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BLD2010-00836 DEMO - BLD Permit / Conditions - 9/14/2010
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 Ir Shelton, WA 98584 pto RESIDENTIAL BUILDING PERMIT BLD2010-00836 OWNER: THOMAS JOHNSON RECEIVED: 9/14/2010 CONTRACTOR: LICENSE: EXP: ISSUED: 9/14/2010 SITE ADDRESS: 130 E WHEELWRIGHT ST ALLYN EXPIRES: 3/14/2011 PARCEL NUMBER: 122205093000 LEGAL DESCRIPTION: ALLYN BLK: 93 EX 93-A& PTN OF VAC WHEELWRIGHT ST SEE S 8/69 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO OF EXISTING SFR DUE TO FIRE DAMAGE ST RT 3, L ON LAKELAND DR, L ON WHEELWRIGHT ST, TO SITE ADDRESS ON THE RIGHT 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: SEPA?: Rear: Ft. Slope: Ft. 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 Demolition Fee GMM 9/14/2010 $117.50 S12010000 Building State Fee GMM 9/14/2010 $4.50 S12010000 Total $122.00 • BLD2010-00836 Please refer to the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2010-00836 CONDITIONS FOR BLD20 1 0-00 8 36 1) 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 LIMITD ANE NW, OLYMPIA WA 98502, 360-586-1044, 800-422-5623, WWW.ORCAA.ORG X 2) 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 County ordinances and building regulations. X 3) 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 bpve prevented action from being taken. No more than one extension may be granted. X This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime 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 property and structure for review and inspection. OWNER OR AGENT: DATE: / l 7 �✓ • BLD2010-00836 Please referto the following pages for conditions of this permit. 2 of 2 W C_ o CONCRETE MECHANICAL MANUFACTURED HOME p CD Footings By = o Footings!Setbacks Gas Piping Ribbons CO) o Interior Date By Interior-Date By Date By 0 W Exteror Date By Exterior-Date By Set-up ? °' INSULATION Point Load!isolated Footings Cate By = Date By SLAB INSULATION By FIRE DEPARTMENT O 3 Foundation Walls Floors Date By Cl) Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Data ey Date By OTHER Groundwork Attic Date By Date By Type- Date By D.W.v DRYWALL Type. Int Brace Wall Date By Date By Dale By FINAL INSPECTION 0 Water Line Fire Separation N0 Yo' Date By Date By ate It-' � By C Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments 00 rn 0 8 0 in 0 0 N,1r*Q L.4t r d�a dso1 � . 7 6S e FORM MUST BE COMPLETED IN INK q PLEASE PRESS HARD PERMIT NO.:'3) �o "co83tp MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-467 Elma 360 482-5269 Seattle 206 464-6968 APPLICA T INFORMATION CONTRACTOR INFORMATION Owner_ _ a,-x o, �),��% ,1, Contractor Name Mailing Address /3 o E I-1 I w- . EL /r Mailing Address City ,4 U State v-% Zip Code 2 City State Zip Code Phone(? 1 ) � o I GSA3 Other Ph.( Ph.(__ Other Ph.( Lien/Title Holder• 2,-wAA1 Contractor Reg. # Address *3n Expiration PARCEL INFORMATION-12 digit Tax Parcel No. 9 Fire District G- Legal Description Site Address(include street name and city /^/-0 C wt-rr/ •-<,t 4.f, Directions to site: Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /f 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 11 be disposed of? L,,l 1 Nor (w .t J-(.:�;Vh C4�6'" c�It� 7�'�!' tv:�.t7'r/ T<..f ! rti�i-�g Ct�r! JL,.,-1 What is the use of the building being demolished? A p L,-r NOTICE: THIS PERMIT BECOMES NULL&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-]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 obt ' • approval be made without first obtaining approval. X �'" �� Date gyp' I`�- �© X Date Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date - - ubmittal Amount Due 1 ZZ-0U Receipt No. DEPA THE TAL REVIEW APPROVED DENIED CONDITION CODES Building Depart tent Occ Gr T of Const. Planning Departm Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) :}"';yr+ki.};}�ti•.••.•.••v.:: {:..:1•:�CtiikS,:+.i::::.J Jr}ti`u...},3;•...,:.:{}.::.•.•.•.::,�,.,f.,. �w:�;as,• TOTAL FEES•N�'s.:y:?1;: •:•`s:.•, �^�.�'?�s>,�•.••..:.::..;sz}.. �`:sa''� �'�s�;.y.�;:�••�•.}•�>.•: