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Home My WebLink AboutBLD2003-00243 Demo SFR - BLD Permit / Conditions - 3/6/2003 Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 lip Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-00243 OWNER: THEODORE WORMS RECEIVED: 3/6/2003 CONTRACTOR: LICENSE: EXP: ISSUED: 3/6/2003 SITE ADDRESS: 3360 NE OLD BELFAIR HWY BELFAIR EXPIRES: 9/6/2003 PARCEL NUMBER: 123094200160 LEGAL DESCRIPTION: TR 16 OF W1/2 SE EX 16-A PROJECT DESCRIPTION: DIRECTIONS TO SITE: Demolish Residence and 2 small building for preperation to set to M.H. North on Old Belfair Hwy. approx.3.6 miles Driveway directly across from Bear Creek Dewatto Rd 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: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g" 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 KKK 3/6/2003 $56.80 1718 Building State Fee KKK 3/6/2003 $4.50 1718 Total $61.30 BLD2003-00243 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2003-00243 CONDITIONS FOR B LD2003-00243 1) All other necessary permits from Mason County, Washington State and/or Federal Agencies that a e required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 2) 3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contra r fa to post the address on site prior to requesting inspections. X� 4) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X d&J 5) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is dir� to�conatct Olympic Air Pollution Control Authority at (360) 438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition. 6) 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-1f nt with Mason County ordinances and building regulations. X� 7) 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 BLD2003-00243 Please refer to the following pages for conditions of this permit. 2 of 3 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 any time after work is commenced. Evidence f continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER OR AGENT: - �, � ---- DATE: O EGA BLD2003-00243 Please refer to the following pages for conditions of this permit. 3 of 3 PERMIT NO.: MASON COUNTY DEMOLITION PERMIT APPLICATION 00114 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFQRMATIO_N Owner )d ee. . Contractor Name Xloek Mailin Address o 04D ,-L4*44t Mailing Address P, o, 13 o -) 7 City -figirs StateW Zip Code City '3kern. owl State Zip Code 9`Y3/,L Phone(34 a )225-_2Fe3 Other Ph. Ph. (.o �73--7,P7SOther Ph.(� Lien/Title Holder it/QNQ Contractor Reg.# ACE CO/A 0 y y 16 Address Expiration/ d / 0 5 PARCEL INFORMATION-12 digit Tax Parcel No. / � .3 O / /Z_ / G 0 G 6 Fire District Legal Description 7'K /4 o�- t() %Z % CIK /4c -y Site Address(include street name and city 3.3 C. o N• C- , o c Directions to site:4om A-L.691k-, 6:0 Voerlf S. ,Let OA) a/_o 13o-L �+.iz !✓� � C'/?ae-e w4 rro Ro46, ORi✓P 10.4,. 'r /9e-aosS o,.-r R,,4 . Is your property within 200' of the following: Body of Water (Name) 6 P (!..e / Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs if 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 be disposed of? �urXF n o(/r D Ove?4 2 e is the use of the building being demolished?_ / SyP O / S S/-/, A y / pw iD��c-E NOTICE: THIS PERMIT BECOMES NULL R 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-I 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 obtain/inn approval. be made without first obtaining approval. X Date a3 U X Date Provide a plot plan indicating location of improvements and structure to be demolished. � N,v f1rT%1c �� orJ FOR OFFICIAL USE BEYOND THIS POINT Y rr Accepted b Date Submittal Amount Due 10( • Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. P AAA Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal TOTAL FEE S f' ff N o IU - S. 10 AS fy 1 r + _ _.._-.._r . 7— _.G.._1 __,. a. _... ....- 1VA0P M i�E1.7 .y ;� _I Ol-1 i y 1 _ . ._.j.. 31{S NCa 1 G92:II1638 Nb'1 311S 1 s I . GIAOUM PLON !! 1 + j I i TOPOGRAPHY PROFILE: �' E�QL.S� C4 9Y Jol C�ac. � �- t� _ �1-, 9 � o Direction: Scale: Approval: for office use Building Permit number: I^ — so , Building: Owner/Applicant: Date of Planning: /Parcel Number: application: Env. Health: