HomeMy WebLinkAboutBLD2014-00003 Addition and Deck Removal - BLD Permit / Conditions - 1/2/2014 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 279
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2014-00003
OWNER: BRADLEY JOHNSON RECEIVED: 1/2/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 1/2/2014
SITE ADDRESS: 123 E ORRE NOBLES RD UNION EXPIRES: 7/2/2014
PARCEL NUMBER: 322325087006
LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO TR 6 OF BILKS 87-88 SEE SURVEY 29/248
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REMOVE THE ADDITION AND DECK FROM STRUCTURE
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.: 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. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Demolition Fee TW 1/2/2014 $ 117.50 S2201400000001
Building State Fee TW 1/2/2014 $4.50 S220140000000i
Total $122.00
BLD2014-00003 Please refer to the following pages for conditions of this permit. Page 1 of 3
—� CASE NOTES FOR
BLD2014-00003
CONDITIONS FOR
BLD2014-00003
1) Prior to final approval, all upland areas disturbed or net ly y construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
2) 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
1-8 0-647- er this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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3) O ner/A s resp ible to post igned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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4) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
Statp of Washington. Occupancy is limited to the roved and permitted classification. Any non-approved change of use or occupancy would result in
per it revoca
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5) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency (ORCAA).
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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 h s obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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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 finaJ inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mas rdin i ding regulations.
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7) 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 pe .od not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
h oTdor,h r nted from being taken. No more than one extension may be granted.
X
BLD2014-00003 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 authorOeq agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure f review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
constructi wo is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
rk
RMI APP ICATIO ILL I ATE THE APPLICATION.
�- 2�- - � � �
gnature Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2014-00003 Please refer to the following pages for conditions of this permit. Page 3 of 3
o CONCRETE MECHANICAL MANUFACTURED HOME
Date By Z
Footings/Setbacks Gas piping Ribbons N
o Interior Date By Interior-Date By Date By Q
o Exterior Date By Exterior-Date By Set-up
Z
w Point Load I Isolated Footings INSULATION Date By 0v
BG!SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walla Floors Date By m
Date By Data By DECKS
FRAMING Wails Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER ry_.
Groundwork Attic
Type:
Date By Date By Date By
D.w.v DRYWALL Type_
Date By
Int Brace Wall pate By
�
co Date By FINAL INSPECTION p
v
m Water Line Fire Separation N
Date By Date By Date By
ib
s Pass or Request Inspect. c
s Type of Insp. Fail Date Date Done By Comments o
m o
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� �1 MASON COUNTY PERMIT NOS
t > : DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
t Mason County Bldg. 111, 426 West Cedar Street (360)275-4467 Belfair ext. 352
1854 PO Box 279, Shelton, WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 19 9-4 M NAME: IM d ockK Co p$T.
MAILING ADDRESS: 13 2$' MAILING�DDRESS:S"1/ loy+t,S t S 11 _
CITY:S•C9•r� - STATE: W A ZIP: CITY: IM t )4tQ STATE:IJ,ZIP:9 QG �
PHONE:266ASS-S 760 CELL: PHONE:Zo 6 -9 9 b i----ALL: (, (�agh
EMAIL: 6 o r1 a of as G2ro EMAIL : 6 O'1k-A0,91vt N o f C0•-�.
L&I REG#AD OC44 $ EXP. I /2 / /
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 2 0 7 00 6 FIRE DISTRICT_,
LEGAL DESCRIPTION(ABBREVIATED) : Laf f 13 9 1 -Jo GS 1UG
SITE ADDRESS 12 '3 b 2'LC *46 XS Qvaiq CITY V N% -
DIRECTIONS TO SITE ADDRESS: S TBTC 9-bkATV- I % pO0- .C5 ILIA .
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% YEK NO ❑
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE.WEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT. D
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) 72 it 5TO eWee
HOW WILL THE DEBRIS BE DISPOSED OF?
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 provide is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and in cti n.This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if nstru ion work is suspended for a period of 180 OOF OF CONTINUATION OF WORK IS BY MEANS OF
IN PE 10 ACTIVITY OF suspended
ON OF 180 DAYS WILL INVALIDATE THE APP ICATION.
ure of Applicant Date
X e -<- 0xPAq OWNER/ REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT