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CD 3' o' CD CD 3 o s > m . . . . . � o $ KS $ CD � f3E q / Eiz. 22 / o �� � i' a / > � � r \ c ƒ os. / \ � � CD 0 = ( c 2 § 8E � c & < CL (na � ■\ =■ � c § K n . o Eoo » (D o . k2 � \ $ 7 = § � o0 \ CA = mck . \ 6 / J m m \ \ƒ � / � k. o m f7f CD CD o =r E m E = m = rDSk \ / G; 71 CL � $ CD -0 / 0 \ g l 0 ae § ) (A � \ ƒ » 7Eq � \ / . EEC � ( �k ) c \ i CD \ k « Q. \ cM aG2 § E f = o _ CD '0 o ¢ CL CA I0 0 \ 07 o � A % w . . 0E � ] co o CONCRETE MECHANICAL MANUFACTURED HUMS C Footings r Setbacks Go**Piping CD DataBy Ribbons C N Interior Date By Interior-Date By Dabs By D CD Exterior Date By Exterior-Dale B Set-up C Point toad r Isolated Footings INSULAMON Date B Date By B4!SLAB INSULATIONy Date By FIRE DEPARTMENT > Foundation Walls, Floors Date By X Date By 000 By DECKS FRAMING waft Date By Date By Data By PROPANE TANKS PLUMBING Vault Data By Date By OTHER Groundwork Attic Date B Type: � y �G Date BY Date S''/y07 BY~4`0 MWIV DRYWALL Type. Date BY Int Brace Wail Data By t} W �te y FINAL INSPECTION p Water Line Fire Separation W Date By Date By Date By O y Pass or Request Inspect. c ° Type of Insp. Fall Date Date Donee By Comments r a m co m 0 8 a o' 0 v cu O NMASON COUNTY IT NO. FORM MUST BE COMPLETED IN PLEASE PRESS HARD BUILDING PERMIT APPLICATIONd� 426 W. Cedar• P.O. Box 186, Shelton WA 98584 Shelton (360) 427- 6 the web irw(3w0)mason wa.usma (360) 482-5269 APPLICANT INFORMATION CONTRACTOR INFORMATION r.y�� /�, - Company Name Owner A'R a ,c Mailing Address Mailin Address PL S. - . State Zip Code City .v7+��✓ State w14 Zip Code gIP City Other Ph. Phone y2S• 27/'SS °`� Other Ph.IA6 -,2y0 -3jr36 Phone Exp. h8N' Ai'7�0 MitT64- Contractor Reg. Lien/Title Holder cat ` Mail Address E mail address '�v✓`cc, s - Drivers Lic.# DOB Drivers Lic.# // v M y 7P DOB •/7-S 7 SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic - Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer Syste _ 0,0*11TA01, Fire District PARCEL INFORMATION - 12 Digit Parcel No. Legal Description Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparatiLake es/� River/Creek_.S--Pond Is property within 200'of Saltwater Stream Slopes or Bluffs 15% Wetland Seasonal Runoff Is this permit submittal the result of a Stop Work Notice,Correction Notice orRIMARY RESIDENCE other enforcement tr❑ SEASONAL ❑ TYPE OF JOB - New Add Alt Repair Other P Use of Building Describe Work 2nd Floor No. of Bedrooms No. of Bathrooms---Square Footage- 1st Floor Basement Deck_Covered Deck Other Sq. ft. 3rd Floor Carport Attached Detached Garage Attached Detached P Model Year FLength TURED HOME INFORMATION - Make Z Widtn Serial No. No. of Bedrooms_-3--No. of Bathroomsq�u• Purchase Price$ Replacement Unit? Yes/ No t Certification No. me OWNER/BUILDER Acknowledges submission of inaccurate inform order or permit revocation. ation may result in a stop worko declare Acknowledgement of such is by signature and to do the workthat as proposed n the application.legal th owner at I�have ob or tained the opermission r from all that I am entitled to receive thispermit in the necessary parties. If permission is renedr d from son from themtto alpply for this permit and conduct tthregarding work propos this ed! The owner ication or o`r or proposed in the application, I haveagent on owners behalf, representsstructure for that thereview ind inspectiess to the above on on�Th sdpermit/application 9 becomes employees &�oid f work or af Mason uthor edTION F WORK O construction is described property and TINU not commenced within 18 days o INACTIVITY OF THIS PERMITAPPLICATION OFd180 DAYS WILL NVALIDATEATHE APPL CAT ON.B MEANS OF A PROGRESS INSPECTION. X / Date: Owner/Owners Representative/Contractor (indicate which one) :by Date FOR OFFICIAL USE BEYOND THIS POINT AcceptedNOTES DEPARTMENTAL REVIEW APPROVED DENIED BuildingDepartment PlanningDe artment Environmental Health Department Fire Marshal FEES Site Ins ection Buildin Permit Fee EH Review Fee Plan Review Fee Planning Review Fee Plumbing & Base Fee Other Mechanical & Base fee State Fee Wood/Gas/ Pellet Stove Fee Pre-Paid at Submittal Violation Fee TOTAL FEES Valuation $ MASON COUNTY PERMIT NO. I BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427- 6 the welfbair(30o275-4467 . Elma (360) 482-5269 Fing INFORMATION us CONTRACTOR INFORMATION /� r u r, Company Name 7y�� !