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Z 02) � _ a Q � w = ' cu CD � W = 0 < , (D (0 CD 0 CD 3 -h �. CD ;:p 0 Er CD II Cn 0 CONCRETE MECHANICAL MAN U FACTU RED H6 lIll E CD Date By Ribbons Footings!.Setbacks Gas Piping ay C) Interio(Date Y Interior-Date By Date 03 (D 0 C) By 00 Exterior Date �y Exterior-Grate Set-up 00 Point Load I Isolated Footin INSULATION .......... Date By BG I SLAB INSULATION FIRE DEPARTMENT Date Date By Foundation Walls Floors Date By Date By Data By DECKS By FRAMING Walls Date Date By Data By PROPANE TAN S By Vault Date PLUMBING Date By OTHER Groundwork Attic Type: Date By Date By Date By D.W.V DRYWALL Type. By Int.Brace Well Date Date By Date ay FINAL INSPECTION (D W Fire Seperation (n Water Line By By (D Date By Date CD Pass or Request Inspect. Q 6 comments Q 5 Type Of Insp. Fail Date Date Done co (D 4 6 -- CD 0 0 0 CD 0 ,coaNaA MASON COUNTY DEPARTMENT OF COMMUNITY DEVE OPMENT Mason County Bldg. III,426 West Cedar Street - - PO Box 186, Shelton,WA 98584 1854 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: Old Roof Material: TENrrob►�+�'' New Roofing Material: C� 05����r t Sheathing: t o S Underlayment: ? Existing Insulation: _ 13w -- New Insulation:_jV_0 Roof Slope: IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch. Roof Covering: I RC section R905 urer's specifications and IRC Selected roof covering must be installed in accordance with manufa p requirements. Insulation: WSEC 101.3.2.5 exception 2a & 2b Existing roofs shall be insulated to the requirements of this Code if v of the sheathing or, a. The roof is uninsulated or insulation is removed to he level 9 b. All insulation in the roof/ceiling was previously inst i lied 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: �/�� Tn Contract Parcel No: Za l 2- Permit r,0.: � Signature: -' - Date: � ARC 10/19/04 re-roofapplication.do i MASON COUNTY PERMIT NO. JS�L�1 r BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427- 6 the web irw 360)e .c 275- 467 - Esma (360) 482-5269 APPLICANT INFORM TION CONTRACTOR INFORMATION Owner ► Srnt Company Name 0 1 p Mailing Add r'ssir MailingAdd ess City State Zip Code City StateW Pf Zip Code Other Ph. Phon �0 y(o �/ &2Z Other Ph(�� 0 W Phone Ex Lien/Title Holder SLAG IL Contractor Reg.# p E mail address r3i qa 60 •(.om E Mail Address Drivers Lic.#Xmtt45 T9S �— DOB /.-"1- / Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic. _— Existing Septic Connect to Water System ---�—Name of Water System * y Well Water System.1�,— Name of Water System PARCEL INFORMATION-12 Digit Parcel No O 1 Fire District Legal Description OODt 0 D ��C�' -ro' f P W DR. Shril Site Address(Please include street ame;stree�t number and city)c2 Dj}'�r'ectio s to site -k.✓S L urn�.a- E 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 action?Ye o El TYPE OF JOB - New Add Alt Repair Other 1E W PRIMARY R SIDENCE SEASONAL Use of Building Rek>�tl I�r�n"'1 -- Describe Work3p�' No. of Bedrooms —No. of Bathrooms�_Square Footage- 1 st F or_ 2nd Floor 3rd Floor M P, —Basement -- Deck —Covered Deck Other — Sq.ft. Garage -150 Attached_, ---Detached --� Carport Attached Detached MANUFACTURED HOME INFORMATION -Make Model Year Length Width Serial No. No. of BI drooms 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 lf entitledtoreceive is this permit and to do the work as proposed in the application.I declare that I have obtained the perf mission from all the necessary parties.have permission required from any easement holder or any other party in interest regarding this application or or th eon e work roposowners berhalte application, gat the information permission from them to apply for this permit and conduct the work proposed. and structure for review and inspection. provided is accurate and grants employees of Mason County access to the above described rope P=OwZner/CO ION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date er a resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accep d by Dated PDEPARTr,MENTAL REVIEW APPROVED DENIED NOTES epartment epartment Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ec ion Plan Review Fee EH Review ee Plumbing&Base Fee Plannin R view Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES