HomeMy WebLinkAboutBLD2022-00628 Final Demo MFG Home - BLD Permit / Conditions - 6/6/2022 l 1
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 DD2022-00628 DEMO
PROJECT DESCRIPTION: DEMO MFG HOME (1974?) ISSUED: 05/19/2022
SITE ADDRESS: 1041 NE LARSON BLVD BELFAIR
EXPIRES: 11/15/2022
PARCEL: 123315100013
APPLICANT: JESUS ET UX JUAN PABLO OWNER: JESUS ET UX JUAN PABLO
ROSA SANCHEZ PEREZ ROSA SANCHEZ PEREZ
BELFAIR,WA98528 BELFAIR, WA98528
360-649-5474
GENERAL CONTRACTOR'S LICENSE: KINGS HOMES INC License: KINGSH1836MR
PO BOX 547 Expires: 08/13/2023
OLALLA,WA 98359
253-225-3694
FEES: Paid Due
Demolition Fee $120.00 $0.00
State Fee-Residential $6.50 $0.00
Technology Flat Convenience $5.00 $0.00
Fee
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection has been verified by Health or Utilities Demolition Final Inspection
CONDITIONS
• The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
" 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:Genie Mcfarland on:05/19/2022 08:15 AM
Page 1 of 2
Esc' 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 BLD2022-00628
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
OWNER/BUILDER 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. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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.
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: e`er
Contractor or Authorized Agent: T� �f�(� Date:O —) 1'2Z
Printed by:Genie Mcfarland on:05/19/2022 08:15 AM
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gON COp i
"rA MASON COUNTY PERMIT NO.R .l)Zo2..Z
COMMUNITY SERVICES DEPARTMENT Q
BUILDING•PLANNING•FIRE MARSHAL 2 L%
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
Shelton,WA 98584 (360)482-5269 Elma ext.352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Juan Pablo Jesus NAME:Kings Homes
MAILING ADDRESS:P.O.Box 2661 MAILING ADDRESS:P.o.Box 547
CITY:Belfair STATE:WA ZIP:98528 CITY:olalla STATE:WA ZIP:98359
PHONE: CELL:36006495474 PHONE: CELL: 253 225 3694
EMAIL:Belfair 12@yahoo.com EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION (ABBREVIATED)
SITE ADDRESS 1041 Larson Blvd CITY Belfair
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 ANAREA 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?:
3 Days
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
M-F61 +6 mE:--- 15-7,4 ?1
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.INACT VITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x ` n '7A2 .�e i� 5/18/22
Signatu a of Applicant Date
xJuan Pablo Jesus r✓IOWNER/F1REPRESENTATIVE/ ✓[]CONTRACTOR
Print Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT