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Home My WebLink AboutBLD2015-00986 Demolition of SFR - BLD Permit / Conditions - 11/23/2015 Inspection Line(360)427-7262 �6�N!�oUrF MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 4 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 'k'd RESIDENTIAL BUILDING PERMIT BLD2015-00986 OWNER: SANDRA WILSON RECEIVED: 11/23/2015 CONTRACTOR: B-LINE CONSTRUCTION LICENSE: BLINEC1030N7 EXP: 3/28/2017 ISSUED: 11/23/2015 SITEADDRESS: E ISLAND LAKE RD SHELTON EXPIRES: 5/23/2016 PARCEL NUMBER: 420014100040 LEGAL DESCRIPTION: PCL 1 BLA#05-30 &TAX 926 PTN G.L.1 S 31/7 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLITION OF SFR (OLD LOG HOME) SHELTON SPRINGS RD, R ON ISLAND LAKE RD, L ON ISLAND LAKE DR TO SITE ADDRESS ON THE RIGHT SIDE, FOLLOW PRIVATE UNNAMED EASEMENT(SHARED WITH 782,784 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.: 11 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.: I I Side 2: Ft. I Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Demolition Fee GMM 11/23/201 $ 117.50 S120150000000i Building State Fee GMM 11/23/201 $4.50 S1201500000001 Total $ 122.00 BLD2015-00986 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2015-00986 I CONDITIONS FOR BLD2015-00986 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 potenti ks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-64 . The erson 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 ained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X 3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final in nection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason C ordina es and building regulations. X 4) All permits exp a 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 perio of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder 06—RbPreven ed action from being taken. No more than one extension may be granted. X BLD2015-00986 Please refer to the following pages for conditions of this permit. Page 2 of 3 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 YS WILL INVALIDATE THE APPLICATION. Signature Date 16 oarvar-CL a) ; 150 )t OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00986 Please refer to the following pages for conditions of this permit. Page 3 of 3 r t� o CONCRETE MECHANICAL MANUFACTURED HOME r cn Footings /Setbacks Dat Piping BY Ribbons O o Interior Date By interior-Date By Date By z w Exterior Date By Exterior-Date B Set-up (A INSULATION D Point Load l Isolated Footings Date By z BG 1 SLAB INSULATION -- -- --- W Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By D Date By Data By DECKS FRAMING Walls Date By Date By data By PROPANE TANKS PLUMBING vault Date By m Date By OTHER Groundwork Atdc Type.. Data By Date By Date By D.W.V DRYWALL Type. Int Braes Wadi � Date By Date By W Date By CD FINAL INSPECTION W v C/) Water Line Fire Seperatio n m CD Date By, Date By Date jZ71_6 By o Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Dane By Comments W rn v 00 O 0 O 7 d O 7 y O 7 N a (D 1 3 V Q 1 AA COL I �� MASON COUNTY PERMIT NO.- Zb15- rx��g� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING• PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 - Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 185-1 PO Box 279, Shelton, WA 98584 (360)482-5269 Elma ext.352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: S 0-, NAME: I-Lj Y1 P) MAILING ADDRESS: MAILING ADDRESS: CITY: 4tM., STATE: ZIP: $5 CITY: STATE: ZIP: PHONE&PO 1427.l05491 CELL: PHONE: CELL: EMAIL: EMAIL : L&I REG# EXP. PARCEL INFORMATION: g2bpl -`41 . O�OgQ PARCEL NUMBER(12 DIGIT NUMBER) ��xi-;b• Ji^ ^^ FIRE DISTRICT I LEGAL DESCRIPTION(ABBREVIATED) SITE ADDRESS 78A E L`a� -I &Jck- rt J aE;— CITY Shp,( c - DIRECTIONS TO SITE ADDRESS: IS PROPERTY WITHIN 200 FT: Ll t9 . SALTWATER[] LAKEY'RIVER/ REEK❑ 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 e- HOW WILL THE DEBRIS BE DISPOSED OF? PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED 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 INSP N. INACTIVI F THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE gE APPLICATION. X • cI t �� Si nature of Applicant Date X aYldrm (X); .Sd OWNER / REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) bEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT Mason County Map Output Page Page 1 of 1 Mason County Map 1421 E ISLAND LAKE DR1453 E ISLAND LAKE OR 1501 E ISLAND LAKE OR 100 E RIDGE-GREEK LN 1451 E ISLAND LAKE DR 1411 E ISLAND LAKE OR 130 E RIDGEGREEK LN 1401 E ISLAND LAKE DR 1371 E ISLAND LAKE DR.. 1331 E ISLAND LAKE DR1351 E ISLAND LAKE DR 1510 E ISLAND LAKE DR 160 E RIDGEGREEK LN LAKE OR 4 1:911 E ISLAND.LAKE DR 1490 E ISLAND � } / - 1480 E ISLAND LAKE DR I 50 E mDarGREEK LN 1450 E ISLAND LAKE DR 1251 E ISLAND LAKE DR 1430 E.ISLAND LAKE,DR, 1400 EISLANDLA DA /' 13 80 E ISLAND LAKE 1231 E ISLAND LAKE DR 1360 E ISLAND LAKE DR t1 A 7300 E ISLAND LAKE DR1320 E ISLAND:LAKE r 1230 E ISLAND LAKE m 1212 E ISLAND LAKE DR � f 1210 EISLAND LAKE Z 1198 E ISLAND'LAi� IIIIYillilililililrn4h._ l 1190 E ISLAND.LAKE OR 1194 E ISLAND LAKE DR1192£. 1130 E ISLAND LAKE DR 1090 E IS o k D :)stend Is Q h w 161 E BEAUMONT DR 1TO E BEAUMONT DR UNIT B 180 E BEAUMONT OR UNIT B 160 E BEAUMONT DR UNIT A 140 E BEAUMONT OR UNIT B Q � 782 E ISLAND LAKE DR Z 142 E BEAUMONT DR,, f 130 E BEAUMONT OR UNIT B 770 E D LAKE ISLAN , 7 130 E BEAUMONT DR UNIT A � y 4 t; W 861 E ISLAND LAKE DR 761 E ISLAND LAKE DR in w` 100 E BEAUMONT DR UNIT B 1 740 E IS J 853 E ISLAND LAKE DR Jr!! 720 E to E E 70 E BEAUMONT DR UNIT B f? 710 E ISLAND TO E BEAUMONT OR UNIT / 493 E ISLAND LAKE RD 690 E ISLANDL 471 E OLAND LAKE RD LAKE 461 E ISLAND LAKE RD I E ISLAND '.g DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are o s ra`001. approximate,and are not necessarily accurate to surveying or engineering standards,and are intended for informational purposes only.Mason County does not assume any legal liability f`✓Hig eys cay of Sh=lto-n or responsibility arising from the use of this map in a manner not intended by Mason County. In no event shall Mason County be liable for direct,indirect,incidental,consequential, ' S11C YISFy urr7 dry'dd special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Far l 6filtY&r" IDr#f*{[stria, or benefits arising from use of or reliance on the information contained herein C 2009-Mason County GIs To-nsh s J[p Ripe So to 8 Major Likes 100 W.Public Works Dr Shelton,WA 98584 http://mapmason.co.mason.wa.us/serviet/com-esri.esrimap.Esrimap?ServiceName=amaso... 12/11/2015