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HomeMy WebLinkAboutBLD2004-01325 Final ReRoof - BLD Permit / Conditions - 3/24/2005 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. _ �^A PLEASE PRESS HARD BUILDING PERMIT APPLICATION o 1 34-5 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT I F RMATION CONTRACTOR INFORMATION Owner ;a►4 5 Company Name Mailing Address 'T AUK. Mailing Address City L)V-W,L-,A Stat WAZip Code I(JA City State Zip Code Phone 2-0 513 261 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# WILL I 1 W 309 &L DOB 1-13--7d Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X Connect to Water System Name of Water System Well-X—Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street umber and city) 1 I r NAVtr A Directions to site L'Z1-A/ T m5LE a FAjk s? r4gk de1&t2ToA,.17r4wC1,yR idC Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake Y I 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 re o TYPE OF JOB - New Add Alt Repair A, Other PRIMARY RESIDENCE ❑ SEASONAL Use of Building Describe Work I rn No.of Bedrooms No.of Ba hrooms I Square Footage - 1st F_I90 OO 2nd Floor 3rd Floor Basement Deck XCovered Deck I( Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. OWNER/BUILDER 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 to the above described property and structure for review and inspection. PROOF O ONTINUATI ORK IS BY MEANS OF A PROGRESS INSPECTION. �J X Date: ;?—/-7 —0 7 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department — Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee f O Site Inspection G ' " Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee LA SO Violation Fee `rj Pre-Paid at Submittal Valuation $ TOTAL FEES �_ 0 ` CDE E w o CD k CDm f 7 # w 0 m P. § w o -n q M / \ / � C \ @ ¢ 2 CDg § q \ 0 to Cf)/ 0 5 \ \ 7 O 0 x k k \ 2 ° a ƒ m \ $ ® 0 \ � k ? � % % � CD > a ' o 8 ' § 3 I % % ` o / 0 \ \ / S \ 9 @Z o m ¢ mo R � 2 > � o . • • :. m / \ 7 0 - E CO 0 fc)> z OL m / « ƒ $ Z / � � cn ¥ � � = ff I / m � p CD CDC ƒ a o a a 2 a 9 a q & ƒ o Co CO 0 2 > ± ? % � 2 ? m CD } 0 S 8 m 2 Q CD g % $ e e g I ® CO) J ■ CO) _ > 9 i ' o « 7 0 E 7 z C -n 2 r- r- r- 0pr o 2 ° G E n > o C k / �V ® r , m 0) Z $ .0o0 = av c k © $ k / o9g m 0C3 > _ o � 0 0 p p @ m \ % \ f § U) - c z § K > z > G 0 CO) r- J { { (p � 3 7f $ E "U a E K # ;o ISM 000 ® � " m 2 -n -n � q Z j C & � $ C = wr- / CD 0 � > / 3 z2 ƒ e $ CO) q77 $ @ F o •f 0 « a � CD � � $ � m zzzF ■ @7E , G % % % � � mE $ § E � % f $ m 7� 2 g .. • § . / CD > > § § § � to E R � / n C) C) C) a t kkk / \ / k X « \ ° \ 22m W ) o CIO 77769E k c o 0 mmm D � R R ° 0 n Z I q § q M CD � § g 8 § k k / r \ o \k > / o ;2:2:2.§ 3 -4 -4 6 « '�'�'°'� | a G Q 2 § o . / q q & d « A a CA / q O C> •P o Xo w D X 0 D X0 D X9'� <. � X � C� .. v Cl) - �+ v oo W a O. 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E2 � Ok2 � ID Ca & Ea co ag2 to 3 cD moo & # § § fƒ O 7 / { u S2J k 00 w C: } \ 0 CD � \ K saw E E J__5 Sri NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: Old Roofing Material: (a ?�TA h C o iM�%� R�ollsc i 1- New Roofing Material: iMj 1'A L Sheathing: 74 C; I xb Underlayment: '� i b . _ Existing Insulation: i1 N - iew Insulation: V)-It\ Roof Slope:UBC Table 15-B-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 must 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: JOY 1 ��� 1 C',V0 C_� Contractor: Parcel No.: Permit No.: r II Signature: Date: Re-roof application.doc o CONCRETE MECHANICAL MANUFACTURED HOME 0 il Footings f Setbacks Date By Ribbons 0 W Date By Gas Piping Date By N Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By 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 FINAL INSPECTION Water Line Date 2 --LV-ESL By J I'Z _ Date By Date By CD o N O ~ o y Q 0 �• w v CD N 0 0