HomeMy WebLinkAboutBLD2024-01143 DEMO - BLD Inspections - 12/9/2024 INSPECTION CARD
Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2024-01143 PROJECT ADDRESS 112 NE Quail Ridge Dr Tahuya, WA 98588
PARCEL# 322195000011 PROJECT DESCRIPTION Demolish and Remove Structure for Customer
OWNER CLARK JAMES T& BARBARA ADDRESS PO BOX 86 PHONE
CONTRACTOR BOUCHARD HAULING& REMOVAL LLC ADDRESS 11 NE old Belfair Hwy Suite B PHONE 440-789-5834
CONTRACTOR LICENSE BOUCHHR781K6 LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
Connection is to be verified by Demolition Final Inspection �t1��
Mason County
Mason County - Division of Community Development
615 W. Alder St.
` Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2024-01143 DEMO
PROJECT DESCRIPTION: DEMOLISH AND REMOVE STRUCTURE ISSUED: 10/18/2024
FOR CUSTOMER
SITE ADDRESS: 112 NE QUAIL RIDGE DR TAHUYA EXPIRES: 04/16/2025
PARCEL: 322195000011
APPLICANT: Bouchard, Spencer OWNER: CLARK JAMES T& BARBARA
23730 NE State Hwy 3, Suite F PMB 73 PO BOX 86
Belfair,WA 98528 TAHUYA,WA 98588
4407895834
GENERAL CONTRACTOR'S LICENSE: BOUCHARD HAULING & REMOVAL LLC License: BOUCHHR781K6
11 NE old Belfair Hwy Suite B Expires: 07/21/2026
BELFAIR,WA 98528
440-789-5834
FEES: Paid Due
State Fee-Residential $6.50 $0.00
Technology Flat Convenience $5.00 $0.00
Fee
Demolition Fee $120.00 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection is to be verified by Health or Utilities Demolition Final Inspection
. ....... . . _.....
CONDITIONS
Printed by:Brittany King on:10/21/2024 08:09 AM
Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2024-01143
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
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED.
* For public safety, it is the responsibility of the applicant to confirm through written verification all utility services(electric,
gas,water, sewer, ...)have been terminated prior to demolishing a structure.
* Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland
sediments from entering the aquatic environment. Erosion control measures must be in place prior to any clearing, grading,
or construction. These control measures must be effective to prevent soil from being carried into surface water by
stormwater runoff. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in violation of state
regulations.Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior
authorization from the Department of Ecology. Silt fencing, straw matting, etc. must be installed and maintained until seeding
or upland vegetation has become established around all areas disturbed or newly created by construction activities.
" All construction debris must be removed from the site after project completion to an approved location. Proper disposal of
construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of aquatic
environments.
* The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. 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 removed from the area to be demolished. work shall not commence on an asbestos project or
demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia
WA 98502, 360-586-1044, 800-422-5623, www.orcaa.org
" All other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that
are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND
CONSTRUCTION.
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
...........................
* All building permits shall have a final inspection performed and approved by 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.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any-other st to/local law regulating construction or the performance of construction.
Issued
Contractor or Authorized Agent: L'k_�✓ Date: l
Printed by:Brittany King on:10/21/2024 08:09 AM Page 2 of 2
t•
4pN c"pLNq O�2FW MASON COUNTY PERMIT NO,81 5
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
y Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext.352
Shelton,WA 98584 (360)482-5269 Elma ext.352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Barbara Clark NAME:Bouchard Hauling&Removal
MAILING ADDRESS:PO Box 86 MAILING ADDRESS:23730 NE State Hwy 3 Suite F
CITY:Tahuya STATE:WA ZIP:98588 CITY:Belfair STATE:WA ZIP:98528
PHONE: (360)275-6288 CELL: (360)509-2329 PHONE:844-586-5677 CELL: 440-789-5834
EMAIL: jtdark@wavecable.com EMAIL:ops@bouchardhauling.com
L&.I REG#BOUCHHR781 K6 EXP. 07/2 1/26
PARCEL INFORMATION:
PARCEL NUMBER (12 DIGIT NUMBER) 32219-50-00011 FIRE DISTRICT 81
LEGAL DESCRIPTION (ABBREVIATED) TRS 5 EX&6 E OF CO R/W
SITE ADDRESS 112 NE Quail Ridge Drive CITY Tahuya WA
DIRECTIONS TO SITE ADDRESS:Follow N. Shore Road to uphill private drive (Quail Ridge). Pass house at bottom,
then stay to RIGHT at fork in road. Pass blue house(#110)and proceed to#112.
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 WITHIN AN AREA THAT IS LIVTED ABOVE PLEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.)
Residence
HOW WILL THE DEBRIS BE DISPOSED OF?:
Transported and disposed of at the local Olympic View Transfer Station.Located at 9380 SW Ramey White Rd.Bremerton,WA 98312
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 structures)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 APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x Sept. 19, 2024
Signature of Applicant Date
xBarbara Clark ®OWNER I[]REPRESENTATIVE/[]CONTRACTOR
Print Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
�( 337413 REc_1Mw. 481
Short Plat of portions of Tracts 3, 4, 5 and 6 of Sportsmen's Waterfront
Tracts at Bald Point on Hood Canal (a revision of Short Plat #205)
Seller: Lee Walker Realty i Land Company
515 Sixth Street
Bremerton, Washington 98310 d
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