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E (O (D 0 o 0 o CD U5' W MECHANICAL MANUFACTURM HOW m o CONCRETE tv Cute B y CD Ribbons +n oD Footings d Setbacks Gas Piping D o interior Date 8y interior-Date By Data By z o i xt w Date By Exterior-Date B - L Point toad Isolated Footings IIVS ULA IaN By 0 Date By a SLAB INSULATION 13Y FIRS DEPARTMENT ENT z Foundation Walls Floors Dais By Date By Data By _ DECKS wa;ii Date By FRAMING Date By Date By PROPAN TAId S, Vault gate By I�LUUBING Date By OTHER Grour~art� atac Type; Data By Dats By Data By DRYWALL Type Cl.ilf.V int Brace Wail mate y` W Date By Date --- iNSP�C' '� v v Water tine Fire aeperation. By Data i3y o Cn Data ;or Data ! CD Pass Request IrisPact. o o 3 Type of insp. Fail date Efate l drive B Com ants w a� o 'Ile, 1 "' ► 29 J"P 3c5 d 7 ��/ �U 0 ZE cn v m cn o 8 Q 0 0 m 3 r is 0 Building Permit # ` MASON COUNT BUILDING 111 426 W. C DAR SHELTON, WASHINGTO 98584 (360) 427-9670 CORRECTION , NOTICE Job Location Z5' cvd/i J Of �a This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws,l and Ordinances has been found: Items Listed below must be tcorrected to gain) ode compliance/a if 71 a, �nsi�, Il.t.�a p•. In„,wHz S vYvGz2 � 34 . C,G► �1'► .�+s�rz 1 �'Z Z) _Son' ( � r^Dn►nfG,'L a1 r 5; . .F AIM You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Departmentt! Date 1 I DLO-7 Inspector e' DO NOT REMOV THIS! TAG 2 FORM MUST BE COM PLETED IN INK MASON COUNTY PERMIT NO. CJ ' PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427- 6 theelfa eb Irwiv 60co275-44.mason6 Elma (360) 482-5269 APPLICANT INFORMATION COus NTjNgnee-IM FORMATION R r Owner CompaMailin fiow S — Mailin Ad r ss S C "�°'� "^ CityjState �_ Zip CodeCity j Statet�Zip CodePhone T �4�C! Other Ph. Phoneor . # Other Ph.Exp.— It) Lien/Title Holder Contractor g. # p� E mail address E Mail Addr s �AS6 2 6 6y Drivers Lic.# DOB Drivers Lic. 'A-r0N - 7 3(*7 F4(v DOB 7 SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic. Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer Syste PARCEL INFORMATION - 12 Digit Parcel No. y e Fire District Legal Description 6 Site Address (Please include street name, street nu ber and city) I, ° G^ Dir tions to site I^ o 1 e 0 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 81 iffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Not de or other enforcement action?Yes TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE M SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year No. of,Bedrooms—No. of Bathrooms Length Width Serial No.Type of Heat Purchase Price$ Rep acement Unit? Yes/ No Installer Name Celification 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 permission from all the necessary parties. If permission is required from any easement holder or any otherparty in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and gran employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if constructionr!!�- CTIVITY OF THIS PERM TAPPended for a LICATION eriod of 0 18y DAYS WILLs. PROOF OINVALIDATE THEAPPL CATION.F CONTINUATION OF WORK IS BY MEANSOFA GRE at-1 ? X wner/Owners Representative ontractor dicate which one) FOR OFFICIAL USE BEYOND THIS POINT ACC ted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Plannin De artment Environmental Health Department Fire Marshal FEES Buildinq Permit Fee Site Ins ction Plan Review Fee EH Revie Fee Plumbing & Base Fee Plannin Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Pre-Paid at Submittal Violation Fee Valuation $ TOTAL ES i x MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Processing/Inspections/Addressing Mason County Bldg.III 426 W.Cedar If P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: f Old Roofing Material: A V- New Roofing Material: Sheathing: I` Underlayment: I, - Existing Insulation New Insulation: N Roof Slope: UBC Table 15-13-1 &15-B 2 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch. Roof Covering: UBC Section 1507 Selected roof covering must be installed in accordance with manufactu is specifications and UBC requirements. Insulation: WSEC 101.3.2.5 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 f the sheathing or, b.All insulation in the roof/ceiling was previously installed ex erior to the sheathing or non-existent. Attic Ventilation: UBC Section 1505.3 Enclosed attics and rafter areas shall be supplied with cross-ventilation. The net free ventilation area shall not be less than 1/150 of the area of the space to be ventilated. If 50%of the ventilating z rea is provided from the upper portion of the space to be ventilated,then 1/300 is allowed. Applicant/Owner:�C Contractor1_/fit 0 v, Cc , 0 0 Parcel No.: V SI 000 t s, Permit N .: Signature: Date: �? Re-roof application.doc