HomeMy WebLinkAboutBLD2004-00100 Remove Drywall - BLD Permit / Conditions - 1/30/2004 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
R Mason County Bldg. 3 426 W. Cedar P.O. Box 186
1P4 Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-00100
OWNER: AVK CORPORATION RECEIVED: 1/30/2004
U CONTRACTOR: LICENSE: EXP: ISSUED: 1/30/2004
SITE ADDRESS: 20 E RAINBOW DR SHELTON EXPIRES: 7/30/2004
PARCEL NUMBER: 321345000040
LEGAL DESCRIPTION: RAINBOW LAKE LOT: 40 20 E RAINBOW DR SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Remove drywall HWY 3 TO MASON LAKE RD, L ON RAINBOW DR, FIRST HOUSE ON
RIGHT.
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.: 5 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Seasonal 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
Building State Fee NJP 1/30/2004 $4.50 S22004
Building Pre-Site Inspection NJP 1/30/2004 $58.00 S22004
Total $62.50
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BLD2004-00100 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2004-00100
CONDITIONS FOR
BLD2004-00100
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
1-8"7-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) 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
coy ,er fail to post the address on site prior to requesting inspections.
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3) 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 cM
Olympic Air Pollution Control Authority at(360) 586-1044 or 1-800-422-5623 extension 104 prior to the commencing demolition.
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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
X a�gty�ounty ordinances and building regulations.
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.tra a prevented action from being taken. No more than one extension may be granted.
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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 continustion of work is rogress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: �--- DATE: �
BLD2004-00100 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME
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0
Footings / Setbacks Date By Ribbons
o Date By Gas Piping Date By
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0 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.: II
MASON COUNTY
DEMOLITION PERMIT APPLICATION C01 co
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 MATION CONTRACTOR INFORMATION
Owner Contractor Name
Mail' A d(e�ss Mailing Address
City ' X l StatdL4 AA Zip Code City State Zip Code
Phone( 6 ) `� Other Ph.L__) Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit TR Parcel No. / / Fire District
Legal Description U � r
Site Address(include street name and city r �
Directions to site:
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs /f 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?
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 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 obtaining approval.
X Date l X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by f DateA4_
Submittal Amount Due Receipt No�� �
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department FJ — /1iV 0 3q
Occ GrpType of Const. lJ
Planning Department 30
Fire Marshal
FEES
Building Permit Fee � ' Other
Violation Fee V Other
Site Inspection Pre-Paid at Submittal ( )
TOTAL FEES S
:<:: EE