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Home My WebLink AboutBLD2024-00525 DEMO - BLD Inspections - 10/7/2024 INSPECTION CARD Mason County 615 W. Alder St. Building 8, Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov PERMIT# BLD2024-00525 PROJECT ADDRESS 47 NE Sundstrom Rd Belfair, WA 98528 PARCEL# 222025190002 PROJECT DESCRIPTION DEMO DOUBLE WIDE MFG OWNER PARKS ET AL JAMES E JR ADDRESS JOHN M PARKS PHONE 206-755-8357 CONTRACTOR GK CONSTRUCTION LLC ADDRESS 9825 LITTLEROCK RD SW PHONE CONTRACTOR LICENSE GKCONKC915K7 LENDER INSPECTION INSP I DATE omments INSPECTION INSP I DATE Comments C as een veri Demolition Final Inspection o-7-.Z RECEIVED APR 2 3 2024 ar,yr, MASON COUNTY PERMIT NO. P�Lo202�- OCrJ2� COMMUNITY SERVICES DEPARTMENT g15 W.Alder Street 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)482-5269 Elma ext.352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:MARY WHITING NAME:CHRIS GILBERTS MAILING ADDRESS:71 NE SUNDSTROM RD MAILING ADDRESS:9825 LITTLE ROCK RD SW CITY:BELFAIR STATE:WA ZIP:98528 CITY:OLYMPIA STATE:WA ZIP:98512 PHONE:206.755.8357 CELL:206.755.8357 PHONE:360.359.5206 CELL: EMAIL:MARYCWHITING(@,AOL.COM EMAIL:CHRISGILBERTS@MSN.COM L&I REG# of EXP. / PARCEL INFORMATION: 4 1 S K PARCEL NUMBER(12 DIGIT NUMBER) 222025190002 FIRE DISTRICT LEGAL DESCRIPTION (ABBREVIATED) JG JOHNSON WF TR 1 SITE ADDRESS 47 NE SUNDSTROM RD CITY BELFAIR DIRECTIONS TO SITE ADDRESS: IS PROPERTY WITHIN 200 FT: SALTWATER[] LAKE[] RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[]NO❑r IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHIN AN AREA 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.) DOUBLE WIDE MANUFACTURED HOME HOW WILL THE DEBRIS BE DISPOSED OF?: DUMP 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.1 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 permittapplication 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� TION.INACTIVITY 9FNHIS ERMIT APPLICATION OF 180 DAYS W LL IN ALID TE THE APPLICATION. X Signature of plicant to X N OWNER REPRESENTATIVE/ CONTRACTOR PH Name DEPARTMENTAL REVIEW APPROVED DATE DENIED 61lW TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT 1G�yGiON C6E Olympic Region Clean Air Agency ovi �'Lq' 2940 Limited Lane NW Olympia,WA 98502 SouthBend 10•FAX()94 -21-7 Demolition Permit South Bend Office(360)942-2137 RCA A .�,s Port Townsend Office(360)338-6419 1* 1.s ' www.ORCAA.org 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 NVLAP 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. t � Site Diagram .�� L / 1 y r } C Dye Packet Results 4 Background Series 1 Retrieval Series 2 Retrieval Series 3 Retrieval ;y Site F �l Dale Date Date Date Date Date Date Date Results Results Results Result Placed Retrieve Placed Retncve Placed Retrieve Placed Retrieve �� I� Lill, Bacteriological Water Sample Results Date Results Printed From Printed ire Mason ty C. 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 BLD2024-00525 DEMO PROJECT DESCRIPTION: DEMO DOUBLE WIDE MFG ISSUED: 04/23/2024 SITE ADDRESS: 47 NE SUNDSTROM RD BELFAIR EXPIRES: 10/20/2024 PARCEL: 222025190002 APPLICANT: PARKS ET AL JAMES E JR OWNER: PARKS ET AL JAMES E JR JOHN M PARKS JOHN M PARKS SOLDOTNA,AK 99669 SOLDOTNA,AK 99669 206-755-8357 GENERAL CONTRACTOR'S LICENSE: GK CONSTRUCTION LLC License: GKCONKC915K7 9825 LITTLEROCK RD SW Expires: 02/28/2026 OLYMPIA,WA 98512 FEES: Paid Due Technology Flat Convenience $5.00 $0.00 Fee State Fee-Residential $6.50 $0.00 Demolition Fee $120.00 $0.00 Totals : $131.50 $0.00 REQUIRED INSPECTIONS Connection has been verified by Health or Utilities Demolition Final Inspection CONDITIONS • The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. " 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:Anna Schaffran on:04/23/2024 01:20 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 BLD2024-00525 " 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 * 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. * 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 UNLESS OTHERWISE APPROVED. * 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. * 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. 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: )ghnoi S . Contractor or Authorized Agent: Date: #2312,V Printed by:Anna Schaffran on:04/23/2024 01:20 PM Page 2 of 2