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HomeMy WebLinkAboutBLD2000-00526 reroof - BLD Permit / Conditions - 5/5/2000 T CDC G ;u O r O CD (D = < (D (D O m (,7 Ln rn X m Cmo Cn a a � � c 0 0ZD - r O -n m O =+ pp m —+ z cn pa ca fD z O m cn O m D .. -. Z Zx � Xx (D (ten -, T �� p y =;, O CA Cn O CD = 0 O ® D O , m O Z p 'n Tl p a= r Ul W D -mom vo OD co n 022 m C � N (f' 6 a- m Z oZ Z —1 0 W T Uy cn coo :Ll ,l Z o O 0W m N . v = a o , W-Mhl o -� T m (D CD 3 Cn (D /v (DCD m000 � (n_. _ O m m cD can C + ❑ N m D TI n Z O% O r -� O (D -8 z w � x o N � aai O 0 n ❑ 00 C ao cQ Cl) - = (n . 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Data By Date B Y DECKS FRAMING waft Date. By Date By, Data By PROPANE TANKS Vauft Data Y PLUMBING Date BY OTHER Groundwork Attic Typw Data By Data By Data fly o.,W,'v DRYWALL Typw Int Brace Wall Date By Date BY Date (D FINAL. INSPECTION mWater Line Fire Seperation Date BY Data B Date Pass o C)r Request Inspect. CD 0 Type of Insp. Fail Date Date Gone By Comments _L 5 a) (D 0 67 _0 (D cn 0 1 a 0 0 En (D 0 MASON COUNTY BLD20 - ''"y DEPARTMENT OF COMMUNITY DEVELOPME Mason County Bldg. III, 426 West Cedar Street PO Box 27,9, Shelton, WA 98584 ru._. www.co.moson.wa.us (360)427-9670 Belfai (360)275-4467 Elma (360)482-5269 1�tON STRUCTURAL RE-ROOF APPLICATION APPLICT INFOB Owner ; �10 Mailing Address City �] Statel /h Zip Code -34.- one Cell Email CONTRACTOR INFO IO Company Name fX0 Mailing Address City State Zip Code hone Other Ph. Contractor Reg. # Exp. PARCEL INFORMATION: Site Address Lp j 9 1 !1SCity Tax Parcel Number(twelve digit number) L�J� STRUCTURE INFOWTION: Roof Slope: (pitch 4/ 1 2..— Ql�$ Old Roof Material: Comp)�Idetal❑ Shingles❑ Tile❑ Hot Mop❑ New Roof Material:Comp- Metal❑ Shingles❑ Tile❑ Hot Mop❑ sfzx Sheathing- New❑ Size Exis Sld ❑ g' ( ) �� P Sheathing Existing Insulation: YesXl No❑ 6112 New Insulation or Vaulted Ceiling: See Below IECC 101.4.3 9112 Use of Structure(s)-(i.e.garage,dwelling,etc.): tQ 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 here the sheathing or insulation is exposed during re-roofing shall be Roof Covering:IRC section R905&907 insulated either above or below the sheathiag.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/IPISEC 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 no e less than 1/150 of the area of Lhe space to be ventilated.If 50%and not more than 80%of the ventilating area is provided from the upp portion of the space to beventilited,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,o ners 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 froin all the necessary parties, including any easement holder or parties of interest regarding this proje .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 I BO days. PROOF OF CONTINUATION OF WORK IS BYMEANSOFIINS ECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Sign e of Applicant X ©1 WNER'%REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) FORM MUS!BE COMPLETED IN INK PERMIT NO.: BLD 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- 269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner•. VAA� � r Contractor Name Mailing Address- 'lj? Mailing Address _ State,��� Zip Codee � " ti y City State Zip Code ?�`� � Phone(_ �7,//Other Ph.( ) Ph.L___) Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description Site Address(Ple e inclu street e, street numb and Directions to sit Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name)_ _Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other u1 in iLciy7ij Describe Work �— ; No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st loor" '� 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft._ Garage Attached Detached Carport AttacheJ Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification o. 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. Th owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the a Dove 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 tate 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 rproval. first obtaining approval. X ' / � � Date -/�' X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount !Due Receipt No. D�PARTMENTAt» R VI W APPROVED p'ENIED CONDITION GQDES Building Department /k Occ GroupType Constr. �� Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Sub ittal ( ) TOTAL FEE S