HomeMy WebLinkAboutBLD2011-00363 Cancelled Demo SFR - BLD Permit / Conditions - 11/9/2011 Inspection Line(360)427-1262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 111 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2011-00363
OWNER: JOHN NORMAN RECEIVED: 5/9/2011
CONTRACTOR: TRANS NORTHWEST CONSTRUCTION LICENSE: EXP: ISSUED: 5/9/2011
SITE ADDRESS: 50 NE STRAUB HILL BELFAIR EXPIRES: 11/9/2011
PARCEL NUMBER: 123325000072
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS-S 32/90 LOT: B OF SP#1287 PTN TR 29 EX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
demo of existing sfr (fire destroyed) ST RT 3 TO BELFAI , R ON STRAUB HILL TO SITE ADDRESS ON THE
RIGHT SIDE
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General Information Construction&Occupan y Nf mktion Square Footage Information
No. of Bedrooms: Type C tr.:
Type of Use: SF Insp.Area: No. of Bathrooms: Oc . G p: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 2 No. of Stories: O L a Building:
Valuation: Building Height: c. St tus Basement:
Manufactured Home In rmati etba k fo do Shoreline&Planning Information
Make: Leng Ft. Front: \��
ho Ft. Water Body:
SEPA?:
Model: Wid Ft. SRe N�: Slope: Ft. Shoreline Desi g.:
Year: Serial N .: Si e Ft. Comp. Plan Desig.:
Plumbing Fixtu s Mechanical Fixtures FEES
Type Qt . Type Qty. Type By Date Amount Receipt
Building State Fee GMM 5/9/2011 $4.50 S120110001
Demolition Fee GMM 5/9/2011 $117.50 S120110001
Total $122.00
BLD2011-00363 Please refer to the following pages for conditions of this permit. Page 1 of 2
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CASE NOTES FOR
BLD2011-00363
CONDITIONS FOR
BLD2011-00363
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.
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2) Owner/Agent 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
operator has 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 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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5) 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
Mason County ordinances and building regulations.
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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. Evidenc %byeans
ation of wor '"s a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of wo is of a prog ss inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason Co my aa abov described property and structure for review and inspection.
OWNER OR AGENT: DATE: �a
_W,tr by t.�1 Catvtrvtuu��`l Alc�
rovt . 'rlc L t lc>:Js lc�aJ 1UL.
BLD2011-00363 Please refer to the following pages for conditions of this permit. Page 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME p
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Date By
Footings !Setbacks Gas PipingRibbons --
o Interior Date By Interior-Date By Date By
rn Exteror Date B _ ?
Y Exterior-pate B Sot-up
w Point Load I Isolated Footings INSULATION Date By O
BG I SLAB INSULATION . .-_..—.--._— 2
Date By Data By FIRE DEPARTMENT Z
Foundation Walls Floors, Date By
Date By Data By DECKS
F RAMI I NG 'Walls Date By
Date By Dot' _ By PROPANE TANKS
PLUMBING vault Date By
Date ey OTHER
Groundwork Attic
Type:
Date By Date By Date By
D.W.v DRYWALL Type-
Dale
Brace Wall Date sy W
Dire ey pale By FINAL INSPECTION 0
mWater Line Fire Seperation N
Date By Date By Date By O
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cDC
s Pass or Request Inspect, c
Type of insp. Fail Date Date Done By Comments
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FORM MUST BE COMPLETED IN INK q yy�
PLEASE PRESS HARD PERMIT NO.: BIA/Ci 111 - C.��(J-303
MASON COUNTY
DEMOLITION PERMIT APPLICATION
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 INF IIATION
Owner Contractor Name 1 r&j")5 n6
Mailiuci Ad ss Mailing Address
City 1 CUIL. State Zip Code 2. CitytA yvi St to Zip Code
Phone( Other Ph.L___) Ph. Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration / /
PARCEL INFORMATION digit Tax Parcel No. 0 / 50_/ Fire District
Legal Description
Site Address(includeptree'�t� Oh name and c'
Directi s t ile:
Is your propert ithin 200' of the following: Body of Water (Name) 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?
What is the use of the building being demolished
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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-[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 mad it out first obtaining approval.
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Provide a plot plan indicating location of improvements and structure to be demolished.
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-lcI 2D 6 d — �60
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date 6- ]I Submittal Amount Due 1 a A -Dy Receipt No.
17-1
DEPA T NTAL REVIEW APPROVED DENIED CONDITION CODES
Building Depart
Occ Grp Type of Const.
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
<::'>: TOTAL FEES