
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Point Load I Isolated Footings Date By >
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Date By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By
DECKS
FRAMING Walls Date By
Date Ry Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Date By Date By Type-
DRYWALL Date By
0.w.1v Type,
_U Date By Int Brace Wall Date By 100
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FINAL INSPECTION
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PSoN aa��a� MASON COUNTY PERMIT N0.5 206- Jbs�'I
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 W Belfair5� T"��
M PO Box 279, Shelton, A 98584 (360)482-5269 Elma 2 1��//
DEMOLITION PERMIT APPLICATION DEr. 2 3- 2015
----------------
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 0-31 d C I^cl 1�501 NAME:
MAIL G ADD SS: 0 --J30 X .5 to MAILING ADDRESS:
CITY: STATE: LO('f ZIP: 'Sqa CITY: STATE: ZIP:
PHONE: 7(a 0-�J�, 02-ELL:J g).• 4Q0-700[o PHONE: CELL:
EMAIL: a p o cc h EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) .1 I " 413" 00010 FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) : r N
SITE ADDRESS 4A 0 51 c• S+ 'ZAC 16 ki CITY ; h wtk
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 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.) (95;4ence-
HOW WILL THE DEBRIS PE 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
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
INSP - N. INAC IVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X w IZ) • -a3 - is;
ignature o Applicant Date
X 5T31\ OVER /REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW-__ Ap-J O.V_ED DATE DENIED DATE AGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT