HomeMy WebLinkAboutCOM2018-00105 DEMO - COM Permit / Conditions - 2/28/2019 o <
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p Interior Date By anterior-Date By Date ay
C) Exterior Date By Exterior-Date By
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Point Load I Isolated Footings Date Date By
BG!SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type-
Date By Date By Date By
D.w.v DRYWALL Type: n
Date B Int Brace Wall Date By 3
y Date By N
FINAL INSPECTION
Water Line Fire Separation
Date By Date By Date By 6
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
�PSON cot, Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2018-00105
OWNER: GARY VIG RECEIVED: 8/28/2018
CONTRACTOR: BILL MCTURNAL 360-432-0971 LICENSE: BILLMME855LT EXP: 7/12/2019 ISSUED: 8/28/2018
SITE ADDRESS: 1111 SE STATE ROUTE 3 SHELTON EXPIRES: 2/28/2019
PARCEL NUMBER: 320301400020
LEGAL DESCRIPTION: N 5 ACRS OF SE NE E OF W LINE OLD R/W&TR 3 OF N1/2 SW NW SEC 29 S 4/77 PCL 2 OF BLA#92-34 AF#543251
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLITION PERMIT: TOTAL PROPERTY DEMO HWY 3 S TO SITE
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: TIRE SHOP Insp.Area: 4 No. of Bathrooms: Occ. Group:
Type Work: DEM Fire Dist.: 5 No. of Stories: Exit Design. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2018-00105 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee anav A/9A/9n1A #,95 nn C49n1Ann
Demolition Fee ARAP A/9A/9n9A -�117 sn q A9niAnn
Total $142.60
CASE NOTES FOR
COM2018-00105
CONDITIONS FOR
COM2018-00105
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647;0F82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
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 identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.org
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3) All buildin ermits shall have a final inspection performed and approved by the 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-complij Mason County ordinances and building regulations.
X
4) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit ave prevented action from being taken. No more than one extension may be granted.
X
COM2018-00105 Page 2 of 4
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.
Signa r Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2018-00105 Page 3 of 4
MASON COUNTY PERMIT NO. Czi2, C)T)
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
-— WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 `C
Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext.352
lR Shelton,WA 98584 (360)482-5269 Elma ext. 352 �O
DEMOLITION PERMIT APPLICATION 6y5W 8
OWNER INFORMATION: CONTRACTOR INTFORMATION: rstre t
NAME: acwu V0 NAME: I MGTWVW VqkkPVL2S
MAILING DRE : MAILING DRESS: Q . c 1Z
CITY: `J�YJ+V-) STATE: _ZIP: q CITY:S STATE: _ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL: EMAIL : t V�Cb)V-AA cut vqy 6u'1 .CCU
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 5ZC: :�)6 1 q(6Q Z'o FIRE DISTRICT_
LEGAL DESCRIPTION(ABBREV TED) :
SITE ADDRESS III I J CITY
DIRECTION TO SITE AD RESS:
a� � ,
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.) Umwa/CA
HOW WILL THE DEBRIS BE DISPO E OF?.
it
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
.'T�
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 i ection. This permit/application.becomes null&void if work or authorized construction is not commenced within 180
days or if c tr ction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPE T I HIS PERMIT APPLICATION OF 180 DAYS WILL INVA DAT THE APPLICATION.
X
i tur f A cant Date
X. C OWNER/REPRESENTATIVE/ TRAC
Print Name (CIRCLE TO IN CA
DEPARTMENTAL REVIEW-.. . APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT