HomeMy WebLinkAboutBLD2012-00291 Final Demo - BLD Permit / Conditions - 6/13/2012 si Inspection Line(360)427-1262
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 BLD2012-00291
OWNER: LINDA WHALEY RECEIVED: 5/3/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 5/3/2012
SITE ADDRESS: 31 NE LAKE VIEW PL BELFAIR EXPIRES: 11/3/2012
PARCEL NUMBER: 22331(5 0007
LEGAL DESCRIPTION: COLUNS LAKE#1 TR 7
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DEMOLITION OF SINGLE WIDE &2 OUT-BUILDINGS STATE ROUTE 3 TO NORTHSHORE RD TO BELFAIR TAHUYA RIGHT
ONTO COLLINS DR TO LAKE VIEW TO SITE
a Information Footage General Information Construction&Occupancy Information Square g
No. of Bedrooms: Type of Constr.:
Type of Use: MH 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 Desi
Side 1: Ft. g..
Year: Serial No.: Side 2: Ft. I Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee GMM 5/3/2012 $4.50 S1201200000001
Building Permit Fee GMM 5/3/2012 $ 117.50 S1201200000001
Total $ 122.00
BLD2012-00291 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2012-00291
CONDITIONS FOR
BLD2012-00291
1) The Wash i gton State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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2) 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 potenti I risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-098 he p rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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3) Owner/Agen i res risible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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4) 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 o tained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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5) 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 fi al inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Cou ordi ances and building regulations.
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6) 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 period not exc ding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder a prevented ac n from being taken. No more than one extension may be granted.
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BLD2012-00291 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 unty access to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2012-00291 Please refer to the following pages for conditions of this permit. Page 3 of 3
W
o CONCRETE MECHANICAL MANUFACTURED HOME _
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Footings/Setbacks Date By Ribbons D
tv Gas Piping m
0o Interior Date By Interior-Date By Date By M
Exterior Date By Exterior-Date By
fit,up
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Point Load I Isolated Footings INSULATION Date By Z
BG/SLAB INSULATION
Date By Data By FIRE DEPARTMENT n
Foundation Wails Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Da1e By
Date By OTHER
Groundwork Attic
Date By Type.
Date By Date By
D.W.V DRYWALL Type.
Date By
Int.Brace Wall
� Date By W
CD Data By FINAL INSPECTION
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N Water Line Fire Separation N
CDDate By Date By Date f-5��2— By7
o Pass or Request Inspect. c
a Type of Insp. Fail Date Date Done By Comments
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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 IN ORMATION
Owner W hH l e 14 Contractor Name V.14. G',
Mailing Address ��—%" d ( Mailir>g,Address Inc, J7—C-,W—:V
City V C'VXVC S to t,✓c Zip Code QV-:>SL _ City State,k-i A Zip Codet�
Phone(-IZ5 ) Z U Ather Ph.(� Ph.(�,53 ) ov3 Other Ph.
Contractor Reg. #U I t,U.
Address w Vk Expiration
PARCEL INFORMATION-12 digit Tax Palicel.No. l l D 00 0 Fire District
Legal Description r
Site Address(include stye t name and city V
Directions to site: —
Is your pEpperty
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? r Q v
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What is the use of the building being demolished? g r if
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-1 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. // be made without first obtaining approval.
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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 ( )
TOTAL FEES