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HomeMy WebLinkAboutBLD2002-00166 REROOF - BLD Permit / Conditions - 2/15/2002 \ a ƒ \ + m 2 / . / % / D / 0 2 m \ ° / / & { / \ / 3 0 \ X / Q o � / GC _ \ / \ \ \ ( \ / / / g CL gg Q 2_ 0 / » + / & 2 � � � c ? » 0 s ° 2 2 0 $ \ / \ �_ \ z mcn0m :7 a e z / / 22 (D § m > CD CA 0^ /\ 0 5 \ \ 2 0 � g T T / / \ \ \ � / � / 0 . t � .. .. � Ul / \ 0 D = 0 % \ / / / ƒ OC) 0 0 \ \ a m 70- M C m / 2 2 Z Z Cl) I 9 f, / / w \ / \ moo C-,CO ^ 0 � \ 9 ± / \ » & \ /� \ 7 / 0 � / § § / & / ƒ / ( / / ' / m 0 ( E o ol / Z -n / \ - - - - 0 0 s y a 2 5 \ / \ O 0(D o \ CA / � � � /\ t0w0 C_ ' G oc _ $ I - � _ m \ o r � 0mm F 2 / / / cna-0 \ C \ \ 00 Z \ $ f \ 2 g 9 / \ % 0 _ { 22 OQ0 y = . . / O 2 0 0 e / \ D / 2m & : $ 0 > \ co TO j co cn C o CD } \ » _ e a 2 3 / @ 7 \ / ƒ $ ° :r � 9R O z 4 ƒ \ \ $ 2 U / / e e / / / § / / O O / gym ma m \ (1)0 �CD « M m - 5 \� � o Z « 2 _ w \ \ 7 .. . . § / \ cn / o m I c .. \ ` cm . � m _ / % 0 \ � M � ƒ � / m � \ - 73 3 O \ \ mMM D / � \ ( \ ° ° \ CD .0 2 / 9 9 C 0') / e ® � 99R CD C� O I 2 \ § BCD ea cee � x2 , » S / \ \ \ 9 r 6 % / / oe 7 / / -a OD q ¢ sc7 CD _ \ . ` \ } a) 5 \ C cn / D = e / / \ / / % 7 g 2 ° ® . � g \ § = 0 E = 7 < %. m . 0 0 ® E § § % 3 / \ \ 5� CD 0- / 2 < s 2 \ J \ 3 § » CD 0 ZT 0 & N CDkCD R 0 0 ® ou 0 00 > 0 Cl) ET = o r2 r ¥. o / p m = 0 2 0e q oO \ » § D cn \ / / J -n 0 \ / ¥. 2 ;u = e / a cn _ \ \ / / Cl) 2 = e \% 7 ?+. 0 z / / 3 0 CD � sa / / \ 0 2 0 / 0 \ P7 \ \ \\ \ a 0 \ \ / ƒ / 5 \ c 2. \ / CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date hv Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FIRE DEPT. FRAMING Walls date by date by date by PLUMBING OTHER Attic Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Line date by date by date by tV FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD 61� —" 66kul— PLEASE PRESS HARD MASON COUNTY r BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482 269 Seattle 206 464-6968 APPLIC,A�NT INFORMATION t( CONTRACTOR INFORMATION Owner I' Oar lei S nc-, rlrr-x r\, Contractor N ime ,i uJ Pa l Mailinq,Address t W ! ' �t A o c Mailing Address city lE�YDi1 State Zip Code City State Zip Code Phone(:3(00 HA Ph.L___) Other Ph.0 Lien/Title Holder Contractor Reg. # Address ��\ �c.�i Ctv a � :rl � ����— Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 77 y F 57 Fire District (, Legal Description Site Address(Please include street name, street numbercar�,, t o Directions to site ; t\ '� Y'D& ` II-D `}1 ¢ - / C GTilt Will timber be cut and sold in parcel preparation? (Yes/ Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair_ Other Uselof Building Describe Work No. of Bedrooms2—No. of Bathrooms) 'i SQUARE FOOTAGE-1st Floorl 700 2nd Floor )v 4 3rd Floor jy -}Loft&& Basement&j- Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ I Replacement Unit ?(Yes/No) Installer Name Certification INo. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTORS AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFI IAL USE BEYOND THIS POIN Accepted by r Data / Submittal Amount pue'a Receipt No.-6T T ©EP,IIRTM' NT 1» �V W APPROVED DENIED CfJNI)ITaN COaS Building Departme /S Q Z Occ Group. e Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal o Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES