HomeMy WebLinkAboutBLD2024-00621 DEMO - BLD Inspections - 6/10/2024 t
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BLD2024-00621 DEMO
PROJECT DESCRIPTION: DEMO EXISTING MOBILE ISSUED: 05/20/2024
SITE ADDRESS: 81 E SKYLINE DR SHELTON
EXPIRES: 11/16/2024
PARCEL: 320165303019
APPLICANT: BOYLE FAMILY TRUST DAVID JOHN OWNER: BOYLE FAMILY TRUST DAVID JOHN
DAVID J BOYLE TRUSTEE DAVID J BOYLE TRUSTEE
SHELTON,WA 98584 SHELTON,WA 98584
360-401-9135
FEES: Paid Due
Technology Flat Convenience $5.00 $0.00
Fee
Demolition Fee $120.00 $0.00
State Fee-Residential $6.50 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection is to be verified by Health or Utilities Demolition Final Inspection /, 00 P4ss
CONDITIONS ''ff��
" All building permits shall have a final inspection performed and approved by 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.
" 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 UNLESS OTHERWISE APPROVED.
Printed by:Anna Schaffran on:05/20/2024 08:31 AM
Page 1 of 2
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Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2024-00621
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
• The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 removed from the area to be demolished.work shall not commence on an asbestos project or
demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800-422-5623,www.orcaa.org
All construction debris must be removed from the site after project completion to an approved location. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of aquatic
environments.
" Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland
sediments from entering the aquatic environment. Erosion control measures must be in place prior to any clearing, grading,
or construction. These control measures must be effective to prevent soil from being carried into surface water by
stormwater runoff. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of state
regulations.Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior
authorization from the Department of Ecology. Silt fencing, straw matting, etc. must be installed and maintained until seeding
or upland vegetation has become established around all areas disturbed or newly created by construction activities.
* For public safety, it is the responsibility of the applicant to confirm through written verification all utility services (electric,
gas,water, sewer, ...) have been terminated prior to demolishing a structure.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By: YqhY1o7 < _
Contractor or Authorized Agent: Date:�� 2dz�
Printed by:Anna Schaffran on:05/20/2024 08:31 AM
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`GG1oN CLg4\ Olympic Region Clean Air Agency
/,4~ �•p 2940 Limited Lane NW
Olympia,WA 98502
SouthBend 10 • FAX(360) -21-7 Demolition Permit
South Bend Office(360) 942-2137
O RC Port Townsend Office(360)338-6419
\A p
+`___,FFTL all•�S0 www.ORCAA.org
Demolition and renovation projects within Clallam,Grays Harbor,Jefferson,Mason,Pacific,and Thurston
counties REQUIRE A PERMIT and require that the following conditions be met prior to the demolition.
Olympic Region Clean Air Agency(ORCAA) regulations define a demolition project as the wrecking,razing,
leveling,dismantling,or burning(by a fire department for training purposes) of a structure,making the structure
permanently uninhabitable or unusable. Renovations include the removing of load bearing structural members,
but not to the extent to make the structure uninhabitable.
The following information is merely a reference guide and not a substitute for agency regulations.
1. A good faith asbestos survey is required for any demolition.The survey must be conducted by a certified Asbestos
Hazardous Emergency Response Act(AHERA)building inspector. Qualified contractors and inspectors may be
found in your local Yellow Pages,through the Washington State Department of Labor and Industries,or on
ORCAA's website.
2. Asbestos samples must be sent to a NVI.AP Laboratory(National Voluntary Laboratory Accreditation Program)per
40 CFR 763.87.A list of labs can be found on ORCAA's website.
3. The start date on other structure demolitions must be at least 10 working days from the submission date of the
complete application and payment.
4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing
material present in the structure to be demolished.
5. Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as
such.
6. A copy of the asbestos survey and approved Demolition Permit must be kept on site and be available for review by
Agency inspection personnel.
7. The original demolition permit will expire 1 year from start date. If the permit expires and the project is not complete,
you must submit and pay for another demolition permit. Under no circumstances will a project be extended beyond 1
year from original submission date.
ADDITIONAL REQUIREMENTS:
In addition to Agency requirements,most building departments require a demolition permit(separate from ORCAA's
Demolition Permit).The Washington State Department of Labor&Industries and the local fire authorities may also require
notification for asbestos removal projects.
