HomeMy WebLinkAboutBLD2012-00117 Final Demo - BLD Permit / Conditions - 6/21/2012 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
lip, Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2012-00117
OWNER: DONNY BOCKSCH RECEIVED: 3/2/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 3/2/2012
SITE ADDRESS: 1290E YASON LAKE DR SOUTH GRAPEVIEW EXPIRES: 9/2/2012
PARCEL NUMBER: 2210 5TOO46
LEGAL DESCRIPTION: MASON LAKE ESTATES TR 46
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
demo of existing garage for future constuction of replacement LEFT ON MASON LAKE RD, L ON MASON LAKE DR SOUTH TO SITE
ADDRESS ON THE RIGHT SIDE
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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: 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
Total
BLD2012-00117 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2012-00117
CONDITIONS FOR
BLD2012-00117
1) All construction and demolition debris must be removed from the beach after project completion. Prop,ggr disposal of construction debris must be on land
in such a manner that debris cannot enter or cause water quality degredation of State waters. X
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
XE
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
MIX County ordinances and building 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
holdey�ve prevented action from being taken. No more than one extension may be granted.
X �✓
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 property and structure for review and inspection.
OWNER OR AGENT: DATE: -- Z
BLD2012-00117 Please refer to the following pages for conditions of this permit. Page 2 of 2
W
o CONCRETE MECHANICAL MANUFACTURED HOME
o
t j Footings!Setbacks Date Gas Piping By Ribbons X
o Interior Date By interior-Date By Date By n
Exterw Date By Exterior-Date By Set-up =
Point Load!Isolated Footings INSULATION Date By p
BG!SLAB INSULATION O
Date By Data By FIRE DEPARTMENT Z
Foundation Walls Floors Date By <
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Data By Date By
Type_
Date By
D.w.v DRYWALL Type-
Int Brace Wall Date By W
Date By By
fD FINAL INSPECTION 0
Date
m
y Water Line Fin Separation N
m
Date By Date By Date ByCD
O
N N
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments o
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.: ICI abl�i Q7I 1
\ MASON COUNTY
V 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 Sck Contractor Name
Mailing Address Mailing Address
City State ip Code 9JK511 _ City S t Zip Code
Phone ' O;taOther Ph.ce IHI Ph.L Ph.(�
r Contractor Reg. #
Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. I / 6 / Fire District
Legal Description
Site Address(include streeprIpme arxmy
Directions to site:
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs 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?
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.
Date Z12, X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Fire Marshal
FEES
Building Permit Fee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
%^ a..F TOTAL FEES