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Home My WebLink AboutBLD2015-00041 Final Demo of SFR and Garage - BLD Permit / Conditions - 1/27/2015 .� 1 n ioNc.uv i ui is wvv��c - cvc 6�N co MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2015-00041 OWNER: CARRENE WOOD RECEIVED: 1/20/2015 CONTRACTOR: ADVANCE ENVIRONMENTAL INC 360-357-5666 LICENSE: ADVANE1972MH EXP: 8/22/2015 ISSUED: 1/20/2015 SITE ADDRESS: 23191 NE STATE ROUTE 3 BELFAIR EXPIRES: 7/20/2015 PARCEL NUMBER: 123325000029 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR C OF TR 12 & 14 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMOLITION OF RESIDENCE AND DETACHED GARAGE FOLLOW ST RT 3 TO BELFAIR 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 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 Building State Fee GMM 1/20/2015 $4.50 S1201500000001 Demolition Fee GMM 1/20/2015 $ 117.50 S1201500000001 Total $122.00 BLD2015-00041 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2015-00041 CONDITIONS FOR BLD2015-00041 1) Contractor re " ration la s are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are to ial.ris and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647 0 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 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 pers n to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identifie art remove rom the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or operat ha obtai d written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X T ' 3) All buildin er its shall fjaGe a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to reque a f' nsp {ion or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason, ou ord' nces and building regulations. X 4) All permits ire 1 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for p,�ri of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder v ented action from being taken. No more than one extension may be granted. X BLD2015-00041 Please refer to the following pages for conditions of this permit. Page 2 of 3 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 ru suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PEi2MIT A TION OF.18 I LIDATE THE APPLICATION. Signature Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00041 Please refer to the following pages for conditions of this permit. Page 3 of 3 co o CONCRETE MECHANICAL MANUFACTURED HOME U, Footings/Setbacks GatePiping By Ribbons 0 o Intenor Date By Interior-Date By Date By o n CD CD Exterior Date By Exterior-Date B Set-up D INSULATION X Point Load/Isolated Footings Date By X BG 1 SLAB INSULATION - --- —~-- M Date By Data By FIRE DEPARTMENT IZ Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date e.y.., _ Data By OTHER Groundwork Attic Type. Date By Data By Date By D.w.v DRYWALL Type: Int Brace Wall Date By W Date By Date By r m v FINAL INSPECTION 10 y Water Line Firs Separation N m Date By Date By Dale By _s o Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments CD o n:,. lr, ail / Z7 LJl f cn v �n m N O O 7 _a O 7 y O S N U fD 3 N 0 ADVANCE Parcel: 12332-50-00029 Owner: Carrene Wood ENVIRONMENTAL - GARAGE �I y CARPORT D D R R I I v v E E W W HOUSE A A Y Y State Route 3 �G10N C� Olympic Re on Clean Aix Agency .�Q�r �,t- � g Y 2940 Limited Lane NW Olympia,WA,98502 0 (360) 539-7610 • FAX(360)491-6308 South Office (360) 942-2137 Demolition Permit '�• o RCA A �`"v Port Townsend Office (360) 338-6419 . .Ul.Avnc;j!,k•i1.µ:*'�ti\ www.ORCAA.org [ ] Owner occupied residential dwelling—Permit fee: $35.00—Prior Notice- Nonrefundable [.� 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: Carrene Woods Fax: ( ) Mobile: ( ) Mailing Addtess: 3310 Beach Dr E City: State-.Orchard State: Zip: Site dress:Site Ad 98366 23191 NE State Route 3 City-. State: zip; Belfair WA 98528 DEMOLITION CONTRACTOR f I Check if same as roe owner information. Business Name: Phone: (360-357-5666 Ettiail: Advance Environmental Inc Fax: advanceenvironmental@comca t.net Onsite Contact; Phone. - Dan Venable (36d 357-5666 Mobzle: ( ) Fax: Failing Address: - 3620 49th Ave SW city; State: WA Zip: Olympia 98512 DEMOLITION INFORMATION of structures being demolished: Start Date: 1/20/2015 Complctiort I)ate; 1/22/2015 Asbestos present? W1 Yes [ ] No Survey attached? Yes � [� [ ] No Has all idengified asbestos been removed? FA Yes No DEMOLITION PROJECT CATEGORY [4 Complete Demolition L]Trairung Fire—Fixe Agency,Contact,Phone; Renovation,Alteration,Remodclin ,Maintenance or other Construction 1 do certify that i am the owner,authorized agent of the owner,or authorized contractor for the property subject to this ORCAA application/permit, I authorize ORCAA starrto enter the property Listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/pertnit and to ensure compli once with permit conditions,applicable laws and regulations. [understand that granting of this permit by ORCAA does not authorize anyone to violate federal, state,or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any addendum thereto. t do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is,to the best of my knowledge true,accurate and complete. Tina M. Sturdevant Applicant Name 12/29/2014 4ignature Date f p anon• ccived Approve 4 Payment Info. I [ ] Cash [ ] Pp Asbcstos Permit j ) Disapproved Permit## / —., Kel Check: # � e SB00 Demolition Credit Card Review date:_/`/_ p t DEM003_ `�!c/ exrztit# Receive datc: � V / ��/�! Reviewed by: " /l encJ Use Only enc Use only exc Use On 0 /14 A enc Use only OVER MASON COUNTY PERMIT NO."bOull-OW-41 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING.FIRE MARSHAL WWW.CO.MA3ON.WA.US (360)427-9670 Shelton ext.352 ' Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfalr ext. 352 PO Box 279, Shelton,WA 98584 360 482-5269 Elma ext.352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Carrene Wood NAME: Advance Environmental Inc MAILING ADDRESS: 3310 Beach Dr E MAILING ADDRESS: 3620 491b Ay SW CITY: Port Orchard STATE: WA zIP: 93366 CITY: Olympia STATE: VVA ZIP: 98512 PHONE: CELL: PHONE: 360-357-5666 CELL: EMAIL: EMAIL : advanceenvironmental a@comcast.net L&I REG# 96 1,886-()2 EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 12332-50-00029 FIRE DISTRICT LEGAL DESCIRIPTION(ABBREVIATED) :Sam R Thelees Harp & Gar IRS C of 12R14 SITE ADDRESS 231_1 NE S_;a ESQ& 3 CITY Belfair DIRECTIONS TO SITE ADDRESS: Start E on W Cedar Street, turn left on N 1 St St take first ri nt on Pine Street. E Pine St turns in o 9R 3, drive approx mt es to 23191 NE SR 3 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 WITHINANA,REA THAT IS LISTED ABOVE,PLEASE CONTACT THE PL14NIVING DIVISION OF COMMU.NITYDEVELOPMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT". USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETc,) Roldence and detached garage HOW WILL THE DEBRIS BE DISPOSED OF? PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED Attached is site plan 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 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 INSP CTION.INA TIV TY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X" M_�4 lvoh—owv.' 1/13/2015 Signature o Applicant Date X Tina M. Sturdevant OWNER/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIE*�!j _, RQVITD DAx IVUb DkTE TA�.x %1V0 d XTIQNS BUILDING DEPARTMENT PLANNING DEPARTMENT