HomeMy WebLinkAboutBLD2024-00847 DEMO - BLD Inspections - 7/22/2024 INSPECTION CARD
Mason County
615 W.Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2024-00847 PROJECT ADDRESS 1191 E OLD RANCH RD ALLYN,WA 98524
PARCEL# 122175000033 PROJECT DESCRIPTION DEMO PERMIT TO DETERMINE DECK REPAIR
OWNER GILBERT JOSEPH W II&DIANE E ADDRESS 1191E OLD RANCH RD PHONE 1.360.710.0827
CONTRACTOR GRAPEVIEW SERVICES LLC ADDRESS P.O.BOX 282 PHONE 360-731-4894
CONTRACTOR LICENSE GRAPESL82800 LENDER
INSPECTION INSP DATE Comments INSPECTION INSP I DATE Comments
Connection is to be verified by I A Demolition Final Inspection �(
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Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
F
4-00847 DEMO
ESCRIPTION: DEMO PERMIT TO DETERMINE DECK ISSUED: 07/15/2024
ESS: 1191 E OLD RANCH RD ALLYN EXPIRES: 01/11/2025
PARCEL: 122175000033
APPLICANT: GILBERT JOSEPH W II &DIANE E OWNER: GILBERT JOSEPH W II & DIANE E
1191 E OLD RANCH RD 1191 E OLD RANCH RD
ALLYN, WA 98524 ALLYN, WA 98524
1.360.710.0827
GENERAL CONTRACTOR'S LICENSE: GRAPEVIEW SERVICES LLC License: GRAPESL82800
P.O. BOX 282 Expires: 10/18/2024
GRAPEVIEW, WA 98546
360-731-4894
FEES: Paid Due
Technology Flat Convenience $5.00 $0.00
Fee
Demolition Fee $120.00 $0.00
State Fee-Residential $6.50 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection is to be verified by Health or Utilities Demolition Final Inspection
CONDITIONS
` The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 removed from the area to be demolished. work shall not commence on an asbestos project or
demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800-422-5623, www.orcaa.org
For public safety, it is the responsibility of the applicant to confirm through written verification all utility services (electric,
gas,water, sewer, ...) have been terminated prior to demolishing a structure.
Printed by:Genie Mcfarland on:07/15/2024 01:55 PM
Pagel of 2
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2024-00847
Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland
sediments from entering the aquatic environment. Erosion control measures must be in place prior to any clearing, grading,
or construction. These control measures must be effective to prevent soil from being carried into surface water by
stormwater runoff. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of state
regulations. Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior
authorization from the Department of Ecology. Silt fencing, straw matting, etc. must be installed and maintained until seeding
or upland vegetation has become established around all areas disturbed or newly created by construction activities.
* All building permits shall have a final inspection performed and approved by 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 County ordinances and building regulations.
* All construction debris must be removed from the site after project completion to an approved location. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of aquatic
environments.
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
* 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
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED.
* All other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that
are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND
CONSTRUCTION.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
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Contractor
or Authors a Agent: �J� �% Date: S
Printed by:Genie Mcfarland on:07/15/2024 01:55 PM
Page 2 of 2
+�, � } MASON COUNTY COMMUNITY SERVICES Permit
PERMIT ASSISTANCE CENTER:
.BUiLD/NG.PLANNING.PUBUC HEALTH.FIRE MARSHAL
615 W.Alder Street.Shelton.WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfair(360)275-4467•Phone Elms:(360)482-5269
4Du '
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA ON:
NAME: 10& NAME: �R(A 01 'C-4�1<.
MAILIN ADD ESS: I MAIL A �? ES$ O
CTTY:4L"— STATE: ZIP: I --PtVIW STATE: ZIP:
PHONE#1: (�O '-j/D' PHONE: CELLO )-
PHONE#2: EMAIL:r At*00k)p Prii.JfW Cl W74LI ✓ 1
EMAIL: (&)c8i/211VIVALYOK L&I REG# W09 f 4L 2 W EXP. Ia_a/,W
❑ CONTRACTOR OTHER PRIM T ` ,O Ail ,p * `n/ ,
NAME (.0 U([. EMAI _ L?�APt a"_bJk�+1`r' �lI rlA'i_
MAILING ADDRESSCITY STATE . ZIP_
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ino- 50-0D033 ZONING
LEGAL DESCRIPTION(Abbre ' ted) I tint-- �S �
T
SITE ADDRESS CITY ALL N
DIRECTIONS TO SITE ADDRESS .,fE A IDWfy AT
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO X
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chetah an rlar apply).
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR J( OTHER u
USE OF STRUCTURE(Amdde"r"We.Ceii~mW Bldg.[sec)!�&'01 V6)K/
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRU ? Y/ES(whale BBt W[] YES tPart(s)�.f Bldg)❑ NO El
WORK �j t�SuRrAG6 eIC(S?J��'7 b/&19
SOUARE FOOTAGE:wopure+ertsdeg)
1ST FLOOR sq.ft- 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fL
DECK J sq.R. COVERED DECK sq.ft. STORAGE sq.(L OTHER sq.li
GARAGE sq.ft. Aaached Detached❑ CARPORT sq.ft. Attached❑ Detached
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUTRED•
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ Ijpes.atwch completed Water Adequacy Form
PERTMETERROUNDATTON DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER admoaiedges that submission of inaccurate irtfornation may result in a stop work order or permit revocation.Admowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained pemtission from al the necessary parties,irrluding any easement holder or parties of interest regarding this project The owner or legal
representative,represents that ft information provided is accurate and grants employees of Mason County access to the above described property
and structurels)for review and inspection. This permit/application becomes nut 8 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 ON THIS PERMrr IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) •-�
�i —6'2. l
Signatur of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH