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Date By Date By FINAL INSPECTION Water Line Datei 3 05- B y 1,1Q Date By Date By t� �13��'-1Z,lay oy � /mil �•5 Err 0 0 0 0 d � 8 N fl O 0 = O Vl V I i I FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.�'� PLEASE PRESS HARD BUILDING PERMIT APPLICATION ' 426 W. Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670 • Belfair(360) 275-4467 a Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner /t'1A-R r E"�k-M�S� Company Name f1+'vL-e-xfr Mailing Address L Mailing Address :0- City ��ti�- Mate L"h Z p Code '7 City P°-t o,�Ji r State 1--A' Zip Code Phone Other Ph. �}2 7 �/-S',S-og Phone Other Ph. Lien/Title Holder Contractor Reg.# ff4."[-r-- C io3`tD xp. E mail address 4 ram- C A-4,+ h4wh , c.o E Mail Address Drivers Lic.# v !/,At.4 V Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X Connect to Water System Name of Water System -- Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action.Y o TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ ASONAL ❑ 1 Use of Building Describe Work No.of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. I Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms 3 No.of Bathrooms Z Type of Heat 1-4f ev,"A Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. OWNER/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access tathe above described property and structure for review and inspection. PROOF OF CONTINUATION NTI�TION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X 4 Date. Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 2-2� y jP Planning Department 'j Environmental Health Departmen Public Works Department { Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee 426 W. CEDAR Plumbinq & Base Fee Planning Review Fee Mechanical & Base fee Other ' Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES v Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Topic Index Contact Info Laborand Industries sawt cwnu 8 luwee 1 a; mvd"&Lioansing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber General/Specialty Contractor A business registered as a construction contractor with L£tl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License HANLEC1034DP Licensee Name HANLEY CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601495952 Verify Contractor Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 865 Address 2 City PORT ORCHARD County KITSAP State WA Zip 98366 Phone 3608760870 Status ACTIVE Specialty 1 CARPENTRY/FRAMING Specialty 2 ROOFING Effective Date 3/17/1997 Expiration Date 1/13/2005 Suspend Date Separation Date Parent Company Previous License Next License HANLEC*122BH Associated License l Business Owner Information https:Hfortress.wa.gov/lni/bbip/detail.aspx?License=HANLECI034DP 12/27/2004 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Processing/Inspections/Addressing Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206)464-6968 NON STRU RE-ROOF APPLICATION Roof Slope: 1062--- Old Roof Material: t* New Roofing Material: A i-c k;4,L, / C0,4a',- She athing: 2— PLY Underlayment• 30 Existing Insulation: yrs 3 0 New Insulation: Gg 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 requirements. Insulation:VISEC 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 Enclosed attic and rafter area shall be supplied with cross-ventilation.The net area shall not be less than 1/150 of the area of the space to be ventilated.If 50%and not more than 80% of the ventilating area is provided from the upper portion of the space to be ventilated,then 1/300 is allowed. Applicant/Owner: Contractor: Parcel No:�3 3 G S-�a - G 4!3 P Permit No. Signature:-�.�/L p�i�.�....w�,�.✓" Date : ARC 10/19/04 mroof appkationdoc