HomeMy WebLinkAboutCOM2001-00023 Reroof - COM Permit / Conditions - 3/1/2001 FORM MUST BE COMPLETED IN INKjVV12lA��' 23
PERMIT NO.: BL
PLEASE PRESS HARD ,
MASON COUNTY
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
OwnerMarg 5 T1ne.14C &y*orn%,n►•M '( 4 n4-eC Contractor N--.,.—t S S�Tttctli�
Mailing Address P. O• IS" 114 44,r Mailing Address P.O. 0 1 l
City 1734&140_i r State w4 Zip Code 9SS98 City T3QAU 1 State A, Zip Code '3S'5
Phone('3&o )DLIT-4919 Other Ph.(-&oo );7S-4rgit Ph.(3k& .7753'1ooOther Ph.(
Lien/Title Holder 11ay6.L Contractor Reg. # JRc.K,\f_X lTz YYA 1
Address Expiration ! / 6 j_
SET _WA ER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
Sys Name of Sewer System Well Water System Name of
Wa er ystem
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District
Legal Description Sour. '3 'C ,&\Q it "AwA-4- JL-VN r- -c-b f a,ct y
Site Address(Please include street name, street number and city)' 1 Me t +o e
Directions to site Aavoss S Q 't2Sc, —
a. a Q -+ a- c, i
Will timber be cut and sold in parcel preparation? (Yes/No) Nb
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake_"River/Creeks Pond hi _Wetland r,45 Seasonal Runoffs Stream_DXJSlopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair_)L_ Other Use of Building
Describe Work 'Re food
No. of Bedrooms-D No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE ME INFORMATION-Make Model Model Year
Lengt Width Serial No. No. of Bedrooms No. of Bathrooms
Type at Purchase Price $ Replacement Unit ?(Yes/No)
Insta er Name Certification No.
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 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 that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this 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
app val. firs ing ap v
X �2rit �� Date 6 1 X Date 2-
FOR OFFICIAL USE BEY MD T S POINT Z 2
Accepted by Date /1 0 f Submittal Amount Due U Receipt No.aL( 1
......... ..... ....
t EP;ARTA�Rt�TiR� R�ulE �1PPRQVED D�fVtl»D ��1��11'I N` d��a
.. _.
Building Department 19P 3- 7Z S class' a ►"'`
Occ Group - Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
Building Permit Fee i 0C, 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 ( )
$ � TOTAL FEES
M krzY —rH E LETL L-OM WI LMETY Ct�,TEIZ
T2�- RAF L Cnut=rtsn� OK uy) C[ass "C' tLn�tE"S,t,G
i
Show following on the site plan
_ot Dimensions Flood Zones
Existing Structures Fences
>tnscture Setbacks Driveways
VVater Lines Shorelines
)rainage Plan Topography
peptic Systems Wells
proposed Improvements Easements Indicate Directional by (N, S, E, W)
}lame of Flanking Street
lame of Fronting Street in relation to plot plan
PPLICANT TO DRAW SITE PLAN BELOW
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3/14/2001 Conditions Associated with Case #: COM2 01-00023
3:25:54 PM
Stat. Changed Updated
Cond.
Code Title Hold Status Changed By Tag Updated By
5030 Changes to Approved Plans 0 Not Met 3/13/2001 SKM
Changes to approved building plans that affect compliance to the current non-residential Energy Code(NREC),ventilation and
Indoor Air Quality Code(VIAQ)Uniform Bulkling/Plumbing/Mechanical Codes and/or Mason County Regulations shall be
a d prior to construction.
X VV� _
5W3 ALL CONSTRUCTION 0 Not Met 3/13/2001 SKM
ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY
IS LIMIT D TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY
WOULD E UL IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE.
x
1012 PLOT PLAN REQUIRED ON SITE 0 Not Met 3/13/2001 SKM
The approved plot plan Is required to be on-site for Inspection purposes. If Inspection is called for and plot plan is not on site,
Approval WILL NOT be granted. In addition,a Re-Inspection fee in the amount of$42.00 per hour(minimum 1 hour)will be
chargedd m_ ��ed by this department prior to any further inspections being performed or approval granted.
X vl ,
1002 POST ADDRESS 0 Not Met 3/13/2001 SKM
PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE 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 AS ADOPTED BY
THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS T POST ADDR�ES/S�ON SITE PRIOR TO REQUESTING INSPECTIONS.
X V �
1008 ROOF REPLACEMENT/EXPOSED DECKING 0 Not Met 3/13/2001 SKM
ENCLOSED ROOF SYSTEMS THAT ARE EXP E TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM
R-30 AND INSPECTED PRIOR TO COVER.X VIA
0046 Buffer+Landscaping Requirements 0 Not Met 3/13/2001 KLF
This application is su Ito Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.038.X 4: I,n/L LAA
4999 Flammable+Combustible Liquids Not Met 3/13/2001 KLF
The use,handling and storage of hazardous materials or flammable and t bustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.X ��I/I 0 1 it
5019 MCPW Development Requirements 0 Not Met 3/13/2001 KLF
Provisions for surface/subsurface drainage control must be implemented with new construction or development on aRe and
MUST NOT adversely Impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance,either private
dk 4m and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility
and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the
REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a
Mason County Road,Contact the Mason County Public Works Department prior to construction at Ext 4W. For any
construction which is proposed to be located within 25'of a Mason County road right of way,it is suggested to contact that
office to revl flu _ planned work which may affect your project.
X ALL_
5025 SkJeyard Setback 0 Not Met 3/13/2001 KLF
Proposed structure or any portion thereof greater than 30"In height from grade line,must maintkn a minimum of 6 setback
from all property lines,easements and I Or from all County sto State Road right of ways.X
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