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Exterior-Date By Set-up Point Load I Isolated Footings INSULATION- BG I SLAB INSULATION Date By r Date By > Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walla Date By Da Date By ta By PROPANE TANKS PLUMBING Vault Data By D ate By Groundwork OTHER Attic Date BY Date By Type-, Date By 01W.V DRYWALL Type: Date By Int Brace Wall Date By CD Date BY 2) FINAL INSPECTION Water Line Fire Separation Date BY Date By Date By CD o Pass or Request Inspect. 6 S: Type of Insp. Fail Date Date Done By Comments CD O cc CD 0 0 CD (D 0 ---------------- MASON COUNTY BLD20JZ 06 t DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street PO Box 279, Shelton, WA 98584 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 NON STRUCTURAL RE—ROOF APPLICATION APPLICANT INFORMATION: Owner W O I.fwh NA1 4 Mailing Address Cit) 1 t State Zip Code Phone�a�- Cell Email CONTRACTOR INFO TION: � � i A` - ���n Company Name A- �, -IM.c_ Mailing Address � Jv City b f� State W f, Zip Code Phone 3(,�'� 3 7 3` 5 2F Other Ph. Contractor Reg. # 1�_ Exp. PARCEL INFORMATION: Site Address 7A:161 swf, gAP_ City Tax Parcel Number(twelve digit number) 0 Z3 Z Q U - Z 1 - 6 60 1 b STRUCTURE INFORMATION: Roof Slope: (pitch) Old Roof Material: Comp.❑ Metal❑ Pq Tile}< Hot Mop❑ New Roof Material: Comp Metal❑ Shingles El Tile 0 Hot Mop❑ Sheathing: New❑ (Size ) Existing❑ Skip Sheathinglx\ 0hvt L'')' TIt2 a Existing Insulation: Ye;� No❑ /Z ,z , New Insulation or Vaulted Ceiling: See Below IECC 101.4.3 W12 Use of Structure(s) -(i.e.garage,dwelling,etc.):PQ !L-,I Akm Q , 10112 Roof Slope:IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is Insulation:IECC 101.4.3 exception#5 allowed on designed pitch. Roofs without insulation in the cavity and where the sheathing or insulation is exposed during re-roofing shall be Roof Covering:IRC section R905&907 insulated either above or below the sheathing.Insulation is not Selected roof covering must be installed in accordance with required for roofs where neither the sheathing nor the insulation is manufacturer's specifications and IRC requirements.A drip edge exposed.(Reference IECC/W/SEC R101.4.3) shall be provided at eaves and gables of shingle roofs. Attic Ventilation:IRC section R806 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. 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Sig ature of Applicant Date �--- X DOV n D. `�i1nbS OWNER PRESENTAT /CONTRACTOR Print Name (CI RC NDICATE) �rO�IOg�Y Serving Mailing Western Washington inc. PO Box 8650 for over 40 years. isoof111M Port Orchard, WA 98366 360-373-8828 Al ROOM 11 PR PROPOSAL SUBMITTED TO PHONE DATE STREET Email 6\ CITY,STATEAND ZIP CODE`•ln LOCATION We hereby submit specifications and estimates for: ` pw4er ftrew, 4 A.q� 4 e x��� � wb 1/Zk GPX 01VI)Wi4 41 wskA 1Z' f l\(Vj S � c:�t;,. eta► � vaw 5 cJ4e,r k"koj V4J KZA"j K-0(kd) Alit We Propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: dollars($ ). Payment be made oil s: Inn S/J�__6 9 V 66wi) - V a 0j" CP All work to be completed in a workmanship manna according to standard roofing practices.Any replacement of damaged sheathing,soffit board,or structural damage,or necessity to mortar,cut,and counter-flash chimney and vents will constitute an extra charge over and above the stated contract sum.Down payments are non-refundable.Contractor Is authorized to substitute roofing materials as long as the substitute meets or exceeds the specifications of the quoted materiels.Time of performance of work will be in accordance with contractor's availability.Owner to carry standard peril insurance on the premises.Contractor shall not be responsible for damage to land or driveway caused by weight of loaded trucks.Payment in full to be made upon completion.Service charge of 1.5%per month for past due account.Customer agrees to pay reasonable attorney fees and costs in the event of collection for non-payment. Note:This proposal may be withdrawn by us if not accepted within-a days.Authorized Signature 4 Jb—" ZItteptance of J)ro plo5d - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.Payment will be made as outlined above. Date of Acceptance: / L"! —'/—5- Signature