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Home My WebLink AboutBLD2009-00503 DEMO - BLD Permit / Conditions - 6/17/2009 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 BLD2009-00503 OWNER: CAROL ROBINSON RECEIVED: 6/17/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 6/17/2009 SITE ADDRESS: 100 E NORTH BAY PL ALLYN EXPIRES: 12/17/2009 PARCEL NUMBER: 122205400072 LEGAL DESCRIPTION: LAKELAND VILLAGE 5 TR 72 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Demo. portion of SFR. Lakeland Villiage 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: 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. I Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee KKK 6/17/2009 $4.50 S22009000 Demolition Fee KKK 6/17/2009 $117.50 S22009000 Total $122.00 t BLD2009-00503 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2009-00503 J CONDITIONS FOR BLD2009-00503 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 X 800-647-0982. perspn signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) Owner/Age \s r2spgrisible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 3) 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 Coun t ances and building regulations. X 4) 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 have preven � n rom being taken. No more than one extension may be granted. X This permit becomes null and void if work orconstruction 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 Mason County access to the above described prope stru e fnL revi inspection. -7/0 OWN ER OR AGENT: DATE: J � BLD2009-00503 Please referto the following pages for conditions of this permit. 2 of 2 co o CONCRETE MECHANICAL MANUFACTURED HOME 0 o Date By W m Footings/Setbacks Gas Piping Ribbons Z o Intenor Date By Interior-Date By Date By to Cn w Exteror Date By Exterior-Date BSety Z Point Load I Isolated Footings INSULATION Date By n BG I SLAB INSULATION D Dais By Data By FIRE DEPARTMENT X Foundation Wails Floors Date By 0 Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANETANKS PLUMBING vauR Date By Date By OTHER Groundwork Attic Date By Date By Type- Data By D.W.v DRYWALL Type- DateInt Brace Wall Date By W By Date By FINAL INSPECTION p CD m Water Line Fire Separation IN)) �G Dale By Date By Dale By p co fp Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments c CD CA) 0 CD a 8 a 0 0 :n CD 0 0 ' PERMIT NO.: � N MASON COUNTY DEMOLITION PERMIT APPLICATION vv b `� � - . 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 APPLICA,{VT INFORM N CONTRACTOR INFORM TON Owner - Contractor Name l. 1 7C1 hr Mailing Address . 0, _OX cr'1�� Mailing Address c--V � City State(21,K Zip Code -4 Cit Ilk State L 4 Zip Code < Phone(-, ;5']6ther Ph.L____) Ph.( r/ziJ l 15 -='" _Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax,Parcel No. _ ;�(� l �� l 000 Ala Fire District ' '- Legal Description (_AVe JIt_r)A jL//11/� Site Address(include street name and city Directions to site: Is your property within 200' of the following: Body of Water (Name) 775 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? 44 ,f^ What is the use of the building being demolished? C ti < NOTICE: THIS PERMIT BECOMES NULL 8,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. /}1 X Date �� /( W CMG.: i.S Date ' /7/C� ' Provide a plot plan indicating location of improvements and structure to be demolished. �v ov a FOR OFFICIAL USE BEYOND THIS POINT Accepted byCL,Q,1 Lt_,, Date i "' Submittal Amount Due i ,�. ''`� Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) >::«< TOTAL FEES