HomeMy WebLinkAboutBLD2018-00266 Final Demo MFG Home - BLD Permit / Conditions - 3/27/2018 Inspection Line(360)427-7262
box ��:xrF MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
'R'° RESIDENTIAL BUILDING PERMIT
BLD2018-00266
OWNER: CASSANDRA NAGLE RECEIVED: 3/22/2018
CONTRACTOR: LICENSE: EXP: ISSUED: 3/22/2018
SITEADDRESS: 419 NE BEAR CREEK DEWATTO RD BELFAIR EXPIRES: 9/22/2018
PARCEL NUMBER: 123093190074
LEGAL DESCRIPTION: LOT: 4 OF SP#2436 S 12/157 S 12/180
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO OF 1982 MFG HOME WA 3 N TO BELFAIR, CONT ON NE OLD BELFAIR HWY, L ON NE 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:
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 AMP 3/22/2018 $4.50 S320180000000i
Demolition Fee AMP 3/22/2018 $ 117.50 S320180000000i
Total $122.00
BLD2018-00266 Please refer to the following pages for conditions of this permit. Page 1 of 3
i •� CASE NOTES FOR
BLD2018-00266
CONDITIONS FOR
BLD2018-00266
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
1-800-647-9982. 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
Xaso��1nty ordinances and building regulations.
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
(old n hav�prevented action from being taken. No more than one extension may be granted.
BLD2018-00266 Please refer to the following pages for conditions of this permit. Page 2 of 3
OWN6-R/ BUI- DER 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
PERAQIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signaltafe ( Date
0,a.�'S'C' nct1 OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2018-00266 Please refer to the following pages for conditions of this permit. Page 3 of 3
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MASON COUNTY PERMIT NO.;i
COMMUNITY SERVICES DEPARTMENT
BUILDING• PLANNING•FIRE MARSHAL �C
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 `CC`
Mason County Bldg. #8, 615 W.Alder St (360)275-4467 Belfair ext. 352 </
Shelton,WA 98584 (360)482-5269 Elma ext. 352 MqR
DEMOLITION PERMIT APPLICATION ers
OWNER INFORMATION: CONTRACTOR INFORMATION: rest
NAME: NAME:
MAILING ADDRESS: P,Q b MAILING ADDRESS:
CITY:'�J�na )-, STATE:I�)!R ZIP:GsZS a-R CITY: STATE: ZIP:
PHONE:aAub S-��CELL: PHONE: CELL:
EMAIL: EMAIL
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER)_ I a. ` -�I - CGtUrI`-I' FIRE DISTRICT_d�_
LEGAL DESCRIPTION(ABB VIATED) :
SITE ADDRESS 44 I hE P r. CITY
DIRECTIONS TO SITE ADD SS:
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 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 DEMOLISHED(RESIDENCE,GARAGE ETC.) m 2—
HOW WILL THE DEBRIS BE DISPOSED OF?:
PROVIDE A PLOT PLAN INDICATING 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 nstruction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPEC N. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDAT THE APPLICATION.
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Si nature of A licant Date
X T-') OWNER / REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
,DEPARTMENTAL REVIEW APPROVED DATE 1DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
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Footings !Setbacks Gas Piping Ribbons f—
o Intenor Date By interior-Date By Date By
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Exterior Date By Exterior-Date By Set-up D
INSULATION
Point Load!Isolated Footings Date By N
BG!SLAB INSULATION ------ ---- D
Date By Data By FIRE DEPARTMENT Z
Foundation Walls Floors Date By
Date. BY Data By DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date ay OTHER
Groundwork Attic
Date By Date By Type-
Date By
D.W.V DRYWALL Type:
Int Brace Wall Date By W
Date By Date By r
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Date By Date By Date By
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March 20, 2018 1:2,257
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0 0.03 0.06 0.12 km
• Site Address (Zoom in to 1:5,000)
Tax Parcels (Zoom in to 1:30,000)
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