Loading...
HomeMy WebLinkAboutBLD2002-00830 Final ReRoof - BLD Permit / Conditions - 1/27/2003 cN (V O N N � M o 0 o g ~ +' Q NNN 3 d N d O N C �p N NNN N N C t° c0 N k c e uQi csi ago O � � cn - c a� 'o a c N N W W W 0 a N J > �+ a MJ m U R E O W U X E ,F i' W W LO w C d L C Cr�VV c •C f3 (O F M �•, 8 a. a o' cb W Yx ul O a- N N LL Y 3 � l0 C_ O :� t mtr c m 1' N `p � d d C . C O a N C N E U E U •�• t J m N O m L r C �1 E ZC ° LL a c F- FW- Q ~ v � 0. N .. LLLLL m' I ° O W o0N o 0 W a N : E c a 1 V O N N ?o U W Z_ L- �_ a E c o ui ai ui o � m _ w E o c o 0 o c o c7 ayi LO = c U Co_+ o cn rn cc m c N 0 0 E a C .02 O V c O O V Y v LL LL LL LL N 0 o W o� ma AG v m p p d c -0 N w R w LL W o o 2D o) Da J o or = ai «s Q c a � rn O 1p o c N 0 U� U vW p ° o z M a O m co Cl) X ZZ tn W w W H ch Z X W W Z rna� 3: HOW 32 L L:L. CO) o Z u) Om —L <n WALL r w a z p d u, c LLLLJ W Cl Z Q Zv 0) N m Q m U JUl)(D � � c � (D E c c O EO y $ Co 00a) Ma c LT E z 920 n r 3 � � � a zn w E LL 0 itaZ C) a � = N c O ZWW DLU Urn c ui Y c o O M n Q o o > 00 - O J W o �> cm 0 ~ ° r ~ 0. m m 3 c U fl_ ev .a a) � _ E � N c c > 'c W LU N cn c e n L CDC) L,t l E C ,� ca 7 N CU O C 11 CL O 0 0) " z t-1 L O O p 0) CD C) p -EU U C or.) C Z L II`o ca o o `o En 5 o t6 o v `a) .� 2 cnOn <S [Ivi O D cn W Z a) t U m a) a- eR Ll D o 0 cu .I. Q--0 E 2' G c p0 C v) O ? II U d a ` C N 'C C ie a) U) O- p a q (� C U) cn p- U �' n 0 -2 cc 'L7 O� LU x " c6 � n .� F- L � E L NE �) U) 0 3 2i v gpj C 0 Z L ,r0, U :3 U) I n W c0 C ` o � � f Z w e 171 C, cr OG CL 7F C-) ox p C) a) i 0 c� cC] c F— C) � ` m � T t I to $Lti N a$d a�i c)"(5 C_� O Z v c a`� ao o c�a p U 0 -0 vi t- ►' 0 3 c C) ox w q C� 4 am " W o - iii c � � 2 c o E ? a)ICS t- fJXI p t 0 > c D N U) z (/) D _r 0 U c Q o n ZCD () U c0 T C LL W cR L a> E cu 0) 01 N p O � c n N Q+' _j W n .Ci I ni O N Q w C] = cU o L) I a, 5 cu aIIi .J u U -w n J) I n u) C n W 0 UY c e cn � o z � L �Q jo N � 1 c2. a) - W X 0 ca a) 0 p 5 LU LJ 1 : a V a) c a �� 0 W c o U ca M c O m .{ LD a) Co to 'n c W a) c,, z c 0 a (Y U J_ o c° c UT] o vni LL n- 1 cA .� o c o cu c II OLtJ - p O ca IN Q. Sn' u) c _. .— ] U) ca 2 c O a) L (n W > .-. p.. ��-- D N n ,� H Un C O - c) to n 0 O p. a) O a) ,C O z O L p `o �n a> a nX 0 F Q3 L c E vi co zU 0jy L � �? c �u cu p c L W lU W O F- 1._ (n O .N Mz J > cu 0UU cp a) PUoj LU cVU z () U CQ w y A z0 a 5 Ecn 7 ? � � O 00 a III t- U) (1 -_ Y, E f3 N a v n LU 0 cn _L z C)a �_ 0 j� z C� J i rn I V Aq Flop Aq 2-< Flop A e LT NOLLOUSN1 lVNld our,J Aq amp' Aq oNIUVN auvoe-lVM 'A'M'O Al Flop L13H10 111W W � Al Flop Aq Flop A4 ONIMO Mf ld 'ld3a 3UM SPM Aq Flop Aq Flap A4 FuLd WooId Aq Opp HOLLV1f1SN1 Aq dfl leS AqFlee SPM Aq FIBp �!d!d�J Aq mjoqcrd Aq Flop 31MOH 3118 M lV'JWVFk)3m PERMIT NO.: BLD FORM MUST BE COMPLETED IN INK MASON COUNTY PLEASE PRESS HARD BUILDING PERMIT APPLICATION /,,,3G,0 2 OD/ ©1 `'3 426 W.'CedadP.O.Box 186,Shelton,WA 88684 Shelton 360 427-s67o Belfair 360 275114s7 CONTRACTOR INFORMATION 68 APPLICANT INFORMATION p ,�,dN Contractor Name _lf��Own � �� '2 Mailing Address Mailing Address v °� ���,t� State Zip Code i State l✓p Zip.Code R*.!c --- Clty Other Ph.