HomeMy WebLinkAboutBLD2007-02042 Demo - BLD Permit / Conditions - 12/13/2007 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,`ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186 ,
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2007-02042
OWNER: MELVIN MCPHERSON RECEIVED: 12/13/2007
CONTRACTOR: LINCOLN BUILDERS 275-5760 LICENSE: LINCOBD962RF EXP: 12/6/2008 ISSUED: 12/13/2007
SITE ADDRESS: 1913 NE MISSION CREEK RD BELFAIR EXPIRES: 6/13/2008
PARCEL NUMBER: 223255003024
LEGAL DESCRIPTION: MISSION CREEK BLK: 3 LOT: 24
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMO PERMIT FROM BELFAIR STATE PARK NORTH ON MISSION CREEK ROAD TO END
JUST PAST STEEL HEAD DRIVE WHERE BRIDGE WASHED OUT.
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.: 2 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
_ Manufactured Home Information Setback Information Shoreline& Planning Information
:
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Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desig.:
Side 1: Ft.
Year: Serial No.: I I Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee CMH 12/13/200 $4.50 B12007000
Demolition Fee CMH 12/13/200 $105.00 612007000
Total $109.50
BLD2007-02042 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2007-02042
CONDITIONS FOR
BLD2007-02042
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 an onetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-8 - 47-0982. he pers � rfiilg thi ondition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) 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 conatct Olympic Air Pollution Control Authority(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 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,
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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
Masnty or ances and building regulations.
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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 rjot exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hol r ave reve d action from being taken. No more than one extension may be granted.
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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 of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described pro and structure for review a spection.
OWNER OR AGE - DATE:
BLD2007-02042 Please referto the following pages for conditions of this permit. 2 of 2
o CONCRETE MECHANICAL MANUFACTURED HOME n
CD
ov Footings l Setbacks Date By Ribbons =
Gas Piping
oN Interior Date By Interior-Date By Date By
CoM
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N Exterior Date By Exterior-Date By Set-up O
Point Load!Isolated Footings INSULATION Date By Z
BG/SLAB INSULATION —
Date By Data By FIRE DEPARTMENT m
Foundation Walls Floors Date By r_
B G
Date By Data y DECKS Z
FRAMING Walla Date By
Date By Data By PROPANE TANKS
PLUMBING vault Dale By
Date By OTHER
Groundwork Attic
Date By Data By Type,
Date By
D.W.v DRYWALL Type.
Int.Brace Wall Date By W
Date By Date By r
FINAL INSPECTION
v Water Line Fire Separation NC
Date By Date By Date By p
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Pass or Request Inspect. c
° Type of Insp. Fail Date Date Done By Comments Q
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS 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 /^ Contractor Name
Mailing d rQss Mailing Addr ss
City State i Zip Code ` City State t' ZipCode `
Phone Other Ph.c,3C"G� Ph. �75=ZWOtherPh.
Lien/Tltle Holder NO/ye Contractor Reg. # L'
Address Expiration/ / >
PARCEL INFORMATION-12 digit Tax Parcel No. }, 3 / / C7 3� p Fire District
Legal Description 19 'S CT
Site Address(include street name and city N /'
Directions to site: -
s<
Is your property within 200' of the following: Bo y of Water (Name) water
Lake River/Creek ,/ Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs /f 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?
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 made without first obtaining approval.
X Date 'G� y` Date
Provide a plot plan indicating location of improvements and structure to be demolished.
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FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED - CONDITION COD
Building Department
Occ Grp Type of Const Pet k0aa-A
Planning Department
Fire Marshal X
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
F TOTAL EES