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Home My WebLink AboutCOM2014-00102 DEMO Modular - COM Permit / Conditions - 7/23/2014 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 ` Shelton, WA 98584 1� COMMERCIAL BUILDING PERMIT COM2014-00102 OWNER: NORTH MASON SCHOOL DISTRICT NO.403 RECEIVED: 7/23/2014 CONTRACTOR: LICENSE: EXP: ISSUED: 7/23/2014 SITE ADDRESS: 90 E NORTH MASON SCHOOL RD BELFAIR EXPIRES: 1/23/2015 PARCEL NUMBER: LEGAL DESCRIPTION: NW NW EX VACATED PART OF LAKEWOOD PLAT K PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLISH A MODULAR CLASSROOM NORTH MASON SCHOOL DIST General Information Construction&Occupancy Information Type of Use: CLASSROOM Insp.Area: No. of Units: Type of Constr.: Type of Work: DEM Fire Dist.: 2 No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Exit Design. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2014-00102 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Demolition Fee TIA/ 719,v9n1A T�117 5n g99niAnn Demolition Fee TIN 7/93/9Md 4117 g;n R99nidnn Total $235.00 CASE NOTES FOR COM2014-00102 CONDITIONS FOR COM2014-00102 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X e �- 2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X !� _ 3) 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 operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X ( 4) CONG TION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X 5) All bui ermits 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 County ordinances and building regulations. X C COM2014-00102 Page 2 of 4 6) 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 prevented action from being taken. No more than one extension may be granted. X 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. � t7l Signat Date �=2tc- OWNER REPRESENTATIV CONTRACTOR Print Name (Circle one to indica I COM2014-00102 Page 3 of 4 ► r MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING.PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. 111,426 West Cedar Street (360)275-4467 Belf flr ext. 352 �s PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext. 352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: '-Ic>y_1y T4 6cm ScAooc. 'p15W.AC r NAME:TLx.xbTror CL-*As-r-ri.zano•� LLe.. MAILING ADDRESS: E - 71 GAmpos Pa.,�jtr MAILING ADDRESS: 33y yo c-rm Avy- S S,,rrr1 CITY: BtL4.A,,2 STATE: \-/A- ZIP: of t5 SZ8 CITY:Fcroat S4" STATE:\4- ZIP: I tx>pti, PHONE: CELL: 7-n-790-Iog47 PHONE: CELL: 253--t7 Co5-4'7 EMAIL: en e sov% e-hat n I,n e.. ,net EMAIL : GP�4rz u+�,-� �TC.L G.c�N•c oK L&I REG#-rv►,is c-t-9 i3"L EXP.o7 /tom /IS PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 127.09 22 G OOOp FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): 5ew ATTAt rIL�o SITE ADDRESS 7t is Lw.+.A,s 'Drz,-vIr CITY 3E.t.t=ale DIRECTIONS TO SITE ADDRESS: S v= ATrAcrrca IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER TITAN 14% YES❑ NO ❑ IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHIN AN AREA THAT IS LISTED ABOVE,PLEASE CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT. USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) S L,Nc,4A_ 1),gsl¢�� Imo 277R(i1.1: SIT HOW WILL THE DEBRIS BE DISPOSED OF? La.moriu-L- PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED S EL- /,T7WCr4 kD 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 construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.1 ACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. ture of Applicant Date X EV..r.- .31 tt L'L So,. OWNER/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT