HomeMy WebLinkAboutMIS99-0729 Reroof Alum - MIS Permit / Conditions - 11/4/1999r-
X MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M i 3c; V - L- APtf_ C)US P' F- M I 1 FOR
MI S99-0729 PARCEL :4201 22 1 00020 PLAT - D 1 V : BLK . 1..0 .
JOB ADDRESS : 1180 E SHEt.TON- :PR I NGS RD SHELTON
APP!_ I CANT : KEN SFMANKO ipf
TION
OWNER . KEN SUMANKO 0 B'f EywiFt
LEGAL : f 210' OF 11 111 1-, El 21' 1 OF 411 FX M Is1. BULL' & �joQ1 8 /I I,
l� By W"
PROJECT DESCRIPTION : pTE L�
0
REROOF ALUM OVER 110T TAR
PRO.-!EC'T LOCATION :
TWO TONE GREY HIOUSE- AT I NTERSEC I' I ON OF BOARDWALK AND SHELTON SPRINGS ROAD OFF SHEI_a ON SPA I NGS
RD .
PROJECT NOTES c
TYP17 AMOLINT t Y DATF RECE I P'T
STFMF t 4 .50 TW 1 1 /04/99 52.062 n
RERF= 41 4.2 -00 TW 11 iO4/99 52061"
LTOT At, 46 .50 OWN .F' EFJ L .T
:_� _�-
t1IS_P11i` reu; 411dIi92 COMPLIANCE: TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foun ation Walls date by Set Up
date by INSULATION date by
BG(SLAB Insulation Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pf=: IRtA I 'T" C, N0 E -V # CAN
Case No . - MI S99 -07^9
For i KEN SEMANKG
Page : 1
1 ) PURSUANT TO 1997 UN I FORM BUILDING GODF , ALA. SITE MUST bF MARKED WITH APPROVED NllMBF PS
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 RE I NSPFCT I ON FEE , BASED
ON RATE: ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL VIE ASSESSED 1 f"
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PF41OR TO PEQULSTING INSPECTIONS .
2 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES ANI) UBC
REQU I REMEN"T,$
3 ) CONSTRUCTION PROCESS TO L'F. FIELD CORRCG"fED AS RE'QU 1 R P U MASON COUNTY BUILDING
DEPAR i'MFNT AND UNIFORM BUILDING CODE .x �'
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG4SLAB 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
FORM MUST BE COMPLETED IN INK 0-72�f
PLEASE PRESS HARD C)l9 —
� PERMIT NO.: MIS
MASON COUNTY
MISCELLANEOUS 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 CONTRACTOR INFORMATION
Owner m Contractor Name T�n-f e.r C
Mailing Address n Mailin Address 5 o Oc�
City State 1,,.>6 Zip Code City tt State (,J+9 Zip Code CWALM
Phone(3bn ) h12b 4/240ther Ph.( Ph.(I Cho ) -72.-z-ZZ33Other Ph.(�
Lien/Title Holder Contractor Re . # n—
Address Expiration � / z /
PARCEL INFORMATION-12 digit Tax Parcel No. 2- / 2—Z_/10040 20 Fire District
Legal Description s-f 2-4 6 cL AJ e /1/ Ld 5-X 26 0
Site Address(include street name and city
Directions to site:
IQ 6. QI ' 5 L
Will timbe a cut and s4Ad in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe proposed construction Ro r`� t Vy-A n�� IAA .
r0Y,)
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
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 CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval. be made without first obtai ing approval. J
X Date Vnate
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by - Date (4 - ubmittal Amount Due Receipt No
5a)L�L,
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department A
Occ Grp Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee pp Site Inspection
Plan Review Fee Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
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