HomeMy WebLinkAboutBLD2010-00113 ReRoof and Accessory - BLD Permit / Conditions - 2/22/2010 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 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFO M TION
Owner Company Name
Mailin Add ess O ms e. r. Mail' g Addre s
CityState " Zip Code Ci Zip Code
Phone L422i (TI `1!1: —Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
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 Sewer System Name of Sewer 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 to
Is property within 200'of Saltwater Lake River/Creek ond
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?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work. —
No. of Bedrooms No. of Bathrooms Square Footage- 1st 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 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.This permit/application becomes null&void if work or authorized construction is
not commenced within 1 0 da oonn_*�truction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
;MEANSOFA EC t�'fNACTIVITY OF THIS PERMIT APPLICATION OF 180 D YS WI INVALIDATE THEAPPUCATION.
Date: � l�
Ow er wners Representative kContractorxindicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & 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
Co
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Mason County Bldg. III, 426 West Cedar Street
- PO Box 186, Shelton,WA 98584
1854 www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269
NON-STRUCTURAL RE-ROOF APPLICATION
Roof Slope:
/�
Old Roof Material: e n6 1 DOS
New Roofing Material: C� &I
Sheathing.
Underlayment: ,C"-)
Existing Insulation:,-
New Insulation: ► l
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: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
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: Permit No.:
Signature: Date:
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