HomeMy WebLinkAboutBLD2000-00511 Reroof - BLD Permit / Conditions - 5/1/2000 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584 r
Irflo
RESIDENTIAL BUILDING PERMIT BLD2000-00511
OWNER: REX ALLEN 360-943-7722
RECEIVED: 05/01/2000
CONTRACTOR: ISSUED: 05/01/2000
SITE ADDRESS: 13 k j E' 75er� pr Zv EXPIRES: 11/01/2000
PARCEL NUMBER: 420122166160 cmj SI
LEGAL DESCRIPTION: TR 10 OF S 15 ACRES OF NE NW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REROOF HWY 101 TO SHELTON SPRINGS RD TO ADDRESS
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:-
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: RR Fire Dist.: No. of Stories: Occ. Load: Building:
Valuation: Buil ing 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. I Comp. Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee KS 05/01/200 $4.50 53340
Re-Roof Fee KS 05/01/200 $42.00 53340
Total $46.50
BLD2000-00511 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2000-00511
. CONDITIONS FOR
BLD2000-00511
1) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIM M OF R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X
2) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. X ,,�
3) 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
This permit becomes 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 OR AGENT: DATE:
BLD2000-00511 Please refer to the following pages for conditions of this permit. 2 of 2
M
PERMIT NO.: BLD
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 CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Adcrre4 /90i }%% N�:=_ R.SC. Mailing Address
City n LY. State WA Zip Code 9YOZ City State Zip Code
Phone 3 0 9N3- lrj j Other Ph.( --- ) Ph.( Other Ph.(
Lien/Title Holder *O/VE Contractor Reg. #
Address fic 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. 4,-2Qj ;;l1 / )1 00100 Fire District
Legal Description
Site Address(Please include street,.name, street nymber and city) ii 1
Directions to site
Will timber be cut and sold 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 Work - "
No. of Bedrooms No. of B throoms SQUARE FOOTAGE-1st Floor 2nd 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 OFFICIAL USE BEYOND THIS POINT
Accepted by /r� Dat —/-0`-Submittal Amount Due �'�� Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED' CONDITION COPES
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Building Department
Occ Group Type Constr. L�✓
Planning Department
Environmental Health Department
Public Works Department
I �
Fire Marshal
Valuation $
FEES
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 ( )
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