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Home My WebLink AboutMIS99-0445 Final Demo - MIS Permit / Conditions - 8/30/1999 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I c3 C; E IL- L- ^ N V- C3 kJ C--4 P U- Ut M I -I FOR INSPECTIONS CALL 427-9670 MIS99-0445 PARCELs223315200051 PLATiCOPLO DIV % BLK -. LOT 51 JOB ADDRESS 71 NE COLLINS PL TAHUYA APPLICANT : NANCY GILL OWNEAz MANGY" E GILL LEGAL . ClIttINS LAI(f 13 RLI(s Loft 61 PROJECT DESCRIPT ION t demolish existing carport PROJECT LOCATION : RIGHT AT FIRE STATION TWO OR THREE BLOCKS TO T THEN "TURN L.EFT FOURTHY DRIVEWAY ADDRESS Is ON .. SARAH SIGN AT' ENTRANCE TO DRIVWAY PROJECT NOTESA TYPE AMOUNT BY DATE R F-CEIPT DEMO $ 42 -00 KS 08/02/99 1595 STFE * 4 .50 KS 08/02/99 4595 14 TOTAL . 46 .50 OWNER OR AGENT DATE VIS-PAIT, rev; 041910? COMPL.IANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas piping date b Foundation Walls date by Set Up I date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by I FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by I I� I J MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEFRMI -f- CONO I -r Case No . 4 MIS99-0445 Foci NANCY E GILL Page ! I PURSUANT' TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH 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 ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 21 THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS . X h 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 INSPECTIONS. X� 2) THE DEMOLI ION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS. X � �a FORM MUST BE COMPLETED IN INK (PLEASE PRESS HARD /" / lJ I � C �(�{ PERMIT NO.: GRD yk\? l ` MASON COUNTY ---- U � �ANDMODIFICATION PERMIT APPLICATIO `1 426 W.Ced a on,WA 98584 27- Selfair 360 275.4467 Elma 36 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner . G, I I Contractor Name Mailinci Address 07 l;o5e, Mailing Address City State Ip Code City St e Zip Code Phone( 'U O) .i 6-b Other Ph. Ph.( t r Ph.0 Lien/Title Holder Nor — /hor acre _ Contractor Reg. # Address Expiration ENGINEER INFORMATION Name Phone L� Address State Zip Code PARCEL INFORMATION-1 igit Tax Parcel No. / r `S 1 Fire District Legal Description rl Site Address(include street name and city —71 1 Directions to site: 60 o i v d `fv eubu f Will timber be cut and sold M parcel preparation? (Ye _ )� La l[`Co I ir►S' ri r� . �S •�� Is your property within 200' of the following: Body of Water(Name) 'rf""`3 °tJ4. *` l Sa�twatser Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils h°W TYPE OF JOB -Excavation Filling Grading Total size of area 2" X Size of area to b cleare es over 10% Estimated amount of cubic yards Describe Work k C-Aq20 LAND MO`b1FMATKXN44FGRMATfON YES NO Will fill be brought on site? If yes, source E Will excavated materials be taken off site? If yes, destination 0 ,q Does fill contain potential hazardous materials? 0 Has a soils report been completed on site? If yes, include copy. 1 tr Will proposal result in redirection of any surface water runoff onto adjacent properties? o 119 Will proposed work alter where storm water or ground water enters or exits the site? 1 is Will quality, quantity or velocity of storm/ground water be altered? o a Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? E3 A Will the land be replanted upon completion? 13 0 I Will the proposal result in slopes steeper than those currently on site? 12 13 Is the site within 200' of a designated shoreline? \"® NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS Qk 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. X II Date 7— T X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date�(-� �( Submittal Amount Due 4L Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Bel Planning Department Public Works Department Fire Marshal FEES Grading Permit Fee 4c-L r- Site Inspection Plan Review Fee Other .4 Public Works Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES ��