HomeMy WebLinkAboutBLD2001-00981 ReRoof - BLD Permit / Conditions - 9/21/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 -
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2001-00981
OWNER: GENE GLODOWSKI
CONTRACTOR: RECEIVED: 09/21/2001
SITE ADDRESS: 1 E CHERRY PARK SHELTON ISSUED: 03/21/2001
PARCEL NUMBER: 420125400001 EXPIRES: 0 /21/2002
LEGAL DESCRIPTION: CHERRY PARK LOT: 1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RE ROOF NORTH PAST SHELTON HIGH SCHOOL. RIGHT ON ISLAND LAKE BLVD.
2ND HOUSE PAST DISTRICT 11 FIRE STATION. CHERRY PARK SIGN IN
YARD
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp. Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: RR 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.: it Side 2: Ft. Com . Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee NJP 09/21/200 $4.50 57452
Re-Roof Fee NJP 09/21/200 $42.00 57452
Total $46.50
BLD2001-00981 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-00981
CONDITIONS FOR
BLD2001 -00981
1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail to post the address on site prior to requesting inspections.
X 4,
2) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X
3) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. X
4) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason
County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or
occup ould result in permit revocation.
X
5) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector be made prior to requesting additional inspections.
X
6) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time
for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permi=- ,
ave prevented action from being taken. No more than one extension may be granted.
X
7) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is
directedtQ conatct Olympic Air Pollution Control Authority at (360) 438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition.
X
BLD2001-00981 Please refer to the following pages for conditions of this permit. 2 of 3 MAIM
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.
O�EOAGENT: - DATE:
BLD2001-00981 Please refer to the following pages for conditions of this permit. 3 of 3
t BETE MECHANICAL MOBILE HOME
t Footings-Setback date Ribbons
date Gas P%*g date by
Faaxda m walls date by Set UP
date hv INSULATION date
BG/SLAB Insulation Floors F"
date by date by date
by
FRAMING FIRE DEPT.
date by Wa!>s date by
PLUMBING date by OTHER
Attic
Groundwork date by
date by WALLBOARD NAILING
D.W.V. date by
date by FINAL INSPECTION
Water Lane date by date l by,1 +�'-�l date by
-47
V
VJ
U
FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD
PLEASE 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 CONTRACTOR INFORMATION
Owner oCvLFV9- eV-40z)6w LI Contractor Name CA.4&t
Mailing Address G,43-r C,y,Gr4_12_Y Pf /tC Mailing Address
City 5 AtArL-ro&J State aL, Zip Code 9 yS k9 City $ gV' 7o State&L _ Zip Code` 1-5 ASV
Phone(36n )y26--i39/ Other Ph.(3(o jy —7 Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address 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. Y)n,1 D.- / G:iV / (70 4 <3 Fire District��
Legal Description
Site Address(Please include street name, st eet number and city) / 46,457 C#z37_JZY f4Ak p;SF
Directions to siteesd A,,3,27-H P437 yyatToA/ ^A) /S,e-4a1Z7LwkE Bcvo-- 2-Ain
Hcjs� -D F/ — v — c 64112 A
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) 4/(') Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCEK SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building 4 id?vt 45
Describe Work&EPLA<Lt F'6L_S �..iSLGtS crA l Qoa F
No. of Bedrooms_:No. of Bathrooms'_SQUARE FOOTAGE-1st Floor /god 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-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.
Date 1?"'2_/-01 X Date
FOR OFFICIAL USE BEYOND THIS POINT
bo _
Accepted by 4 Date Submittal Amount Due Receipt No
DERARTMNTAI» R VIEW APPROVED DENIED CONDITION CODES
... .........
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
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
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