HomeMy WebLinkAboutMIS99-0597 ReRoof - MIS Permit / Conditions - 9/15/1999 FORM MUST.BE COMPLETED IN INK
PLEASE PRESS HARD
PERMIT NO.: MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 82-6269 Seattle 206 64-6968
APPLICAN M I CONTRACTOR INFORMAT ON
Owner Contractor Name /C
Mailing dr Mailing Address
City Statdv,4 Zip Code City Zip Code
Phone 60 ther Ph.( Ph.( Other Ph.(
Lien/Title Holder sor�v 2 Contractor Reg.#
Address Expiration
PARCE INFORMATION-12 digit Tax Parcel No. / / C7U0 Fire District
escription 01
Address(include street name and city / 6 o e L✓ 5' ,r
ections to site:
i
j Will timber be cut and sold in parcel preparation? (Y /No)
Is your prope
Lake
within 200' of the following: Body of r(Name) ZU C) / Saltwater
River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
i
Bluffs
TYPE OF JOB New Add Alt-Repair Other Use of Building
Describe proposed construction d J / v ram, aAV, e
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
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 THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents 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:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be a in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first taini g p Val be made without first obtaining approval.
i
Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date 1'S Submittal Amount Due Receipt No. V)
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
a FEES
Building Permit Fee Site Inspection
Plan Review Fee Other
UFC Plan Review Fee 4� ° a Other k 5
Violation Fee Pre-Paid at Submittal ( )
i TOTAL FEES i 5z
,I
� y
Page No. 1
RE-ROOF PERMIT CONDITIONS ,
07/15/99
1) POST ADDRESS - PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITE MUST BE MARKED WITH APPROVED
NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE
COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES ADOPTED
FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST
ADDRESS TE P IOR TO REQUESTING INSPECTIONS.
x
2) ROOF REP CEMENT -- SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R-30
ALLOW G OR MINIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE: THE LEVEL OF INSULATION.
x
3) R PLACEMENT/EXPOSED DECKING -- ENCLOSED ROOF SYSTEMS THAT E X TO THE SHEATHING SHALL
BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR)) To COVER. x "�
b) Field Correct -- CONSTRUCTION PROCESS TO BE F LD/C CTED AS RiQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
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427-9670 MASON COUNTY
BUILDING DEPARTMENT
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
TOP WORK
`bn these Premises at
'This order is issued because
A.M.
Posted P.M. 19 By
The failure to stop work, the resuming of work without permission from the
WARNING
Building Official, or the removal, mutilation,destruction or concealment of this
Notice is punishable by fine and imprisonment.