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Home My WebLink AboutBLD2017-00590 Demo SFR - BLD Permit / Conditions - 6/23/2017 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 1f y Mason County 615 W Alder St Shelton, WA 98584 1834RESIDENTIAL BUILDING PERMIT BLD2017-00590 OWNER: ALFRED & NANCY BLOOMFIELD RECEIVED: 6/23/2017 CONTRACTOR: LICENSE: EXP: ISSUED: 6/23/2017 SITE ADDRESS: 402 W G ST SHELTON EXPIRES: 12/23/2017 PARCEL NUMBER: 420134500270 LEGAL DESCRIPTION: D SHELTONS DON LAND CLAIM#37 TR 27 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO OF EXISTING SFR, HOUSE FIRE DIS2017-00005 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 JBN 6/23/2017 $4.50 S220170000000( Demolition Fee JBN 6/23/2017 $ 117.50 S220170000000i Total $ 122.00 BLD2017-00590 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2017-00590 CONDITIONS FOR BLD2017-00590 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 / L' "S 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 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 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 <�_ I �= 17�1 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 holder have prevented action from being taken. No more than one extension may be granted. BLD2017-00590 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 DAYS WILL INVALIDATE THE APPLICATION. Signature Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2017-00590 Please refer to the following pages for conditions of this permit. Page 3 of 3 MASON COUNTY (360)427-9670 Shelton'ext.352, DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352 BUILDING•PLANNING•FIRE MARSHAL (360) 482-5269 Elma ext. 352 Inspection Hotline (360)427-7262 -i Mason County Bldg. 8, 615 West Alder Street 1854 Shelton, WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: 15L-D tot'-) -00 S'�i a ADDRESS/LOCATION: '-(D 'Z FINDINGS: L C 1A L'v-.,, o C �F—>n 5 u✓ C In t to vi r o S. L� A S s TIrfo k-?wry e /. c rwt rc.4t vt w& a, �1 Items listed above must be corrected to ;Rain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. ❑ OK to Date: ❑ Please contact our office regarding possible Department: L structural damage incurred by recent Inspector: 7 "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 N coU�� MASON COUNTY PERMIT NO. 6LOZO) 7— 005c?O 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 RECEIVED 185- Shelton,WA 98584 (360)482-5269 Elma ext. 352 JUN 2 3 2017 DEMOLITION PERMIT APPLICATION 615 W. A ker Streat OWNER INFORMATION:: / CONTRACTOR INFORMATION: NAME: ��DOM]`i e j v'1 NAME: MAILING ADDR SS: 'lpa GJ, MAILING ADDRESS: CITY: S"�� 1 STATE: Cam, A ZIP CITY: STATE: ZIP: PHONE: CELL: PHONE: CELL: EMAIL: j EMAIL : L&I PEG # EXP. PARCEL INFORMATION: /� PARCEL NUMBER(12 DIGIT NUMBER) 2 0� 3 - �(5 fZo7 7o FIRE DISTRICT LEGAL DESCRIPTION(ABBPEVIATED) : SITE ADDRESS O �e e CITY DIRECTIONS TO SITE ADDRESS: N 0 l l rn C 0-1 1,4 n e 1" �, (` (am-)) m tre e F t. 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❑ NOZ- 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.) 5L6 1 9 e S e,n HOW WILL THE DEBRIS BE DISPOSED OF?: no5-WC5 46 C' � PROVIDE A PLOT PLA DICATING LOCATION OF STRUCTURE TO BE DEMOLISHED r— F�I're 1 �0 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 construct' n work is suspended for period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.r CTIVI OF THIS PER APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Applicant Date X OWNER / REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT 0 0 0 o S Z Z ANY OF CO G National Voluntary lJ� V Q Laboratory Accreditation Program z SATES OF SCOPE OF ACCREDITATION TO ISOJEC 17025:2005 EMLab P&K, LLC 4955 Yarrow Street Arvada, CO 80002 Mr. Dan Shelby Phone: 623-298-1015 Fax: 623-445-6217 Email: dshelby@emlabpk.com http://www.emlabpk.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 500053-0 Bulk Asbestos Analysis Code Description 18/A01 EPA--Appendix E to Subpart E of Part 763—Interim Method of the Determination of Asbestos in Bulls Insulation Samples 18/A03 EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials r fk For the National Voluntar`x L4boratbvccreditation Program Effective 2017-07-01 through 2018-06-30 Page 1 of 1 United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISO/IEC 17025:2005 NVLAP LAB CODE: 500053-0 EMLab P&K, LLC Arvada, CO is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISO11EC 17025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system(refer to joint ISO-ILAC-IAF Communique dated January 2009). F O C 'per e_ c 2017-07-01 through 2018-06-30 Effective Dates sR �e� For the National Volunti�borat&yAccreditation Program SATES 04 ` .