HomeMy WebLinkAboutBLD2000-00626 Final Demo - BLD Permit / Conditions - 11/8/2002 Inspection Line (360) 27- 262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427 96704ext7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584lot
RESIDENTIAL BUILDING PERMIT BLD2000-00626
OWNER: ELVIN M LEE
CONTRACTOR: RECEIVED: 05/30/2000
SITE ADDRESS: 60 NE LAKEVIEW LN TAHUYA ISSUED: 05/30/2000
PARCEL NUMBER: 223205000045 EXPIRES: 11/30/2000
LEGAL DESCRIPTION: LAKE CHRISTINE 1ST ADD BLK: LOT: 45
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
c*rlO( rf�"I -em LAKE CHISTINE, TAKE FIRST LEFT GO TO LAST LEFT ONTO LAKEVIEW
SIGN AT DRIVEWAY
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.: 8 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. I Comp. Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee NJP 05/30/200 $4.50 53565
Demolition Fee NJP 05/30/200 $42.00 53565
Total $46.60
BLD2000-00626 Please refer to the following pages for conditions of this permit. 1 of 2
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date j j by date by
l
W
t
CASE NOTES FOR
BLD2000-00626
CONDITIONS FOR
BLD2000-00626
1) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE
PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x Zvrt d;
3) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS.
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 a� 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.
OWNER OR AGENT: _ �, �j j �Q, DATE: j ���_
BLD2000-00626 Please refer to the following pages for conditions of this permit. 2 of 2
FORM tE COMPLETED IN INK
PLEA �S HARD
PERMIT NO.:
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 INFORMATION
Owner /I// - 4 EE Contractor Name
Mailing Address I.q Ii� PW/c-L= Mailing Address
City,f3,iC FmE-/°�',TA-' Statel&W. Zip Code e.3i 2 City State Zip Code
Phone(.ko ) , Other Ph.C____) Ph.( Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. 9, 2, 3:;Z n / 57 Fire District
Legal Description L F112 s T 14 1? 7 z,as-
Site Address(include street name and city Al,& ti n t Vj F4_i G iv.
Directions to site: U 9/< t= (' J4i4i s Ti�c�
Is your property within 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? 45H- ,D dQ ZvA V_ %D P
What is the use of the building being demolished?
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-1 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 without first obtaining approval.
X i�rz.v� Dategf .. e 5160d X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
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. 3C kx
Planning Department
Fire Marshal
FEES
Building Permit Fee j Other �� J �/
Violation Fee Other + J
Site Inspection Pre-Paid at Submittal ( )
TOTALFEES