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ESE w A c r N CONCRETE MECHANICAL MANUFACTURED HOME F a CD Ribbons T Footings J Setbacks Date By � Date By Gas Piping Date By ao � Foundation Walls Date B y Set-up Date By INSULATION Date By B G 1 Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILI D.W.V. Date By Date By FINAL INSPEC Water Line Date C — B CD C Date By Date By s o� �s Red' 6J o .. CD cc Cn 0 0 r x o N b 8 O a o in 2 MO rfu^! S W V CD \ 1 l J 1 0, MASON COUNTY PERMIT NO. LDS- — BUILDING PERMIT APP ICATION 00s 426 W. Cedar - P.O. Box 186, Shelto WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-446 Elma (360) 482-5269'; On the web www.co.mason.wp.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company N e Mailing Address Mailing Add�!sss City State Zip Code City I State Zip Code Phone Other Ph. Phone Othdr Ph. Lien/Title Holder Contractor I ieg.# Exp. E mail address E Mail Addr ss 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 District Legal Description Site Address (Please include street name, street number and city) 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 No ilce or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ 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 Length Width Serial No. No.ol 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 3top work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or th a 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 other party in interest regarding this application Jr 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 grants employees of Mason County access to the above describ a property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTIO X Date- Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Ac $pted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Departmen Public Works Department Fire Marshal FEES Building Permit Fee Site Insgction Plan Review Fee EH ReviEl Wi Fee Plumbing & Base Fee Plannin Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fe Violation Fee Pre-Pai at Submittal Valuation $ TOTALF I EES F9MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMEN Permit Processing/Inspections/Addressing Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair(360) 275-4467 El (360) 482-5269 Seattle (206)464-6968 NON STRU RE-ROO APPLICATION J Roof Slope: / 12 Old Roof Material: " New Roofing Material: Sheathing: I Underlayment: Existing Insulation: New Insulation: Roof Slope :IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is alloN d on designed pitch. Roof Covering:IRC section R905 Selected roof covering must be installed in accordance with manufa is specifications and IRC 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 of the sheathing or, b.All insulation in the roof/ceiling 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: "/ / ( � l/VVt Contractor c S b�,. (� y Parcel No: j / 6 Permit No Signature: -'`' Date ARC 10/19/04 re-roof application.doc.