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Home My WebLink AboutCOM2015-00089 Cancelled Demo - COM Permit / Conditions - 8/26/2015 ` MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT inspection Line tsbu)vti eon+ cODH Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 IRS4 COMMERCIAL BUILDING PERMIT COM2015 00089 OWNER: GREAT PENINSULA CONSERVANCY RECEIVED: 6/3/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 6/3/2015 SITE ADDRESS: 1851 NE STATE ROUTE 300 BELFAIR EXPIRES: 12/3/2015 PARCEL NUMBER: 123312460010 LEGAL DESCRIPTION: TR 1 OF SE NW PCL 2 OF BLA#89-77 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLISHION PERMIT FOR THE BEARDS COVE FOLLOW ST RT 3 TO BELFAIR, L ON ST RT 300, TO SITE ADDRESS ON COMMUNITY POOL AND BATH HOUSE THE LEFT SIDE General Information OtnConstruction &Occupancy Information Type of Use: COM. POOL Insp.Area: No. of Units: Type of Constr.: o. of Bathrooms: Occ. Group: Type Work: DEM Fire Dist.: 2 No. of Stories: Exit Design. Load: Valuation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: V Lot Size: Model: Width: ll;;;� Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. ater 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?: COM2015-00089 Please refer to the following pages for conditions of this permit. Page 1 of 4 AL Plumbing Fixtures Mechanical Fixtures rtta Type Qty. Type , Qty. Type By Date Amount Receipt Building State Fee r:nnne a/3/9n15 Ita Fn R17n16nn Demolition Fee ("RAM RY2/7011; Q117 1;n ,,17n15nn Total $122.00 CASE NOTES FOR COM2015-00089 CONDITIONS FOR COM2015-00089 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) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 3) 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.orc rg X 4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to re e t a al in ction or to obtain approval will be documented in the legal property records on file with Mason County as being non-compl' t it Co ty ordinances and building regulations. X 5) 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 fora for a pe iod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the p V6 prevented action from being taken. No more than one extension may be granted. X / COM2015-00089 Page 2 of 4 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 PERM LICATION OF 180 DA"ILL INV ATE THE APPLICATION. Signature Date C !G' OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2015-00089 Page 3 of 4 � I 0 O CONCRETE MECHANICAL MANUFACTURED HOME N m Footings !Setbacks �g Piping By Ribbons 0o Interior Date By Interior-Date By Date By co% Exterior Date By Exterior-Date By c _up Z Z Point Load!Isolated Footings INSULATION Date By N BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation Walls Floors Date ay D Data B y n Date By DECKS p FRAMING Walls Date By Z Date By Data By PROPANE TANKS m PLUMBING It By Date By Da D OTHER Z Groundwork Attic n Date By Date By rye Dale By D.W.v DRYWALL Type- n Int Brace Wall Date By 0 Date By Date By 3 FINAL INSPECTION Water Line Fire Separation Date By Data By Date By � O Pass or Request Inspect. o Type of Insp. Fail Date Date Done By Commentsco v A O A �Py0N co MASON COUNTY ' PERMIT NO./1im 201 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelt ��i�(]�� Mason County Bldg. III, 426 West Cedar Street (360)275-4467 Belfaid�d EI • '-' ixc4 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 3W DEMOLITION PERMIT APPLICATION JUN 0 2 2015 OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ne47" 4yi✓Ir4! NAME: e MAILING ADDRESS: 4Z3 ," 'a.GI ,��_ MAILING ADDRESS: Z/Ois/tr dt c 4 vkCe A CITY: .�¢r STTE: 4J,4 ZIP: 9w37 CITY: i STATE: GJA- ZIP: PHONE:%g-37, -Sbdo CELL: PHONE: E36o.m-738'4 CELL: 'J1,o •Z1W-Z3S� EMAIL: ke4&- ar ga s-u/q, a� EMAIL :y��j �uht,y_j. FN�2c'n�0�aaW4e L&I REG# j�-, EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 3V— Z4 r 1p,0Olm FIRE DISTRICT Z_ LEGAL DESCRIPTION(ABBREVIATED) :SITE ADDRESS 'K; CITY DIRECTIONS TO SITE ADDRESS . _ ,Q r� -- ou 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 ❑ 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 PF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) >H oD � , HOW�LL THE DEBRIS BE DISP SED F ? , /gkl 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 INSPECT �� HIS P RMIT APPLICATION OF 180 DAYS WILL��IDA�ETHE APPLICATION. X Sig ature of Agpli nt / p Da et X �A I'ye2'4 , r F� OWNER/REPRESENTATIVE NTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT All, • IGGION CLg Olympic Region Clean Air Agency 2940-B Limited Lane NW Olympia,WA 98502 (360)539-7610•FAX(360)491-6308 Demolition Permit 4Q;• Port Angeles office(360)417-1466 =.. O RCA A ,�v/ Raymond Office(360)942-2137 f�� •+crtesen•5*so '/ www.ORCAA.org F] Owner occupied residential dwelling—Permit fee: $35.00—Prior Notice-Nonrefundable IbX,Other Structures—Permit fee: $60.00—10 working day wait period-Nonrefundable ( ] Emergency Fee$50.00—must be accompanied by Government Ordered Declaration(other structures only) PROPERTY OWNER Name: Phone: Em : 97 pp,r.nru u,a of gl,ea �a/�/.'j fL�1G( �ns�^v0��c c 4° Fax: ( ) Mobile: �°g Address: city:X 54� �o� ci : State: J� Z� Fz Site Ad r s: City: State: Zi oTu r GJ Zg DEMOLITION CONTRACTOR Check if same as proe owner information. Business Name: Phone: (A66, p-73Sd- Email: '5114- �ip7`i . Fax: LVA 777-5/$7 On�site Contact: �/ Phone: ( (� Z7JC�7?J� Mobile: (FA Tu 74�G�lley f 4 f Fax: ( ) �4 — ✓S0 Mailing Add s s:oyEJQ� City:�� Stag� Z�Q tJ LO DEMOLITION INFORMATION #of structures being dem lished: Start Date: Completion Date: 20 C. l !�✓/JOtIYI/y1 Asbestos present? (-] Yes Yl;-No Survey attached? fiTYes r] No Has all identified asbestos been removed? r]Yes [] No DEMOLITION PROJECT CATEGORY Complete Demolition (j Training Fire-Fire Agency,Contact,Phone: --. Renovation,Alteration,Remodeling,Maintenance,or other Construction I do hereby certify that all identified asbestos has been reproved and the information contained on this four and supplemental data describe herein s, to the best of my knowledge, accurate an complete. Applicant Name Signature Date Date Application Received Payment Info. ( ] Approved Asbestos Permit [ ] Cash [ ] Disapproved Permit# ASB00 [ ] Check: # Demolition Permit [ ]Credit Card Review date:_/_/_ Permit# DEM00 Receive date:_/_/_ Reviewed by: Agengy Use Onl Ageng Use On# Agency Use On# Ageng Use On 02/13 OVER r t x i Ole 24' X 20' CHANGING ROOM DEMOLITION SWIMMING POOL DEMOLITION 'All I w At W.. SWIMMING POOL DEMOLITION Wt 12331 —24-60010 OUT BUILDING FRAME ONLY NO ROOFING MATERIAL i GRAPHIC SCALE m w DEMOLITION PLAN (a:5t) SCALE 1"=50' r lnon- so e. �e+c"'�tO epp--d By: _ D,n,,,,� By: Date: s°w BEARDS COVEESTUARYRESTORAT/ON art u ESA Engineering Services Assoc mites o AS SHOW _ _ 1 Designed By:PY 6- 4 Located on Beautiful flood Canal _. - — Vert. As slows „' eked By: 6T614 N.l ir, Cherokee Beach Road DEMOLITION PLAN 1 �jy�or.es�`o -- - Belf¢ir, !i'¢. 98528 /360J 275-7384 doh No. Approved By:.- No.Date By Ckd ppr