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Home My WebLink AboutCOM2004-00115 Final Demo - COM Permit / Conditions - 8/12/2004 CCLvJ 4yi CIMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 COMMERCIAL BUILDING PERMIT COM2004-00115 OWNER: J BAR D MINI STORAGE INC RECEIVED: 5/18/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 5/18/2004 SITE ADDRESS: 23270 NE STATE ROUTE 3 BELFAIR EXPIRES: 11/18/2004 PARCEL NUMBER: 123325000020 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 9 & N 10' OF TR 11 EX ' 23270 NE STATE RTE 3 BELFAIR PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLITION ON MAIN HWY MIDDLE OF BELFAIR r General Information Construction &Occupancy Information No.of Units: Type of Constr.: Type of Use: Insp.Area: No.of Bathrooms: Occ. Group: Type of Work: DEM Fire Dist.: 2 Valuation: No.of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water 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?: COM2004-00 1 1 5 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee K.R r,11Rsgnna t4a rn gignnAnn Demolition Fee KC F11stignna e4t;t;n s,vmnann Total $100.00 CASE NOTES FOR COM2004-00115 CONDITIONS FOR COM2004-00115 '1) Contractor registrA laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are p tenti'al risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6 'i 9 JThe person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) PURSUANT TO 1997 NIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POS ION AS TO BE LAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUIL NG DEPARTM NT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, B SED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OW NE CONT CTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 1 3) Demol't,l n 'tvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is directe ct Olympic Air Pollution Control Authority at (360) 586-1044 or 1-800-422-5623 extension 104 prior to the commencing demolition. X 4) THE I O ITION ND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS. X 5) All buildf permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to est a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compl ith Mason County ordinances and building regulations. X COM2004-00115 2 of 4 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 anytime after work is commenced. Evidence f continuation of ogress 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 p ress inspecti n.The owner r the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described prol erty and struc for review ind inspection. OWNER OR AGENT: DATE: 'g/8�& COM2004-00115 3 of 4 0 K CONCRETE MECHANICAL MANUFACTURED HOME N o Footings / Setbacks Date B y Ribbons o Date By Gas Piping Date By o Foundation Walls Date B y Set-up "' Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date B y Date B y FRAMING Walls FIRE DEPT Date By Date B y Date B y PLUMBING Attic OTHER Groundwork Date B y Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date B y Date By Date By 7O � N O d O y O O i r M -s+My�F /�, PERMIT NO.: G 0 • • `� MASON COUNTY DEMOLITION PERMIT APPLICATION v 1 426 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 CONTRACTOR INFORMATION Owner i 1 1, Contractor Name Mailing AcTdress Tn 7" (77-7 Mailin Address Cn City C State t Zip Code ry AS7f7 City State Zip Code " Phone( 'J,.0 ) 2-75->{ Other Ph.(,3(-,( =a Ph.( 31e0 ) F, Other Ph.( ) cl Lien/Title Holder t Contractor Reg. # ' ao Address Expiration/ / (p PARCEL INFORMATION-12 digit Tax Parcel No. ! Z 2 '? / ;5"� / ^ '' Fire District Legal Description Site Address(include street name al ity_ C-LXA ►( Directions to site: iirrS y1,A tv t.'w l� fV1: DDt rc �F '� ICA/ 2 [=J Is your property within 200' of the following: Body of Water(Name) K 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. How will the debris be disposed of? " 10 W What is the use of the building being demolished? I / I I'yi NOTICE: THIS PERMIT BECOMES NULL 8,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 tnade without first btaining approval. X Date X Date Aq Provide 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 1 A FEES Building Permit Fee c l Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) T OTAL FEES