HomeMy WebLinkAboutBLD2001-00750 Demo - BLD Permit / Conditions - 7/25/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2001-00750
OWNER: DALLAS BLAIR
CONTRACTOR: paAJAIIT A,nEIVED: 07/25/2001
SITE ADDRESS: E.XPjR ISSUED: 07/25/2001
PARCEL NUMBER: 322343400060 AULL & vo BY`I,t,`; XPtRES: 01/25/2002
LEGAL DESCRIPTION: TR 6 OF LOT 3 &T.L. & W 10' OF TR 5 & T.L. �Ih 0�7 gY
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLITION ONE MILE TOWARD BELFAIR FROM ALDERBROOK ON HIGHWAY 106
SITE ADDRESS 8050 E STATE ROUTE 106
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp. Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 6 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. I L Comp. Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type QtV. Type Qty, Type By Date Amount Receipt
Building State Fee NJP 07/25/200 $4.50 56902
Demolition Fee NJP 07/25/200 $42.00 56902
Total $46.60
BLD2001-00750 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2001-00750
CONDITIONS FOR
BLD2001-00750
1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractIr
l to post the address on site prior to requesting inspections.
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2) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is
directed to conatct Olympic Air Pollution Control Authority at (360) 438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition.
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3) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS.
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4) 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.
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5) 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.
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This permit becomes null void if work or co struction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time fter work is comme ed. Evidence of continuation of work is a pro press inspection within the 180 day period. Final inspection
must be approved befor bui ding can b upied. /
OWNER AGENT: DATE: S ��
BLD2001-00750 Please refer to the following pages for conditions of this permit. 2 of 2
CONCRETE MECHANICAL MOBILE HOME
Foo*W-Setback date by Ribbons
date by Gas Piping date
by
Fwroatlon walls date by Set UP
date by INSULATION date
by
BG/SLAB limlation Floors Final
date by date date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Cw undwork date by
date by WALLBOARD NAILING
D.W.V.
to by date by
Water Line FINAL INSPECTION
date by date by date by
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FORM MUST BE
'PLEASE PRESS HARD PERMIT
IN INK PERMIT NO.:
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 Dji%%yplS , Q_ 2465 0 Contractor Name
Mailing Address v " t4okwu IDS, Mailing Address
City rJiyA State�- Zip tode ff 5ZSJ-z_ City State Zip Code
Phone(36y )$Q$'--BY00Other Ph.( Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. 3ZZ3'/ / 24 / D 00 Fire District
Legal Description Lol 3 See *0N_;J. Q U_Al.. C f besT01.AA
Site Address(include street name and city C w
Directions to site: Ne. I e L_.ao
00 nl,
Is your property within 200' of the following: Body of Water(Name) nO Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs 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? Lk
What is the use of the building being demolished?
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-I 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 conforma therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first fining approv c� / be made without first obtaining approval.
X_" Date L V X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
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FOR OFFICIAL USE BEYOND THIS POINT
Accepted by [ � Date Submittal Amount Due � � Receipt No.
DEPARTMENTAL REVIEFW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
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. .: :> TOTAL FEES
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Request To Revise An Approved Plan
Permit Number: BLD200-L- 00 Name h—,4C_Cy4<;; k4 , 49,
Parcel Number :' 2,73�0 / 3 q 1(30 Q& Phone Number 3I S9S d O
Project Addres p Mailing Address �4
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Please provide a complete, detailed description of the proposed revisions to the approved plan",
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Are the site building plans, approved by Mason County,
included with this application? erlyes ❑No
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yee C-l�lo
Are the revisions clearly and accurately identified on the plans or addendum? fifes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes (moo
If Yes, Has the engineer or architect approved this revision? P-V�e's ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to an engineered plan will be approved without the written consent of the engineer or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes
If Yes, Is a revised site plan, drawn to scale, included with this request? ❑ Yes ❑ No
Additional Information:
Applicant's signature Date:
f � �
Received by: Date:
)ffice Ilse Only
Forward to departments indicated below: Approval/Date Original Valuation:
❑ Building Additional Valuation:
❑ Planning Sq Ft x
Sq Ft x _
❑ Environmental Health Total New Valuation:
Additional Fees:
U., Public Works Additional Plan Review
Additional Conditions/Cotru Additional Building Permitnents: Additional Plumbing
Additional Mechanical
Other
Total Amount Due: $
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