"Owner Occupied Residential Dwelling"means any single family housing unit which is permanently or seasonally
occupied by the owner of the unit both prior to and after the proposed project.This term includes houses,mobile homes,
trailers,houseboats,and houses with`mother-in-law apartment'or a`guest room.'This term does not include structures that
are demolished or renovated as part of a commercial or public project;nor does this term include any mixed-use building,
structure,or installation that contains a residential unit,or any building that is leased or used as a rental,or for commercial
purposes.
e`� GION CL@A , Olympic Region Clean Air Agency
2940 Limited Lane NW
~ �"V Olympia,WA 98502
� (360) 539-7610• FAX(360)491-6308 Demolition Permit
South Bend Office(360) 942-2137
=� ORCAA Port Townsend Office(360)338-6419
P4YjtPCF•'rf7FRSOk•+��p°•e�i``�, www.ORCAA.org
( ] Owner occupied residential dwelling—Permit fee: $35.00—Prior Notice-Nonrefundable
( ] Other Structures—Permit fee: $61.00— 10 working day wait period -Nonrefundable
[ ] Emergency Fee $51.00—must be accompanied by Government Ordered Declaration(other structures only)
PROPERTY OWNER
Name: D, I Phone: ( ) Email:
Mailing Ad f: City: State: Zi
S dk-.,
Site Address: City: County: Zip:
DEMOLITION CONTRACTOR Check if same as roperty owner information.
Business me: A94Phone: ( Email:
Onsite Contact: Phone: ( ) , Email: /
Mailing Address: City: State: I/ Zi
t6 6 / 4 `4a �� ��oP S� �14on wte-
DEMOLITION INFORMATION
#of structures being demolished: ` Start Date: ,s/ 1 C.' Expiration Date:
Asbestos present? [ ] Yes Pallo Survey attached? [ ] Yes [ ] No Has all identified asbestos been
removed? [ Yes No
DEMOLITION PROJECT CATEGORY
]' Complete Demolition
[ ]Training Fire—Fire Agency, Contact,Phone:
Renovation,Alteration,Remodeling,Maintenance,or other Construction
I do certify that I am the owner,authorized agent of the owner,or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA
staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure
compliance with permit conditions,applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal,
state,or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any
addendum thereto.
I do certify under penalty of perjury under the laws of the state of Washington that the informati in th' appli t n and supplemental data is,to the best of my
knowle ge true,accurate and complete.
Applicant Name Signature Date
Date Application Received Payment Info. [ ] Approved Asbestos Permit
[ ] Cash [ ] Disapproved Permit# ASB00
[ ] Check: # Demolition Permit
[ ] Credit Card Review date:_/_/_ Permit# DEM00
Receive date:_/_/_ Reviewed by:
Ageng Use Only Agency Use Only Ageng Use Only Ageng Use Onl
07/16 OVER
Co
MASON COUNTY PERMIT NO. 6LD202-1-OOb21
y COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL �-^^I`v,
WWW.CO.MASON.WA.US (360)427-9670 Shelton ���,,,����✓✓✓t u
y Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair
18M Shelton,WA 98584 (360)482-5269 Elma ext. 352
MAY Z 0 2024
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: A LZ/ L4 77 NAME: b✓
MAILING ADDRESS: _ S - DQ MAILING ADDRESS: 1140
CITY: Sk STATE: k) ZIP: 9fS'S` CITYJ h�1 io►A STATE: C-00- ZIP:
PHONE: CELL:,340-y0/ PHONE:30o o(j(Q -/o ELL:
EMAIL: Rc) 71_0 R A 02— C o" EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 3 02 0 63 0 FIRE DISTRICT
LEGAL DESCRIPTION (ABBREVIATED) i02Z CKc 7-7-CA A,:f-& 'f+-h R L c�'f / �r
SITE ADDRESS R1 Z-:- S KVV,N b- b 2 CITY L-7(e-)
DIRECTIONS TO SITE ADDRESS:
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[]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.)
HOW WILL THE DEBRIS BE DISPOSED OF?:
�-t-
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§u d for a periRoof 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
WSPEC CTI T RMIT APPLICATION OF 180 DAYS WILL INVALIDATE T�APPLICATION.
i ure of Applica Date
X V� V ❑OWNER/❑REPRESENTATIVE/❑CONTRACTOR
Print Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT