HomeMy WebLinkAboutBLD2024-00397 Cancelled DEMO - BLD Inspections - 4/7/2025 INSPECTION CARD
Mason County
615 W.Alder St.
Building 8, Shelton,WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2024-00397 PROJECT ADDRESS 7623 E STATE ROUTE 3 SHE,WA 98584
PARCEL# 221304300000 PROJECT DESCRIPTION DEMO PERMIT FOR SFR
OWNER HAYDEN JERRY E&MARGIE E ADDRESS 7621 E STATE ROUTE 3 PHONE 360.485.6777
CONTRACTOR Justice Bros Trucking&Excavating LLC ADDRESS 3503 E North Island Dr PHONE 360.204.9927
CONTRACTOR LICENSE JUSTIBT852DL LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
Connection has been verified by I Demolition Final Inspection
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton,C WA 98584 360-427-967070 ext 352
www.masoncountywa.gov
gov
B DD2024-00397 DEMO
PROJECT DESCRIPTION: DEMO PERMIT FOR SFR ISSUED: 03/26/2024
SITE ADDRESS: 7623 E STATE ROUTE 3 SHE
EXPIRES: 09/22/2024
PARCEL: 221304300000
APPLICANT: HAYDEN JERRY E&MARGIE E OWNER: HAYDEN JERRY E&MARGIE E
7621 E STATE ROUTE 3 7621 E STATE ROUTE 3
SHELTON,WA 98584 SHELTON, WA 98584
360.485.6777
GENERAL CONTRACTOR'S LICENSE: Justice Bros Trucking&Excavating LLC License: JUSTIBT852DL
3503 E North Island Dr Expires: 03/09/2026
SHELTON,WA 98584
360.204.9927
FEES: Paid Due
Demolition Fee $120.00 $0.00
Technology Flat Convenience $5.00 $0.00
Fee
State Fee-Residential $6.50 $0.00
Totals : $131.50 $0.00
REQUIRED INSPECTIONS
Connection has been verified by Health or Utilities Demolition Final Inspection
CONDITIONS
* The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
Printed by:Genie Mcfarland on:03/26/2024 01:29 PM Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
4P Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
DEMO BLD2024-00397
* 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.
* 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.
* 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.
* 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
* 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.
* 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.
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 provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
Contractor or Authorized 4nt: l��-�i.-� 0 A A Date:
Printed by:Genie Mcfarland on:03/26/2024 01:29 PM
Page 2 of 2
MASON COUNTY PERMIT NO.:b DOy�-
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
>- Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext.352
Shelton,WA 98584 (360)482-5269 Elma ext.352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
5�,ax�nw,Pauw.v
NAME: 0-v 14,�aw, 1 ys�-► 1
i e- }a S4 e,�n/ -2",�cae, ,;-; � NAME: ��VS}t C�. Lam. 6 c�J
MAILING ADDRESS: 11v91 E S+ + 3 MAILING ADDRESS: 3563 F,Afor� ISlah Or
� �
CITY: 5 STATE:��ZIP: `tK CITY: S I, STATE: W I°r ZIP: M
PHONE: 3W•4g3-jo�77 CELL: sl- nano in— 3(a o PHONE:,,�,p,ab4 `�q 2 7 CELL:
EMAIL: S1tiay�v�Ty,ne @arnai 1 3Sa•7oa3 EMAIL : udam, �us+;c� b►ros��mai I
lease n S o i L&I REG# .� �-Tgtg51DL EXP. o3/OS/J025
PARCEL INFORMATION:
PARCEL NUMBER (12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION (ABBREVIATED) S W S D w E-x rtp I __
SITE ADDRESS ZU23 E Stx>4e CITY
DIRECTIONS TO SITE ADDRESS: Aoki 0o « S%CLQ 0�� IV, vt."
IS PROPERTY WITHIN 200 FT: �)DNF
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM E
DOES PROPERTY HAVE SLOPE(S) WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHIN ANAREA THAT IS LISTED ABOVE,PLEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.)
HOW WILL THE DEBRIS BE DISPOSED OF?:
d"P box (Il Iry,0Cw
PROVIDE A PLOT PLAN INDICATING``LOCATION OF STRUCTURE TO BE DEMOLISHED
0 CAD S
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 WILL INVALIDATE TH LICATION.
x - _ 3
Signature of Applicant—�� Date ��
x %a�.vlor � o, ❑OWNER/OREPRESENTATIVE/❑CONTRACTOR
Print Name
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CUNDITIUNS
BUILDING DEPARTMENT
PLANNING DEPARTMENT