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Home My WebLink AboutBLD2000-01073 ReRoof - BLD Permit / Conditions - 8/22/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)4e ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2000-01073 OWNER: FIRST CHURCH OF GOD CONTRACTOR: R EIVED: 08/22/2000 SITE ADDRESS: 1113 E SHELTON SPRINGS RD SHELTON pµ1S, pAT,' 1suED: 08/22/2000 PARCEL NUMBER: 420121290050 ,� � E elftES: 02/22/2001 LEGAL DESCRIPTION: TR 3 NW NE S OF R/W TR 2 OF SP#908 Aox�, 11 3 V ,� l PROJECT DESCRIPTION: DIRECTIONS TO :jLflt. k RE ROOF SHELTON SPRI RD. TURN LEFT ON SHELTON SPRINGS RD. CHURCH LOCATED JUST PAST HIGH SCHOOL General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: COM Insp. Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ALT Fire Dist.: 11 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Year: Serial No.: Side 2: Ft. Comp. Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee NJP 08/22/200 $4.50 54348 Re-Roof Fee NJP 08/22/200 $100.00 54348 Total $104.50 BLD2000-01073 Please refer to the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2000-01073 CONDITIONS FOR BLD2000-01073 1) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X (-), �y 2) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED T INIMUM_OF ALLOWING FOR A MINIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION 3) ENCLOSED ROPF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR TO COVER. X 11 4) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF US4 OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 5) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x � IM 6) THE D MOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS. This permit becomes p null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER O AGENT: DATE: BLD2000-01073 Please refer to the following pages for conditions of this permit. 2 of 2 FORM MUST BE COMPLETED IN INK PERMIT NO. BLD kPLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION r CONTRACTOR INFORMATION Owner (' f C70 Contractor Name TO r Mailing Address v� S Mail* Address Cit-�`ttv\ Stateuta Zip Cod City � Stateklc\ Zip Code Phone(3(c,0 )'-f�2-gJ()DL-Other Ph.(_�UO Ph.(?Dlpj`)' - ther Ph.( Lien/Title Holder Contractor Reg. # Address Expiration 0 S / 9�_I / -, 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. Fire District Legal Description IracT tc.) of d E c T 2 o f ciho vT Plo r-qqU g Site Address(Please include street name, street number and city)11 13 �ol'to� Sor, n1X S fZ�O 097-on, Directions to site Tr. - Z c Will timber be but a'ryb sold in parcel preparation? (Yes/ o) 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 RESIDENCEO SEASONAL RESIDENCE❑ TYPE OF JOB New Add_Alt Repair Other Use of Building Describe Work C,�1 t�l can I vnr- olFFo No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor nd Floor 3rd Floor Loft Basement 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 $ Replacement Unit ?(Yes/No) Installer Name Certification No. 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 CONTRACTOR'S 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. ��yy X Date X Date8-22-010 FOR OFFICIAL USE BEYOND THIS POINT _nn Accepted by L Date Submittal Amount Due `�v Receipt No. DEPARTME REYI APPROVED DENIED CONDITlt3N'COp 5 Building Departm P S Z 1i6 Occ Group —Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal 7� Valuation $�,,( FEBS _. Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) :.. TOTAL FEES I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b 1 Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by O 1 i