HomeMy WebLinkAboutBLD2012-00449 Demo Cabins - BLD Permit / Conditions - 7/4/2012 * " • Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2012-00449
OWNER: DONALD LEPERE RECEIVED: 6/26/2012
CONTRACTOR: ZEPHYRS INC. 360.275.2861 LICENSE: ZEPHYL*033C0 EXP: 2/25/2013 ISSUED: 6/26/2012
SITE ADDRESS: 22921 N STATE ROUTE 3 BELFAIR EXPIRES: 12/26/2012
PARCEL NUMBER: 12332ff11HELER'S
0051
LEGAL DESCRIPTION: SAM HOME & GAR TRS TR 22 N 1/2 OF
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLISH TWO CABINS 22915 &22917 E STATE ROUTE 3, BELFAIR HWY 3 AND ROSSEL RD
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 TW 6/26/2012 $4.50 S1201200000001
Demolition Fee TW 6/26/2012 $ 117.50 S1201200000001
Total $ 122.00
BLD2012-00449 Please refer to the following pages for conditions of this permit. Page 1 of 2
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" CASE NOTES FOR
BLD2012-00449
CONDITIONS FOR
BLD2012-00449
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
1-800-64��98e 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) Owner/A nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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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
operat as obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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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 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
Mas c}�nty ordinances and building regulations.
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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 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 have prevented action from being taken. No more than one extension may be granted.
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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 Ma n ounty access to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE: (� Z,(- -ZZ,
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BLD2012-00449 Please refer to the following pages for conditions of this permit. Page 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME M
N Footings I Setbacks Date By Ribbons m i
Gas Piping X
o Interior Date By Interior-Date By Date By M
m Exterior Date By Exterior-Date By
So-
up
Point Load I Isolated Footings INSULATION Date By Z
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT r
Foundation Wails Floors Date By 0
Date By Data By DECKS
FRAMING Wads Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type_
Date By Date By Date By
D.w.v DRYWALL Type_
Int.Brace Wall Date By ICU
CD Date By Date By r
CD
a) FINAL INSPECTION
Ch Water Line Fire SeparationCD
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Date By Date By Date >(� j?� By &4X- O
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s Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments 44,
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FORM MUST BE COMPLETED IN INK
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 360 276-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner- +� SA,N"��. r�YY Contractor NameF%ltirzs" '=n.c
Mailing Address?a ge".,-96Ce Mailing Address Ob `3c. •3
City Q«u" State lnJA_ Zip Code g Ste( _ City J khri State�pSg_ Zip Code`s
Phone() -7 -3 tz.1Other Ph.0 Ph.(3(-c> )- 7PS2A�L, Other Ph.(-?eco 6SO
Lien/Title Holder N I Contractor Reg. #ZF P AYT •*�p 33�u
Address LLxpiration -7-_/ Z-'T-/J'1
PARCEL INFORMATION-12 digit Tax Parcel No. %Z 3 3 2. dm S I Fire District
Legal Description
Site Address(include street name and city �i 1.5r 2-2`31 7 .S7F e2, 2
Directions to site: 6y c , ,��+� ,� Q�s ( 9-.4,
Is your property within 200' of the following: Body of Water(Name) O 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? �i Sw�o Cc .. Lgr.� 9C 1 l
What is the use of the building being demolished? e,•� 1- -5
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 wshall be done in conformance therewith. No changes shall
first obtaining approval. be ma Ai iout first obtaining approval. j
X Date X ' Date
Provide a plot plan indicating location of improvements and structure to be demolished.
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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
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
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: Nr :�r..%s��.:'•.� •••.•••.•�••:`•�,•••,•:;z::'::s::..:;,•........... ::•;:::•::.::.,,:.:.,•..:r .::.:....::::•::•:::s.•:•:;;:::;::::• TOTAL FEES