HomeMy WebLinkAboutCOM2017-00034 DEMO for Burn - COM Permit / Conditions - 4/4/2017 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
kPSo, cot, Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2017-00034
OWNER: MASON COUNTY PARKS RECEIVED: 4/4/2017
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 1 E SAND HILL RD BELFAIR EXPIRES:
PARCEL NUMBE 301460000
LEGAL DESCRIPTION: N 3/4 OF NE EX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLITION PERMIT FOR CONTROLLED BURN HWY 3 TO BELFAIR, TAKE NE NORTH SHORE RD, R ON NE SANDHILL
RD
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp.Area: No. of Bathrooms: Occ. Group:
Type of Work: DEM Fire Dist.: 2
Valuation: No. of Stories: Exit Design. Load:
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?:
COM2017-00034 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Total
CASE NOTES FOR
COM2017-00034
CONDITIONS FOR
COM2017-00034
1) 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 4
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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-c pliant with Mason County ordinances and building regulations.
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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 mit holder have prevented action from being taken. No more than one extension may be granted.
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4) 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- 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X ��ivu d
COM2017-00034 Page 2 of 4
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 accgrate 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 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature Date
0 N OWNER - EPRESENTATIVE - CONTRACTOR
Print Name (Circle one i icate)
COM2017-00034 Page 3 of 4