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CD O h MASON COUNTY DEPARTMENT OF COMMUNITY-DEVELOPMENT Permit Processing/Inspections/Addressing I__ Mason County Bldg.III 426 W.Cedar P.O.Box 166 Shelton,WA 98584 i (360) 427-9670 Belfair(360) 275-4467 Elma(360) 482-5269 Seattle (206)464-6968. TRU RE-RO NON S OF APPLICATION 5, a- Roof Slope. Old Roof Material: uy)'N - New Roofing Mate C ,,, Sheathing: Underlayment: Existing Insulation: New Insulation Roof Slope:IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch Roof Covering:IRC section R905 Selected roof covering-must be installed in accordance with manufacturer's specifications and IRC requirements. Insulation:WSEC 1OL3.2.5 exception 2a&2b Existing roofs shall be insulated to the requirements of this Code if: a.The roof is uninsulated or insulation is removed to the level of the sheathing or, b•Al insulation in the roof/eeing 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-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. Applicant/Owner:GQ Y.N Q Uq RAJ- efcl I A Contractor: Parcel No: C a-. (20 00 Permit No. : ' Signature tea Date . 3 -U ARC 10/19/04 re-roof applicniomdoc. MASON COUNTY PERMIT NO. BUILDING PERMIT APP CATION g 426 W. Cedar• P.O. Box 186, Sheltor WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-446 Elma (360) 482-5269 n On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACT R INFORMA ION -- Owner Company NE me Mailing Address 1 Y Mailin Addr ss City State Zip Code City State ip Code- Phone ia-'2USOther Ph. Phone - 1 Other Ph. Lien/Title Holder Contractor Reg. #grnF xp. E mail address E Mail Address Drivers Lic. # DOB Drivers Lic.# D B SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 2 Fire District _ Legal Description Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sola in par el preparation?Yes ,No Is property within 200' of Saltwat r Lake River/Creek Pond Wetland Seasonal Ru ioff Stream Slopes or BI ffs 15% Is this permit submittal the result of a Stop Work Notice,Correction NotieD or other enforcement action?Yes/ko TYPE OF JOB - New Add Alt Repair X Other PRIMARY R SIDENC ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st F oor 2nd FIc or 3rd Floor Basement Deck Covered Deck Other q. ft. Garage Attached Detached - Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of drooms-No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No Installer Name Ceitification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit re'ocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners le al representative,or the cont actor. I further declare that I am entitled to receive this permit and to do the work as proposed in the applicatio . I declare that I have obtainec the permission from all the necessary parties. If permission is required from any easement holder or any other rty in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this per i and conduct the work propo ed. The owner or agent on owners behalf, represents that the information provided is accurate and grants amployees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null &void if work or autlhorized construction is not commenced within 180 days or if construction work is suspended for a period of 18C days. PROOF OF CONTINU ION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X c' ., C°,A % C� � r��Jcl Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: ate DEPARTMENTAL REVIEW APEROVED DENIED NOTES BuildingDepartment 3 r PlanningDepartment 4� L� Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning view Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FE S