HomeMy WebLinkAboutBLD2014-01075 Cancelled Demo SFR - BLD Permit / Conditions - 8/26/2016 nisNecuvn Line t�ov�4u-rcoc
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? MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2014-01075
OWNER: GREAT PENINSULA CONSERVANCY RECEIVED: 12/11/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 12/11/2014
SITE ADDRESS: 360 NE OLD BELFAIR HWY BELFAIR EXPIRES: 6/11/2015
PARCEL NUMBER: 123291100040
LEGAL DESCRIPTION: TR 4 OF NE NE
PROJECT DESCRIPTION: C ONS TO SITE:
DEMO EXISTING SFR WITH ATTACHED GARAGE &CARPORT S TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD, STRAIGHT
ONT OLD BELFAIR HWY TO SITE ADDRESS ON THE RIGHT
General Information Construction &Occupa nformation Square Footage Information
No. of Bedrooms: Type of
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. up: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 2 No. of Stories: Occ. L d: Building:
Valuation: Building Height: Sta s: Basement:
Manufactured Home Information Setback Informati Shoreline& Planning Information
Make: Length: Ft. Front: Ft. Shor e: Ft. Water Body:
SEPA?:
Model: Width: Ft. Rear: Ft. Slo e: Ft. g :
Side 1: Ft. Shoreline Desi
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixture FEES
Type Qty. Type Type By Date Amount Receipt
Total
BLD2014-01075 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2014-01075
CONDITIONS FOR
BLD2014-01075
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
1-800-6 -0982. 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
Mason qou ty ordinances and building regulations.
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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
holder ave prevented action from being taken. No more than one extension may be granted.
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BLD2014-01075 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 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
PERMI PPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature Date
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1 ON OWNER REPRESENTATIV - CONTRACTOR
Print Nam one to indica
BLD2014-01075 Please refer to the following pages for conditions of this permit. Page 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
A Footings !Setbacks Gas Piping By Ribbons D
o Inienor Date By Interior-Date By Date B
_ y
4 Exteroor Date By Exterior-Date By Set-Set-up. R1
INSULATION Z
Point Load t Isolated Footings Date By _. Z
BG!SLAB INSULATION -
Date By Data By FIRE DEPARTMENT C
Foundation Walla Floors Date By D
Date By Data By DECKS n
FRAMING Walls Date By 0
Z
Date By Data By PROPANE TANKS CA)
PLUMBING _ Vault Date By X
Data _°y _ OTHER a
Grotwdtwork Attic Z
Data By Date By Type
Date By
D.w.v DRYWALL Type.
Date 8y Int Brace Wall Date By
Date By FINAL INSPECTION p
ti Water Line Fire Separation N
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Date By Date By Date By
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g Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments Q
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MASON COUNTY PERMIT NO. 1G Z6 -
> DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
t Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
,u PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:—Great Peninsula Conservancy NAME: Cascade Excavators
MAILING ADDRESS:_423 Pacific Ave Suite 401 MAILING ADDRESS: PO Box 2074
CITY:_Bremerton STATE:_WA_ZIP:_98337_ CITY:_Belfair STATE:_WA ZIP:_98528_
PHONE:_360 373-3500 CELL:_206 406 3477 PHONE:_425 358 3478 CELL:_206 3917502
EMAIL:_scott@greatpeninsula.org EMAIL _earl.iddings@gmail.com
L&I REG# CASCAEI I54J3 EXP. 10/26/2015
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER)_I 23291100040 FIRE DISTRICT-
2-LEGAL DESCRIPTION(ABBREVIATED) :_S29 T23N R1 W_See attached.
SITE ADDRESS-360 Old Belfair Highway CITY_Belfair
DIRECTIONS TO SITE ADDRESS:_HWY 3 to NE Clifton Lane to right on to Old Belfair HWY—0.3 miles 360
_will be on right
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK X POND[] WETLAND X SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑NO X
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA 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.)_abandoned residence,patio and garage/outbuilding
HOW WILL THE DEBRIS BE DISPOSED OF ?
_wood and concrete debris will be recycled to the extent possible,non-recycled material will be disposed of at Olympic Transfer
Station; hazardous materials will be transported to an approved disposal site.
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
• y,21Y10 'S fit'— - >4 41 Ckt.d 914A CL q,_. C,CeJ_-
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 construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTION. CTIVITY OF THIS.PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature of Applicant Date,
X 30aA 2606_66il FxCc;du;u t /ir , OWNEF�J REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT