HomeMy WebLinkAboutBLD2002-00534 Cancelled Demo - BLD Permit / Conditions - 10/25/2004 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT Irl
BLD2002-00534
OWNER: ROBERT MERZ 425-827-9110
CONTRACTOR: STEPHEN JOHNSON INC LICENSE:STEPHJ'199LW EXP:6/1/2002 p1apXV06 RECEIVED: 5/6/2002
SITE ADDRESS: 260 NE LAKE DR TAHUYA jj3`j ISSUED: 5/20/2002
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PARCEL NUMBER: 223305000187 vt� 01 v EXPIRES: 11/20/2002
LEGAL DESCRIPTION: HAVEN LAKE TR. 187 �
PROJECT DESCRIPTION: DIRECTIONITNTI&E:
DEMOLITION TAKE NORTH SHORE RD RIGHT ON BELFAIR TAHUYA, TAKE LEFT ON
HAVEN LK DRIVE RIGHT ON LAKE DRIVE
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: Fire Dist.: 2 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
Plan Check Fee KLW 5/6/2002 $52.30 1439
Building State Fee KS 5/9/2002 $4.50 59322
Total $56.80
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BLD2002-00534 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2002-00534
CONDITIONS FOR
BLD2002-00534
1) Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland sediments from entering
shoreline waters. 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. Sand, silt, and soil will damage aquatic habitat and are considered pollutants.
Any discharge of sediment-laden runoff or other poll utapollutants to waters of the state is in violation of Chapter 90.48 RCW, Water Pollution Control, and
WAC 173-201A, Water Quality Standards for Surface Waters of the State of Washington, and is subject to enforcement action. All areas disturbed or
newly-create4ibyns tion activities must be revegetated using bioengineering techniques, clean durable riprap, or some other equivalent type ofiort whe tf r measures are not practical.
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2) All construction ari emolition debris must be removed from the beach after project completion d'IM of sruc�iQn debris must be on land
in such a manner that debris cannot enter or cause water quality degredation of State waters. �t , Js
3) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fir .
4) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, C ntractor Compliance Division.
There are p ential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1- - 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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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 coplinuation of work is a gr s inspection within the 1 0 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: ATE: Z
BLD2002-00534 Please refer to the following pages for conditions of this permit. 2 of 2
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
d date by
ate b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
9 a (�
PERMIT NO.: —Ob
MASON COUNTY �2
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 J}eptit,.A lkA 4111" S4V(_.
Mailing Address " 104+K Mailing Address g6i
City k' State WN Zip Code City State W h Zip Code
Phone( Other Ph.C____) Ph.( Other Ph
lLien/Title Holder Contractor Reg. # `� --
AddressAw � Expiration / / / O Z
PARCEL INFORMATION-12 digit Tax Parcel 2- / / 4 Fire District 2
Legal Description 1ri 4- 11`47 H.v k
Site Address(include street n me and city -2W.4w, , •r 11 4 IA LJ4 q 85 ek
Directions to site: kc No S61 Ic^Ft o,\ H av'r., kc Or%
�', V\�c on 04 r,J
Is your property within 200' of the following: Body of Water(Name) oe*, LAVe, Saltwater
Lakes 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? (h is 1 tw k
What is the use of the building being demolished?10 QJA 01611c. ( VM -Iro Tf V- V A +0 ,1 .
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-1 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. e g approval.
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X Date Date- 02
Provide a plot plan indicating location of improvement. and structure to be demolished.
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FOR OFFICIAL USE BEYOND THIS POINT
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Accepted by ,L Cf('_2( V Date�� Submittal Amount Due �� Receipt No. LL
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const. 1G r^ C-Ct
Planning Department
Fire Marshal
FEES
Buildi7PermitFee Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
<:> TOTA L FEES