HomeMy WebLinkAboutMIS97-0381 Final Demo - MIS Permit / Conditions - 12/8/1997 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
11ri 1 w3 Cr L"' L__ 1 . A f-1 F_ C7.)i.,l c3 F' t-= F4 M 1 of I NSPE c: I I('Na t:AL 1 4?7--9670
MI SA7 -0381 PAR(,FI :2233075000A0 PI.AT a I)i V : RL.K : LOT :
JOR A111)FtE W;i NI. 221 F"AGI F VIEW VA TAHIIYA
APPLICANT : PATRICIA HOOD 360--275--7036
OWNF R : PATRICIA HOOD 380- 275- 703R
I F..GAI. ; TO 1 QF BUIVIY M11
PROJFCT DFSCR I PT I ON :
DEM01 I T I ON
PROJECT i OCAT I ON
TAHUYA BLACKSMITH RD FROM HAVF"N LAKE DNIVE 1 /2 MII F , TURN LUFT AT MAFIKFII 100 ( IN RFD) . LAROF
GREEN 110LISF UNDER CONSTRIICT ION AT FOOT OF DRIVE , F'OL.I.OW ROAD, TAKE LEFT, 11JAN TO F"ND OF ROAD
P1100FC4 Nol"F'S e
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TYPE AMOUNT BY DATF RFCF I PT
DEMO $ 33 .00 KS 06/ '5/97 1001
STFE $ 4 .50 KS 06/25/97 1001
101 A1. a 37 .50 OWNER OR AGENT DA fF
MIS MI, rev, d4!111U COMPLIANCE TO ATtAGIiED. CONDITIONS IS
REOu 1 aFTti
i
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date z— _F _ T 7 by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F-V F` VA M 1 -V C. C-) N F") I T' i c:D N
C*a ;e No MIS97 •0381
Fort PATRICIA 1100D
Page : 1
1 ) PURSUANT TO 1991 UNIFORM 130 11_D 1 Nip CODE , SEC-1 10N 305(C ) AND SVC1 1 ON 15,13 , A1.1_ SITES MOST
HAVE APPROVED NUMBFRS OR ADDRFS ES PROVIDED IN SUCH A POSITION AS TO BE PLAiNIY VISIBLE
AND 1. Fr I BLE. FROM 1 HE S1 RFFT OR ROAD FRONT I N(; THE P11OP1' RTY ATAFON COUNTY B(1 i L D 1 Nli 1
DEPARTMENT REQUIRES THAT' THIS BE COMPLETED PRIOR TO CALLING FOP ANY SITE INSPECTIONS . A JI
RF 1 NSPE CT I ON FF F , BASE V ON RATES I N TABL.F 3A OF THE i c)9d UN i FORM 110 1 L 1)1 NG COOF W I t I BF: 1
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR, TO RFQUESTING
INSPECTIONS .
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l ) THE UEMOL. I T I ON AND D i SPOSAL OF DFMOL I T.1 ON DERR I S MI)S V MEET RFOU I RFMk NTS AS PER MASON
COUNTY REGULATIONS .
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Conditions of this Case are listed below:
Demolition
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE, SECTION 305(C) AND
SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES
PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE
FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO
CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON
RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR
TO REQUESTING INSPECTIO S.
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2) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET
REQUIREMENTS AS PER MAS N COUNTY REGULATIONS.
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i
GARY YANW,DIRECTOR
q6
DEPARTMENT OF COMMUNITY DEVELOPMENT
PLANNING -SOLID WASTE-UTILITIES
J �,�► BLDG. I . 411 N. 5*"ST. • P.O. BOX 578
t�s4 SHELTON,WA 98584 • (360) 427-9670
bISCLAIMERMAIVER OF COUNTY LIABILITY:PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMIT'S, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingt s to proceed with processing of applications which might be affected by that Order,the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim fdr damages against Mason County which ftay arise out of
Mason Ca u ty's actions in acceptance,processing and/or issuance of such permits or approvals (hereitAlW"permitting
actions'),which damaged are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
91 3 3
Date (Parcel No. or Legal Description)
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this day of , in the year , before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WTTNESS my hand and official seal. -For County use only-
Revk wd by appllamt ort
(Date)
Notary's signature Staff Initial:
My Commission Expires:
Hc�y:l�s1 ,
- - Y� a
� MIS..: /�3d
MASON COUNTY
DEMOLITION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner g�J�t � v Jovy)es' / Cl Phone#
Site Address �, f,49LE �ft 66J b'er t/z city
Mail Address
City St (d2ll Zip !2?S<f<P
Applicant 242/C/,a A Phone# 36O oP 7S- 7o 3,./,
Applicant Address N,
City _,4ae St Zip 7'pS e '?
#2 Parcel No.
Legal Description x Dqc-
/5o547,;L I�L
#3 How will the debris be disposed of? a-l""LlP_ 141'i?h7i�UM - Sleal &bye
b' �li'a�i✓ ic�� /�e7 s~.
u�cc r�ri�;w S"'V2'l _L t!e.�l/i�" �.r1u1it16iJ / % �� skied In Aat;y El isth- fig y/S� "Jo ,9
gt?E f 4�1 LJL) b)"Adty)g t2� A U ce d � �YeP A `t o"g e �,c�ti/ ��if P✓ �Q�i S c�j� & O'a'ol p
L& 00 0 U V, L9 U
#4 Use of building to be demolished? S7�0p_-'6a e - M7
#5 Indicate by circling the applicable source if any water is on or adjacent to the property: `H '�=+ r
saltwater marsh lake river pond wetland seasonal runoff other
Directions to Site: ahu c 1 ' t�e
le4l al Iva;ke r /D U U, dt,,I) �ar�2-e tri e k A�e,
fx ��c
#6 Project Start Date S P Project Completion Date rYs r
*Upon completion of demolition, owner must call for final inspection.
*Plot plan on back side of this paper must be completed.
DEMOLITION PERMIT FEES: $33.00 VOLUNTARY DEMOLITION
$46.00 ABATEMENT ORDER
*Make checks/money orders payable to Mason County Treasurer and sumbit to Mason County Buildinq Department for processing.
Show following on the site plan
Lot Dimensions Flood Zones ^/
Existing Structures Fences .J
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate did ectional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
3y7
� j o
Ib� •ate plc�,,k
DCA 1C,-RSe vnP _
Applicant Signature ' Date: —
OR c �e uS�oNY: A Iccrrpted by:F A �
Receipt No. ( Amount Paid
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: