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O (D (D W A Dt d (D 0) (D p O" C = N N 3 '3' N l m� O F. c m 3 � m tzt o o CONCRETE MECHANICAL MANUFACTURED HOME p No Date By �. r N P 9 Footings I Setbacks Gas Piping Ribbons C o Interior Date By tnienor- Date By Date _ BY _ 3 m Lxteror Date By Exterior- Date _ cn - -____...._— INSULATION A Point Load l isolated Footings Date By m Date By Data SLAB INSULATION By FIRE DEPARTMENT O Foundation Walls Floors Date By Date By Data BY DECKS FRAMING Walls Date By Date By Data BY PROPANETANKS PLUMBING vault Date By� Date By OTHER Groundwork Attic BY Type Dale By Date Date BY DRYWALL Type- D.W.V Int.Brace Wall Date By Cal Data BY Dale By FINAL INSPECTION 0 w Water Line Fire Separation �/ N Date By Date 0 �� '� By o Date By N Pass or Request Inspect. C Type of Insp. Fail Date Date Done By Comments co Cn o j d N � 1 n O a 0 N O S a 3 I I I to m 0 Aug 10 2012 4: 22PM 3604267154 p. 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street PO Box 186, Shelton,WA M84 WWW.co.masonwe.us (360)427-9670 Beltair(360)275-4487 Elms(360)482.5269 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: 3i�- Old Roof Material: CamQas�t ttm New Roofing Material: Cn rx oca i �-t c'_ Sheathing. Q 1 L 1ec, d Underlayment # l S eft Existing Insulation: New Insulation:_ Use of Structure(s) - (ie. garage, dwellin etc.): Roof Slope:IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch. Roof CoLverinQ: IRC section R905 Selected roof coveting must be installed in accordance with manufacturces sped5cations and IRC requirements. Insulation WSEC 101.3.25 exception 2a&2b Existing roofs shall be insulated to the requirements of this Code if. a) The roof is not insulated or insulation is removed to the level of the sheathing or, b) All insulation in the toof/ceding 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-venthdon.The net area shall not be less than 1/150 of the area of the space to be ventilated. If 509/6 and not more thin 80°/s of the ventilating area is provided from the upper portion of the space to be ventilated,then 1/300 is allowed. AppHcant/thvner.Gcenoc� Conttactoa7he �f�oc41wt��, Parcel No: 11-2- l"ZI7 — 51 — Orb 5`� Permit No.: Signxture:�1t�a . C�SVa� Date: DCDAkWdins m-roof application(mired 7.2012) Aug 10 2012 4: 22PM 36042GV154 ((��''�� ii P. 1 MASON COUNTY PERMIT NO.�.WL 101 BUILDING PERMIT APPLICATION 426 W. Cedar - P.O. Box 186, Shelton, VVA 98584 Lj_X Y35 Shelton (360) 427-9670 • Belfair (360) 275-4467- E lma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Gregory G. Dallum Company Name The Roof Doctor_ Inc_ Mailing Address 191 E. Madrona Pkwy Mailing Address PO Box 851 City Grapeview State ALA— Zip Code 98546-9677 City Shelton State WA Zip Code 98584-0851 Phone 360-432-1881 Other Ph. Phone 360-427-�611 Other Ph. Lien/Title Holder Contractor Reg. #1300F1731*168Na Exp. 5113 E mail address E Mail Address_ Drivers Lie.# DOB Drivers Lie. 4 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, 22127-51-00059 Fire District Legal Description RUSTLEWOOD TR 59 Site Address (Please include street name, street number and city) 191 E. Madrona Pkwy, Grapeview Directions to site E. SR-3, Right on Krappenhoft Rd., Krappenhoft turns into MaDrona Pkwy and Rustlewood ,Will timber be cut and sold in parcel preparation? Yes/No Is properly 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 action?Yes/No TYPE OF JOB - New,___.__ Add _ Alt Repair X Other PRIMARY RESIDENCE ❑X SEASONAL ❑ Use of Building Describe Work Composition Tear Off Re-Roof 15 Sa. 7/12 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 Aclviowledges 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 hava 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 wcrk proposed in the application,I have obtained tpermission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information orovided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X cl �Aio"�'� Date: August 13, 2012 Cwnor/Owners epresentative/Contractor (indicate which ono) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Dale DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Deparlment Planning Department Environmental Health Department Public Works 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 /iolation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES