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HomeMy WebLinkAboutBLD2016-00261 DEMO - BLD Permit / Conditions - 4/1/2016 Inspection Line(360)427-7262 co MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00261 OWNER: JOHN WATT RECEIVED: 4/1/2016 CONTRACTOR: ZEPHYRS INC. 360.275.2861 LICENSE: ZEPHYI`033CO EXP: 2/25/2017 ISSUED: 4/1/2016 SITEADDRESS: 3670 E STATE ROUTE 302 BELFAIR EXPIRES: 10/1/2016 PARCEL NUMBER: 122212400011 LEGAL DESCRIPTION: TR 1-A OF GOVT LOT 2 &TAX 1360-B PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO PERMIT FOR SFR, ST RT 3, R ON NORTH BAY RD, FOLLOW TO ST RT 302 TO SITE ADDRESS ON THE RIGHT SIDE 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.: 2 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. IComp. Plan Desig.: ' Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee GMM 4/1/2016 $4.50 S120160000000i Demolition Fee GMM 4/1/2016 $ 117.50 S120160000000( Total $ 122.00 BLD2016-00261 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2016-00261 CONDITIONS FOR BLD2016-00261 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 1-800- - 82.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 operat has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044 1 800 422.5623 www.orcaa.org X 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 reque t 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 Maso ounty ordinances 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 holde_{�W prevented action from being taken. No more than one extension may be granted. X BLD2016-00261 Please refer to the following pages for conditions of this permit. Page 2 of 3 OWNER I 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 permittapplication becomes null &void if work or authorized construction is not commenced within 180 days or if construction wor is suspended for a period of 180 days PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APP C IO7F DAY WILL INVALIDATE THE APPLICATION. 'Z y/ Signature Date —J D��✓ wA'TT 7ER -' REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) �?6 7a f si r Jv 2, , Cr/G- BLD2016-00261 Please refer to the following pages for conditions of this permit. Page 3 of 3 cam`' MASON COUNTY PERMIT NO. �Jd:o Oi U r, DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III, 426 West Cedar Street (360)275-4467 Belfair ext.352 —�' PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352 t� r DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:UO//lV ai U)AT NAME: 74101/),"I2 S 1^14 MAILING ADDRESS:y7/6iy /rOx&,�o ✓/- Ae ti-✓ MAILINGADDRESS:,6 /r&6,� 3 CITY: G..//r /1Ae dg,2 STATE:W,F ZIP: 9ky.�2 CITY:XGt y„/ STATE: w$ ZIP:yBS� PHONE:2.r3 &t8 9) CELL:7j-? 22,S iZyX PHONE;,.?6© .0S`2S6/ CELL: EMAIL:1047r e- (2 CvMCaIT, A1,67- EMAIL : L&I REG#r-E 2fjly y4)2-7 C o EXP.,1-/2,L/_L7 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) / -Z 2 Z/ 2 4/ 000// FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): /Z 1-,4 of Cro vT L yr � TAB /36v/.S S SITE ADDRESS ?p ,6 S7 R f Jo 2 CITY d g�fL /SF6 /? DIRECTIONS TO SITE ADDRESS:Lgr7 d/p,f of /yvzrti IS PROPERTY WITHIN 200 FT: SALTWATEW LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO ❑ IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHIN ANAREA THAT IS LISTED ABOVE,PLEASE CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT. USE OF STRUCTURE BEING DEMOLISHE (RESIDENCE GARAGE ETC.) HOW WILL THE D BRIS BE DISPOSED OF? kt'O�ILI,e I- �_ /-#"'o f/� Fall '3ui'-4-4 615 W. Ai de! strew /1Ee rc vlt PROVIDE A PLOT PLAN INDICGATING LOCATION OF STRUCTURE TO BE DEMOLISHED OWNER/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 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 r coon work is s spen ed for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSP 10 A ITY I ERMIT APPLICATION OF 180 DAYS WILL INV LID TE THE APPLICATION. I9nature of Applicant Date X 211� r y OWNER/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT +� � Lp - n Fox�io�E��. nu