HomeMy WebLinkAboutBLD2017-00132 Final Demo for SFR, Garage, Carport and Shed - BLD Permit / Conditions - 11/2/2017 Inspection Line (360)427-7262
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� MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County615 W Alder St
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2017-00132
OWNER: MARK SMITH RECEIVED: 2/28/2017
CONTRACTOR: PIONEER DIGGING INC 360-426-1803 LICENSE: PIONED1081 P7 EXP: 6/29/2017 ISSUED: 2/28/2017
SITE ADDRESS: 560 E CRONQUIST RD ALLYN EXPIRES: 8/28/2017
PARCEL NUMBER: 122321092110
LEGAL DESCRIPTION: TR 11 OF GOVT LOT 2 &TAX 948 EX 948-A LOT: B OF SP#1844 S 26/10
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT FOR SFR, GARAGES, CARPORT AND SHED.
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. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee JBN 2/28/2017 $4.50 S2201700000001
Demolition Fee JBN 2/28/2017 $ 117.50 S2201700000001
Total $ 122.00
BLD2017-00132 Please refer to the following pages for conditions of this permit. Page 1 of 3
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CASE NOTES FOR
BLD2017-00132
CONDITIONS FOR
BLD2017-00132
1 Contractor registration laws are governed under RCW 18.27 and enforced b the WA State Dept of Labor and Industries Contractor Compliance Division.
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There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-09 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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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
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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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 ordinances and building regulations.
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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 v vented action from being taken. No more than one extension may be granted.
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BLD2017-00132 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 I§WDAYS WILL INVALIDATE THE APPLICATION.
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Signs p Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2017-00132 Please refer to the following pages for conditions of this permit. Page 3 of 3
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RESIDENCE
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.'.'.'.'.'.'.'.'.'. .'. .MAC AND WASHER . . . . . . . .
'.'.'.'.'.'.'.'.'.'.. ..TBM: 39.96'. . . .. . . . . . . . .
74.29' 68.20' 42.97' 8.06 /.
V 8958'04 W - 492.94' R
�FND IRON PIPE WITH CAP �l
LS I I J55 0.2' NORTH OF LINE
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N TES
1. THIS SURVEY COMPLIES WITH ALL STANDARDS AND
DECK GUIDELINES OF THE "SURVEY RECORDING ACT", CHAPTER
RESIDENCE 58.09 RCW AND 332-130-090 WAC.
2. THIS SURVEY WAS ACCOMPLISHED USING FIELD TRAVERSE
AND RTK GPS PROCEDURES.
3. A TRIMBLE MODEL 5603, 3-SECOND TOTAL STA77ON
VD REPRESENTED AS NA 1988 AND/OR LDCA GS14 GPS RECEIVER WERE USED FOR THIS SURVEY.
4. THIS MAP IS NOT INTENDED TO SHOW ALL MATTERS RELATED TO
THE PROPERTY, INCLUDING, BUT NOT LIMITED TO EASEMENTS.
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DRAWING NO. 5308b DRAWN BY ENJ DA TE.• 12114116
spen
A POR TION OF THE
Land SurveyingSE %4 OF THE NE %4,
at The Landing in Key Center
LLC SEC. 32, T 22 N, R 1 W, W.M.
P.O. Box 124, Vaughn, WA 98394-0124 MASON COUNTY, WASHINGTON
15510 — 92nd Street, KPN, Gig Harbor, WA 98329
(253) 303-0270 FAX (253) 303-0273
Aacot,
MASON COUNTY PERMIT NO. .r LD,7-y l 7— DOl 3 Z
COMMUNITY SERVICES DEPARTMENT
BUILDING• PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg.#8, 615 W.Alder St (360)360)275-5267 Elma r ext. 352 ext 352 RECEIVED
1854 Shelton,WA 98584
DEMOLITION PERMIT APPLICATION ��8 2 9 2017
615
OWNER INFORMATIONc: I CONTRACTOR INFORMATION:
NAME:/� 5 c�7/T/� NAME:
MAILING ADDRESS:4WO E MAILING ADDRESS:
CITY STATE: " ZIP:f9578 CITY: STATE: ZIP:
PHONE;W-Z75'•S'S-t5f CELL:Z .:?-? D-SZZ1 PHONE: CELL:
EMAIL: gyyZ2 & /�rfy off,Lq� EMAIL
PARCEL INFORMATION: pY1 ►� ►2�j
PARCEL NUMBER(12 DIGIT NUMBER) 2 Z 3,2 — U- / 2 /1 0 FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) :
SITE ADDRESS SG+D 4F'• C/ZBit 44e1ST/ZJ> CITY
DIRECTIONS TO SITE ADDRESS:
IS PROPERTY WITHIN 200 FT:
SALTWATEReLAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S) WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO Q'
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA 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.)
HOW WILL THE DEBRIS BE DISPOSED OF?:
L.�iytOFILL — 8 /�/1L16.GT.
T
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
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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 suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPEC IN OF THIS ERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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ignature o licant
X /�l�¢ 'B ��1/1'ff OWNE REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT 1