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CD O (D 0 a 7 9 « 0 & « k7 3 $ A7 \ � 0 a3R = . $ $ /° m k CD CD G R � � D 0 . � 7a CD 2 CD / \Ln / : C � \ CD 0 / 2R$ CD 02 7 = S ° �k � / } \& $ mot § . $\ $ m } CD = (a RR~ § \ 0 CD D $ 72 g �ƒ TD m 727 ± 2 » � a , $ $ m % » J$ } CD /�k 2 CrIS CD e � 2CD \ Ego 0 � k ) C: « § 7 (f / c o ° $ aCD cr 3 a) ±% \ / aS \ \ o ` CD\\ 0 � f \ e . \ . ) � \ Q ' k � Q MASON COUNTY /r DEPARTMENT OF COMMUNITY'DEVELO MENT Permit Processing/Inspections/Addressing Mason County Bldg. III 426 W.Cedar P_C�X l-1 P.O.Box 186 Shelton,WA 98s84 (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-69 E NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: Old Roofing Material: ('� � plc, `lno New Roofing Ma rial: =r v� Sheathing: Underlayment: t 15 e �� Existing Insulatio : New Insulation: p-w— Roof Slope: UBC Table 15-13-1 & 15-B 2 Roof slope must be indicated to ensure selected roof covering is allowcc on designed pitch. Roof Coveritlg: 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 If the sheathing or, b. All insulation in the roof/ceiling was previously installed ex rior to the sheathing or non-existent. Attic Ventilation: UBC Section 1505.3 Enclosed attics and rafter areas shall be supplied with cross-ventilation. he 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 a a is provided from the upper portion of the space to be ventilated, then 1/300 is allowed. Applicant/Owner: 1 1�Q ��htl1S Contractor Parcel No.:_ a®)a — 51 — pip a� Permit N . Signature: Date: Re-roof application.doc caNa ORM MUST BE COMPLETED IN INK PLEASE P�, ESS HARD MASON COUNTY PERMIT NO. n BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Sheltcn WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-446 • Elma (360) 482-5269 On the web www.co.mason. a.us APPLICANT INFORMAT O CONTRAC OR INFOR TIO Owner S Company p y N me Mailin Ad ess Mailing Addy ss City State Zip Code �•`� City State Zip Code Phone��l, 71- I n��;� Other Ph. Phone - - tot 1 Other Ph. Lien/Title Holder Contractor g. - Exp. E mail address E Mail Address dar .(~Cfri-neyC- Ner 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 Sewer System Name of Sewer Syste PARCEL INFORMATION - 12 Digit Parcel No.® — Fire District Legal Description al ; Site Address (Please include street name, street number and city) 7 Directions to ite Will timber b cut and sold in parcel preparation?Yes No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or BIi fs 15% Is this permit submittal the result of a Stop Work Notice,Correction Noti or other enforcement action?Ye o TYPE OF JOB - New Add Alt Repair k Other PRIMARY RESIDENCE S SON�L ❑ Use of Building Describe Work—�. 7 C No. of Bedroom- 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. of B drooms No. of Bathrooms Type of Heat Purchase Price $ Replz cement Unit? Yes/ No Installer Name Cert f ication No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in E stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners le al 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 other p y in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permi and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants rnployees of Mason County access to the above described property and structure for review and inspection. This permit/application becom s null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 c ays. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA P.ROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 0 DAYS WILL INVALIDATE THEAPPLICATION. X Date: - Owner/Owners epresentative ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accept by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ecti Plan Review Fee EH Review F ee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Ic Ubmittal Valuation $ TOTAL FEE