HomeMy WebLinkAboutBLD2023-00935 DEMO - BLD Inspections - 4/10/2024 INSPECTION CARD
Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2023-00935 PROJECT ADDRESS 413 NE Tahuya River Dr Tahuya, WA 98588
PARCEL# 222051290270 PROJECT DESCRIPTION DEMO SINGLE WIDE MFG HOME
OWNER TOMLINSON DANIEL R ADDRESS 1087 NE LOMBARD CT PHONE 360-633-6062
CONTRACTOR ADDRESS PHONE
CONTRACTOR LICENSE LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
Connection has been verified by 14_(C-�4 iDernolition Final Inspection
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Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2023-00935 DEMO
PROJECT DESCRIPTION: DEMO SINGLE WIDE MFG HOME ISSUED: 08/07/2023
SITE ADDRESS: 413 NE TAHUYA RIVER DR TAHUYA
EXPIRES: 02/03/2024
PARCEL: 222051290270
APPLICANT: TOMLINSON DANIEL R OWNER: TOMLINSON DANIEL R
1087 NE LOMBARD CT 1087 NE LOMBARD CT
BREMERTON,WA 98311 BREMERTON,WA 98311
360-633-6062
FEES: Paid Due
Technology Flat Convenience $5.00 $0.00
Fee
State Fee-Residential $6.50 $0.00
Demolition Fee $120.00 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Demolition Final Inspection
CONDITIONS
* 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
* All construction debris must be removed from the site after project completion to an approved location. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of aquatic
environments.
Printed by:Annie Wilson on:08/07/2023 11:26 AM
Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2023-00935
* Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
contact the Mason County Public Works Department prior to construction at Ext 450
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
* 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.
* 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.
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: I1 Init. [A1111111
Contractor or Authorized Agent: - Dater 7
Printed by:Annie Wilson on:08/07/2023 11:26 AM
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�PyoK coU�r� MASON COUNTY PERMIT NO. 00935
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING.FIRE MARSHAL
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
1854 Shelton,WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION/: CONTRACTOR INFORMATION:
NAME: �N l4 NAME:
MAILING ADDRESS: /c? G MAILING ADDRESS:
CITY:K,L,e",.,,4A + STATE: ZIP:('153 / CITY: STATE: ZIP:
PHONE: CELL-3 o �33 (odb Z PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION (ABBREVIATED)
SITE ADDRESS 1l,3 N.L 'T4-A,,r4- CITY
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.) f �l
HOW WILL THE DEBRIS BE DISPOSED OF?:
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
3 c7 Pr VJ
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
INSPECT N. IN V THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x , W-7 l�ja 3
Sign/ature of Appli�gt y� Date
x—�bl, /i ❑OWNER/]REPRESENTATIVE/❑CONTRACTOR
Print Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT