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Home My WebLink AboutBLD2004-01117 DEMO - BLD Permit / Conditions - 7/8/2004 Inspection Line(360)127-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Ir Shelton, WA 98584 flo RESIDENTIAL BUILDING PERMIT BLD2004-01117 OWNER: MICHAEL FISH RECEIVED: 7/8/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 7/8/2004 SITE ADDRESS: 425 E RAUSCHERT RD GRAPEVIEW EXPIRES: 1/8/2005 PARCEL NUMBER: 121181300011 LEGAL DESCRIPTION: TR 1-A OF GOVT LOT 2 & TAX 655A-1 PCL 2 OF BLA#01-22 425 E RAUSCHERT RD GRAPEVIEW PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLITION HWY TO GRAPEVIEW LP RD, GRAPEVIEW LP RD TO RAUSCHERT RD, LEFT AFTER FENCE AND FOLLOW SIGNS "FISH" AND 425 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.: 5 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 KS 7/8/2004 $4.50 S12004 Demolition Fee KS 7/8/2004 $95.50 S12004 Total $100.00 BLD2004-01117 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2004-01117 CONDITIONS FOR BLD2004-01117 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) In accordance with the Uniform Building Code and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspection, X 7::� 3) Stock Plan Identification number: This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site/plot plan approved by the Planning Department, original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building Inspector at each required inspection. X 4) THE [ /IOL�TION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS. X cx This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described pr perty and structure for review and inspection. OWN ER OR AGENT 1 —� DATE: —,2— — e) S� BLD2004-01 1 1 7 Please refer to the following pages for conditions of this permit. 2 of 2 W r o CONCRETE MECHANICAL MANUFACTURED HOME 0 a' Footings 1 Setbacks Date By Ribbons 0 Date By Gas Piping Date By Foundation Walls Date B y Set-up Date By INSULATION Date By B G I Slab Insulation Floors Final D ate By Date B y Date B y FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date B y Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date Date By ��n° �p� _ Date By I vID CD 0 C 0 0 o d � s o x a � o l 1 M, N -oCD �..� r 0 h FORM MUST BE COMPLETED IN INK >' PLEASE PRESS HARD PERMIT 4)Z MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner H Q W Q L L. i ijr)A V 4 51-4 Contractor Name Mailing Address . a--)(, Mailing Address City�QApGIa �uJ StateL Zip Code 8S46- City State Zip Code Phone6LL Y11'I -3SZG Other Ph.(S'}I )ot�1C�1��1:7 Ph.( ) Other Ph.(� Lien/Title Holder — Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. `"X 4 A-?, / 13 / J 1)0 I I Fire District Legal Description 1 IZ 4 -/A � �.-`"T LC T- � -+ k Pi eS� n - 1 CL a RLA cli -L Site Address(include street name and city - ' ' Directions to site: 3 t` - (-3L . �r �l b k +r q \ Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream X Slopes or Bluffs A If your project is located adjacent to or within an area that is listed above, it is advisable to contact the Dept. of Community Development regarding future development prior to demolition; since removal of an existing structure could affect future building locations. How will the debris be disposed of? What is the use of the building being demolished? QQLC 0.1 1 O^; 1�-,Is AA f 91 c-1 NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. X �.e.a�f.� Date X Date Provide a plot plan indicating ocation of improvements and structure to be demolished. �w aU► 1d �w r f C e As:� I tiCs� FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. ;Dartment TMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Occ GrT e of Const. � P ' �Planningent FitBuilding Mshal FEES 7PermitFee �l+ Other Violation Fee Other /A Site Inspection Pre-Paid at Submittal t ( ) S 0 D `: TOTA L FEE D t5