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Home My WebLink AboutCOM2016-00112 DEMO Cafe - COM Application - 8/10/2016 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 �P9pN CpUNTt Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 IRSJ COMMERCIAL BUILDING PERMIT COM2016-00112 OWNER: JUDY SCOTT RECEIVED: 8/10/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 8/10/2016 SITE ADDRESS: 23541 NE STATE ROUTE 3 BELFAIR EXPIRES: 2/10/2017 PARCEL NUMBER: 123294300100 LEGAL DESCRIPTION: PCL 2 OF BLA#04-45 PTN SW SE S 30/2 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO PERMIT FOR THE OLD BELFAIR CAFE FOLLOW ST RT 3 TO BELFAIR, TO SITE ADDRESS ON THE LEFT SIDE General Information Construction &Occupancy Information Type of Use: CAFE Insp. Area: No. of Units: Type of Constr.- i Type of Work: DEM Fire Dist.: 2 No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Exit Design. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline& Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2016-00112 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee rMRA RilnMIA as rn ql?nlann Demolition Fee MAMA Amnon1R It117 Fn S1?nlAnn Total $122.00 CASE NOTES FOR COM2016-00112 CONDITIONS FOR COM2016-00112 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 1-800-647-098 a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) The demolition and dispos I 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.or X 3) All buildi permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a fin inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant n County ordinances and building regulations. X 4) All permits expi 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 p riod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit h e prevented action from being taken. No more than one extension may be granted. X COM2016-00112 Page 2 of 4 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. Signature Date J IJJ�`1 C-� SCO-T OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2016-00112 Page 3 of 4 .issue,,CpaNTA MASON COUNTY N PERMIT NOI Oryl l6 I(L Q01 ,2-- COMMUNITY SERVICES DEPARTMENT BUILDING,PLANNING*FIREMARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext.352 �xw Shelton,WA 98584 (360)482-5269 Elma ext.352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: JUDY SCOTT NAME: Zephyrs MAILING ADDRESS:_NE 131 McKnight Road CITY: MAILING ADDRESS:_PO Box 35_CITY: Allyn Belfair-STATE:—WA ZIP:98528 STATE: WA ZIP: 98524 PHONE:_360-275-2861 I PHONE: 360-275-6255 CELL: (360) 731-5298 CELL: 360-340-6507 EMAIL:-ssconstruct@hotmail.com — EMAIL : rnvgriffey@aol.com_ L&I REG#ZEPHYI*033CO EXP. 2/25/17 PARCEL INFORMATION: PARCEL NUMBER (12 DIGIT NUMBER) 12329-43-00100 FIRE DISTRICT 2 LEGAL DESCRIPTION(ABBREVIATED) :_PCL 2 OF BLA #04-45 PTN SW SE S 30/2 - SITE ADDRESS 23490 i CITY BEFAIR DIRECTIONS TO SITE ADDRESS: GO TO BELFAIR WA. FROM THE SOUTH — PROCEED DOWN SR 3 TO HOOD CANAL AUTO. THE PROPERTY IS JUST NORTH OF HOOD CANAL AUTO. THE OLD BELFAIR CAFE THAT WAS CONVERTED INTO A CHURCH. IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND X SEASONAL RUNOFF[] STREAM X DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14%YES[]NO X �.,. „r..��,�. OFCn�rr UNITY EVEIOPMENT PRIOR TO DEMOLITION TO CONTACT THE �'�fI!'VAI DIV wig v� COMMUNITY�. ENS IRE REDEVEL.OPMEAL 0 HOW WILL THE DEBRIS BE DISPOSED OF?: RECYCLBLE—PENINSULA TOP SOIL, REMAINDER TO OLYMPIC LAND FILL PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED SEE ENCLOSED MAP—ONLY THE OLD CHURCH WILL BE DEMOLISHED. LABELED NO. 1 ON THE ENCLOSED GRAPHIC. THE OLD CHURCH MUST BE REMOVED TO ALLOW FOR THE CONSTRUCTION OF THE WSDOT SR 3 STORM SEWER ACROSS THE SITE. 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 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.INACT VITY.OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signat A lira Date X JI Vp C� _ S�pps OWNER!REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT