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HomeMy WebLinkAboutMIS99-0788 Cancelled Demo - MIS Permit / Conditions - 10/17/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 M i 3 C E L._ L.- A P4 F. C3 U S P U- FA M 1 `I- FOR INSPECTIONS CALL 427--9670 MIS99--0788 PARCEL -323035001015 PLAT :AYPLO 1 DIV: BLK : 1 LOT : 15 JOB ADDRESS : 220 N AYOCK BEACH DR LILLIWAUP APPLICANT : MAXINE CLOW 877-5409 OWNER : MAXINE CLOW 877--5409 LEGAL : AYOCK BEACH BLK: i LOT: 15 1 221 AYOCK BEACH BB PROJECT DESCRIPTION : DEMOLITION OF MASON FIREPLACE PROJECT LOCATION : GO NORTH ON HWY 101 FROM SHELTON TO L. II_L. IWAUP AYOCK BEACH IS 2-3 MILES PAS LILL1WAUP ON 10t PROJECT NOTES : pm TYPE AMOUNT BY DATE RECEIPT A?f. STFE $ 4 .50 KS 12/01 /99 52255 DEMO $ 42 .00 KS 12/01 /99 52255 ter TOTAL : 46 .50 OWNER OR AGENT DATE MIS fill, rev! 04111192 COMPLIANCE: TO ATTACHED CONDITIONS IS REQUIRED —. —.`__ ------ ------------------------------------------_ , CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons ate by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I I I I T MASON COUNTY Mason County Bldg• III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM i T CON © 1 T 1 ANC Case No . : MIS99-0788 For : MAXINE CLOW Pages 1 1 ) PURSUANT TO 1997 UNI APPROVED NUMBERS OR ADDRESSES PROVIDED 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 REINSPECTION FEE , BASED ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X I 2 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS . --- i 3) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x ..,-- s i ';ONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BGJSLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 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 �(/ �� e,LOA/` Contractor Name Mailing A ress 2x _ Mailing Address City WAUvo- State Zip Code City State Zip Code Phone( )IF - _ Other Ph.( =Z:::Z)-- Ph.( Other Ph.( � Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORM ATI -12 digit Ta Parcel No.?, L � �7 T/ / Fire District Legal Description Site Address(include street hame and city 447E La 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 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; sir ice 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 AN 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 c lescribed 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 FFIDAVIT-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 requirem nts 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 p roval. � j— / be made without first obtaining approval. X Date ,- / 9 X Date Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department J Occ Grp Type of Const. Planning Department Fire Marshal FEES Building Permit Fee O Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) ��" ..,�;f.,..;;;'t; :'j•'n•,'•,;:';�2s3:'e''r' `'•fe%,•:'•. ::•:'•;•.'•.2•:::'::c'' 'F;<'•f'••.'a:::•i:k;•�:::'.•"::4:<•':E � . /:f,;�.::::..•> .r.s.�..,�fi:;N,�:??�.. � �S::.w..:::::.;.�.::...�:.,. TOTAL FEES