HomeMy WebLinkAboutBLD2023-01373 DEMO - BLD Inspections - 10/7/2024 INSPECTION CARD
4k Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2023-01373 PROJECT ADDRESS 80 E BLEVINS RD NORTH SP 301 SHE, #A 8584
PARCEL# 420013300040 PROJECT DESCRIPTION DEMO PUMPHOUSE /GARAGE STRUC U E
OWNER EVERGREEN MOBILE HOMEOWNERS ADDRESS KATHERINE CASTELLANO, PRESIDENT PHONE
CONTRACTOR PINUP CLEANUP LLC ADDRESS 3805 SOUTHBAY LOOP NE PHONE 360-951-2435
CONTRACTOR LICENSE PINUPCL831MU LENDER
INSPECTION INSP I DATE Comments INSPECTION INSP DATE Comments
Connection has been verified by I Z)U- /0.72 Demolition Final Inspection
.� cO°�'�,. MASON COUNTY PERMIT NO. '61 J 2-
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext. 352
Shelton,WA 98584 (360)482-52%Elma ext.352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:(�,;,�-2 otiy �`oc',er )g 1�\ti�naaem e NAME: ?i n t&� N er yL Lip LL !C
MAILING ADDRESS: (� C7 W c v�a S a'a� MAILING ADDRESS: '3 z1 E 5o,,AA c
CITY: STATE: b3 i} ZIP: �j g,58Q CITY:dyH p,'r� STATE: t�a, ZIP: q
PHONE:36p y 2 1, 3�ELL: 360 q2(— -�)7A:4 PHONE:3&D 59 I ,2 y3_S`CELL:
EMAIL:.�` �tia c���i�c�:� �fbpc �yl�nl t[� EMAIL : n&Qk LLf,4) C-on-1
L&I RE6# EXP.
PARCEL INFORMATION:
PARCEL NUMBER (12 DIGIT NUMBER) 00 3 bUy O Q FIRE DISTRICT
LEGAL DESCRIPTION (ABBREVIATED)
SITE ADDRESS e •Yx ?,C) 5T�qGC CITY S h,el
DIRECTIONS TO SITE ADDRESS:
IS PROPERTY WITHIN 200 FT:
SALTWATER LAKE RIVER/CREEKQ POND WETLAND SEASONAL RUNOFF STREAM
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESQ NO ID
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.)
HOW WILL THE DEBRIS BE DISPOSED OF?:
Icivn2j !;i 1
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
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
IN ECTION.IN TIVI OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Srdn&r 'of Applicant Date
aOWNER/nREPRESENTATIVE/CONTRACTOR
-Prinf Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
VIGION ELL Olympic Region Clean Air Agency
2940 Limited Lane NW
Olympia,WA 98502
(360) 539-7610• FAX(360)491-6308 Demolition Permit
South Bend Office (360) 942-2137
O RCA A Port Townsend Office (360)338-6419
#, •
• ,� www.ORCAA.org
'�► knnsa•ra°''
Demolition and renovation projects within Clallam,Grays Harbor,Jefferson,Mason,Pacific,and Thurston
counties REQUIRE A PERMIT and require that the following conditions be met prior to the demolition.
Olympic Region Clean Air Agency(ORCAA) regulations define a demolition project as the wrecking, razing,
leveling,dismantling,or burning(by a fire department for training purposes) of a structure,making the structure
permanently uninhabitable or unusable. Renovations include the removing of load bearing structural members,
but not to the extent to make the structure uninhabitable.
The following information is merely a reference guide and not a substitute for agency regulations.
1. A good faith asbestos survey is required for any demolition.The survey must be conducted by a certified Asbestos
Hazardous Emergency Response Act(AHERA)building inspector. Qualified contractors and inspectors may be
found in your local Yellow Pages,through the Washington State Department of Labor and Industries,or on
ORCAA's website.
2. Asbestos samples must be sent to a NVI.AP Laboratory(National Voluntary Laboratory Accreditation Program) per
40 CFR 763.87.A list of labs can be found on ORCAA's website.
3. The start date on other structure demolitions must be at least 10 working days from the submission date of the
complete application and payment.
4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing
material present in the structure to be demolished
5. Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as
such.
6. A copy of the asbestos survey and approved Demolition Permit must be kept on site and be available for review by
Agency inspection personnel.
7. The original demolition permit will expire 1 year from start date. If the permit expires and the project is not complete,
you must submit and pay for another demolition permit. Under no circumstances will a project be extended beyond 1
year from original submission date.
ADDITIONAL REQUIREMENTS:
In addition to Agency requirements,most building departments require a demolition permit(separate from ORCAA's
Demolition Permit).The Washington State Department of Labor&Industries and the local fire authorities may also require
notification for asbestos removal projects.
"Owner Occupied Residential Dwelling"means any single family housing unit which is permanently or seasonally
occupied by the owner of the unit both prior to and after the proposed project.This term includes houses,mobile homes,
trailers,houseboats,and houses with`mother-in-law apartment'or a`guest room.'This term does not include structures that
are demolished or renovated as part of a commercial or public project;nor does this term include any mixed-use building,
structure,or installation that contains a residential unit,or any building that is leased or used as a rental,or for commercial
purposes.
Mason County
lop Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2023-01373 DEMO
PROJECT DESCRIPTION: DEMO PUMPHOUSE/GARAGE ISSUED: 11/13/2023
STRUCTURE
SITE ADDRESS: 80 E BLEVINS RD NORTH SP,-eSHE EXPIRES: 05/11/2024
PARCEL: 420013300040
APPLICANT: GATEWAY PROPERTY MANAGEMENT OWNER: EVERGREEN MOBILE HOMEOWNERS
PO BOX 1997 COOPERATIVE
SHELTON,WA 98584 KATHERINE CASTELLANO, PRESIDENT
1.360.426.3988 SHELTON,WA 98584
GENERAL CONTRACTOR'S LICENSE: PINUP CLEANUP LLC License: PINUPCL831 MU
3805 SOUTHBAY LOOP NE Expires: 07/31/2025
OLYMPIA,WA 98506
360-951-2435
FEES: Paid Due
Demolition Fee $120.00 $0.00
Technology Flat Convenience $5.00 $0.00
Fee
State Fee-Residential $6.50 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection has been verified by Health or Utilities Demolition Final Inspection
CONDITIONS
The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 removed from the area to be demolished.work shall not commence on an asbestos project or
demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800-422-5623, www.orcaa.org
For public safety, it is the responsibility of the applicant to confirm through written verification all utility services (electric,
gas, water, sewer, ...) have been terminated prior to demolishing a structure.
Printed by:Genie Mcfailand on:11/13/2023 12:00 PM
Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2023-01373
* All construction debris must be removed from the site after project completion to an approved location. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of aquatic
environments.
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
* All building permits shall have a final inspection performed and approved by 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 County ordinances and building regulations.
* 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 PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland
sediments from entering the aquatic environment. Erosion control measures must be in place prior to any clearing, grading,
or construction. These control measures must be effective to prevent soil from being carried into surface water by
stormwater runoff.Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of state
regulations.Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior
authorization from the Department of Ecology. Silt fencing, straw matting, etc. must be installed and maintained until seeding
or upland vegetation has become established around all areas disturbed or newly created by construction activities.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
Contractor or Authoriz Agent: Date:
Printed by:Genie Mcfadand on:11/13/2023 12:00 PM
Page 2 of 2
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