HomeMy WebLinkAboutBLD2000-01095 Reroof - BLD Permit / Conditions - 8/28/2000 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
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RESIDENTIAL BUILDING PERMIT BLD2000-01095
OWNER: WILLIAM G MOUNTS 360-426-5384 RECEIVED: 08/28/2000
CONTRACTOR: ISSUED: 08/28/2000
SITE ADDRESS: ! U .t C7 /Z �-,F—l�
PARCEL NUMBER: 420125300004 EXPIRES: 02/28/2001
LEGAL DESCRIPTION: WOODLAND MANOR#2 BLK: LOT:
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REROOF SHELTON SPRINGS RD, HOUSE JUST PAST ISLAND LAKE RD ON RIGHT
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. Com . Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee KS 08/28/200 $4.50 54400
Re-Roof Fee KS 08/28/200 $42.00 54400
Total $46.50
BLD2000-01095 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2000-01095
CONDITIONS FOR
BLD2000-01095
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 rA0 "L
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 oAo�
3) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. X wi
4) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. X M,� l�
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: Q"- DATE:
BLD2000-01095 Please refer to the following pages for conditions of this permit. 2 of 2
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD 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 M.r. ��A^ti �.�I��I(i'YI r Contractor Name ►J,n--e,;-,,,J tZ ._4.
Mailing Address / I ,.marl_ a I Mailing Address SZ E.rc- Kw t
City State Zip Code City State ,+- Zip Code
Phone 3-,; L47-Le 5-3" Other Ph.( Ph.( 7"ll --7/,-,- Other Ph.(
Lien/Title Holder Contractor Reg. # A✓k�^r, ¢rc OS 5 ur<
Address Expiration 0,4 Of
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.P I No. yz u/Z 3 / 0L, tir Fire Distric
Legal Descriptio Q,Cl.
Site Address(Please include stre t name, street fiumber and city) 9,ul 9iz 51 tom✓ -
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
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Other Other Use of Building
Describe Work /0 ""'it 016 r-vjC -S ,jr_" Z�'[n r.�c. n•• S�c�
No. of Bedrooms No. of Bathrooms 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-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.
X Date X �—) e— Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL RE IE APPROVED DENIED: CONDITION CODES
Building Departm �htAOG�
Occ Group e Constr.-
Planning Department
Environmental Health Department
Public Works Department
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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CONCRETE MECHANICAL MOBILE HOME
Footings Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date b Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING 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 9-Z S-a�=o by VZj -- date by
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