� pL S- G Mailing Address ess ° Ci State Zip Code to w State u/A Zip Code &' ' tY Other Ph. Phone 't�25- 27/- SS °S Other Ph.�-°6 -�9 0 '3 f'' Phone * Exp. ,gN- A iy,e° Mo.e'r6 h be- Contractor Reg. Lien/Title Holder ce Mail Address E mail address '�v v^c,� _ Q a 4t- - ka:,k DOB Sf DOB - i7- S 7 Drivers Lic.# Drivers Lic.# Fv vMM �► Existing Septic SEPTIC /WAIrER SYSTEWL INFORMATION - Connect to New Septic 9 P Connect tp;Water System Name of Water System Well Sewer System Name„of Sewer Syste G! / Fire District D-- PARCEL INFORMATION -12 Digit Parcel.Nd. „. - Legal Description Site Address(Please include street name, street.numbet•and city) 4.C / * Directions to site j I mber be cut and sold in parcel preparation? es/(9lover/Gf6.k'` Pond perty within 200' of Saltwater - Stream Slo es orQIuff�15% nd Seasonal Runoffhis permit submittal the result of a Stop Work Notice,Correct. n N tice o� t er enforcement action?YeslPE OF JOB - New Add Alt Repair Other RIMARY RESIDENCE ❑ SEASONAL of Building Describe Work 2nd Floor. of Bedrooms No. of Bathrooms —Square Footag - �st FloorBasement Deck Covered Deck Other -----Sq. ft. Floor Car ort Attached Detached rage:— Attached Detached pModel Year NUFACTURED HOME INFORMATION - Make ZWidth__---Serial No. No. of Bedrooms --No. of Bathrooms gth Replacement Unit? Yes/ No e of Heat '��e° �y^f Purchase Price$ Certification No.aller NameER/BUILDER such s l dges sua below.odeclare tht f inaccur �Inam thel owneon r owners legal result in a �epresetat ve,orr the contractoel further declare owledgement o Y licatimi si the work am entitled to receive this Pe isnu to do frohm any easement holder or anylother party inaterestlegardngths app d the Permission from alecessary parties. If permissionrequired osed. The owner or proposed in the application, have obtained hat the permission rmissiion from them tc provided is accuprlateoand grants�employees uof Ma onrCounty access40 the above agent on ownerspermit/application becomes null &Void if work or authorized construction is described property and,structure Apr review and inspection.This permit/appROOF .t not commenced withirrar 180 days 6r if construction woOF THIS PERMIT APPLICATION OFended for a period of 180 d180 DAYS WILL INVALIDATEATHEAPPL CATION OF TION.K IS BY MEANS OFAPROGRESS INSPECTION.INACTIVITY X /1t +^ Date: - Owner/Owners Representative/Contractor (indicate which one) Date Accepted by: FOR OFFICIAL USE BEYOND THIS POINT NOTES DEPARTMENTAL REVIEW APPROVED DENIED Building Department ----- Plannin Environmental Health Departmertl i Fire Marshal FEES Site In ection Buil ing Permit Fee EH Review Fee Plan Review Fee Plannin Review Fee PlumU & Base Fee Other c nical & Base fee State Fee d/Gas/ Pellet Stove Fee Pre-Paid at Submittal Violation Fee TOTAL FEES Valuation $ F - MASON COUNTY .. CO A, cg°�'r�Grp w DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III,426 West Cedar Street PO Box 186, Shelton, WA 98584 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 1854 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: ., Old Roof Material: 3 New Roofing Material: i44`ti '�� '•- �'"'� Sheathing: li l�L Cnxxs7'svc� Underlayment: Existing Insulation: No New Insulation: No Roof Slope- IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch. Roof Covering: IRC section R905 Selected roof covering must be installed in accordance with manufacturer's specifications and IRC i 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:IRC section 806 not be Enclosed attic and rafter area shall be supplied with�crand n ntil ore thanh80%o of the ventilating less than n 1/150 of the area of the space to be ventilated.If 50 e and not m provided from the upper portion of the space to be ventilated,then 1/300 is allowed. �-y��,� Nt�.,f�- Contractor: Applicant/Owner: /'?k� r: �"' Permit No.: Parcel No. .22..2. 3 30 5 - Signature: ����A Date: 7-05-- 4 �, ARC 10/19/04 re-roof application.do