HomeMy WebLinkAboutBLD2003-01285 Final ReRoof - BLD Permit / Conditions - 8/20/2005 r ,
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o CONCRETE MECHANICAL MANUFACTURED HOME
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FORM MUST BE COMPLETED IN INK PERMIT NO.
PLEASE,PRESS-HARD MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton(360)427-9670 BeNair(360)275-4467 Elms(360)482-5269 Seattle(206)464-6968
X Ti I On the Web www.co.mason.waus
APPLICANT INFORMATION CONTRACTOR 1 FORMATION
Owner N a Vtc HQ n5en Contractor Name JaAVr7V, QtA alv.LA- -
Mailing Address I . enco6od Rd SW Mailing Address D
City PO rf Qrckyd State Wa Zip Code 9 83 6 7 City L Q,I�'p�r _ Stated Zip Code
Phone 3�U) �76-29y9 Other Ph. L� Phone 0� o L/33-EX3'I Other Ph. L_J
Llen[Mle Holder NayicAt 4a v7sell Contractor Reg.#E(('�4f✓tZ-IZ°I90A Exp.25i-eit-0
E-mail Address yt a-n n J5C1 e+, Cam E-mail Address
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System_Name of Sewer System Al"O n CA• Well Water System
Name of Water System
PARCEL INFORMATION- 12 digit Tax Parcel No. Fire District
Legal Description �-c I IL; ,, ifiet5 ene Poi n'*P A491,No. : *1 e o F RaJs, pe 1-2/-124, Ad-wo Co.
Site Address(Please include street name,street number and city) q o P0-%t7r 5 viv 5'
Directions to site TS IC,Yd B r7' 17 eFf tv end i S
0Sfe r S-cur, w a le i + r n �e�� ca.b`n is on rti'g k+ - hQvtd s u deki
o�
Will timber be cut and sold in parcel preparation? (Yes/No) MO
Lake ho River/Creek n n Pond n0 Wetland 110 Seasonal Runoff 1'20 Stream n 4
Slopes or Bluffs ho
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE a
TYPE OF JOB-New Add Alt Repair Other Use of Building
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? (Yes/No) Vt O
Describe Work re-- roo f
No.of Bedrooms 2 No.of Bathrooms_SQUARE FOOTAGE-1st Floor 2nd Floor"'--
3rd Floor- Loft Basement TT Deck /?eW oMer -- sq.ft.
Garage -- Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? (Yes/No)
Installer Name Certification No.
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.Owner/Builder acknowledges submission of inaccurate information may result in a stop work order or permit revocation.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 ordi- contractor in the State of Washington and that I am aware of the ordinance
nance requirements for which this permit is issued and that all work will be requirements regulating the work for which this permit is Issued and all
done in conformance therewith. No changes shall be made without first work shall be done in conformance therewith.No changes shall be made
obtaining approval. without first obtaining approval. �/
X 1'c�r,Q1�x� Date a VO 3 ' XIM e b �XJ o3
FOR OFFICIAL USE BEYOND HIS OINT
Accepted by Date Submittal Amount Due—,,--. kS kN,,lN pt No.
Building De 9 ent
Occ GroupT Constr. VAI
Planning Department
'Y10 E-A/F
Environmental Health Department r
Public Works Department
Fire Marshal
Valuation$
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee II. 5o
Violation Fee Pre-Paid at Submittal ( 3 )
TOTAL FEES
MASON COUNTY `
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit ProcessingAnspections/Addressing
Mason County Bldg.111426 W.Cedar
P.O.Box 186 Shelton,WA 985M
(360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-696f
NON-STRUCTURAL RE-ROOF APPLICATION
Roof Slope: Y/a
Old Roofing Material: C a Mp o 51}1 0 yl
New Roofing Material: vyl, + A
Sheathing:____ f __LO Q5 CL
Underlayment.
Existing Insulation: E S We,
New Insulation: q o -
Roof Slope: UBC Table 15-13-1 &15-B 2
Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch.
Roof Covering: UBC Section 1507
Selected roof covering mist be installed in accordance with manufacturer's specifications and UBC requirements.
Insulation: WSEC 101.3.2.5 exception 2a&2b
Existing roofs shall be insulated to the requirements of this Code if:
a.The roof is uninsulated or insulation is removed to the level of the sheathing or,
b. All insulation in the roof/ceiling was previously installed exterior to the sheathing or non-existent.
Attic Ventilation: UBC Section 1505.3
Enclosed attics and rafter areas shall be supplied with cross-ventilation. The net free ventilation area shall not be less than
1/150 of the area of the space to be ventilated. If 50%of the ventilating area is provided from the upper portion of the space to
be ventilated,then 1/300 is allowed.
Applicant/Owner: Ge/ / Contractor: �,Cu 1 l i�
Lo�_ 11 katfSfe- Porn � l
Parcel No.: Permit No.:
UU
Signature: Cl� Date: 8/�7/d �F ' (_UQ,
Re-roof application.doc E.