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Home My WebLink AboutCOM2011-00084 Demo - COM Permit / Conditions - 5/9/2012 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 t� COMMERCIAL BUILDING PERMIT COM2011-00084 OWNER: CRAZY ERICS CO. RECEIVED: 9/20/2011 CONTRACTOR: LICENSE: EXP: ISSUED: 9/21/2011 SITE ADDRESS: 23881 NE STATE ROUTE 3 BELFAIR EXPIRES: 3/21/2012 PARCEL NUMBER: f123294100081 LEGAL DESCRIPTION: PCL 3 OF BLA#04-37 PTN NE SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLISH BUILDING BELFAIR General Information Construction&Occupancy Information Type of Use: Insp.Area: No. of Units: Type of Constr.: Type of Work: DEM Fire Dist.: 2 No.of Bathrooms: Occ.Group: 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?: COM2011-00084 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 Demolition Fee Tw Q/9nnm1 Itl17.qn si9mInn Building State Fee TW Qnn/9ni I .a so ,;I9m inn Total $122.00 CASE NOTES FOR COM2011-00084 CONDITIONS FOR COM2011-00084 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-Q,� a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X ��{{// 2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 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 obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orrc/aJa.org X 4) 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-com lid wit ason County ordinances and building regulations. X_ 5) 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 peni old ave prevented action from being taken. No more than one extension may be granted. X & COM2011-00084 Page 2 of 4 YhA 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 Mason CoounbHcce—ss to the above described property and structure for review and inspection. OWNER OR AGENT: G1 M� / CA. �I DATE: COM2011-00084 Page 3 of 4 0 -0 CONCRETE MECHANICAL MANUFACTURED HOME 0 Footings I Setbacks Gass Piping By Ribbons -� 0o Interior Date :By Interior-Date By Da1e By m 00 Exterior Date By Exterior-Date B Set-up Point Load/Isolated Footings INSULATION Date Bye CO) Doke ByBG!SLAB INSULATION FIRE DEPARTMENT O Data By 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 By OTHER Groundwork Attic Type: Dot® By Date By Type: By D.W,V DRYWALL Type. 0 Int.Brace wall O Date ay ote s Date �y E - FINAL INSPECTION IN) Water Line Fire Separation Date By Data By Data C Pass or Request Inspect. Q Type of Insp. Fail Date Date Done By Comments v ca cu 4h. 0 h FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: }V�' MASON COUNTY 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_�/�,�� IC.� � t 1 fir. CAI Contractor Name Mailing Address 29 q CLA&Iruis & Mailing Address City <g.Tn& State U& Zip Code g4?310 City State Zip Code Phone(,®) 3177- 30ther Ph.(abe ) -2297 Ph.( Other Ph.0 Lien/Title Holder a &b Contractor Reg. # Address �38ftWLFAKIAA ft-4:gSExpiration PARCEL INFORMATION-12 digit Tax Parcel No. I a3- 2q -- /4k --/ doo gi Fire District' FA Legal Description Site Address(include street name and city_ 7t�3 881 Me 3,o1~Lm a haw Directions to site: `FTgLVAIR Is your property within 200' of the following: Body of Water(Name) Saltwater �F`s 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? !,-® YAAD C® -JJWA- S - �A�/1/ COLL69Y What is the use of the building being demolished? rn&s�r .EOM 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-]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. X 9 �/ f/v Date r�y"47--Roij 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 ( ) .........:....:•:.::•::•;;:.::•;:•;;i f TOTAL FEES I r c� 1 qo R 2-6