HomeMy WebLinkAboutBLD2003-00120 Final Demo - BLD Permit / Conditions - 6/4/2003 Insction Line
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427(9670,ext.7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584 J a
RESIDENTIAL BUILDING PERMIT BLD2003-00120
OWNER: JAMES FISCHBACH 2�OJI
CONTRACTOR: ZECH BUILDERS L4C �/� /�vGz/ RECEIVED: 2/11/2003
SITE ADDRESS: 2480 NE TAHUYA BLACKSMITH RD TAHUYA 77 ISSUED: 2/11/2003
PARCEL NUMBER: 223195000078 EXPIRES: 8/11/2003
LEGAL DESCRIPTION: WOOTEN LAKE TRACTS TR 78 & PTN OF 79 PCL B OF BLA#1702137
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Demolition of residence
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp. Area: 1 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. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Demolition Fee NJP 2/11/2003 $56.80 2651
Violation Fee NJP 2/11/2003 $56.80 2651
Violation Investigation Fee NJP 2/11/2003 $56.80 2651
Building State Fee NJP 2/11/2003 $4.50 2651
Total $174.90
BLD2003-00120 Please referto the following pages for conditions of this permit. 1 of 3
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CASE NOTES FOR
BLD2003-00120
CONDITIONS FOR
BLD2003-00120
1) X a�qu�is not to be degraded to the detriment of the aquatic environment as a result of this project.
2) Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland sediments from entering
shoreline waters. 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. Sand, silt, and soil will damage aquatic habitat and are considered pollutants.
Any discharge of sediment-laden runoff or other poll utapollutants to waters of the state is in violation of Chapter 90.48 RCW, Water Pollution Control, and
WAC 173-201A, Water Quality Standards for Surface Waters of the State of Washington, and is subject to enforcement action. Any work in or adjacent
to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC
173-201 A-1 10. A short-term water quality standards modification may be issued if the proponent agrees to a number of specific construction practices
and techniques designed to minimize water quality impacts. All areas-disturbed or newly created by construction activities must be revegetated using
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X en . ing techniques, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical.
3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contra for fail to post the address on site prior to requesting inspections.
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4) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is directed
to conatg ympic Air Pollution Control Authority at(360)438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition.
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5) THE
X D LITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS.
6) All building permits shall have a final inspection performed and approved by the 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
Ma ordinances and building regulations.
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BLD2003-00120 Please refer to the following pages for conditions of this permit. 2 of 3
7) 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 a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
<oldM�evented action from being taken. No more than one extension may be granted.
8) Temporary erosion control measures must be implemented to prevent water qualilyd radation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X L; �—�-
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 f work a pr inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER AGEN DATE:
BLD2003-00120 Please refer to the following pages for conditions of this permit. 3 of 3
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�' Footings / Setbacks Date B y Ribbons
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0 Date By Gas Piping Date By
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0 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
:2 Date By Date By
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FORM MUST BE COMPLETED IN INK PERMIT NO.: L L�'��(�
PLEASE PRESS HARD
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 INF TIO
Owner t W 5C1 Contractor NaME
Maili Address f3/q Mailing Address
City. State ! -Zip Code City G't/<czc/ State q44- Zip Cod
Phone(253 ) ?Ve 18<d0ther Ph.( Ph.( O Ph.(340 )��1D�24140
Lien/Title Holder Contractor Reg. #
Address Expiration/ / Za
PARCEL INFORMATION-12 digit Tax Parcel No. 079 Fire District
Legal Description
Site Address(include street name and city
Directions to site:
Is your pr erty within 200' of the following: Body of Water(Name Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Blu s 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?
What is the use of the building being demolished? U �—
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 ma t fir obtai i g oval.
X Date X �— Date
Provide a plot plan indicating location of improvements and structure to be demolished.
FOR OFFI II A� USE BEYOND THIS POINT�,C
Accepted by Dat 0 bmittal Amount DuezJ
Receipt No.;11L
DEPARTMENTAL REVIEW AP OV DE.NIED CONDITJQN CODES
Building Department
Occ Grp Type of Const.
Planning Department OK
o N 6� .O 06 �
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee n Other
Site Inspection lv Pre-Paid at Submittal
TOTAL FEES
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MASON COUNTY
427-9670 BUILDING DEPARTMENT
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
TOP WORK
CIO
OOn these Premises at
This order is issued because
A.M.
Posted P.M. 19 By
The failure to stop work, the resuming of work without permission from the
WARNING Building Official, or the removal, mutilation, destruction or concealment of this
Notice is punishable by fine and imprisonment.
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