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Home My WebLink AboutCOM2012-00148 Final Demo Section of Interior Area - COM Permit / Conditions - 4/8/2013 IrpMASON 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 o" COMMERCIAL BUILDING PERMIT COM2012-00148 OWNER: SCOTT MCLENDON HARDWARE RECEIVED: 12/3/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 12/3/2012 SITE ADDRESS: 51 NE STATE ROUTE 300 STE A BELFAIR EXPIRES: 6/3/2013 PARCEL NUMBER: 123294200190 LEGAL DESCRIPTION: PCL 4 OF BLA#01-21 PTN OF NW SE SURVEY 26/167 & 168 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO SECTION OF INTERIOR AREA FOR FUTURE NEW ST RT 3 TO BELFAIR, L ON ST RT 300 TO SITE ADDRESS CONSTRUCTION General Information Construction &Occupancy Information Type of Use: HARDWARE STOP Insp.Area: No. of Units: Type of Constr.:No. of Bathrooms: Occ. Group: Type of Work: DEM Fire Dist.: 2 No. of Stories: Exit Design. Load: Valuation: 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?: COM2012-00148 Please refer to the following pages for conditions of this permit. Page 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee r KAU 19/'t/7n17 -d rn q1?ntgnn Demolition Fee rnnnA 19i,Aigm9 ct`117 Fn gl9nignn Total $122.00 CASE NOTES FOR COM2012-00148 CONDITIONS FOR COM2012-00148 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 pot "al risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-80 7- 2 e g+ rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owner/A ent s re n le to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.2 X �- 3) T dem i `"Ind disposal of debris mustmeet 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. IV This permit eco, s n nd 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 w 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 M unt access to the above described property and structure for review and inspection. OWNER OR AGENT. DATE: COM2012-00148 Page 2 of 3 J FORM MUST BE COMPLETED IN INK Fop PLEASE PRESS HARD PERMIT NO.. MASON COUNTY (�Q L4 DEMOLITION PERMIT APPLICATION 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 INFORMATION Owner e—, .)0 Contractor Name Mailin Add ess !Af> \�l�i Zc-1 Mailing Address City 0 - ,G StateQA Zip Code City State Zip Code Phone Other Ph.( Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. I �,3a� ��/� Vie) I 10 Fire District Legal Description 11 Site Add ress(include street name and city,`j/-t, l)t-: �-6: k' C[cif Directions to site: Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek 1-*" 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? Sri r D,�' L rn 0 fv U � What is the use of the building being demolished? 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-1 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 obtaining approval. be made without first obtaining approval. Ji Dat X Date Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) 1?:;:}S::x{.!i%:::•':{?:•i:S:iiF!•::!n :::::%}%":]G1i.. {any:: '>•{•i'.:;,';':v:• ••::�::: ��rf>r��:v;.,:�;?•. :?:n•,::�.•,.!,:3.::'�' •..•�;!�:.::�::�: �#> TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: 2-to 12 MASON COUNTY /1/1 jam{ DEMOLITION PERMIT APPLICATION 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 INFORMATION Owner 1f0 ' Z -�VL�,e Contractor Name Mailina Address "5 U ►' -, �°`1 _ ZGj Mailing Address City "1( � State Zip Code r _ City State Zip Code Phone(Z-,5 Other Ph.( Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. 1 a Z-. / G`-y-) i j Fire District Legal Description Site Address(include street name and city\f/b t G7' 1 I&J-4 J Directions to site: Is your property within 200' of the following: Body of Water _Name) Saltwater Lake River/Creek w 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 be disposed of? CGug-tc( TA-1. k?. What is the use of the building being demolished? 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-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 obtaining approval. be made without first obtaining approval. Date Date i Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other Site Inspection Pre-Paid at SubmittalX,X ( ) : ::; TOTAL FEES 2'i�>�3rr'i'?3ii?•''�t2'•:3i%2iY#iii<<Ciii(ia•`'.•:�>`'> :` 2�iz#ii:i:ii :::>%:::':i:':?>