HomeMy WebLinkAboutCOM2012-00062 Final Demo Olympic Savings Bank - COM Permit / Conditions - 6/20/2012 MASON 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
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COMMERCIAL BUILDING PERMIT COM2012-00062
OWNER: FIRST OLYMPIC HOLDINGS RECEIVED: 5/9/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 5/9/2012
SITE ADDRESS: 21 NE STATE ROUTE 300 BELFAIR EXPIRES: 11/9/2012
PARCEL NUMBER: 123294200190
LEGAL DESCRIPTION: PCL 4 OF BLA#01-21 PTN OF NW SE SURVEY 26/167& 168
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLITION OF EXISTING OLYMPIC FEDERAL SAVING ST RT 3 TO BELFAIR, L ON ST RT 300 TO SITE ON THE LEFT SIDE
BANK
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: BANK Insp.Area: No.of Bathrooms: Occ. Group:
Valuation:Type Work: DEM Fire Dist.: 2 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?:
COM2012-00062 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
Building State Fee MARA smigni 9 O.a Fn c19n19nn
Demolition Fee (;CAM smigniq M17 Fn Gl,?nlgnn
Total $122.00
CASE NOTES FOR
COM2012-00062
CONDITIONS FOR
COM2012-00062
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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
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
X 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
X
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 Cou Inances and building regulations.
X
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 have prevented action from being taken. No more than one extension may be granted.
X
COM2012-00062 Page 2 of 4
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 Mason County access to the above described property and structure for re iew and inspection.
OWNER OR AGENT: DATE:
COM2012-00062 Page 3 of 4
riFORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: �i
MASON COUNTY Motel
DEMOLITION PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670.Belfair 360 275- 467 Elma 360 482-5269 Seattle 206 464-6968
APPLI T I FWlc4molb
MATION` CONTRACTOR INFORMATION
Owner 'Vold I S Contractor Name Fe)b
Mailirini AddC ss Mailing Address
Cit v tate Zip Code City State Zip Code
Phone -Othpr.LPh: Ph.(_ Other Ph.(
Lien/Titl Ider -- 5 Contractor Reg.#
Address C. — Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. 12 / A Fire District
Legal Description r
Site Address(include street name and city c .J. H : '�1C.�D+ s CU1J
Directions to site:
Is your property within 200' of the following: Body 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? n t'1
What is the use of the building being demolished? 1 Vl
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-1 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 Date �7 Date
Provide a plot plan indicating location of improvements and structure to be demolished.
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Dates-9-la Submittal Amount Due Receipt No.
DEP NTAL REVIEW APPROVED DENIED CONDITION CODES
Building Depart n
Occ G e of Const_
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
TOTAL FEES