HomeMy WebLinkAboutBLD2024-01266 DEMO - BLD Inspections - 4/3/2025 INSPECTION CARD
iI"77,F- Mason County
NOF 615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2024-01266 PROJECT ADDRESS 916 W BULB FARM RD SHELTON, WA 98584
PARCEL# 519133100020 PROJECT DESCRIPTION Tear down RESIDENCE ON BACK LEFT SIDE OF PROPERTY
28' x 80' (EVENTUALLY REPLACE WITH MFG)
OWNER NELSON ET VIR ANGELA E ADDRESS DONOVAN M VIG PHONE
CONTRACTOR ADDRESS PHONE
CONTRACTOR LICENSE LENDER
INSPECTION INSP I DATE Comments INSPECTION INSP I DATE Comments
Connection is to be verified by Demolition Final Inspection
Mason County
Mason County - Division of Community Development
615 W. Alder St.
0 Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2024-01266 DEMO
PROJECT DESCRIPTION: TEAR DOWN RESIDENCE ON BACK LEFT ISSUED: 10/24/2024
SIDE OF PROPERTY 28'X 80' (EVENTUALLY REPLACE WITH MFG)
SITE ADDRESS: 916 W BULB FARM RD SHELTON EXPIRES: 04/22/2025
PARCEL: 519133100020
APPLICANT: Vig, Donovan OWNER: NELSON ET VIR ANGELA E
916 W. Bulb Farm rd. DONOVAN M VIG
Shelton,WA 98584 SHELTON,WA 98584
7077263576
FEES: Paid Due
Demolition Fee $131.00 $0.00
State Fee-Residential $6.50 $0.00
Technology Flat Convenience $5.00 $0.00
Fee
Totals : $142.50 $0.00
REQUIRED INSPECTIONS
Connection is to be verified by Health or Utilities Demolition Final Inspection
CONDITIONS
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.
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
* 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.
* 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.
. ............ ..................... .
Printed by:Brittany King on:10/24/2024 08:14 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 BLD2024-01266
* 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
* 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.
* 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.
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.
- --------- - -
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 provisi �4�her ate/local law regulating construction or the performance of construction.
Issued B .
\ I l
Contractor or Authorized Agent: Date: 2--
Printed by:Brittany King on:10/24/2024 08:14 AM
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PERMIT NO. ?)L[)202 - 01 c�-----
MASON COUNTY
COMMUNITY SERVICES DEPARTMENT RECEIVED
BUILDING*PLANNING•FIRE MARSHAL
VYVYW.CO.MASON.WA.t1S (360)427-9670 Shelton ext.35
Mason County Bldg.#&,615 W.Alder St (360)275-44467 Belfair ext. 3
rs Shelton,WA 98584 (360)482-5269 Elms ext. �T 2 3 2024
DEMOLITION PERMIT APPLICATION 615 W.Alder Street
OWNER INFORMATION- CONTRACTOR IN FORMATION:
NAME:1�.' Qtya d Ott,__► t' i� NL�D�► NAME: —
-._ j �
MAILING ADDRESS:_ q►(o�tJ,1�6i1{zF�_r�Cd. ! MAILING ADDRESS:
CITY: (�tn STATE:�I iA ZIP:�S � CITY: STATE:_ ZIP: .
PHONE: ,Z="t2G-3$_?bCELL: SRMi PHONE: CELL:
EMAIL: d e r,nv Qrd?7 p wt<�. avvti EMAIL :
L&I REG# EXP.
PARCEL INFOR'NIATION: E
1 PARCEL NUMBER (I? DIGIT NUMBER)_� { 3 �{Z(�Z O FIRE DISTRICT I
LEGAL DESCRIPTION (ABBREVIATED)le! I/z w '/z E111 NE Sw ewizay .170
SITE ADDRESS V IG-UL QLB_F_ 'Q_1K__R CITY Stt�LrBN
DIRECTIONS TO SITE ADDRESS: j
1 ,
IS PROPERTY WITHIN 200 FT:
SALTWATER[] LAKE❑ RIVERi"CREEKQ PONDQ WETLAND[] SEASONAL RUNOFF( STREAM [] '
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO ❑
j IF YOUR PROJECT IS LOCO TED ADJACEfVT TO OR WITH IV A<V'AREA THAT IS LISTED ABOG'E PLEASE
C(?VTACT THE PLAXNLYGDIVISIO?V OF COh AIUNITYDELELORVIENT PRIOR TO DE< tOLITIOtV TO
ENSURE REDS ELOP.MENT.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE.GARAGE ETC.) /ZES l,4�illLt
HOW W ILL THE DEBRIS BE DISPOSED OF?:G Im I led 64 p u r po51n6 t,a t ase. iiet 5! to durum P.
t
PROVIYKA PLO3t;PLAN INDI SING OCATION i�TR CT 'RE TO BE DEMOLISHED }
--s
OWNER 1 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180
j days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPE N.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WELL INVALIDATE THE APPLICATION.
X
Signature of Applicant Date
X e `4 (OWNER/MREPRESENTATIVE/MCONTRACTOR
—�� Print Name
DEPAiurMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS
BUII..DING DEPARTMENT
PLANNI I IG DEPARTMENT
01600E)
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