HomeMy WebLinkAboutBLD2006-01045 Cancelled ReRoof - BLD Permit / Conditions - 6/15/2006 W
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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 d
Shelton (360)427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INF R TI
Owner 'Ci(' Company Name - 1 fl C
Maili Addressi Mai' g Address
City State Zip Code City f State Zip Code
Phone dl- - - O O Other Ph. Phon - Other Ph.
Lien/Title Holder Contractor Reg. Exp. 5-1-nsl
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 INFORIK
ION - 12 Digit Parcel No. — — Fire District
Legal Description a
Site Address(Please i clude street name, street number and city) — 1'�
Directions to site (kit t4orANnS'kn(-p- 9A-
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o
TYPE OF JOB - New—Add—Alt—Repairer Other PRIM X ESID CE SEA$pyAL ❑
Use of Building Describe Work Yy
No. of Bedrooms, No. of Bathrooms Square ootage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ 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 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
MEANS O APROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVAUDATE THE APPLICATION.
X Date: —)(o
Owner/Owners Repres tative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
i
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Buildinq 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
SON COUNTY-
DEPARTMENT OF COMMUNnYXIEVELOPMENT
Permit ProcessingAnspecdons/Addressing
Mason County Bldg-111426 W.Cedar
P.O.Box 186 Shelton,WA M84
1360)427-9670 BWair(360)275-4467 Eima(360) 482-5269 Seattle (206)464-6968.
NON STRU RE-ROOF APP LICATION
Roof Slope:
Old Roof Material•
New Roofing Material:
Sheathing:
- Underlayment: � e
Existing Insulation:
a
New Insulation:
Roof Slope:IRC section R904.1
Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch.
Roof Covering:1RC section R905
Selected roof covering-must be installed in accordance with manufacturer's s pecifications and IRC requirements.
Insulation:WMC IOL3.15 exception 2a&2b
Existing roofs shall be insulated to the requirements of this Code if.
a.The roof is unksulated or insulation is.removed to the level of the sheathing or,
b.All insulation in the roof/eetling was previouslymstalled eaterior to the sheathing or non.esisteat.
Attic Ventilation:IRC section 8% ry
Enclosed attic and rafter area shall be supplied with cross-vemt7ation:1he net area shall not be less than
1/M of the area of the space to be Ventilate&If 50%and not more than.8o%of the ventilating area is provided from the upper portion of the space to be ventilated,then 1/300 is allov &
Applicant/Owner:Trp
M • a\" �'�� Contractor: - �- p(Y�Yl �'�lC,
r
Parcel No: rr�;L 331 SO OMO Permit No.:
Signature:
-Date:
ARC 10/19/04 mroof applicadon,doc.