HomeMy WebLinkAboutBLD2004-00393 Reroof, BLD2002-01405 Propane - BLD Permit / Conditions - 3/24/2004 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.&- 210q— o0 3Q�
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
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 INFO ATION CONTRACTOR INFORMATION
Owner�"1 � ��-`�� -S�j�.y` Company Name
Mailing Afte s r- 541 f J-/&2a 30mol Mailin Address do
City U State�ip Code City State Zip Code
Phone Z 7 ��� Other Ph. Phone a7S15 O er Ph. ff
Lien/Title Holder Contractor Reg.&50W L-11KA Exp.
E mail address E Mail Addre
Drivers Lic.# DOB Drivers Lic. DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. J 7 7-5.3 50 0O0 3u Fire District
Legal Description
Site Address (Please include street name, street number and cit )
Directions to site co 3 o McAD 3 0 ores
Will timber be cut and sold in parcel preparation?Yes/No
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 acti n?Ye o 1110-16
TYPE OF JOB - New r�Add Alt Repair Other RIMAR I C SEAS AL
Use of Building 14cm Describe Work
No.of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No.of Bedrooms No.of K t l�
Type of Heat Purchase Price$ Replacement Unit? Yes/No �-(t(;
Installer Name Certification No. met
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit a
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or thj tr r.
declare that I am enti ed to receive this permit and to do the work as proposed in the application.I declare that I ii mis-
sion from all then s ry part .if permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work p po in the plication,I have obtained permi m them to apply for this permit and conduct the work proposed.
X Date: �� r)4
Owner O nta e/ ont tor c (in to which one) L 0 0-(7
FOR OFFICIA �SE BEYO�ZW
OINT �5��-1-
Accepted by�Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department /r '770
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal Q
.FEE
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical &Base fee Other bn
Wood/Gas/Pellet Stove Fee State Fee `
Violation Fee Pre-Paid at Submittal 0 o_
Valuation $ TOTAL FEES
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Prpi�nspections/Addressirtg
- el , ye rPO.Bax 186 Shelton, &s�
(360)427-9670� Belfair(360) 275-4467 Etma (360)482-526 Seattle (206) 464-691
NON-STRUCTURAL RE-ROOF _. _ . _----_
APPLI•c 'A.TION
r
Roof slope:
Old Roofing Material:
New Roofitlg Material:
Sheathing:
VI1CI{al"Ic`lyt]1E'.(lt: ( ( -•�''- � "`� .._..___. ._.
_ I-xisting Insulation:
-1� New Insulation:
RECEIVED
Roof slol+c': l?13c f.,hte MAR 2 5 2004
ttcrnf slolk't»ust IX.
ittdiCatt•<f(cr c rlcur< .c•tc rtIA 1-4 p,l r„t c•r in;;i.allowed<,n do cif;ttc cl
I+itctt. 6ELFAIR OFFICE
R<,of( ot•c t ink: (,1)3C:4•ction 1307
Sclec lod Fix tf covering inti t be inctaltrd to.tc eca oc c�it It nt.u,ufac'Ictrer's sl+ct ificatiottc anct t=li rec uirrntc n
Ittctrlalion: 11:StiC Ittt_t-271uxcel+ticat 2.,&21,
I:visting roofie shall tv insulated to the'rcclttiremrnt.of this( Crete if:
a.7'he rcxtf is kill ittsttl.,led or Insulation reou i -ett to the let ct c,l On,shealhirt;or.
h.All inctrl,tlic+n in Nte r,�ofhi•itin:;t<-a�l+rrri,w�h.in•.latird c•�h•riur to Ill'.�hct,tthinp•„� .r .� <.va,•nt Attic Ventil<l(ion: UBC!x'ct,on
t:r,closcd attics and rafter areas shall lie`'ul,l+lied with crc�ss_trntitatiun. 7It net free t•enttlalior,.0 shall not lu•!rs th.u,
1/150 of the area of the spice to Ix.Ventilated. If 50%of thr t•emilating area is provided frcan the,.t
Ix ren'tilated,then 1/300 is allolved. I `r(+ortica,o(thv�I,.t< •t<,
Applicant/Owner
ontractor:
Parcel No.: -., � Z 3 3.. So 000 3 �
— - •— - fermi( No.:
Signature: � �L
------ - ------ - Date:
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FORM MUST BE COMPLETED IN INK PERMIT NO.: y✓da
PLEASE.PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 2-6269 Seattle 206 464-6968
APPLICA INFORMATION- CONTRACTORf1OATIONRMOwner AV 6Qis S vSS/_� Contractor Nam �ii /f '1 eltze
Mailin Address F S 'O c� Z Mailin Address CCity /� State , Ip Code �-2 City 5150 e 4.c Stat � Zip C e
PhoneC34,02 Other Ph.(� Ph. -/ Other Ph.
Lien/Title Holder Contractor Reg. # G ee
Address Expiration / /
SEPTIC INFOR ON-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer S
PARCEL INFORMATION-12 digit Tax Parcel No. J 5Z� / G 0 c) Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2-2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG ✓ Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Cre -/P
Sinks Wooellet Stove
Dishwasher Dient?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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 T ��CED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on ow s 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. Acknowledgment of such is by signature below: OCT 17 2002
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and t fw eNrAGEinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval.. first obtaining approval.
X G}'✓ Date l� �� X Date
FOR OFFICIAL USE BEYOND THIS POINT
Y Date
Accepted b I I f�/ 0 Submittal Amount Due lns So Receipt No.
P —�—
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
Permit Fee Site Inspection
r
eview Fee UFC Plan Review Fee
ing&Base Fee Other
nical&Base Fee Other
Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
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CONCRETE MECHANICAL MANUFACTURED HOME N �
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Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date B y Date B y
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