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Home My WebLink AboutBLD2016-00942 Demo - BLD Permit / Conditions - 9/22/2016 Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00942 OWNER: GREG HATTON RECEIVED: 9/22/2016 CONTRACTOR: DOGWOOD CONSTRUCTION 360-898-6102 LICENSE: DOGWOC1990R4 EXP: 1/19/2018 ISSUED: 9/22/2016 SITE ADDRESS: 143 E MERRIMOUNT RD UNION EXPIRES: 3/22/2017 PARCEL NUMBER: 322355201002 LEGAL DESCRIPTION: MERRIMOUNT BILK 1 LOT: 2 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Demolishing the residence. E BROCKDALE RD, CONTINUE ONTO E MCREAVY RD, R ON E DALBY RD, R ON WA-106. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: OTH 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 AMP 9/22/2016 $ 117.50 S2201600000001 Building State Fee AMP 9/22/2016 $4.50 S2201600000001 Total $ 122.00 BLD2016-00942 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2016-00942 CONDITIONS FOR BLD2016-00942 1) 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 In tained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X 2) 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 ty ordi ces and building regulations. X 3) 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 iod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder rev nt ction from being taken. No more than one extension may be granted. X 4 Contractor registration laws are governed under RCW 18.27 and enforced b the WA State Dept of Labor and Industries, Contractor Compliance Division. 9 9 Y P There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6 erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X BLD2016-00942 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,"PLICATION OF 180 DAYS WILL/INIVALIDATE THE APPLICATION. Si ature _ Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2016-00942 Please refer to the following pages for conditions of this permit. Page 3 of 3 CL* 000 MASON COUNTY PERMIT NO. COMMUNITY SERVICES DEPARTMENT BUILDING a PLANNING&FIRE MARSHAL WWW.CO.MAS0N.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext 362 Shelton,WA 98584 (360)482-5269 Elma ext.352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION; NAME: eraf; NAME: MAILING ADDX S& f, fk4-11dy-41 MAILING ADD SS: f1 CITY: ta�.12da J STATE: ZIP 1h 15V CITY: 11AIIA-) STATE: ZIP, PHONE: o. gVhfda CELL: PHONE: CELL:- EMAIL: 0 d -( , EMAIL. L&I REG# EXP. PARCEL IN-FORMATION: PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT LEGAL Dr--SCRTPTION(ABBREVIATED) : SITE ADDRESS-/ern;-t6u1'1- (&'D CITY--L DIRECTIONS TO SITE ADDRESS: IS PROPERTY WITHIN 200 FT: SALTWATER[] LAKE[] RrVERICREEK[] POND[] WEFLANDE] SEASONAL RUNOFFE] STREAM Q DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESEl NO El IF YOUR PROJECT IS LOCATED ADJACENT TO OR UM AN AREA THAT IS LISTED ABOVE,PLEASE CONTACT THE PLANNING DIVISION OF CQMMUJW,TYDEVELOPME NTPRIOR TO DEA"OlUO ENSURE REDEVELOPMENT USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) HOW WILL THE DEBRIS BE DISPOSED OF?: PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED OWNER I 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)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 proViW19accurate and grants employees of Mason County access to the above described property and structure(s)for review�n��pe�Wn.This permitfapp2li*�on lo�4onyes null&void it work or authorized construction is not commenced within 180 di or, '6 ction work is suspepided for e d f 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF y ame 6 INSPE A TIVITY OFT PER ION OF 180 DAYS WI NV (DATE THE APPI-IqATION. "�2 x x Mlicant Date v K HATZZ'�J OWNER REPRESENTATIVE YCONTRACTOR Print Name or (CIRCLE TO INDICATE) blwli*' Ni BUILDING DEPARTMENT PLANNING DEPARTMENT