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CA) ƒ 22 * � � zr » CDe e m \ § D 22 ( \ / £ J ® « \ \ / Ja E - r1j CONCRETE MECHANICAL MANUFACTURED HO >ME cn —CD Date 8 Y — X CD Footings/Setbacks Ribbons r, Gas Piping M o Intenor Date By Interior-Date By Date By Exterior Date By Exterior-Date By Set-up 00 4 S Point Load I Isolated FootingsIN ULATION Date By 0 00 BG I SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data "Y DECKS, FRAMING Waft Date By Date By Data "Y PROPANE TANKS PLUMBING Vault Date By Date Fly OTHER Groundwork Attic Date By Date By Type- Date By MWv DRYWALL Type: Int Brace Wall Date By 00 Date By Date, By FINAL INSPECTION (D Water Line Fire Seperation CD Cn Date By Date By Date -7 BV -.Z,r44 CD (D 6 Pass or Request Inspect 6 Type m of Insp. Fail Date Date Done By Coments 5 CD —4 —iA _0 (D Cn a) o :D ch Cl) 0 MASON COUNTY PERMIT NO. 1c� � BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton,(360) 4427=9670 Belfair(360) 275.446.7 Elma(360)482-5269 On the web www.co.mason.wa.us APPLI IN O AT ON CONTRAC OR INFORMATION Ownermhffl Company Name Mdiiiri d t Me111n Add esg fe 4" U City St Zip Code City State�—Zip Code WOW Phone Other Ph, Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address_ E Mail Address Drivers Lic.# DOB Drivers Lic.#f e*TWgT3OR U DOB SEPTIC WATER SYSTEM INFORMATfON -Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFOR ATION-12 Digit Parcel o Fire District Legal Description, °�"LY-WC1% (6TZ Site Address(Please include street name, treet number and city) 'Directions to site ts Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake River/Creek Pond ilU009nd Seasonal Runoff Stream Slopes or B offs > 150/0 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB_Y Alt Aepai Other ��AjpYi ) NC .SEASONAL Use of Building escribe Work �(No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floo 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 Bedrooms No.of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Ce ication No. OWNER/ liLDER kknOM090S submlsr�ion 4f inawale 1nfQrrrretl4n may rtt in df work orders telrr►l<rtrYtisn, Wltgemnt 4f such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that 1 am entitled to receive this permit and to d.Q the work as _____ _m the application,I declare that I have obtained the ppm�ission from all the necessary parties.If permission is required from any easement holder dany other par party 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 infatuation provided is accurate and grants errsployees of Mason Goutyty ae to the above described property and structure for review and inspection. PR F NIO UATION OF WORK IS B MEANS OF A ESS INSPECTION. X .- #€' Hers Re septa ve/bo ra or ind t4 w c o e FOR OFFhCIAL USE BEY ND THIS POI Acce ted by: Bate DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Foe Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee I State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 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 Elma (360) 482-5269 Seattle (206) 464-6968 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope:4 112- A Old Roofing Material. New Roofin Material: Sheathing: Underlayment: Existing Insulation: New Insulation: 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 manufacturer's 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 of the sheathing or, b.All insulation in the roof/ceiling was previously installed exterior 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 11150 of the area of the space to be ventilated. If 50%of the ventilating area is provided from the upper portion of the space to be ventilated,then 1/300 is allowed. Applicant/Owner: Contractor: Parcel No.: Permit No.:, Signatur : Date: Re-roof application.doc