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Home My WebLink AboutMIS99-00536 Cancelled Demo - MIS Permit / Conditions - 2/26/2000 MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 M I S C E L L A N E O U S PERM I T FOR INSPECTIONS CALL 427-9670 MIS99-0536 PARCEL :321275300107 PLAT : LAPLO DIV : BLK : LOT : JOB ADDRESS : 381 E DARTMOOR DR SHELTON APPLICANT : THOMAS SWIDECKI 876-7548 OWNER : THOMAS SWIDECKI 876-7548 LEGAL : LAKE LIMERICK 4 TRACT 107 PROJECT DESCRIPTION : DEMOLITION PROJECT LOCATION : MASON LAKE RD . TURN RIGHT AFTER THE LAKE LIMERICK MINI MART ONTO DARTMORE STAY TO THE RIGHT AT f THE "Y" GO TO THE BOTTOM OF HILL . HOUSE ON THE LEFT . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT DEMO $ 42 .00 KS 08/ 30/99 51403 STFE $ 4 .50 KS 08/30/ 99 51403 TOTAL : 46 .50 OWNER OR AGENT DATE L MIS PRMT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS REQU I REL� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f P E R M I T C O N D I T I O N S Case No . : MIS99-0536 For : THOMAS SWIDECKI Page : 1 1 ) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/C C R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 2 ) THE DEMOLITIOP AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNT UOKTIONS . X 3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED X ED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x I FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIVM1fO.: MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 276-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICAN INFORMATI N CONTRACTOR INF R TPN Owner /h 5 iG1 I Contractor Name w51, fhG Mailin dress �'yfo6 r Mailing A d Nress r t / City /1 State Zip Code >� City ate _ Zip Code 00 Phone(, D) Z' ,0r/6Other Ph.0 Ph. 1- ;,g her PhLien/Title Holder Contractor Reg. �df 0 Address Expiration PARCEL INFORMATION-12 digit Tax Parpel No. 32, TZ77 / / 00 1,0 -7 Fire District Legal Description 14,tt D b Site Address(include street name and city &�'f Jybr f Directions to site: Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /f 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? ✓kof What is the use of the building being demolished? S rl /L Wef 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 work shall be done in conformance therewith. No changes shall first obtaining approval. be made t btaining p X Date X Date Provide a nclaraflng location of improveme structure to be demolished. !bb 00 v R rY OF 'CAL U E BEYOND THIS POINT Accepted b Dat -� ubmittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department D Occ Grp Type of Const. �f Planning Department Fire Marshal FEES Building Permit Fee J Other Violation Fee Other Site Inspection Pre-Paid at Submittal ( ) A`. ss'.: ...,. •. ;,J... ..: slam TOTAL FEES k+ .• DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group -' Type of Con-sr Fire Marshal: Other: Special Conditions: FEES - Building Permit 3029, vV Plan Check �(o Plumbing Fee cl Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Sb Other Other Building Valuation: TOTAL FEE 5$ s� Plumbing Fixtures ($3 each) ,Egg Mechanical Fixtures ($6 each) No. 2 Toilets 6.00 CIRCLE FUEL TYPE: Gas,q lectric, 2 Bath Basins 6.00 Heatpump, Other 2Bath Tubs 6.00 No. Units Fees 2 Showers 6.00 _ Furn BTU 1 Hot Water Htr 3.00 _ Heatpumps 1 Laundry Washer 3.00 Vent Systems (Sinks 3.00 Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP 1 Dishwasher 3.00 No. Air Handling Units _Disposal cfm# Urinals No.. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic. Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $51 .00 No. Other Gas Outlets Wood, Gas, Pellet Stove _ Wall Units 54.00 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMEN . X OWNER X BY DATE DATE S _ I _ 9 Y FOR OFFICIAL USE ONLY: Accepted by: Date: