HomeMy WebLinkAboutBLD2012-00738 Final Demo - BLD Permit / Conditions - 12/10/2012 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
1r Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2012-00738
OWNER: MARYANNE SHEPPARD RECEIVED: 9/27/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 9/27/2012
SITE ADDRESS: 801 NE LARSON BLVD BELFAIR EXPIRES: 3/27/2013
PARCEL NUMBER: 123305300046
LEGAL DESCRIPTION: BEARDS COVE DIV 6 LOT: 46
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT FOR MFG HOME ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON SAND
HILL RD, L ON LARSON BLVD TO SITE ADDRESS ON THE LEFT SIDE
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 2 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
• Water Body:
Make: Length: Ft. Front: Ft. Shoreline: Ft.
Rear: Ft Slope: Ft. SEPA?:
.
Model: Width: Ft. Shoreline Desig.:
Side 1: Ft.
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee GMM 9/27/2012 $4.50 S1201200000001
Demolition Fee GMM 9/27/2012 $ 117.50 S120120000000i
Total $ 122.00
BLD2012-00738 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2012-00738
CONDITIONS FOR
BLD2012-00738
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
1-800-647-098 . 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 CQLjnty 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 have r vv nted action from being taken. No more than one extension may be granted.
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.7
Evidence of continuatio of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation o work i�brneans o a rogress inspection.The owner or theagent on the owners behalf, represents that the information provided is accurate
and grants employees of M n ountyss o th ove de cribed pr and structur for review and ins@�gtion.
OWNER OR AGENT: DATE -
BLD2012-00738 Please refer to the following pages for conditions of this permit. Page 2 of 2
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CONCRETE MECHANICAL MANUFACTURED HOME
Date By
N Footings /Setbacks Ribbons
Gas Piping �
o Interor Date By Interior-Date By Date By D
ExWw Date By Exterior-Date Byco set-up
Point Load!Isolated Footings INSULATION Date lay
BG 1 SLAB INSULATION — -- --- D
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS Z
FRAMING Walls Date By Z
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Date By Data By PROPANE TANKS
PLUMBING vautt Date By
Date By OTHER
Groundwork Attic
Type
DateBy Date By Date By
D.w.v DRYWALL Type_
Date y
Int.Brace Wall Date By W
B _—_._-.
_._._ Doi By FINAL INSPECTION 0
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N Water Line Fire Seperation N
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Date By Dale By Date By
CD
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o Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments w
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FORM MUST BE COMPLETED IN INK -7 n
PLEASE PRESS HARD PERMIT NO.: l���I/� •trl�t���
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 INFOR ATIOl`J,,,,,,,, CONTRACTOR INFORMATION
Owner Z 18� Contractor Name
Mqi4ng Addres -ji t Mailing Address
CA4M Sta � 1\_)*Zip Code _ City S Zip Code
Phone(�(n0) ther Ph.U&JU Ph.( Other Ph.
Contractor Reg.
Pc�dTESS Expiration
PARCEL INFOR,MATION-12 digit ,T;ax Parcel No. I / J� / ` )1 Fire District
Legal Description ` 0 lW Lc,♦-
Site Address(inclu e street name arid-pity 6LC. ,Q
I ctions to site: jo
"ne- t C i i
s your property within 200' of the fol owing: 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.
H w will the debris be disposed of? ' Yl
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What is the use of the building being demolished?
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-]certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration La 'f2CW 18.27 and aware of the contractor in the State of Washington and that I am aware of the
ordinance re uiremen for w ch this permit is i d and that all work ordinance requirements regulating the work for which this permit is issued
will be do e i confo ance t ewith. No cha ge shall be made without and all work shall be done in conformance therewith. No changes shall
first ob ai in appro I. be made without first obtaining approval
a
Date Date
ProviA 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 ( )
..............
TOTAL FEES