HomeMy WebLinkAboutBLD2015-000675 Cancelled Demo MFG Home - BLD Permit / Conditions - 8/25/2016 ! v
Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
X
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-00675
OWNER: CHARLES CATER RECEIVED: 8/6/2015
CONTRACTOR: LICENSE: EXP: ISSUED: 8/6/2015
SITE ADDRESS: 20 NE ROESSEL RD SP 38 BELFAIR EXPIRES: 2/6/2016
PARCEL NUMBER: 123325000050
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR
PROJECT DESCRIPTION: kDIRECTIONS TO SITE:
DEMO MFG HOME OW ST RT 3 TO BLEFAIR, L ON ROESSEL RD, FOLLOW TO GOLDEN
MOBILE HOME PARK TO SPACE 38
General Information Construction &Occu cy I ormation Square Footage Information
No. of Bedrooms: Tyumf Constr.:
Type of Use: MH 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: Status: Basement:
Manufactured Home Information Setback Info tion Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: t. Shoreline Desig.:
Year: Serial No.: Side 2: Comp. Plan Desig.:
Plumbing Fixtures Mechani F re s FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Demolition Fee GMM 8/6/2015 $ 117.50 S1201500000001
Building State Fee GMM 8/6/2015 $4.50 S1201500000001
Total $ 122.00
BLD2015-00675 Please refer to the following pages for conditions of this permit. Page 1 of 3
I
CASE NOTES FOR
BLD2015-00675
CONDITIONS FOR
BLD2015-00675
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
X 800-64�9822.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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
X
GEC_
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
Maso eo& ordinances and building regulations.
X
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 h e j)revented action from being taken. No more than one extension may be granted.
X C�
BLD2015-00675 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 work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICAIW OF 180 DAYS WI LIDATE THE APPLICATION.
Si ure Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-00675 Please refer to the following pages for conditions of this permit. Page 3 of 3
o CONCRETE MECHANICAL MANUFACTURED HOME y
O Leslt= By M
Footings !Setbacks Gas Piping Ribbons M
o interior Date By Interior-Date By bate By
0 n
4 Exteror Date By Exterior-Date Set-up
Ln D INSULATION
Point Load/Isolated Footings Date By X
BG 1 SLAB INSULATION r
Date By Data ay FIRE DEPARTMENT Cl)
Foundation Walls Floors Date By
Date By Date By DECKS
FRAMING wails Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Dam By OTHER
Groundwork Attic
Date By Type-
Date By Date By
o.w.v DRYWALL Type
Int Brace wall Date By W
CD Dare By bRte ey FINAL INSPECTIOiN
mWater Line Fire Separation _ C
Date By Data By Date By
ErPass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments y
0
cn
cn
y I
O
7
_a
° T _ -
y
O
S 1
y.
fD
3
i
i
N
0
M
I aa'oa
�x coal,
MASON COUNTY PERMIT NO. 1516i2�t5-C�Ld7Jr
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
_ Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:,/,' ,car/CS 0- 19--/ u' NAME: ' -S-C,
MAILING ADDRESS: O l6' 6 MAILING ADDRESS:
CITY:. jMA t4 V/*-]STATE:t%64 ZIP: .3' CITY: STATE: ZIP:
PHONE: J 6 7 Z-/ VL: PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) a�l�oZ• mo C'2) FIRE DISTRICT
LEGAL DESCRIPTION(ABB IATED)
SITE ADDRESS ZD ng -o, 34 CITY
DIRECTIONS TO SITE ADDRESS:
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 COMMUNITYDEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT. mar m E
pen A
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.)
HOW WILL THE DEBRIS BE DISPOSED OF?
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 nded for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPE F PPL ATION OF 180 DAYS I L INVALIDATE THE APPLICATION.
Signature of Applicant Date
X OWNER/ REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT