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Home My WebLink AboutBLD2011-00486 Demo - BLD Permit / Conditions - 6/16/2011 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2011-00486 OWNER: JERRY LILES RECEIVED: 6/16/2011 CONTRACTOR: GOLDY CONSTRUCTION & EXCAVATING (360)490-0649 LICENSE: GOLDYCE945DU EXF ISSUED: 6/16/2011 SITE ADDRESS: 240 E KUHN AVE UNION EXPIRES: 12/16/2011 PARCEL NUMBER: 322325053030 LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO BLK: 53 LOTS: 28-32 &VAC ALLEY& E 1/2 VAC PORT TOWNSEND ST PROJECT DESCRIPTION: DIRECTIONS TO SITE: demolish 14x60 mobile home mccreavy rd to left on fifth st right on tacoma left on kuhn ave General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: MH Insp.Area: 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: SEPA?: Side 1: Ft. Model: Width: Ft. Rear: Ft. Slope: 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 TW 6/16/2011 $4.50 S12011000i Demolition Fee TW 6/16/2011 $117.50 S12011000i Total $122.00 BLD2011-00486 Please refer to the following pages for conditions of this permit. Page 1 of 2 1 CASE NOTES FOR BLD2011-00486 CONDITIONS FOR B LD2011-00486 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� 0 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owner Agent isresponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 3) 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 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 MasoKnXty or finances and building regulations. X 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 prevented action from being taken. No more than one extension may be granted. 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 work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mas n County access to the above described property and structure for review and inspection. OWNER OR AGENT DATE: BLD2011-00486 Please refer to the following pages for conditions of this permit. Page 2 of 2 r co o ~ CONCRETE MECHANICAL MANUFACTURED HOME r Footings I Setbacks Date By Ribbons Cl) Gas Piping o Interior Date By Interior•Date By Date By L w Exterior Date By Exterior-Date By m Point Load I Isolated Footings INSULATION p By BG I SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Date B Date By Type- Date Date By D.W.v DRYWALL Type- Int.Brace Wall Date By v Date By Date By 0) r fD FINAL INSPECTION 0 N Water Line Firm Separation N m Date By Date By Date G ,L _ By O s Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments v co 8' 0 0 O 7 a o' W 0 N U (D 3 N -w FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD 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_7'& �-v- V D, G,S' Contractor Name 0I � ��t.� t. '► �Xe Mailing Address Mailing Address PC k3 A 15 c1 City .S Ar—lt'iz Stated Zip Code 98S`8� CityMY1�L�'Icx� State,Ct Zip Cod 5 Phone(j&e )49e-c%r" Other Ph.( Ph.(36,e )y24 V34"S- Other Ph.( '3lc 0 ) id fC e ,l Lien/Title Holder �a.�+re- �.s Gt!,n✓� Contractor Reg. # froi.AVCE 9q J) Address Expiration Agr / Q- gam"i L PARCEL INFORMATION-12 digit Tax Parcel No. 31 X- 3 2 / YC / ..3 0 3G Fire District-6 Legal Description Lprf .2 H/rck F" ' k odd e�a,1.4,AftJ analIrM P Ar e ce, Site Address(include street name and city dahnhye, :x, Directions to site:.Mc c eo ed R, ora 4-ed2rla, L. n v 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? iv1,eS'er1 CP. 2ZI e . What is the use of the building being demolished? U i i ' Pi U— ei 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-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 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 conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first�g approval. X Date X Date ~