(_� City A211 y Other Ph.(3�� ) Ph.L_--_J— Phonetic ),�7 - Contractor Reg. # Lien/Title Holder G✓l+rl✓/A`Test/ S Expiration Address e a Existing Septic�_Connect to Sewer SEPTIC/WATER SYSTEM I[NFORMATI"ON-Connect to New Septic Well � Water System Name of System Name of Sewer Systern Water System Fire District -s PARCEL INFORMATION-12 digit Tax Parcel No. Legal Description - ' —-d C'��rT .� `l 3 Site Address(Please include street Warne, street number and-city Directions to site Will timber be cut and sold in parcel preparation? (Yes/No)� Saltwater Is your property within 200' of the following: Body of Water (Name) Stream Slopes or Lake River/Creek Pond Wetland Seasonal Runoff Bluffs PERMANENT RESIDENCES SEASONAL RESIDENCE El TYPE OF JOB Neyv Add Alt Repair Other Use of Building Describe Work Gr RE FOOTAGE-1st Floor 2nd Floor No. of Bedrooms SQUARE No. of Bathrooms Deck Other sq. ft. 3rd Floor______Loft Basement__ Garage _Attached Detached rt Carpo __ Attached Detached I l Model Year Mode MOBILE OME INFORMATION-Make No. of Bedrooms No. of Bathrooms Lengt Width Serial No. Replacement Unit ?(Yes/No) Type e t Purchase Price $ Certification No. Install r Na e ZED IS NOT CED WITHIN 180 DAYS OR IF AUTH NOTI CE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTROU�TIF0180 DAYS AIT ANY TIME AFT ER THE WORK IS COMMENCED. CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERt on owner's PR the OOF OF CONTINUATION OF WORK and rants emEANS ployeeOF A s of MasOonRESS County accesslOto the above described property and strut tunes forrreviewts tand information provided is accurate 9 inspection of this project. Acknowledgment of such is by signature below: y that I am OWNER AFFIDAVIT-]certify that I am exempt from the reghuirements of e o dinance istered as a the o ONacRACtor n�e'State o Washingtonlfand that am awarle ofgthe ordinance . sued and all work 3 Contractor Registration Law RCW 18.27 and am aware of tk for requirements for which this permit iissue beand that all work made without first stl obtaining ng be done�n shall be done in requirements c conformance man a therewith.IcNohchangeis s shr is ill be made without conformance therewith. No changesfirst obtaining approval. approval. k X Date_ X Date 49� FOR OFFICIAL USE BEYOND THIS POINT �U r Date ubmittal Amount Due . Re Accepted by ceipt No. — 7771- D.f»P RT;MENTAi,.R Vi 1 PPRCtVED DEN1 0 777 oNDITIf;�N Building Department Occ Grou Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal i Valuation $ FIDES 30 Site Inspection Budding Permit Fee EH Review Fee Plan Review Fee x Planning Review Fee Plumbing&Base Fee Other Sa Mechanical&Base Fee State Fee C Wood/Gas/Pellet Stove Fee ( `a ) Pre-Paid at Submittal Violation Fee TOTALFEES