HomeMy WebLinkAboutBLD2010-00912 Final Demo - BLD Permit / Conditions - 10/25/2010 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
RESIDENTIAL BUILDING PERMIT BLD2010-00912
OWNER: CAPITAL LAND TRUST RECEIVED: 10/6/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 10/6/2010
SITE ADDRESS: 5730 E STATE ROUTE 3 SHELTON EXPIRES: 4/6/2011
PARCEL NUMBER: 321363800020
LEGAL DESCRIPTION: J.O. ECLERS D.L.C. S OF RNV S OF CRANBERRY CR & N OF DEER CR PCL 1 OF BLA#94-49
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Demolition of existing Pole Barn, they will also be Demolishing a 1966 St Rt 3 to site address on the right side
mobile home that does not require a permit from Mason County or L & I
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.: 5 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
Demolition Fee GMM 10/6/2010 $117.50 S12010000
Building State Fee GMM 10/6/2010 $4.50 S12010000
Total $122.00
BLD2010-00912 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2010-00912
CONDI11ONS FOR
BLD2010-00912
1) 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
identifie nd 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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2) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to reque 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 o ordinances and building regulations.
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3) 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 period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hold r e 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 insp tion.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property an cture for review and inspection. / /
OWN ER OR AGENT: DATE: ! 4 6 / 10
BLD2010-00912 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME y
o Date By
o Footings I Setbacks Gas Piping Ribbons �
Interior Date By interior-Date By Date By
N Exteri it Date By Exterior-Date By
Set-up r
INSULATION D
Point Load I isolated Footings Date By Z
Date By DataSLAB INSULATIONp
By FIRE DEPARTMENT
Foundation Walls Floors Date By C
Date By Data By DECKS (n
FRAMING was Date By .
Date By Data By PROPANE TANKS
PLUMBING vault Data By
Date By OTHER.
Groundwork Attic
Date By Date By Type-
Date By
o.W.)/ DRYWALL Type-
Int.Brace Wail Date By W
Dare By oats By FINAL INSPECTION p
Water Line Fire Seperation N
Date By Date By Date/�' )_��/G ' By O�
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Pass or Request Inspect. c
Type of Insp. Fail Date Dane Done By Comments
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FORM MUST BE
PLEASE PRESS HARD PERMIT
IN INK ��PERMIT NO.: �ZL)IO t_ r�
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 RftH. Lr,Ire^LX CONTRACTOR INF RMATION L
Owner 6R ,`fv/ "^dTrvft P-e•ev" Contractor Name Aiah 64vn Ea'tAVBrJIn
Mailing Address 209 v%- 6 &fur Mailin ddres ar-rj� Au
City & l�� State w� S Zip Code fe V( City y/ 1fi h State WA Zip Code S�
Phone( 6 6 VJ-30 1 Z Other Ph.( rl Ph. (0 W-US`7-1 Other Ph. 3c 6e ) Vf0-31Y t
Lien/Title Holder - P/ts l t A.J T�✓S r Contractor Reg. # 1144Jd n CE 9rsPN1
Address SJ11*4*& ekS ccba./AL Expiration _/_[2,/ZU
PARCEL INFORMATION-12 digit Tax Parcel No...',213638060Z0/ / Fire District
Legal Description 3S-+3 T'?_I N, 2 3 W
Site Address(include street name and city 5'430 F- ,t-C- 3
Directions to site: A rax S' d x,06 evta F S'4e .% om S^A 3. Dr%vC— 41 un ,' 4
l ouo -fit z re �e er reek ;+arc
Is your property within 200' of the following: Body of Water(Name) A 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? C e /'e- t
What is the use of the building being demolished? V&r_4at d 1e 6arri .
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 i onformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaini pproval. be made without first obtaining approval.
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 iU-,(c It) Submittal Amount Due 1 Receipt No.
DE ART NTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Gr T e of Const.
Planning Depahmarft
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
:`''�,`: %::::i••:•::,::,::.,:3:•::;::;.:;•::..•..::f::•::g;•,.M,.t.:. ...,e�,i.�.' •.f w: TOTAL FEES