HomeMy WebLinkAboutBLD2013-00191 Cancelled House - BLD Permit / Conditions - 3/19/2014 Inspection Line(360)427-7_i'..
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. :,s
Mason Countv Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2013-00191
OWNER: KENNETH VAN BUSKIRK
CONTRACTOR: LICENSE: EXP: RECEIVED: 3/19/2013
SITE ADDRESS: 431 NE OLD BELFAIR HWY BELFAIR ISSUED: 3/19/2013
PARCEL NUMBER: 123291200060 EXPIRES: 9/19/2013
LEGAL DESCRIPTION: LOT: 1 SP#70 OF TR 6 NW NE
PROJECT DESCRIPTION: DIRECTIO S T ITE:
DEMOLISH 790 SQ FT HOUSE
General Information Construction &Occupa cy t fo do Square Footage Information
No. of Bedrooms: ypkc.
ns
Type of Use: SF Insp.Area: No. of Bathrooms: Gro Lot Size: Deck:
Type of Work: DEM Fire Dist 2 No. tories: ad: Building:
Valuation: Bui ing fight: Occ. Status: Basement:
Manufactured Home Informati n fi rt*ck Information Shoreline& Planning Information
Make: Length: Ft. ont: Ft. Shoreline: Ft. Water Body:
R 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
Demolition Fee TW 3/19/2013 $ 117.50 S2201300000001
Building State Fee TW 3/19/2013 $4.50 S2201300000001
Total $ 122.00
BLD2013-00191 Please refer to the following pages for conditions of this permit. Page 1 of 2
'r CASE NOTES FOR
BLD201 3--001 91
CONDITIONS FOR
BLD2013-00191
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 onetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800- 47-098 .; he l;6-Jprsq si ning this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Own/�e'r,,//Agent i 7r onsi a post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
3) 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 obtaine itten p val from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044 /800.422.5623 www.orcaa.org
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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 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 Masgfl County access he abo 6 de ribed property and structure for review and inspection.
OWNER OR AGENT: `�'- ✓ DATE:G,'� 8-' 5
BLD2013-00191 Please refer to the following pages for conditions of this permit. Page 2 of 2
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MANUFACTURED HOME D
o CONCRETE MECHANICAL Z
Footings !Setbacks Date Gas Piping By Ribbons W
o Interior Date By Interior-Date By Date By N
Exterior Date By Exterior-Date By
Sot-LIP
Point Load!isolated Footings INSULATION Date By
BG I SLAB INSULATION - --
Date By Date By FIRE DEPARTMENT
Foundation Walls M
Floors Date By
Z
Date By Data By DECKS m
FRAMING Walls Date By 2
Date By Data By PROPANE TANKS
PLUMBING vault Date ey
Date By___.____ OTHER
Groundwork Attic
Date By Type
Dale ey Date u,
D.W.v DRYWALL Type-
Int.Brace Wall Date g y W
v Date By Date By __.._ ----------- r
CD
n) FINAL INSPECTION
N water Line Fin Soperation N
Date By Date By Date By
s Pass or Request Inspect. c
E Type of Insp. Fail Date Date Done By Comments
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NW
MASON COUNTY
DEMOLITION PERMIT APPLICATION I
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
APPLICA T INFORMATION I/ �O CONTRACTOR INFORMATION
Owner 1►� _ Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
PhoneU Other Ph.(____) Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. / J0 X117J Fire District
Legal Description
Site Address(include street name and city 116j tC W Lk-)
Directions to sit
Is your property within 200' of the following: 13ody of Water (Name) 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? r {�LJ � r^
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 therewi .'t o 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.
7 '
/,,/Date. ) �,!/`(/ 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 ( )
F TOTAL EES