HomeMy WebLinkAboutBLD2005-00682 Final Remove Dangerous Structure - BLD Permit / Conditions - 5/4/2005 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
RESIDENTIAL BUILDING PERMIT BLD2005-00682
OWNER: MEGAN WADDELL RECEIVED: 4/28/2005
CONTRACTOR: NORTH BAY LAND DEVELOPMENT LLC LICENSE: NORTHBLO24MW EXP: 6/17/2006 ISSUED: 4/28/2005
SITE ADDRESS: 611 NE LARSON BLVD BELFAIR EXPIRES: 10/28/2005
PARCEL NUMBER: 123305300015
LEGAL DESCRIPTION: BEARDS COVE DIV 6 LOT: 15
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REMOVE DANGEROUS ABANDONED STRUCTURE. NORTH SHORE TO SAND HILL ROAD - LEFT ON LARSON LAKE BLVD. TO
ADDRESS.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: OTH Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
t 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
Make: Length: Ft. Front: Ft. Shoreline: Ft.
Water Body:
Rear: Ft. Slope: Ft.
SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Demolition Fee CMH 4/28/2005 $95.50 B12005
Building State Fee CMH 4/28/2005 $4.50 B12005
Total $100.00
BLD2005-00682 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2005-00682
CONDITIONS FOR
BLD2005-00682
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 JJ982. 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) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revooc9tion.
4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
5) 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
X Mason County ordinances and building regulations.
6) 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 havy
r,�vented action from being taken. No more than one extension may be granted.
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BLD2005-00682 Please referto the following pages for conditions of this permit. 2 of 3
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 review and inspection. /�
OWNER OR AGENT: DATE: 2
BLD2005-00682 Please referto the following pages for conditions of this permit. 3 of 3
r
o CONCRETE MECHANICAL MANUFACTURED HONl;E
0
U' I Footings / Setbacks Date By Ribbons
o
0 Date By Gas Piping Date By
co
N Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G 1 Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date B y 'f-- `t_---)
T Date By Date By
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FORM MUST BE COMPLETED IN INK ""�I vV ""'
PLEASE PRESS HARD PERMIT NO.:
• 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 M (� CONTRACTOR INFORMATION
Owner el e.L.L i 1 Contractor Name Nc)*-4 ,k >�`FY AND �eV¢lopr`��r�-}
Mailing Address 0 X I Mailin� Address : a � V2 C NV L
City EQrN t C State K H Zip Code City l�1, 44 f^` State LL)ft Zip Code 3
Phone(5�5 )3'3 I Other Ph.( Ph. a 8 Other Ph.0 3(0o )1`710 lag a
Lien/Title Holder WcL,►+e-k LVt)-d.6 QLL-- Contractor Reg. # N0lQTH?)Lt)aH HLc)
Address — Expiration�f to/ P-7 / a 0(�
PARCEL INFORMATION-12 digit Tax Parcel No. 30 / 5.3D / 001.5 Fire District
Legal Description e-.- D I V, 91 L&+ 11 1-5
Site Address(includ treet name and city o L I
Directions to site:
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Is your property within 200' of the following: Body of Water(Name) AJ ZA Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs /f 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? s -a 1
►nc.-ln r t 6L( +o be rn-rave! h S ILyo K u M
What is the use of the building being demolished? — o , M
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-I 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 de without first obtaining proval. �L
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Provide a plot plan indicating Iodation of improvements and structure to be demolished.
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REMiX,!APR 2 8 ?nn5
DYM BELFAIR
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION C DES
Building Department r�'F 0r.t5_ 000 '- 1
Occ GrpType of Const. �V lJ lJ (,(�
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
; ,.f ::: .; k.$. • :x TOTAL FEES