�� EM Lab P&K A TestAmerica Company Report for: Mr. Dean Nguyen AIDE Associates: WA 2064 Blackstone Ct Tumwater, WA 98512 Regarding: Project:ASB020918-1560; Shelton EML ID: 1876993 Approved by: Dates of Analysis: Asbestos PLM:02-13-2018 Approved Signatory Noah Lazarte Service SOPS:Asbestos PLM(EPA Methods 600/R-93/116&600/M4-82-020,SOP EM-AS-S-1267) All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The results relate only to the items tested.The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy.Measurement uncertainty data for sample results with>1%asbestos concentration can be provided when requested. EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law, even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor. EMLab P&K,LLC EMLab ID: 1876993,Page 1 of 3 EMLab P&K 4955 Yarrow Street,Arvada, CO 80002 (800) 651-4802 Fax (623) 780-7695 www.emlab.com Client: ADE Associates: WA Date of Sampling: 02-09-2018 C/O: Mr. Dean Nguyen Date of Receipt: 02-12-2018 Re: ASB020918-1560; Shelton Date of Report: 02-14-2018 ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116 Total Samples Submitted: 5 Total Samples Analyzed: 5 Total Samples with Layer Asbestos Content> 1%: 0 Location: A01,Brick/Mortar Lab ID-Version$:8804304-1 Sample Layers Asbestos Content Red Brick ND Gray Mortar ND Sample Composite Homogeneity:,Moderate Location: A02,Plaster Lab ID-Version$:8804305-1 Sample Layers Asbestos Content Gray all with Brown Paper ND Composite Non-Asbestos Content: 20%Cellulose Sample Composite Homogeneity: Good Location: A03,Plaster Lab ID-Version:8804306-1 Sample Layers Asbestos Content Gray Drywall with Brown Paper ND Composite Non-Asbestos Content: 20%Cellulose Sample Composite Homogeneity: Good Location: A04,Brick/Mortar Lab ID-Version$:8804307-1 Sample Layers Asbestos Content Red Brick ND Gray Mortar ND Sample Composite Homogeneity: Moderate The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $A"Version"indicated by--"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". EMLab P&K,LLC EMLab ID: 1876993,Page 2 of 3 EMLab P&K 4955 Yarrow Street,Arvada, CO 80002 (800) 651-4802 Fax (623) 780-7695 www.emlab.com Client: ADE Associates: WA Date of Sampling: 02-09-2018 C/O: Mr. Dean Nguyen Date of Receipt: 02-12-2018 Re: ASB020918-1560; Shelton Date of Report: 02-14-2018 ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116 Location:A05,White Ceramic Tile Lab ID-Version$:8804308-1 Sample Layers Asbestos Content Tan Ceramic Tile ND Gray Mortar ND Sample Composite Homogeneity: Moderate The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,MIST,or any agency of the federal government.EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor file samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $A"Version"indicated by--"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". EMLab P&K,LLC EMLab ID: 1876993,Page 3 of 3 C06 MASON COUNTY (360)427-9670 Shelton ext. 352 • f- :, COMMUNITY SERVICES DEPARTMENT (360)275-4467 Belfair ext. 352 Mason County Bldg. 8, 615 W.Alder Street (360)482-5269 Elma ext. 352 Shelton, WA 98584 www.co.mason.wams 1854 ; Nov 9, 2017 To: Curt Harmon Mr. Harmon, I have verified that the Neighborhood Residential (NR) Zoning within the Shelton Urban Growth Area does allow placement of a duplex on the parcel number 42013-45-00270, Address: 402 West "G" Street, Shelton. As long as the duplex structure meets the Building and Environmental Health Codes, the Planning Department can permit a duplex on this parcel. The duplex will need to meet the setbacks, height limit, etc. that is specified within the Neighborhood Residential Zoning Chapter 17.17.100. A copy of this letter will be placed within the parcel file. Please let me know if you have any questions. Thank you. _2 L�ta Grace Miller, Planner MC DEPT OF COMMUNITY SERVICES -P�e L3we z)%-.t to File: __ i 00 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Date by j Footings/Setbacks Gag Piping Ribbons o interior Date By Interior-Date By Date By E (0 Exterior Date By Exterior-Date _ _-- -__- Set-up I71 Point toad I Isolated Footings INSULATION Date By v BG l SLAB INSULATION ---- - - Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By n Date By Data By DECKS m FRAMING Wails Date By 0 90 Date By DatT ByPROPANE TANKS Z PLUMBING vault Date 13y Z Date By OTHER 0 Groundwork Attic Type- Date By Date B} Date By n-w.v DRYWALL Type- Int.Brace Wall pate By W Date By Date By r v FINAL INSPECTION 0 y Water Line Fire Separation N m Date By Date By Date By m ~ o Pass or Request Inspect. c Type of Insp. ail Date Date done By Comments ' o 2 a m y w O- n O 7 a O 7 Ch O S to (D 3 { N t0 CD 0