HomeMy WebLinkAboutBLD2007-01930 reroof - BLD Permit / Conditions - 11/13/2007 C.C. w 0
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CONCRETE MECHANICAL MANUFACTURED HOME
0
(D r-
0 Footings f Setbacks Date By Ribbons m
Gas Piping
C) Interior Date By Interior-Date By Date By
w z Exter"Date By Exterior-Date By Set-up
0 Point Load I Isolated Footings INSULATION Date By
sc i SLAB INSULWTION
Date By Date By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Date By DECKS
FRAMING Walls Data By
Data By i,—
Date By PROPANE TANKS
Vault Date By
PLUMBING Date BY OTHER
Groundvmrk Attic
Date By Date By Type
Date By
D.W.'V DRYWALL Type-
Date By Int.Brace Wall Date co
Date By 17-
FINAL INSPECTI
(D Water Line Fire Seperation
co )
(n
(D Date By Date By Data I BY C C)
co -4
6 Pass Or Request Inspect, 6-..%
Type of Insp. Fail Date Date one By Comme is (D
(D C)
Act, CCsss d b8 tof LJ5
_0
(D
0
(D
0
. .......... .
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS HARD BUILDING PERMIT APPLI ATION
426 W. Cedar • P.O. Box 186, Shelton, 7VA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 Elma (360) 482-5269
On the web www.co.mason.wa us
APPLICA j INFORMATION CONTRACTOR INFORM TION
Owner Company Na - f C1G
Mai lin Addres Rc1. Mailin Address $S 1
City r Stat&, Zip Code City ti� State_ Z p Code _
Phone- yah'`-10't Other Ph. Phone-14c,c � '(-�l01) Other h,
Lien/Title Holder Contractor Re # F ��rb�_Exp. S- I-�
E mail address E Mail Addres
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 Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire Dilstrict
Legal Description
Site Address (Please include street name, street number and city) l �.
Directions to site
Will timber be cut and sold in parcel preparation?Yes No
Is property 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 ac ion?Ye No
TYPE OF JOB - New Add Alt Repair k Other PRIMARY RE IDEN�E 2 EASO AL
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage 2nd Floorr
3rd Floor Basement Deck Covered Deck Other Sg.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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the ork proposed in t e application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date_ Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ecti
Plan Review Fee EH Review Fee
PIumbin & Base Fee Planning Review Fee
Mecha ,al & Base fee Other
Wood /raas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEE
� I
ucHA TMENT OF COMMUNI
Permft Fr oceaain ..-- T�DEVELOp NT
Mason C gilnapeyylona/Addreg
ounty Bldg. III 420 W.p��
ssin
P.O, Box 186 8holton, WA 9e584
360( ) 427-9670 8elfalr (360) 275-446 Era (360) 482.5269
Sea - -
NON-S-VRU -----=__-
RE-RO N �NNI 0� _
Roof Slope: .
Old Roof Material:
New R00 f ing Mate ri
Sheathing
Underlayrnem: .#
Existing Insulation
New Inst dati0n:
Roof Siope : LRC section R904.1
Roof slope cm-is t be indicated to e.ns ure selected
roof covering is all vTd on des
Roof Covering ; IRC section R905 tgaed pR�
Selected roof coveriag rmut be installed in accordance
man of a
is
s ecif i
IPs p cauocu a.IId tila
Qon : WSEC 10L3.2.5 cxcepti0n 2a.&2b C _
Existing roofs shall be insulaI;td to the requirtme s of this Code ' :
a The roof uninsulated or insulation is
b. All insulation in the roof/ removed to the level of the sheathing or,culrng PO` rns exterior to the s hen
A-rzic Ventilation : LRCsection 806
Enclosed attic and rafts r area s LJl be s u
1/150 of the area of PPS wiz.h cross�venulatio The net area shaIl nos from u the space P be ventiLzted Lf 50% and not mo
PPcx Portion,of the a ace to be ventilated, then 1/300 Ls has 80�0 of the ven La
z s
owed.
�oPL,cant/Owner
�' ti� Co ntra c C r
Parcel No
Permit NO, ,
Sigeaalre
Date :
ARC 10/19/04 a oo(iPPkuion.do
ti
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