HomeMy WebLinkAboutBLD2015-00484 Cancelled DEMO - BLD Permit / Conditions - 8/31/2016 inspection Line
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar _
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-00484
OWNER: OMAR MILLER JR RECEIVED: 6/18/2015
CONTRACTOR: MORRIS CONTRACTING 360-463-7751 LICENSE: MORRIC'89607 EXP: 9/27/2015 ISSUED: 6/18/2015
SITE ADDRESS: 70 E DABOB RD SHELTON EXPIRES: 12/18/2015
PARCEL NUMBER: 220075100026
LEGAL DESCRIPTION: TIMBERLAKE#8 TR 26
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT TO REMOVE TRAILER TIMBERLAKES DEELOPMENT, TIMBERLAKES DRIVE TO DABOB, LEFT ON
DABOB TO SITE.
General Information Constr ncy Information Square Footage Information
No. of Bedrooms: T Constr.:
Type of Use: SF Insp.Area: No. of Bathrooms. Group: Lot Size: Deck:
Type of Work: DEM Fire Dist.: 5 No. of Stories: O Load: Building:
Valuation: Building Height: tatus: Basement:
111111
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: Ft. lin Ft. Water Body:
Rear: Ft. e: Ft. SEPA?:
Model: Width: Ft. Shoreline Desig.:
Side 1: Ft.
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
ion Fee JBN 6/18/2015 $ 117.50 S220150000000i
' Building to Fee JBN 6/18/2015 $4.50 S220150000000i
Total $122.00
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2015-00484
CONDITIONS FOR `
BLD2015-00484
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of LabQr.aW 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--,6447-00982. TY�erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X_CC—�y' `-
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2) 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) ot%ny,sttucture unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on aryasbestos 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.org
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3) All building permits shall have a final inspection performed and approve 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
Mason Cou rdin s and building regulations.
X
4) All permits expire 180 days after permit issuance, or 1804ays 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
holder have prev nted action from being taken. No mire than one extension may be granted.
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 2 of 3
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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
OWNER - REPRESENTATIVE CONTRACTO
Print N me (Circle one to indicat ;:'
e)
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 3 of 3
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Footin f Setbacks Ribbons M
� Gas Piping m
o Intenor Date By Interior-Date By rate By X
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A Exterior Date By Exterior-Date By
Set-up
INSULATION
Point Load l Isolated Footings Date By 0
BG/SLAB INSULATION ic
Date By Data By FIRE DEPARTMENT y
Foundation Walla Floors Date By ;0
Date BY Data By DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Atic
Date By Type-
Date By Date By
0M V DRYWALL Type-
Int.Brace Wall Date By W
T Date By Date By r
CD By INSPECTION p
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m Water Line Fire Separation IV
m Date By Date By Date By
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MASON COUNTY PERMIT NO. ��I
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
_ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
— _ Mason County Bldg. III,426 West Cedar Street (360) 275-4467 Belfair ext. 352
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
RECEDED
DEMOLITION PERMIT APPLICATION JUN 18 2015
OWNER INFORMATION: CONTRACTOR INFORMATION: 426 W. CEDAR ST.
NAME: , Mit r. NAME:Marr,`5 Gof'+mfinA
MAILING ADDRESS: 1 r MAILING ADDRESS: 1�3( Aronld S'l'" Cif
CITY: , _STATE:_ZIP: 5 CITY: roGbe�r STATE:_
PHONE: 07 CELL: - PHONE:')c,,- ro -77S') CELL: 5gM�
EMAIL: EMAIL :
L&I REG# v EXP. l�l DI
PARCEL INFORMATION: Tc-,e Q&rcQ 171 Of f)C
PARCEL NUMBER(12 DIGIT NUMBER FIRE DISTRICT
LEGAL DESCRIPTION(ABnBREVIATED)
SITE ADDRESS Lcf Z6 0+ -T i onbQv Uz 00 i►• t)n1. .7 r(, 4,7-- <-I CITY 14-n,
DIRECTIONS TO SITE ADDRESS:`i;6 h,1,1 Jos d�ue/d�e r++a 1 ti.bQrlu a D r. 40 a)oo 6, I-aja
or b O b
IS PROPERTY WITHIN 200 FT.
SALTWATER[] LAKE RIVER/CREEK❑ POND[] WETLAND[] SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S) WITHIN 300 FT OF THE PROJECT- GREATER THAN 14% YES❑ NO
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE, PLEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT. c
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) 7a; S
HOW WILL THE DEBRIS BE DISPOSED OF?
7D v M.pz/,rLc)
PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED
rl�
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. INACTIVITY,OF THIS PERMIT APPLICATION OF 180 DAYS/WI L INVALIDATE THE APPLICATION.
Signature of Aoolicant Date
X vm,r P. N�i ((e r, �� OWNER/ REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CQNDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-00484
OWNER: OMAR MILLER JR RECEIVED: 6/18/2015
CONTRACTOR: MORRIS CONTRACTING 360-463-7751 LICENSE: MORRIC*89607 EXP: 9/27/2015 ISSUED: 6/18/2015
SITE ADDRESS: 70 E DABOB RD SHELTON EXPIRES: 12/18/2015
PARCEL NUMBER: 220075100026
LEGAL DESCRIPTION: TIMBERLAKE#8 TR 26
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT TO REMOVE TRAILER TIMBERLAKES DEELOPMENT, TIMBERLAKES DRIVE TO DABOB, LEFT ON
DABOB TO SITE.
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 JBN 6/18/2015 $ 117.50 S220150000000i
Building State Fee JBN 6/18/2015 $4.50 S220150000000i
Total $ 122.00
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR h
BLD2015-00484
CONDITIONS FOR
BLD2015-00484
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
1-800-647-0982. T person sjgning this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X1 �-
2) 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
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.org
X
3) 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
Mason Cou =rdinnanbuilding regulations.
X :�
4) 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
holder have prey nted action from being taken. No more than one extension may be granted.
X
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 2 of 3
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.
an zt !L
Signature Date
C13o�.y w►af��5 OWNER - REPRESENTATIVE CONTRACT
Print N e (Circle one to indicate)
BLD2015-00484 Please refer to the following pages for conditions of this permit. Page 3 of 3