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Home My WebLink AboutCOM2002-00065 Demo - COM Permit / Conditions - 5/28/2002 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)127-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352 Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2002-00065 OWNER: HOOD CANAL SCHOOL DISTRICT 404 RECEIVED: 5/23/2002 CONTRACTOR: ISSUED: 5/28/2002 SITE ADDRESS: 111 E STATE ROUTE 106 SHELTON EXPIRES: 11/28/2002 PARCEL NUMBER: 421023460000 LEGAL DESCRIPTION: S1/2 OF SW EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLITION General Information Construction &Occupancy Information Type of Use: Insp.Area: No. of Units: Type of Constr.: Type of Work: Fire Dist.: No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Front: Ft. Shoreline: Ft. Shoreline& Planning Information 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?: COM2002-00065 Please refer to the following pages for conditions of this permit. 1 of 3 r Plumbing Fixtures Mechanical Fixtures FEES T City. Type Qty. Type By Date Amount Receipt Demolition Fee KART. r,r?ii9nn9 Itrw an ciga in Building State Fee KART; U an rgazn Total $56.80 CASE NOTES FOR COM2002-00065 CONDITIONS FOR COM2002-00065 , 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 unr gistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this conditio i the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In a tion, a Re-Inspection fee in the amount of$52.30 per hour (minimum 1 hour)will be charged and mu t o ected by this department prior to any further inspections being performed or approval granted. X 3) PURSUANT TO 1997 UNIFORM BUIL I G CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADO TED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWN INSPECTION ACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING S. X 4) The approved plot plan Is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. I ddition, a Re-Inspection fee in the amount of$52.30 per hour (minimum 1 hour)will be charged and mu t t I b o ected by this department prior to any further inspections being performed or approval granted. X 5) Demolition actitvities must conform wiI State and local County regulations as,a condition to the issuance of this permit. The applicant/owner is directed to conatct Olympic Air Pollution o f uthority at (360)438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition. X C0M2002-00065 2 of 3 -6) 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 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. X This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of wor pro ss inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWN ER OR AGENT: IiAA" . DATE: 07 C% Z COM2002-00065 3 of 3 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date ---- by Gas Piping date b Foundation Walls date —�a Set Up date by a —._.- _--- INSULATION date by Floors BG/SLAB Insulation Final _—__-- --_-_--- -- date by date by date by FRAMING Q-` --------..._--------�__.—..y_---- FIRE DEFT. date by Walls PLUMBING m A date - --_---- - by —- date by Groundwork Attic OTHER date b date _— -- WALLBOARD NAILING _ y D.W.V. date by date by Water Line- — - -- i— --- FINAL INSPE ON date by date �'rV l Qa by G date by ------------------ -- ------- I 05/21/2002 12:19 FAX 360 427 7798 MASON CO PERMIT CTR 11005 14 � ��,I�ga jb y ;w, Cn, FORM MUST E COMPLETED IN INK ff—a,?— O,-- PERMIT NO.:e-01412A- W'( PLEASE PRESS HARD MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 390 427-8670 Belfair 360 275.4467 Elma 360 4825269 Seattle 206 464-6968 APPLIC NT INFORMATIO4 CONTRACTOR INFORMAT ON Owner D G4cA Contractor Name Mailing Address llt',(Q Mailing Address City l.') State Zip Code 04004 �1/'r State 1�- ;-lip Code4a� Phone(20 ) Oth h.(_) Ph.(�f��)fit •io- I Other Ph,(_� Lien/Title Holder Contractor Re # 15G Q TT (4)C7l i Z i .P H _— Address I Expiration/f1C1 " /ma, PARCEL I FORMATION-12 digit Tax Parcel No. Fire District Legal Description Site Addres�(Include street name and city i i 1 tae�t�t Qr[�'1;� 1Z01ti I&(o ,5Nt`-40r4 f INS q�� Directions t site: Is your property within 200' of the following: Body of Water(Name) Saltwater Lake I River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs_ I 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? EAUV1 PO f xJrffAafBlR— What is the use of the building being demolished? NOTICE: THIO PERMIT 13ECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCT ON 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 pI ovlded Is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of his project. Acknowledgment of such is by signature below: OWNER AFFI((DAVIT-I certify that I am exempt from the requlrements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor egistratlon Law RCW 18.27 and am aware of the contractor In the State of Washington and that I am aware of the ordinance req rem is for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done� o or therewith. No changes shall be made without and all work II be done i formance therewith. No changes shall first obtai n a ro t ma wi o t fi ob my pproval. X Date S �� Z X / Dat �;yo Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. __ DEPARTMENTAL REVIEW JAPPROVED DENIED CONDITION CODES Building Department Oce Grp Type of Const. Planning Deptiftinent Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspect) Pre-Paid at Submittal xi'z TOTALFEES ..�:N/C C��/.��WA�w