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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 Page 2 of 2 ! \ \ \ \ E 6 w § \ E \ o C14 w w \ 3 § < I 6 4 a. / LU \ k \ / &� \ c z co/ \ 00 O % � i c \ i f � ƒ / f [ £ � LLI 2 LO co \ / j fL c u ) c = $ z Z _ a k 0 U 0% \ 0 ƒ \ co)@E ® Z \ Q 2 § § L) \ x � C a w \ \ � � f / < c a = 0 \ c ` \ a a 2 § q ƒ co LLJ j § } Cl § ƒ z / \ \ § X ± C) / / § ] C r / U) q Cl) / / E z \ u 2 u z o Q co m 2 � § 2 ( , # # /^may E w 50 / Q LLJ e e u §� : \ a a. 0 k \ \ 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